Brown G R
Department of Mental Health/SGHA, Wright-Patterson Air Force Base, Dayton, Ohio 45433-5300.
Arch Sex Behav. 1988 Dec;17(6):527-37. doi: 10.1007/BF01542340.
A sample of 11 male gender-dysphoric patients meeting DSM-III criteria for transsexualism was seen over a 3-year period by a military psychiatrist. Eight patients had extensive military experience, including combat duty in some cases. At the time of evaluation three were on active duty, one was a Department of Defense employee, and four were veterans. Evidence is presented for a hypermasculine phase of development that coincides with the age of enlistment in nearly all cases. The psychodynamic underpinnings of the choice to enlist in transsexual males are discussed. Outcome of military service was premature discharge in over 60%. The military's management of gender-dysphoric servicemen is described. Current military policies, in association with the proposed hypermasculine phase of transsexual development, may actually result in a higher prevalence of transsexualism in the military than in the civilian population.
一名军队精神科医生在3年时间里对11名符合《精神疾病诊断与统计手册》第三版（DSM-III）中变性欲标准的男性性别焦虑症患者进行了观察。8名患者有丰富的军队经历，其中一些人还参加过战斗任务。在接受评估时，3人仍在现役，1人是国防部雇员，4人是退伍军人。几乎在所有情况下，都有证据表明存在一个与入伍年龄相符的超男性化发展阶段。文中讨论了变性男性选择入伍的心理动力学基础。超过60%的人过早结束了兵役。文中描述了军队对性别焦虑症军人的管理情况。当前的军事政策，结合所提出的变性欲发展的超男性化阶段，实际上可能导致军队中变性欲的患病率高于平民人口。
