"As a boy he played mostly with girls; people teased him for being a sissy; he was embarrassed about his own body. At 12, he began to feel uncertain about his sex role; he felt as if he were "neutral"; after a time he began to feel as if he belonged to the opposite sex, and this feeling grew stronger shortly before he entered puberty, at which time he also began to be disgusted at the sight of his own body. At 26 he began to have periods of gradually mounting desire to cross-dress, ending in continual crossdressing for a time. He was erotically aroused by men and had a few homosexual contacts; he never showed any interest in girls. He had a weak libido, and said that he had never masturbated. He tried to conquer his anomaly by marrying, but this only made matters worse; he got frequent attacks of depression and at 26 was admitted to a psychiatric department, but after five years of supportive psychotherapy, he was no better. He wanted to have his name changed and to be operated on."
"Up to the age of 10 he was like an ordinary boy, and good at gymnastics. At 10 he began to get a feeling of belonging to the opposite sex; the feeling grew stronger with time and became combined with aversion for his own body, and he finally determined to have an operation done. He plucked out the hairs on his face. To begin with he was erotically aroused by the opposite sex, but in the end only by members of his own sex. He married twice and had children in both marriages; his first marriage broke up because of his anomaly and he did not enjoy sexual intercourse with his second wife either. He became more and more attracted to men, and finally could not even bear the idea of having sexual intercourse with women. His masturbatory fantasies were of males, and had a slightly masochistic coloring. He cross-dressed now and then until about 19, when the desire to do so began coming on in periods, He had several attacks of depression and had attempted to commit suicide."
"As a boy he played mostly with girls and at girls' games. He was embarrassed when he had to undress for gymnastics at school. He began to feel as if he belonged to the opposite sex when he was very young-before puberty. After entering puberty at 13-14, he began also to be disgusted at the sight of his own genitals and to want to have them removed. He was sexually attracted to boys, and never interested in girls. He had a weak libido, and no sexual experience up to the time of consultation. His masturbatory fantasies were of males, He started cross-dressing during puberty, and did so more and more with time, but never continuously. He urinated in the female position. He was often depressed and often contemplated suicide."
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