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Transsexualism- the discrepancy between the officially registered sex and gender identity (awareness of belonging to a particular gender); the desire to live and be perceived by others as a person of the opposite sex, traditionally accompanied by a feeling of discomfort from their anatomical sex or a sense of irrelevance of their gender; the desire to undergo surgery or to receive hormonal treatment in order to achieve, as far as possible, compliance with the preferred sex. There are male and female transsexualism.

By definition, K. Imielinsky: "Transsexualism is the discrepancy between the mental sense of one's own sex and the morphobiological structure of the body, as well as the social (metric) sex, which are perceived as something" alien "belonging to the opposite sex." Transsexuals dislike their own bodies and expect behavior and support from the environment, confirming their own perception of gender.Not often, these expectations are deliberately provoked by dressing in the clothes characteristic of the opposite sex and adjusting their behavior to the typical for the other sex. Valinder believes that transsexualism is a fairly common violation, and its main features are the belief in one's own belonging to the opposite sex, hatred of the features of one's body that confirms belonging to the psychologically unacceptable biological sex, and the irresistible need to change its biological and passport sex. As such, sex life does not play an important role for them, and in many cases, transsexuals are marked by features of mental immaturity. Failure to change sex may be a cause of suicide in a transgender person.

Bomba and Goldevski, when studying the problem of transsexualism and examining transsexuals, revealed the following characteristic peculiarities: a feeling of rejection, the need to attract attention, infantilism, impulsiveness, egocentrism, illusory representations, mannerisms, homosexual tendencies.After examining 60 transsexuals, Honig and Kenna found that the more often they experienced mental disorders, the more often antisocial behavior was noted (for example, in 31% of cases prostitution occurred). On the basis of the extensive literature test, Dalko concludes: "It is not excluded that in the process of sexual identification the decisive role is played by the influence of the environment in which the individual was raised. Most likely this process, as, indeed, many others, is also under the influence of genetic and endocrine factors, and probably a number of other effects unknown up to the present time. " K. Imielinsky holds similar views on the genesis of tragic sexual behavior.

Having tested the existing knowledge about transsexualism, having considerable experience in performing surgical sex change and subsequent follow-up monitoring of people undergoing such an operation, Lotsteyn concluded that this method of medical correction of transsexualism cannot be considered optimal and should not be recommended as a current solution. this problem.In his opinion, when studying transsexualism very little attention was paid to the problem of secondary transsexualism.

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