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The Gendered Self-- Further commentary on the transsexual phenomenon

The Gendered Self-- Further commentary on the transsexual phenomenon

By Anne Vitale Ph.D.

Available at Apple, Lulu.com, Google $19.99

From the Introduction:

The material in this book represents my experience in working with more than 500 gender-variant clients over the last 26 years (1984-2010) --covering everything from intake to long-term outcomes. Far from being a strictly medical treatise, this book is about otherwise mentally healthy people with a special existential problem that has and will continue to color their entire lives. It has been a privilege to have worked with these outstanding individuals. Despite their almost overwhelming handicap, the vast majority of people I have worked with have shown themselves to be highly intelligent, motivated and courageous. My practice has also taught me a great deal about the willingness of many of the people around my clients to give up long-held preconceived notions of who they thought gender-variant individuals were and open up to the new and more accurate life-affirming reality.

Table of Contents


Chapter 1. A Brief Description of the Problem Abstract

  • The Problem
  • Genderizing the Brain

Chapter 2. What It Means to Be Gender Variant: A Developmental Review Abstract

  • Permutations
  • Gender Expression Deprivation Anxiety Disorder (GEDAD)
  • Children
  • Adolescence
  • Early Adulthood
  • Middle Age
  • Older Adults

Chapter 3. Living the Lie Abstract

  • Unlived Lives
  • Guilt and Shame

Chapter 4. Treatment Limits and Options Abstract

  • Treatment Limits
  • Treatment Options

Chapter 5. Therapeutic Interventions Abstract

  • Diagnosis
  • Case Management Model

Chapter 6. Clinical Interventions Abstract

  • Standards of Care-Triadic Sequence
  • Stage I, Evaluation, Diagnosis, Therapy, Education
  • Stage II, Hormone Replacement Therapy
  • Stage III, Sex Reassignment Surgery

Chapter 7. The Reality of the Real Life Experience Abstract

  • General Relationships
  • Child/Trans Parent
  • Work Place Issues
  • establishing a Healthy Transsexual Identity

Chapter 8. False Starts, Flip Flops and Regrets Abstract

  • Early Regrets/False Starts
  • Mid Transition Land Mines
  • Case History 1: Adverse event
  • Post Transition Regrets
  • Case History 2: Transition--Detransitioning and Retransitioning

Chapter 9. Post Transition Life Abstract

  • Genital Surgery...A true turning point
  • Post-op Blues
  • Who Am I Now?
  • Fertility and Reproductive issues
  • Stealth
  • Sexuality / Relationships
  • Relationship to One's Self

Chapter 10. Summary and Final Thoughts Abstact

  • The Dark Side
  • The Bright Side

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Nothing on this site should be viewed as providing therapeutic advice. No formation of a client/therapist
relationship with Dr. Vitale is intended or to be implied or inferred. The information provided in this site is for educational
purposes only. I attempt to keep the information current but make no representation or warranties in that regard. You should
not rely upon this information as a substitute for consul with a qualified mental health professional.