Imber H
Med J Aust. 1976 Oct 30;2(18):676-8.
Transsexualism is an extremely uncommon disorder of gender role. This article describes the backgrounds, modes of life and management of transsexuals. "The transsexual believes him(her)self to be a female (ormale) in the body of a male(female)." The name is given to a very small number of men (and an even smaller number of women) who, although they are outwardly physically male (or female), are irrevocably convinced that their entire personality and identity are those of the opposite sex. They therefore feel that they ought to have their bodies changed to agree with the intensity and conviction of their feelings. Because this condition is so uncommon (having a prevalence of about one in 20,000 of the population), very few doctors ever meet any transsexuals, particularly as most of them live in only a few areas. In this article I will be mainly discussing the male transsexual, and will mention the female transsexual briefly afterwards. Transvestites and transsexuals are sometimes confused but can usually be differentiated. Basically the difference between them is that transvestites merely dress in female attire, whereas transsexuals feel that the sex organs are objects of hatred or disgust; they therefore persistently request a sex reassignment (sex change) operation in order to rid themselves of these organs.
易性癖是一种极其罕见的性别角色障碍。本文描述了易性癖者的背景、生活方式及治疗方法。“易性癖者认为自己身为男性（或女性），但其身体却是女性（或男性）。”这个名称用于指称极少数男性（女性的数量更少），他们尽管外表上生理性别为男性（或女性），却坚信自己的整个性格和身份属于异性。因此，他们觉得自己的身体应该改变，以符合其强烈而坚定的感受。由于这种情况极为罕见（在人群中的患病率约为两万分之一），很少有医生见过易性癖者，尤其是因为他们大多集中在少数几个地区生活。在本文中，我将主要讨论男性易性癖者，之后简要提及女性易性癖者。异装癖者和易性癖者有时会被混淆，但通常可以区分开来。他们之间的根本区别在于，异装癖者只是穿着女性服装，而易性癖者则觉得性器官是令人憎恶或厌恶的对象；因此，他们不断要求进行性别重置（变性）手术，以摆脱这些器官。
