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Prognostic factors vs. outcome in male‐to‐female transsexualism
Author(s) -
Lindemalm G.,
Körlin D.,
Uddenberg N.
Publication year - 1987
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1987.tb02788.x
Subject(s) - ambivalence , repentance , psychology , medicine , clinical psychology , developmental psychology , social psychology , theology , philosophy
— Thirteen male‐to‐female transsexuals were investigated 6 to 25 years after surgery. Thirty‐five prognostic items were compared with each of three outcome variables. Traumatic loss of both parents in infancy was connected with repentance at follow‐up. A childhood family of an overprotective mother and a distant father, on the other hand, was prognostically favourable. Contrary to most previous reports, high sexual activity and bisexual experience was associated with fair sexual adjustment and with non‐repentance after sex change. The repenting individuals, on the other hand, had been a‐sexual or hyposexual before surgery. Completed military service, a history of typically masculine, hard jobs, and a comparatively late (more than 30 years of age) first request for surgery, were found to be negative prognostic factors in sex‐reassignment evaluations. The phenomenon of ambivalence or hesitance during the trial period is discussed. Both too much and too little ambivalence may suggest a poor prognosis.