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the gold standard

I have made no secret of the fact that I am a big fan of the work of Harry Benjamin. An endocrinologist by profession he continued and expanded upon the work of Magnus Hirschfeld. He believed (as I do) in a biological origin for gender dysphoria and was an understanding and kind man as evidenced in anecdotal evidence of those who write of him and it most certainly shows up in his writing.

His scale is still a useful reference where a transgender person can measure themselves based on the intensity of the dysphoria they experience. Like his predecessor Hirschfeld, Benjamin believed that a gender identity deviation from your birth sex could be measured on a continuum rather than as a yes or no proposition hence the six levels.

His work continues to be the gold standard against which I measure all other research and he had by far the largest patient history.

I know I have referenced his gender disorientation scale before but here it is again in case you missed it the first time. Keep in mind that the categories are broad but I have found that most transgender people can recognize themselves on it.

Type 4 seems to be the one that fits me best (minus the estrogen treatments).

Type One: Transvestite (Pseudo)

Gender Feeling: Masculine
Dressing Habits and Social Life: Lives as a man. Could get occasional kick out of dressing. Normal male life.
Sex Object Choice and Sex Life: Hetero, bi, or homosexual. Dressing and -- more --exchange may occur in masturbation fantasies mainly. May enjoy TV literature only.
Kinsey Scale: 0-6
Conversion Operation: Not considered in reality.
Estrogen Medication: Not interested or indicated.
Psychotherapy: Not wanted and unnecessary.
Remarks: Interests in dressing is only sporadic.

Type Two: Transvestism (Fetishistic)

Gender Feeling: Masculine
Dressing Habits and Social Life: Lives as a man. Dressing periodically or part of the time. Dresses underneath male clothes.
Sex Object Choice and Sex Life: Heterosexual. Rarely bisexual. Masturbation with fetish. Guilt feelings. Purges and relapses.
Kinsey Scale: 0-2
Conversion Operation: Rejected
Estrogen Medication: Rarely interested. Occasionally useful to reduce libido.
Psychotherapy: May be successful (in a favorable environment.)
Remarks: May imitate double (masculine and feminine) personality with male and female names.

Type Three: Transvestism (True)

Gender Feeling: Masculine (but with less conviction.)
Dressing Habits and Social Life: Dresses constantly or as often as possible. May live and be accepted as woman. May dress underneath male clothes, if no other chance.
Sex Object Choice and Sex Life: Heterosexual, except when dressed. Dressing gives sexual satisfaction with relief of gender discomfort. May purge and relapse.
Kinsey Scale: 0-2
Conversion Operation: Actually rejected, but idea can be attractive.
Estrogen Medication: Attractive as an experiment. Can be helpful emotionally
Psychotherapy: If attempted is usually not successful as to cure.
Remarks: May assume double personality. Trend toward transsexualism.

Type Four: Transsexual (Nonsurgical)

Gender Feeling: Undecided. Wavering between TV and TS.
Dressing Habits and Social Life: Dresses as often as possible with insufficient relief of his gender discomfort. May live as a man or woman; sometimes alternating.
Sex Object Choice and Sex Life: Libido often low. Asexual or auto-erotic. Could be bisexual. Could also be married and have children.
Kinsey Scale: 1-4
Conversion Operation: Attractive but not requested or attraction not admitted.
Estrogen Medication: Needed for comfort and emotional balance.
Psychotherapy: Only as guidance; otherwise refused or unsuccessful.
Remarks: Social life dependent upon circumstances.

Type Five: True Transsexual (moderate intensity)

Gender Feeling: Feminine (trapped in male body)
Dressing Habits and Social Life: Lives and works as woman if possible. Insufficient relief from dressing.
Sex Object Choice and Sex Life: Libido low. Asexual auto-erotic, or passive homosexual activity. May have been married and have children.
Kinsey Scale: 4-6
Conversion Operation: Requested and usually indicated.
Estrogen Medication: Needed as substitute for or preliminary to operation.
Psychotherapy: Rejected. Useless as to cure. Permissive psychological guidance.
Remarks: Operation hoped for and worked for. Often attained.

Type Six: True Transsexual (high intensity)

Gender Feeling: Feminine. Total psycho-sexual inversion.
Dressing Habits and Social Life: May live and work as a woman. Dressing gives insufficient relief. Gender discomfort intense.
Sex Object Choice and Sex Life: Intensely desires relations with normal male as female if young. May have been married and have children, by using fantasies in intercourse.
Kinsey Scale: 6
Conversion Operation: Urgently requested and usually attained. Indicated.
Estrogen Medication: Required for partial relief.
Psychotherapy: Psychological guidance or psychotherapy for symptom relief only.
Remarks: Despises his male sex organs. Danger of suicide or self-mutilation, if too long frustrated.








Comments

  1. I am in total agreement. The Transexual Phenomenon should be read, cover-to-cover, by anyone trans. T-Central always has a link up for anyone who wants to read it.

    Unfortunately, there are some who read what they want to read and misinterpret the true findings in this report which, I still subscribe to today and see, as you put it, as the gold standard.

    ReplyDelete
  2. I would have to say I am a Type 4. Maybe even leaning to a Type 5.

    ReplyDelete

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