{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:27:41Z","timestamp":1777519661156,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[1987,11,1]],"date-time":"1987-11-01T00:00:00Z","timestamp":562723200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[1987,11]]},"abstract":"<jats:p>The desire to identify with and assume the role of the opposite gender has been present with us since antiquity. Unfortunately, the syndrome of transsexualism as defined by the DSM-III encompasses many individuals who are seeking a gender change perhaps allowing reassignment to take place when not indicated.<\/jats:p>\n                  <jats:p>This paper reviews the major classifications applied to the condition of transsexualism and a new model of classification for individuals with Gender Dysphoria is outlined.<\/jats:p>\n                  <jats:p>It will be shown that by subdividing the condition into those with the hypothesized syndrome (primary (true) transsexualism, or the symptom, secondary transsexualism) a better understanding of gender dysphoria is achieved.<\/jats:p>\n                  <jats:p>By applying this new model of classification, a management\/treatment protocol is outlined which is helpful in dealing with the gender dysphoric patient.<\/jats:p>","DOI":"10.1177\/070674378703200805","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T04:31:33Z","timestamp":1493181093000},"page":"666-673","source":"Crossref","is-referenced-by-count":12,"title":["Transsexualism: Syndrome or Symptom?"],"prefix":"10.1177","volume":"32","author":[{"given":"Jeremiah D.","family":"Dolan","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of Toronto; Assessment Division, Clarke Insitute of Psychiatry, Toronto, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1987,11,1]]},"reference":[{"key":"bibr1-070674378703200805","first-page":"274","volume":"16","author":"Cauldwell 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