Training in feminine skills in a male transsexual: a pre-operative procedure

This case study describes an attempt to modify the sex-role behaviour of a male transsexual in accordance with the subject's preferred sexual identity. The patient was treated before sex-change surgery. Treatment consisted of a modified form of social skills training and comprised such techniques as modelling, behaviour rehearsal and videotape feedback and focused on female elements of behaviour. Behavioural observations and psychometric testing were carried out before and after treatment and indicated significant change. The results indicated that: (a) behavioural intervention facilitated adoption of a new sex role; (b) the techniques used were particularly useful in modifying sex role behaviour; (c) the adoption of a new sex role in line with preferred identity was successful in terms of patient satisfaction.