This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Leslie M. Lothstein, PhD; Stephen B. Levine, MD

Arch Gen Psychiatry. 1981;38(8):924-929.

Abstract
• The dictum that transsexualism is resistant to psychotherapy has led many investigators to view sex reassignment surgery (SRS) as the treatment of choice and dismiss psychotherapy as unfeasible. The Gender Identity Clinic at Case Western Reserve University, Cleveland, was organized to treat transsexuals with individual and group psychotherapy and SRS. Of 50 gender dysphoric (GD) patients, 70% have adjusted to nonsurgical solutions, 20% are receiving treatment, and 10% have received SRS and psychotherapy. The crux of psychotherapy is establishing a therapeutic alliance; this is aided by the context of the Gender Identity Clinic. Clinical evidence suggests that new therapeutic techniques may enable psychotherapy to become the treatment of choice with most GD patients and that psychotherapy and SRS are not mutually exclusive. Most patients request and benefit from psychotherapy after SRS.

Author Affiliations
From the Department of Psychiatry, Case Western Reserve University, Cleveland.

Footnotes
Accepted for publication Jan 22, 1981.

Reprint requests to Department of Psychiatry, Case Western Reserve University, 2040 Abington Rd, Cleveland, OH 44106 (Dr Lothstein).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Typical Gender Identity Conference? Some Disturbing Reports from the Therapeutic Front Lines
Hird
Feminism Psychology 2003;13:181-199.
ABSTRACT  

Out/Performing Our Selves: Invitation for Dialogue
Hird
Sexualities 2002;5:337-356.
ABSTRACT