| Kenneth Zucker, "Gender Constancy Judgements in Children with Gender Identity Disorder: Evidence for a developmental lag", Archives of Sexual Behavior, 28:6 1999, p. 475 |
| | children referred for problems in their gender identity development have a developmental lag in gender constancy acquisition. |
| L. Lothstein, Howard Roback, "Black Female Transsexuals and Schizophrenia: A Seredipitous Finding?", Archives of Sexual Behavior, 13:4 1984, p. 371 |
| | An analysis of the patients' mean code types suggest that they have profound disturbances in their sexual orientation and gender identity; marked counter dependent and counterphobic concerns; a tendency to act out their conflicts; evidence of bizarre impulses that were unacceptable and split off and projected onto external reality; and extreme difficulty in interpersonal relationships marked by unconventional behavior, hostility and profound authority conflicts. |
| | The MMPI scores suggested individuals with moderate to sever pathology and identity conflicts, with probably borderline psychotic features. |
| | On the TAT themes of violence, envy, separation, loss, abandonment, and gender confusion were typical. |
| Laura Roberto, "Issues in Diagnosis and Treatment of Transsexualism", Archives of Sexual Behavior, 12:5 1983, p. 445 |
| | Because of isolation from peers, idealized stereotypes often have evolved regarding living in the new gender identity. For example, male transsexuals often imagine that after surgery they will become sexually appealing, adored, and protected housewives who can raise children and care for the household. The reality of social stigma, legal harassment, family withdrawal, relationship failure, and unemployment is in harsh contradiction with such fantasies. |
| L. Lothstein, "Psychodynamics and Sociodynamics of Gender Dysphoric States", American Journal of Psychotherapy, 33:2 April 1979 |
| | Most of our patients were socially isolated and experienced intense feelings of loneliness. |
| James Morgan, "Psychotherapy for Transsexual Candidates Screened out of Surgery", Archives of Sexual Behavior, 7:4 1978, p. 273 |
| | The imperative of the transsexual candidate is an echo of the societal imperative to be "normal", "regular" and "straight" as this society defines these terms. |
| J Hoenig, J. Kenna, "Social and Economic Aspects of Transsexualism", Brit. J. Psychiat., 117 1970, pp. 163-172 |
| P172: | Work adjustment on the whole is poor. 50 per cent had an unsatisfactory record either in terms of prolonged unemployment or in terms of downward drift on the social ladder. |
| )172: | Our patients show a high incidence of concomitant other psychiatric disorder, which undoubtedly impedes social adjustment in its own right quite apart from the difficulties caused by the transsexualism as such. |
| p172: | In spite of the early onset of abnormalities educational adjustment does not seem grossly impaired. |
| P169: | The fanaticism with which the transsexualist pursues his strange aims is matched only by the equally strange resentment and intolerance of society towards him. The clash very often leads not only to the alienation of the patient from those around him but even to a vindictive hostility towards them, even to those to whom he appears to turn for help. |
| P172: | Antisocial or frankly criminal behavior was widespread and occurred in 47 per cent of the patients. Only one fifth of this was entirely linked with the psychosexual abnormalities. |
| P172: | Prostitution was very common, but only in the male patients. It had occurred in 31 per cent of the patients. |
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| | Surprisingly high rates of incidence of homosexual features were found in our review of the course of mental illness in our patients. Homosexual concerns occurred in one-half of our total sample of patients, and were essentially non-genital in expression. |