Roberto L G
Arch Sex Behav. 1983 Oct;12(5):445-73. doi: 10.1007/BF01542888.
Transsexualism involves incongruity between anatomy and gender identity in biological normal persons. The literature in this area indicates controversy in diagnosis and treatment. Current guidelines for assessment and treatment selection are critically reviewed. Outcome data suggest that sex reassignment surgery is variably effective and potentially deleterious. Child and adult interventions may be more viable than previously assumed. Recommendations for research include systematic follow-up, longitudinal studies of gender-deviant children, and studies of psychopathology. Until rigorous outcome data are available, return to a conservative position on sex reassignment, using highly exclusive diagnostic guidelines and restrictive selection criteria, is advocated.
易性癖涉及生理正常者的解剖结构与性别认同之间的不一致。该领域的文献表明在诊断和治疗方面存在争议。对当前评估和治疗选择的指南进行了批判性审查。结果数据表明性别重置手术效果不一且可能有害。儿童和成人干预可能比之前设想的更可行。研究建议包括系统随访、对性别偏差儿童的纵向研究以及精神病理学研究。在获得严格的结果数据之前，提倡回归到关于性别重置的保守立场，采用高度排他性的诊断指南和严格的选择标准。
