The diagnosis and treatment of transvestites and transsexuals

Transvestism and transsexualism are defined. The incidence of both as well as male versus female ratios are discussed. Etiology of each is considered. Psychotherapists can be used for proper diagnosis and couseling and, on occasion, for therapy for transvestites. Methods for this therapy are suggested. The need for establishing rapport is emphasized, and items to cover in a sex history are enumerated. Reality factors in sex changes are items that the therapist must grapple with. Factors that delineate differential diagnosis of transvestism and transsexualism are pointed out. Prevention of transsexualism in younger children is discussed.