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Journal of Pediatric Psychology 5(1) pp. 93-109, 1980
© 1980 Society of Pediatric Psychology


research-article

The Adolescent Gender Dysphoric Patient: An Approach to Treatment and Management1

Leslie M. Lothstein2

Case Western Reserve University School of Medicine

2All correspondence should be addressed to Leslie M. Lothstein, Department of Psychiatry, University Hospitals of Cleveland, 2040 Abington Road, Cleveland, Ohio 44106.

Twenty-seven adolescent gender identity patients (10 girls and 17 boys) who presented with transsexual wishes for sex reassignment surgery were the subjects of investigation. The average age of the patients was 16.80 years for the girls (range 13-18) and 16.53 for the boys (range 12-19). A psychiatric, psychological, and social profile of the patients is provided, and follow-up of the patients over a period of 5 years is reported. Four major stressors correlated with the presenting request for sex reassignment surgery: (a) a recent loss or change in a relationship which reactivated separation anxiety, (b) physical maturation of the body which threatened the self system, (c) stigmatized homosexuality, and (d) a flight from masturbatory activity.


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Home page
Clinical Child Psychology and PsychiatryHome page
P. T. Cohen-Kettenis and S. H.M. van Goozen
Adolescents who are Eligible for Sex Reassignment Surgery: Parental Reports of Emotional and Behavioural Problems
Clinical Child Psychology and Psychiatry, July 1, 2002; 7(3): 412 - 422.
[Abstract] [PDF]



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