The Watson Table 

Posted, without author's permission, on 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. I'm

sure where. From the language, somewhere in the US? Categories
of Gender Disorientation and Indecision, Male to Female 

Group One: Low Intensity Transvestite 

Gender Identity: Feminine identification only with acting out

fantasies. Gender Role: Normal Male. Cross-dressing intermittent
and private. Eroticism: Genital-heightened arousal when cross-dressed.
Biological Feminization: No desire. Conflicts: Guilt over normalcy,
spousal disapproval. Desire for Re-assignment: Not considered.
Treatment: Provide information and reassurance. Couples therapy.
If impulses are ego-alien use behaviour modification, setting
limits on cross-dressing sufficient to control guilt but enough
to allow emotional relief. 

Group Two: Medium Intensity Transvestite 

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 feminine 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: Transvestitic 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
Feminization: Spironolactone for demasculinization + 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 fantasizing self as female. Low libido. 
Biological feminization: Requested late or intermittent.
Conflicts: Guilt, loss + fear of passing. Fear of rejection. Confused sexual 
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. Cross-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. 

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