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The postsurgical transsexual: empirical and theoretical considerations
Archives of Sexual Behavior
|December 1, 1980
Summary
Gender affirming surgery shows moderate social-sexual gains but does not resolve psychological issues. Psychotherapy is recommended for patients undergoing gender identity transition, both pre- and post-surgery.
Area of Science:
- Medical and psychological adjustment following gender-affirming surgery.
- Gender identity research and clinical practice.
Background:
- The study examines patient adjustment after gender-affirming surgery.
- Patients were divided into two groups: pre-clinic surgery and post-clinic surgery.
Purpose of the Study:
- To assess the social, psychological, and environmental adjustment of patients up to two years post-surgery.
- To identify areas where surgery alone is insufficient for comprehensive patient well-being.
Main Methods:
- A nine-page, 59-item questionnaire was used for systematic follow-up data collection.
- Data collected included sexual, psychological, environmental, economic, parental, family, medical, and social functioning.
- Follow-up occurred up to two years post-surgery at varying intervals.
Main Results:
- Surgery within a comprehensive Gender Identity Clinic program may yield moderate social-sexual improvements.
- Psychological issues were not fully addressed by surgical intervention alone.
Conclusions:
- Psychotherapy should be considered for patients pre- and post-surgery to address psychological needs.
- A more systematic follow-up approach, including standardized tools and control groups, is necessary for future research.