{"title":"Autogynephilia: A Paraphilic Model of Gender Identity Disorder","authors":"A. Lawrence","doi":"10.1300/J236v08n01_06","DOIUrl":"https://doi.org/10.1300/J236v08n01_06","url":null,"abstract":"SUMMARY Autogynephilia is defined as a male's propensity to be sexually aroused by the thought or image of himself as female. Autogynephilia explains the desire for sex reassignment of some male-to-female (MTF) transsexuals. It can be conceptualized as both a paraphilia and a sexual orientation. The concept of autogynephilia provides an alternative to the traditional model of transsexualism that emphasizes gender identity. Autogynephilia helps explain mid-life MTF gender transition, progression from transvestism to transsexualism, the prevalence of other paraphilias among MTF transsexuals, and late development of sexual interest in male partners. Hormone therapy and sex reassignment surgery can be effective treatments in autogynephilic transsexualism. The concept of autogynephilia can help clinicians better understand MTF transsexual clients who recognize a strong sexual component to their gender dysphoria.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"76 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130547639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Harry Benjamin and Psychiatrists","authors":"C. Ihlenfeld","doi":"10.1300/J236V08N01_11","DOIUrl":"https://doi.org/10.1300/J236V08N01_11","url":null,"abstract":"SUMMARY Harry Benjamin, MD, was a pioneer physician who founded the transgender field and coined the term “transsexual.” Benjamin drew criticism from some in the psychiatric community when he began treating transgendered people with cross-gender hormones and encouragement in their efforts in transitioning. By and large, psychiatrists of this time considered gender dysphoria as a manifestation of significant psychopathology and considered the treatment Benjamin was then prescribing as psychiatrically contraindicated. Rather than discouraging Benjamin, this response simply reinforced his feeling that psychiatry as a discipline lacked “common sense.” The author worked with Dr. Benjamin for 6 years, was to become his heir apparent, but then left the practice to undertake a psychiatric residency. This paper chronicles changes in the author's own life and conceptual thinking about transsexualism during this time. Some years later the author finally learned the true extent of Dr. Benjamin's feelings about these events.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131121712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Diagnosis and Treatment of Transgendered Patients","authors":"David Seil","doi":"10.1300/J236v08n01_08","DOIUrl":"https://doi.org/10.1300/J236v08n01_08","url":null,"abstract":"SUMMARY The diagnosis and treatment of 271 transgendered patients is described. Characteristics of the transgendered patients seen by the author between 1979 and 2001 reveal four distinct groups not specified in the current Diagnostic and Statistical Manual (DSM-IV) description. These characteristics are important because they determine the internal and external difficulties the patients present to the clinician. Statistics on age, gender, relationships, occupation, education, drug/alcohol abuse, secondary diagnoses and sexual orientation of each subgroup are presented and discussed.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116648798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crossing Over: Introduction","authors":"U. Leli, J. Drescher","doi":"10.1300/J236v08n01_01","DOIUrl":"https://doi.org/10.1300/J236v08n01_01","url":null,"abstract":"[B]oth historically and cross-culturally, transgender people have been the most visible minority among people involved in same-sex sexual practices. As such, transgendered people have been emblematic of homosexuality in the minds of most people. Thus, the concerns of gay, lesbian, bisexual [GLB] and queer people are inextricably bound up with those of transgendered people and should be addressed together in LGBT groups. (Devor, 2002, pp. 5-6)","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121324760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Psychoanalytic Treatment of Gender Dysphoria: A Personal Reflection","authors":"Anonymous","doi":"10.1300/J236v08n01_03","DOIUrl":"https://doi.org/10.1300/J236v08n01_03","url":null,"abstract":"SUMMARY The author, a male to female transsexual psychiatrist, provides a personal account of several unsuccessful psychotherapeutic attempts to resolve her gender dysphoria prior to sex-reassignment surgery.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131982575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disclosure, Risks and Protective Factors for Children Whose Parents Are Undergoing a Gender Transition","authors":"T. White, R. Ettner","doi":"10.1300/J236v08n01_10","DOIUrl":"https://doi.org/10.1300/J236v08n01_10","url":null,"abstract":"SUMMARY Objective: This study attempts to delineate the effects on children within different stages of development whose parent undergoes a transition to the other sex. Methods: Questionnaires were mailed to therapists who have considerable experience working with gender dysphoric patients. These therapists were queried about their experience with individuals who had children prior to the start of their transition. Variables such as the nature and manner of disclosure to the child and the nature of the relationships between the child and each parent were evaluated. Results: Children in the preschool years were rated as adapting best to the transition, both initially and long-term. Adults also were able to adapt well, so long as the level of conflict between parents was low. Adolescents had the most difficult time adapting to a parental transition. The level of family conflict worsened the child's adaptation across all developmental levels. The therapists delineated both risk and protective factors for children during such a situation. Conclusions: While a parent undergoing a gender transition is not a neutral event, both risk and protective factors do exist, and knowledge of these may be beneficial in assisting the child's adaptation to the situation. Adolescents appear to have the most difficult time adapting to a parental transition and extra support may be needed for this group. These findings are discussed in light of identified resilience factors in children and approaches that therapists can employ to best assist families found in such a situation. Case examples are provided.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124879747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Interview with Judd Marmor, MD","authors":"V. Rosario","doi":"10.1300/J236V07N04_03","DOIUrl":"https://doi.org/10.1300/J236V07N04_03","url":null,"abstract":"Dr. Judd Marmor has long espoused progressive views on gays and lesbians. As a well established and highly awarded member of the psychiatric profession, he was a powerful voice in the move to depathologize homosexuality in the early 1970s. Then, as now, he has courageously held controversial positions to defend the humanity and civil rights of gays, lesbians, and others who suffer from being marginalized by society. Dr. Marmor was born in London, England, in 1910 and emigrated with his family to Chicago in 1912. He attended Columbia University as an undergraduate and continued on to the College of Physicians and Surgeons. He undertook psychoanalytic training at the New York Psychoanalytic Institute. From 1965 to 1972, he served as Director of the Division of Psychiatry at the Cedars-Sinai Medical Center. He was the Franz Alexander Professor of Psychiatry at the University of Southern California School of Medicine from 1972 to 1980. He is now Professor Emeritus of Psychiatry at the University of California, Los Angeles. Dr. Marmor has been a long-standing leader in psychiatry, having been","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125133349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tania Israel, K. Ketz, Pamela M. Detrie, Marya Burke, Julie L. Shulman
{"title":"Identifying Counselor Competencies for Working with Lesbian, Gay, and Bisexual Clients","authors":"Tania Israel, K. Ketz, Pamela M. Detrie, Marya Burke, Julie L. Shulman","doi":"10.1300/J236v07n04_02","DOIUrl":"https://doi.org/10.1300/J236v07n04_02","url":null,"abstract":"ABSTRACT This study used a modified Delphi technique to identify knowledge, attitude, and skill components of counselor competence with lesbian, gay, and bisexual (LGB) clients. Twenty-two expert panelists identified 274 areas of knowledge, 120 attitudes, and 146 skills necessary to work effectively with LGB clients. These items were classified into 31 knowledge, 23 attitude, and 31 skill categories by the research team. Thirty-two expert panelists rated the categories based on importance for counselor competence with LGB clients. Based on experts' responses, titles of several categories were adjusted and three new categories were proposed. The implications of the findings for training and assessment are discussed.","PeriodicalId":307637,"journal":{"name":"Journal of Gay & Lesbian Psychotherapy","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127120454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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