Blanchard R, Clemmensen L H, Steiner B W
Arch Sex Behav. 1985 Dec;14(6):505-16. doi: 10.1007/BF01541751.
This study showed that the "socially desirable" presentation for a heterosexual male gender dysphoric is one that emphasizes traits and behaviors characteristic of "classic" transsexualism. Fifty-one homosexual and 64 heterosexual adult male gender patients were administered the Crowne-Marlowe (1964) Social Desirability Scale as well as eight questionnaire measures that tapped various features of the clinical history commonly given great weight in differential diagnosis. The tendency for a heterosexual subject to describe himself in terms of moral excellence or admirable personal qualities was significantly correlated with scores in the "transsexual" direction on all eight sexological measures; for the homosexual subjects, only one correlation was significant. It is argued that the patients most motivated to create a favorable impression on the examiner are likely to be those most anxious to obtain approval for sex reassignment surgery. Because, in this population, the socially desirable presentation is "feminine," it is possible that the differences in the histories produced by transvestites and heterosexual transsexuals are exaggerated to an unknown degree by the motivation of the latter to obtain approval for this operation. The findings do not diminish the important distinction between these groups, but they do suggest caution in interpreting the self-report data that have been used in comparing them.
这项研究表明，异性恋男性性别焦虑者的“社会期望”呈现方式是强调“经典”易性癖的特征和行为。对51名同性恋成年男性性别焦虑患者和64名异性恋成年男性性别焦虑患者进行了Crowne-Marlowe（1964年）社会期望量表以及八项问卷调查，这些问卷测量涉及在鉴别诊断中通常被高度重视的临床病史的各种特征。异性恋受试者用道德卓越或令人钦佩的个人品质来描述自己的倾向，与所有八项性学测量中“易性癖”方向的得分显著相关；对于同性恋受试者，只有一种相关性显著。有人认为，最有动力给检查者留下良好印象的患者很可能是那些最渴望获得性别重置手术批准的患者。因为在这个群体中，社会期望的呈现方式是“女性化”的，所以易装癖者和异性恋易性癖者所提供病史的差异可能在未知程度上被后者获得该手术批准的动机夸大了。这些发现并没有削弱这些群体之间的重要区别，但确实表明在解释用于比较他们的自我报告数据时要谨慎。
