STOLLER R J, ROSEN A C
Calif Med. 1959 Nov;91(5):261-5.
There are at present two opposing points of view on problems of dealing with the intersexed patient (not the typical homosexual or transvestite) who has clearcut anatomical or biochemical qualities of the opposite sex. The first is that in the growing child or adult coming for treatment, the sex the patient should adopt is the summation of somatic sex. The other is that the sex role should be assigned according to the predominant psychological identification already present.A case history of a middle-aged pseudohermaphrodite, castrated in youth but raised from birth as a female and living thus in "homosexual" relations with women until examined and interviewed at UCLA Medical Center is presented to illustrate the psychological problems in sexual identity with which the patient had to cope. Psychiatric investigation revealed how confused the patient's sex identity was until treatment by a team consisting of psychiatrist, psychologist and endocrinologist permitted the patient, even at so late a date, finally to establish what his gender is. The patient was able, despite early rearing as a female and a castrating operation, to swing to a more masculine identification. This was possible because of some uncertainty of sexual role from an early age.
目前，对于如何处理具有明确异性解剖学或生物化学特征的双性患者（而非典型的同性恋者或异装癖者）的问题，存在两种对立的观点。第一种观点认为，前来接受治疗的儿童或成人患者应采用的性别是躯体性别的总和。另一种观点则认为，性别角色应根据患者已有的主要心理认同来确定。本文介绍了一名中年假两性畸形患者的病史，该患者在年轻时被阉割，但从出生起就被当作女性抚养，一直与女性保持“同性恋”关系，直到在加州大学洛杉矶分校医学中心接受检查和访谈。这个病例说明了患者在应对性别认同方面所面临的心理问题。精神病学调查揭示了患者的性别认同是多么混乱，直到由精神科医生、心理学家和内分泌学家组成的团队进行治疗，才使患者即便在这么晚的时候，最终确定了自己的性别。尽管患者从小被当作女性抚养且经历了阉割手术，但由于从小性别角色存在一些不确定性，他能够转向更具男性化的认同。
