THE PSYCHOLOGICAL MANAGEMENT AND TREATMENT OF HOSPITALIZED TRANSSEXUALS

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Abstract
A 3 yr study at the Gender Identity Clinic of University Hospitals of Cleveland [Ohio, USA], involved 16 patients who were sexually revised (SR) from a total of 125 applicants. Three of these patients were provided 2nd-stage surgeries which were begun elsewhere. Some of the major problems of the SR patients'' pre- and postsurgical experience were examined. A well defined preoperative syndrome may exist which often effects the postoperative course of recovery which may lead to a clinical state of depression. The problems and process of the medical team in the treatment of the SR patient were discussed, and a modified version of Janis'' counseling model for the high risk presurgical patient (to be employed with the preoperative SR patient) was introduced. Some of the psychiatric management problems in the pre- and postoperative SR patient were better understood.

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