The trans-sexual is unable to form a satisfactory body image because of the incongruence between anatomic sex and gender identity. Given the severity of the conflict and ordeal suffered over an extended period of time, one would expect that once started, the process would be smooth sailing with individuals getting the anticipated relief. Some trans-sexual individuals have a very limited or absent sexual life. The same applies to the female trans-sexual who demands removal of the breasts and of the womb, Feinbloom, The trans-sexual individual often feels that he or she is trapped in the wrong body. Body image has come to mean not only the way one perceives his or her own body, but also the way he or she feels about these perceptions. Male trans- sexuals feel feminine from childhood and often believe they were "girls". Chapter 2 attempts to achieve this by discussing the theoretical perspectives on trans-sexualism as well as the historical background to the phenomenon. In this study, the concepts trans-genderism and trans-sexualism, are used interchangeably.
Chapter 4 is designated to the analysis and discussion of the results. Cross-dressing often begins in early life, usually on the individual's own initiative and without associated sexual gratification. This fantasy is necessary in order to achieve arousal and orgasm. In order to bring the physical body in alignment with the psychological gender identity, some trans-sexual individuals opt for the process of sex re-assignment surgery. The right to be both in the birth sex and in the preferred sex is in some way and by someone, questionable. The result is a disturbance in the formation of a complete and consistent self-concept, thus trans-sexualism, Farber, These individuals often remember puberty as a painful confusing period, during which erections and emissions for the male, and breast development and menstruation for the female, shattered the illusion that they were to grow up in the preferred body. Chapter 2 attempts to achieve this by discussing the theoretical perspectives on trans-sexualism as well as the historical background to the phenomenon. Heterosexual activity is accompanied by the fantasy of being a woman made love to by a man. Sexual identity, also termed gender identity, is a fundamental identity feature. A significant number of transitioning individuals do not see the surgical process through, and decide to leave the sex change process at the stage of hormone therapy www. Male trans- sexuals feel feminine from childhood and often believe they were "girls". In order to investigate the above, an effective context, which allows for the appropriate conceptualization of this study, needs to be established. The same authors also state, societies have an understanding about what constitutes gender, how many gender categories there are, what characterises members of each category and so on. A lack of interest for the penis as an 2 insignia of maleness and a source of erotic pleasure is accompanied by the wish to be rid of it and to be given a woman's body. Given the severity of the conflict and ordeal suffered over an extended period of time, one would expect that once started, the process would be smooth sailing with individuals getting the anticipated relief. Chapter 3 outlines the investigation process. The male trans-sexual prefers masculine "straight" men intimately. We find it useful to think of gender not as something which people have, but to see the production of a gendered social identity as an on-going accomplishment, something which is constantly being done. Cross-dressing often produces a sense of wellbeing which cannot be obtained by any other means. Persistence of these feelings and convictions, often since childhood, and 6. A wish to be accepted in the community as belonging to the opposite sex, 5. The trans-sexual is unable to form a satisfactory body image because of the incongruence between anatomic sex and gender identity. This is mainly because the patient believes that he is female and therefore naturally attracted to men. A strong desire to resemble physically the opposite sex and to seek treatment, including surgery, towards this, 4. He or she, often from the earliest memories feels that the biological sex assigned at birth is incongruent with subjective feelings of maleness or femaleness, Ekins, The term trans-sexual may therefore be used for persons of either sex who display the following characteristics:
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