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34 Issues L. & Med. 147 (2019)
Bringing Transparency to the Treatment of Transgender Persons

handle is hein.journals/ilmed34 and id is 147 raw text is: 









       Bringing Transparency

            to the Treatment of

          Transgender Persons

                  Quentin L. Van Meter, M.D., FC.P*

     Transgender is a term that was coined by Dr. Kenneth Zucker to describe the
condition of a biologic male or female person who believes they are born into the
body of the wrong sex. This term replaced the term transsexual which was regularly
used by sexologists in the 1950's to refer to the same population. Dr. John Money,
a psychologist at Johns Hopkins applied the word gender to describe the identity
of the inner sexed self' of human beings. The word gender had previously been
only a linguistic term used in languages to describe nouns as either masculine or
feminine. Money theorized that human toddlers generally figured out their gender
as early as 18 months.' Johns Hopkins was a major referral center for evaluation
of infants and toddlers with disorders of sexual development (DSD), then referred
to as hermaphrodites or pseudo-hermaphrodites, depending on whether they had
germ cell lines of both sexes, and just one sex, respectively The incidence of trans-
sexual patients was difficult to determine because of rejection of such persons by
society Dr. Harry Benjamin, a family practitioner from New York City, medically
treated a transsexual biologic male who assumed the identity of Christine Jorgenson.
Christine traveled to Europe to have his surgical conversion which was eventually
accomplished in Denmark.2 Benjamin, Money and Alfred Kinsey, an insect biolo-
gist-turned-sex researcher from Indiana, were instrumental in creating the Sexual
Revolution of the 1970's which sought to normalize a broad spectrum of previously
deviant sexual behaviors. After Benjamin died, his colleagues established the Harry
Benjamin Society to promote the normalcy of transsexualism. Today that organiza-
tion is named The World Professional Association of Transgender Health (WPATH).
     Establishing normalcy of a spectrum of sexual behaviors was the aim of the
Kinsey Institute, which was founded in the 1940's.3 Money arrived at Johns Hop-
kins in the 1950's and established the Psycho-hormonal Division of the Psychiatry

   * Van Meter Pediatric Endocrinology, PD. Disclosures: (1) Dr. Van Meter is a member of the
speaker's bureau for the following companies: Endo, Abbvie, Novo Nordisk, Pfizer; and (2) Dr. Van
Meter is involved in clinical trials with Versartis.

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