Barlow D H, Abel G G, Blanchard E B
Arch Gen Psychiatry. 1979 Aug;36(9):1001-7. doi: 10.1001/archpsyc.1979.01780090087009.
An apparently successful change in gender identity of an adolescent transsexual was reported several years ago. Gender-specific motor behavior, appropriate sex role social behavior, cognitive sexual activity, and finally sexual arousal patterns were defined, measured, and sequentially modified. In this report, a 6 1/2-year follow-up is presented and the application of a similar therapeutic package to two additional cases is described. In the first case, sweeping changes in gender identity, sex-role behavior, and sexual arousal patterns were observed. In the second of these cases, rigid feminine gender was given up, but the patient chose to retain homosexual arousal. Social adaptation was satisfactory. These findings and other recent developments point to the possibility of psychosocial intervention as an alternative to surgery in the treatment of transsexualism.
几年前曾报道过一名青少年变性者性别认同明显成功转变的案例。对特定性别的运动行为、适当的性别角色社会行为、认知性活动以及最终的性唤起模式进行了界定、测量并依次加以改变。在本报告中，呈现了6年半的随访情况，并描述了将类似治疗方案应用于另外两个案例的情况。在第一个案例中，观察到性别认同、性别角色行为和性唤起模式发生了彻底改变。在第二个案例中，放弃了刻板的女性性别，但患者选择保留同性恋性唤起。社会适应情况令人满意。这些发现以及其他近期进展表明，心理社会干预有可能成为治疗变性症的一种替代手术的方法。
