Pauly I B
Aust N Z J Psychiatry. 1981 Mar;15(1):45-51. doi: 10.3109/00048678109159409.
Fifteen years ago the author reviewed the world literature on male transsexualism (Pauly, 1965). Subsequently he summarized the results of sex reassignment surgery for male and female transsexuals (Pauly, 1968), and reviewed the literature on female transsexualism (Pauly, 1974). Very recently, Meyer and Reter (1979) concluded that 'sex reassignment surgery confers no objective advantage in terms of social rehabilitation' as compared with a group of individuals who sought sex reassignment but remained unoperated upon at follow-up. Both groups improved over time and led the Johns Hopkins Gender Identity Clinic to conclude that sex reassignment surgery would no longer be offered there. This report, and other non-surgical, psychotherapeutic approaches to gender dysphoric patients (Barlow et al., 1973; Barlow et al., 1979; Lothstein and Levine, 1980) call into question the justification for sex reassignment surgery. Therefore, it becomes important to update the results of sex reassignment surgery for transsexuals. Data on 283 male to female transsexuals and 83 female to male transsexuals are presented.
15年前，作者回顾了世界范围内关于男性易性癖的文献（保利，1965年）。随后，他总结了男性和女性易性癖者性别重置手术的结果（保利，1968年），并回顾了关于女性易性癖的文献（保利，1974年）。最近，迈耶和雷特（1979年）得出结论，与一组寻求性别重置但在随访时未接受手术的个体相比，“性别重置手术在社会康复方面没有客观优势”。两组随着时间推移都有所改善，这使得约翰霍普金斯性别认同诊所得出结论，不再在那里提供性别重置手术。这份报告以及其他针对性别焦虑症患者的非手术心理治疗方法（巴洛等人，1973年；巴洛等人，1979年；洛施泰因和莱文，1980年）对性别重置手术的合理性提出了质疑。因此，更新易性癖者性别重置手术的结果变得很重要。本文呈现了283例男性变女性易性癖者和83例女性变男性易性癖者的数据。
