Sadoughi, Jayaram & Bush, 1978
Cook County Hospital, Chicago, IL, USA

This publication, that is based exclusively on psychological tests, is mentioned here because it was printed in the renowned professional Archives of Sexual Behavior. Its simplicity is impressive. Probably a partial sample of the publication Jayaram et al. (1978) is described.

• Sample
• Study Methods
• Results
• Authors' Conclusion

Study Methods
Tennessee Self-Concept Scale, pre-post application, immediately before and six months after surgery.

Results
Pre-surgically, the patients were described on the test profiles as "antisocial personalities characterized by emotional immaturity, lack of sense of responsibility and low frustration tolerance" (p. 348), who were preoccupied with their bodies and barely happy about themselves.
Post-surgically, the test profiles show significant changes (p<.01) in the scale "social self", "general self esteem", "self satisfaction", but in which direction is not mentioned. In the scale "physical self", there were no significant changes.

Authors' Conclusion
The authors conclude from the test results that the denying of the male anatomy in the patient goes so far that the body is already pre-surgically experienced as being feminine. The authors hope by testing a larger sample to attain an aid for the differential diagnostical surgical indication.