Lindemalm G, Körlin D, Uddenberg N
Acta Psychiatr Scand. 1987 Mar;75(3):268-74. doi: 10.1111/j.1600-0447.1987.tb02788.x.
Thirteen male-to-female transsexuals were investigated 6 to 25 years after surgery. Thirty-five prognostic items were compared with each of three outcome variables. Traumatic loss of both parents in infancy was connected with repentance at follow-up. A childhood family of an overprotective mother and a distant father, on the other hand, was prognostically favourable. Contrary to most previous reports, high sexual activity and bisexual experience was associated with fair sexual adjustment and with non-repentance after sex change. The repenting individuals, on the other hand, had been a-sexual or hyposexual before surgery. Completed military service, a history of typically masculine, hard jobs, and a comparatively late (more than 30 years of age) first request for surgery, were found to be negative prognostic factors in sex-reassignment evaluations. The phenomenon of ambivalence or hesitance during the trial period is discussed. Both too much and too little ambivalence may suggest a poor prognosis.
对13名男性变女性的变性者在手术后6至25年进行了调查。将35项预后指标与三个结局变量中的每一个进行了比较。婴儿期双亲均因创伤离世与随访时的懊悔情绪有关。另一方面，童年时期母亲过度保护而父亲疏远的家庭环境，在预后方面较为有利。与之前的大多数报告相反，高性活动和双性恋经历与良好的性适应以及变性后不懊悔有关。另一方面，懊悔的个体在手术前曾是无性或性欲减退的。完成兵役、有典型男性化的艰苦工作经历以及相对较晚（超过30岁）首次提出手术请求，在性别重置评估中被发现是负面的预后因素。文中讨论了试验期的矛盾心理或犹豫不决现象。矛盾心理过多或过少都可能预示预后不良。
