The Watson Table

 

 

Categories of Gender Disorientation and indecision, Male to Female

 

Group One: Low Intensity  Transvestite

 

Gender Identity:   Femimne identication only with acting out sexual fantasies

Gender Role: Normal Male.   Cross-dressing intermittent and private.

Eroticism:   Genital-heightened arousal when cross-dressed.

Biological   Feminizion: No desire.

Conflicts:   Guilt over normalcy, spousal disapproval.

Desire for Re-assignment:   Not considered

Treatment:   Provide information and reassurance. Couples therapy. If impulses ego-alien use     behaviour modification, setting limits on cross-dressing sufficient to control guilt but

            enough to allow emotional relief.

 

Group Two: Medium Intensity Tranvestite

 

Gender Identity:   Appeal for Femininity may spill over into non-sexual life.

Gender Role:   Cross-dressing more pressured, fetishistic and exhibitionistic.intermittent            

                       relapse of intense need to act on feminie impulses related to stress alternating

                       with reduced desire.

Eroticism:   Genital-some breast.

Biological Feminization:   If impulses ego-alien may use spironolactone to reduce libido. Conflicts:   Guilt and sexual performance anxiety, threatened masculinity fear of aging .

Desire for Re-assignment:   Fleeting under stress.

Treatment:          Insight-oriented psychotherapy to identify and modify sources of stress.           negotiate compromise in transvestitic behaviour such as dressing under  male       clothing

 

Group Three: Transvestic  Transsexual

 

Gender Identity:   Ambivalent gender identity. Value male sex organs but feel feminine.               "She-Male"

Gender Role:   Dresses as much as possible depending on life circumstances. Dressing not         necessarily sexual. Impulses often intensify with age and may crystalize into a            transsexual picture.

Eroticism:   Genital and breast

Biological Feminisation:   Spironolactone for demasculization + gynecomastia.  Some may          need hormones for emotional balance.

Conflicts:   Confusion and personality disorganization, dual personality with male and female       names and disassociated personality components.

Desire for Re-assignment:   May consider late if very inadequate as males, dependent on            commitments.

Treatment:   Integrative psychotherapy to stabilize androgeny. Support for re- assignment if        appropriate.

 

 

 

 

Group Four: Moderate Intensity Transsexual

 

Gender Identity:   Feel female but able to supress until age 30-50. Increasing dichotomy with     age.

Gender Role:   Try macho lifestyle to compensate. Increasing depression and anxiety over          time. Never comfortable as males.

Eroticism:   Genital if fantansising self as female. Low libido.

Biological feminization:   Requested late or intermittent

Conflicts:   Guilt, loss + fear of passing. Fear of rejection. Confused sexual orientation

Desire for Re-assignment:   Re-assignment hoped for, often attained.

Treatment:   Supportive psychotherapy for symptomatic relief family therapy, education             group for stabilization of female identity.

 

Group five: High Intensity Transsexual

 

Gender Identity:   Total gender inversion  Never able to supress femininity. Feminine                  boys.

Gender Role:   Dressing insufficient relief Gross-live early.

Eroticism:   Often asexual.

Biological Feminization:   Urgent request Late teens, early 20's.

Conflicts:   Stigma of re-assignment. Family and cultural attitudes.

Desire for re-assignment:   Urgently requested. Self mutilate if too long frustrated.

Treatment:   Education support and family therapy. Assisting process of re-assignment.

 

Posted, without author's permission, on alt.tg. As the poster observes,

'Treat all tables like these with extreme caution and do not try to pigeonhole yourself into one of these categories."

 

Dr. Watson is, apparently, head of a major gender clinic. Im not sure where. From the language,somewhere in the US?