By Robert J. Stoller

During this publication, Dr Stoller describes sufferers with marked abberrations of their masculinity and feminity—primarily transsexuals, transvestites and sufferers with marked organic abnormalities in their sex—in order to discover clues to gender improvement in additional basic humans.

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Their core gender identity is male; that is, they know their bodies are male, that they have been assigned since birth to the male sex, that they were reared as males, and that all the world unequivocally considers them to be and always to have been males. Only later, as the personality develops, will this male core gender identity be overlaid by the gender identity with feminine elements. Even when an individual has been reared in the gender opposite to the biological sex, a clear-cut core gender identity develop wherein the person unquestionably feels that he or she is a member of the assigned sex, if no one raising the person questions it either.

She had been brought for that physical exarnination because her breasts had not started to develop and her periods had not yet begun. Though she was concerned about this, she had no question about her proper sex. + T h e physician who did the examination talked with her and her mother, making every attempt to be honest, yet tactful. As many enlightened physicians do, he subscribed to the thesis that this information would not be disturbing, and that, with proper explanations, no psychological damage would result.

Of his catheter and its collecting bag, his mother says, "For a while, I had t o talk to him about showing it to everybody. H e would lift down his pants and show it to everybody and I had to tell him that you just don't d o that. He was proud; t o me and everybody else he gave the impression that he was something special because he had this and they didn't. H e thinks the tube is part of him. When they took the tube out for four months, he missed it. I think he missed it because it was part of him.

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