Frohwirth C, Breton J, Gorceix A
Ann Med Interne (Paris). 1987;138(1):8-12.
The authors review the classification of transsexualism and gender dysphoria with respect to a series of 148 patients followed up for 10 years by a multidisciplinary group of endocrinologists, surgeons and psychiatrists; transsexualism is a major problem of self-identity and not a sexual derivation. The principal features of the study population are presented with details of methodology, criteria for selection for sex change treatment, and results obtained. The two main medicolegal problems (changing civil identity and penal medical responsibility) posed by medico-surgical treatment in France are discussed.
作者回顾了变性症和性别焦虑症的分类，该回顾基于一个由内分泌学家、外科医生和精神科医生组成的多学科团队对148名患者进行的为期10年的随访研究；变性症是一个主要的自我认同问题，而非性取向问题。文中详细介绍了研究人群的主要特征、研究方法、性别转换治疗的选择标准以及所获结果。此外，还讨论了法国医疗手术治疗带来的两个主要法医学问题（更改公民身份和刑事医疗责任）。
