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September 1959

Transsexualism: Report of a Case

Author Affiliations

San Francisco

AMA Arch Gen Psychiatry. 1959;1(3):332-337. doi:10.1001/archpsyc.1959.03590030116013

The case of male transvestism to be reported has special interest because of the numerous biochemical and physiological tests to be reported and the patient’s atypical social adjustment. Apparently he succeeded in convincing his many casual sexual partners and also his so-called husband that he was a woman both physically and psychically.

Male transvestism, or cross dressing, is a symptom ranging in intensity from the common occasional inclination to dress as a woman to a rare condition in which the patient may prefer suicide to living as a man. Many writers consider the particularly intense transvestite urge as part of a symptom complex which is distinct from homosexuality, fetishism, and the other perversions. In this disorder the patient feels he must be transformed into a woman in every respect because his soul is already feminine, regardless of a male body. When taken for a man,

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