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Citation |
Roberts LF, Brett MA, Johnson TW, Wassersug RJ. J. Sex. Med. 2008; 5(7): 1669-1680. |
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Affiliation |
Department of Anatomy & Neurobiology, Dalhousie University, Halifax, Nova Scotia, Canada. |
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Copyright |
(Copyright © 2008, International Society for Sexual Medicine, Publisher John Wiley and Sons) |
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DOI |
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PMID |
17961144 |
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Abstract |
INTRODUCTION: A number of men have extreme castration ideations. Many only fantasize about castration; others actualize their fantasies. AIMS: We wish to identify factors that distinguish those who merely fantasize about being castrated from those who are at the greatest risk of genital mutilation. METHODS: Seven hundred thirty-one individuals, who were not castrated, responded to a survey posted on http://www.eunuch.org. We compared the responses of these "wannabes" to those of 92 men who were voluntarily castrated and responded to a companion survey. Main Outcome Measures. Respondents answered the questionnaire items relating to demographics, origin of interest in castration, and ambition toward eunuchdom. RESULTS: Two categories of wannabes emerged. A large proportion ( approximately 40%) of wannabes' interest in castration was singularly of a fetishistic nature, and these men appeared to be at a relatively low risk of irreversible genital mutilation. Approximately 20% of the men, however, appeared to be at great risk of genital mutilation. They showed a greater desire to reduce libido, change their genital appearance, transition out of male, and prevent sexually offensive behavior. Nineteen percent of all wannabes have attempted self-castration, yet only 10% have sought medical assistance. CONCLUSIONS: We identify several motivating factors for extreme castration ideations and provide a classification for reasons why some males desire orchiectomies. Castration ideations fall under several categories of the Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. (DSM-IV), most notably a Gender Identity Disorder other than male-to-female (MtF) transsexual (i.e., male-to-eunuch) and a Body Identity Integrity Disorder. Physicians need to be aware of males who have strong desires for emasculation without a traditional MtF transsexual identity. Language: en |