Table 1. Sex Orientation Scale (S.O.S.)
Sex and Gender Role Disorientation and Indecision (Males)

Group 1

Group 2

Group 3

"GENDER FEELING"

TRANSVESTITE

Masculine

TRANSVESTITE

Masculine

TRANSVESTITE

Masculine (but with less conviction.)

TRANSSEXUAL

Undecided. Wavering between TV and TS.

TRUE TRANSSEXUAL

Moderate intensity

Feminine. ("Trapped in a male body".)

TRUE TRANSSEXUAL

Feminine. Total Vpsycho-sexualV inversion.

DRESSING HABITS AND SOCIAL LIFE

Lives as man. Could get occasional "kick" out of "dressing." Not truly TV. Normal male life.

Lives as man. "Dresses" periodically or part of the time. "Dresses" underneath male clothes.

"Dresses" constantly or as often as possible. May live and be accepted as woman. May "dress" underneath male clothes, if no other chance.

"Dresses" as often as possible with insufficient relief of his gender discomfort. May live as a man or a woman; sometimes alternating.

Lives and works as woman if possible. Insufficient relief from "dressing."

May live and work as woman. "Dressing" gives insufficient relief. Gender discomfort intense.

SEX OBJECT CHOICE AND SEX LIFE

Hetero-, bi-, or homosexual. "Dressing" and "sexchange" may occur in masturbation fantasies mainly. May enjoy TV literature only.

Heterosexual. Rarely bisexual. Masturbation with fetish. Guilt feelings. "Purges" and relapses.

Heterosexual, except when "dressed." "Dressing" gives sexual satisfaction with relief of gender discomfort. May "purge" and relapse.

Libido often low. Asexual or auto-erotic. Could be bisexual. Could also be married and have children.

Libido low. Asexual, auto-erotic, or passive homosexual activity. May have been married and have children.

Intensely desires relations with normal male as "female," if young. Later, libido low. May have been married and have children, by using fantasies in intercourse.

KINSEY^a SCALE

0-6

0-2

0-2

1-4

4-6

6

CONVERSION OPERATION ?

Not considered in reality.

Rejected.

Actually rejected, but idea can be attractive.

Attractive, but not requested or attraction not admitted.

Requested. Usually indicated.

Urgently requested and usually attained. Indicated.

ESTROGEN MEDICATION ?

Not interested. Not indicated.

Rarely interested. Occasionally usefull to reduce libido.

Attractive as an experiment. Can be helpful emotionally.

Needed for comfort and emotional ballance.

Needed as substitute for or preliminary to operation.

Required for partial relief.

PSYCHOTHERAPY ?

Not wanted. Unnecessary.

May be successfull. (In a favorable environment.)

If attempted usually is not successful as to cure.

Only as guidance; otherwise refused or unsuccessful.

Psychological guidance or psychotherapy for symptomatic relief only.

REMARKS

Interest in "dressing" only sporadic.

May imitate double (masculine and feminine) personality with male and female names.

May assume double personality. Trend toward transsexualism.

Social life dependant upon circumstances.

Operation hoped for and worked for. Often attained.

Despises his male sex organs. Danger of suicide or self-mutilation, if too long frustrated.

Type 0 : Normal sex orientation and identification, heterosexual or homosexual. The idea of "dressing" or "sex change" foreign and unpleasant. Vast majority of all people.