The Watson Table
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. I'm not 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 sexual 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 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. 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.