THE REMAINS OF THE DAY: TRANSSEXUALITY, PSYCHODYNAMICS AND THE MODERN NHS

Author: Wright, John1

Source: Psychoanalytic Psychotherapy, Volume 20, Number 3, September 2006 , pp. 140-156(17)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

This paper describes a psychodynamic understanding of transsexualism and some related implications for NHS services. Following a brief literature review the author describes a series of clinical vignettes that tease out psychically important transsexual dilemmas. Specifically, themes of conflict with authority, idealization of destructive solutions and learning to live with regret are explored. Finally a psychological differentiation of transsexual issues is suggested as potentially helpful for future service development.

Document Type: Research article

DOI: 10.1080/02668730600868971

Affiliations: 1: Department of Psychotherapy, Plymouth PCT, Ridgeview, Station Road, Plympton PL7 2AU

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