Money J, Lobato C
Psychohormonal Research Unit, Johns Hopkins University and Hospital, Baltimore, MD.
Psychiatry. 1988 Feb;51(1):65-79. doi: 10.1080/00332747.1988.11024381.
The two siblings in this comparison constitute a matched pair on the basis of concordance not only for prenatal history and diagnosis but also for assigned sex as girls, and for spontaneous hormonal puberty that was not feminizing, but masculinizing. They were further concordant in being surgically and hormonally feminized, with their own informed consent, early in adolescence. Subsequently, they became discordant, for the younger one has lived continuously as a woman, with a feminine gender-identity/role (G-I/R) socially and erotosexually, whereas the older one became self-reassigned to live as a man with a masculine G-I/R socially and erotosexually, hormonally supported on testosterone replacement therapy. Flattening of the chest was readily accomplished by plastic surgery, but phalloplasty was not attempted, primarily because of the technical obstacles and, to a lesser extent, the cost.
此次比较中的这两名兄弟姐妹构成了一对匹配组，不仅在产前病史和诊断方面一致，在被指定为女性性别以及自发出现的非女性化而是男性化的激素性青春期方面也一致。她们在青春期早期经自己知情同意后，在手术和激素作用下实现了女性化，这一点上她们也是一致的。然而，后来她们出现了差异，因为较年轻的那位一直以女性身份生活，在社会和性方面都具有女性性别认同/角色（G-I/R），而较年长的那位则自我重新认定为以男性身份生活，在社会和性方面都具有男性G-I/R，通过睾酮替代疗法获得激素支持。通过整形手术很容易实现胸部扁平，但未尝试阴茎成形术，主要是因为技术障碍，在较小程度上也是因为费用问题。
