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Secondary transsexualism is defined as transsexualism developing in homosexuals and transvestites regressively under conditions of stress. Secondary transsexuals, homosexual and transvestitic, are differentiated, each from the other, and both from primary transsexuals, who are essentially asexual. The etiology of transsexualism is discussed and guidelines for treatment are proposed.
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Person et al. (1974) studied this question.
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