Gender dysphoria, gender reorientation, and the clinical management of transsexualism.

Conducted 2 studies of gender dysphoria and postoperative adjustment by transsexuals. Study 1 examined the relation of gender reorientation (approximation of the status of the opposite biological sex) to psychological adjustment in gender dysphorics. Three S groups (75 heterosexual males, mean age 36.7 yrs; 85 homosexual males, mean age 29.8 yrs; and 103 biological females, mean age 27.4 yrs) were studied in multiple regression analyses, with psychological symptoms as criteria and measures of 3 roughly sequential components of gender reorientation (role changes, document changes, and physical changes), age, and education as predictors. Psychological complaints correlated negatively with the earliest phase of reorientation for females and with the later phases for males. Age and education bore little relation to current symptoms. Results suggest that psychological improvement accompanies gender reorientation in both male and female gender dysphorics; the greatest degree of improvement is seen earlier in the process for females. Ss in Study 2 were postoperative transsexuals (32 homosexual males, mean age 33.2 yrs; 9 heterosexual males, mean age 47.7 yrs; and 38 biological females, mean age 32.6 yrs) at least 1 yr after surgery. Follow-up rate was 77.5% for all Ss meeting the 1-yr criterion. Satisfaction with surgery was high, and psychosocial adjustment was acceptable for the majority. Results of both studies support the rationale for clinical intervention in aid of gender reorientation in selected cases. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)