64.

Conclusions

1. Transvestism is a sexual deviation, met in all ages, and in all cultures.

2. It is most often confined to a desire to cross-dress only; less often there is a wish to cross-dress and to be socially recognized as a "woman".

3. Transsexualism is characterized (apart from the de- sire for cross-dressing) by a morbid urge for an`an- a tomical "change of sex."

4. If this urge is frustrated, it may precipitate severe psychoneurotic reactions, self-mutilation or suicide. 5..It is important not to confuse transvestism with other related sexual deviations (such as homosexuality, fet- ishism, masochism, exhibitionism, etc.) although the traits of some of these deviations may be found in TVism 6. It is also important to adhere to the division of the phenomenon into 2 separate clinical syndromes, one of transvestism, and one of transsexualism. This facil- itates understanding, prognosis and evaluation.

7. The course of transvestism is self-limiting, that of transsexualism incessant.

8. A male heterosexual transvestite is usually capable of making a fairly satisfactory adjustment to marriage, provided he meets with an understanding and sympathetic attitude on the part of his wife. It seems that all female transvestites are homosexual, and unable to ad- just themselves in a heterosexual marriage.

9. Genuine transvestism and transexualism appear to be male deviations exclusively brought about by a path- ological female identification.

10. Cultural factors are of utmost importance in the de- velopment and social status of transvestism.

11. Neither transvestism nor transsexualism are hereditary. 12. The attitude of the social environment toward a trans- vestite should be sympathetic and permissive, and psychotherapy may help him to achieve a compromise between his transvestite cravings and the social pro- hibitions...(((Get this Point 12, it should help with wives and families-Ed.)))

FINIS.