Lothstein L M
Arch Sex Behav. 1979 Sep;8(5):431-44. doi: 10.1007/BF01541199.
Ten aging gender dysphoria patients (eight men and two women, average age 52 years) were the subjects of this study. All had presented to the Gender Identity Clinic at Case Western Reserve University requesting sex-reassignment surgery. A psychiatric-psychological profile of the patients, their sexual functioning, problems with aging, diagnostic issues, and follow-up are discussed. The aging gender dysphoric patient presents in acute crisis, that is, exhibiting marked depression, increased suicidal ideation and behavior, and urgent perception of time. Diagnostic and treatment recommendations for aging gender dysphoria patients and their depressions are provided. Furthermore, guidelines are suggested for differentiating the aging transvestite with transsexual symptoms and the aging transsexual for whom sex-reassignment surgery may be indicated. Specific treatment strategies for an aging population, including sexual surgery, are also discussed.
十名患有性别焦虑症的老年患者（八名男性和两名女性，平均年龄52岁）是本研究的对象。他们均曾前往凯斯西储大学性别认同诊所，要求进行性别重置手术。文中讨论了这些患者的精神心理状况、性功能、衰老问题、诊断问题及随访情况。患有性别焦虑症的老年患者处于急性危机状态，即表现出明显的抑郁、自杀意念和行为增加以及对时间的紧迫感。文中给出了针对患有性别焦虑症的老年患者及其抑郁症的诊断和治疗建议。此外，还提出了区分有易性癖症状的老年异装癖者和可能适合进行性别重置手术的老年易性癖者的指导原则。文中还讨论了针对老年人群的具体治疗策略，包括性手术。
