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Benjamin gave certifying letters to his MTF transsexual patients that stated "Their anatomical sex, that is to say, the body, is male.
because they cannot afford them) into such distinctive categories.For instance, it is difficult to decide whether a transman erotically attracted to males is a heterosexual female or a homosexual male; or a transwoman erotically attracted to females is a heterosexual male or a lesbian female.Any attempt to classify them may not only cause confusion but arouse offense among the affected subjects.What would be the situation after corrective surgery has been performed and the sex anatomy now resembles that of a woman? Many sources, including some supporters of the typology, criticize this choice of wording as confusing and degrading.Biologist Bruce Bagemihl writes ".point of reference for "heterosexual" or "homosexual" orientation in this nomenclature is solely the individual's genetic sex prior to reassignment (see for example, Blanchard et al.1987, Coleman and Bockting, 1988, Blanchard, 1989).
These labels thereby ignore the individual’s personal sense of gender identity taking precedence over biological sex, rather than the other way around." Psychologist Stephen T.
Transsexuality was included for the first time in the DSM-III in 1980 and again in the DSM-III-R in 1987, where it was located under Disorders Usually First Evident in Infancy, Childhood or Adolescence.
Beyond Benjamin's work, which focused on male-to-female transsexual people, there are cases of the female to male transsexual, for whom genital surgery may not be practical.
True transsexuals feel that they belong to the other sex, they want to be and function as members of the opposite sex, not only to appear as such.
For them, their sex organs, the primary (testes) as well as the secondary (penis and others) are disgusting deformities that must be changed by the surgeon's knife.
Male-to-female transsexualism has sometimes been called "Harry Benjamin's syndrome" after the endocrinologist who pioneered the study of dysphoria.