| |
|
|
|
| 首页 -> 小说文学 -> 短篇小说集：坐窗观风景 -> 正文阅读 |
[小说文学]短篇小说集：坐窗观风景[第241页] |
| 作者:San若梦 |
| 首页 上一页[240] 本页[241] 下一页[242] 尾页[507] [收藏本文] 【下载本文】 |
|
|
|
@San若梦 2017-08-29 13:27:23 The transvestitic patient is given an emetic drug (such as apomorphine). As soon as nausea develops, he has to view slides of himself dressed as a woman, prepared beforehand, and at the same time he has to listen to tape recordings describing in detail the mode and technique of "dressing." This form of treatment continues until vomiting occurs or acute illness prevents continuation. ----------------------------- 易装欲病人被给付一种催吐剂（比如阿朴吗啡），当恶心欲吐感一起，他就被迫观看事先准备好的他自己着女装的幻灯片，同时还要倾听详细描述“易装”的样式和技巧的录音。治疗会一直持续到呕吐出来或是剧烈的病况导致无法继续。 |
| Success has been claimed for this rather brutal and humiliating form of brain-washing, but the time of observation for the "cure" was, at the time of the report, only three months. And will such violent and undignified interference with an emotional life not again produce other, perhaps more serious substitutional symptoms? |
|
@San若梦 2017-08-29 13:47:51 Success has been claimed for this rather brutal and humiliating form of brain-washing, but the time of observation for the "cure" was, at the time of the report, only three months. And will such violent and undignified interference with an emotional life not again produce other, perhaps more serious substitutional symptoms? ----------------------------- 这个相当残酷、相当侮辱人的洗脑方式，被声明是成功的，但其“治愈”的观察时间，在报告时才仅三个月。一个如此暴力的、令人丧失尊严的对人情感生活的干预，难道不会又造成另外的，也许是更加严重的替代症状吗？ |
| Less degrading, although likewise rather brutal is the new type of aversion therapy utilizing painful electric shocks in place of the nausea. Patients are subjected to these shocks whenever they do something they are not supposed to do, for instance, enjoying women's finery, dressing in some, but also having homosexual inclinations, indulging in various sexual deviations as well as drinking or smoking too much. All these things are treated as bad habits. Successes are reported from England [2] but confirmation is still lacking. |
|
@San若梦 2017-08-30 02:04:20 Less degrading, although likewise rather brutal is the new type of aversion therapy utilizing painful electric shocks in place of the nausea. Patients are subjected to these shocks whenever they do something they are not supposed to do, for instance, enjoying women's finery, dressing in some, but also having homosexual inclinations, indulging in various sexual deviations as well as drinking or smoking too much. All these things are treated as bad habits. Successes are reported from England [2] but confirmation is still lacking. ----------------------------- 比较没有那么丧失体面，但同样相当残酷的一种新的厌恶疗法，是用痛苦的电击替代呕吐。每当病人做了他们不应该做的事，包括享受女人的精美服饰、自己穿上一些、同时还有同性恋倾向、沉溺于各种的性放纵以及酗酒酗烟等等，都会被施以电击。 |
| Whether aversion treatments can be applied to transsexuals and with what result is not known. |
|
@San若梦 2017-08-30 02:38:54 Whether aversion treatments can be applied to transsexuals and with what result is not known. ----------------------------- 厌恶疗法是否用在变性欲者身上以及结果如何，未知。 |
| A comparison with Antabuse in the treatment of alcoholism readily comes to one's mind. All transvestites, transsexuals, and alcoholics are problem personalities. If the emotional disturbance behind these personality disorders are rather superficial, an equally superficial symptomatic success may be accomplished at least for a while. But it seems to me that any more deep-seated disturbance (perhaps constitutionally anchored) would be quite unresponsive to this kind of aversion therapy, at least as far as any lasting benefit is concerned. |
|
@San若梦 2017-08-27 03:56:10 Many similar early histories of transsexuals as well as of transvestites could be gleaned from the literature and certainly from my private correspondence. (See also the case histories in R. E. L. Masters' chapter). Lukianowicz [19] in his comprehensive survey not only relates some of his own observations, but quotes at length those of other authors. The possibility should, however, not be overlooked, that some of these patients may prefer such explanation to an inborn one and therefore allow a wish to be the father of their thought. ----------------------------- @San若梦 2017-08-27 04:18:09 许多类似的关于变性欲及易装欲的早期历史，可以从文献及我的私人往来信件里收集到。（见R. E. L. Masters那章的案例历史）。Lukianowicz在他综合性的问卷调查中，不仅联系他自己的观察，还大篇幅引用别的作者。然而，有一种可能性不应该被忽略，那就是这些病人中的一部分，可能更偏向于这种解释甚于先天性的原因，所以他们就允许一个愿望成为思想之父。 ----------------------------- 镜水中天： 2017-08-30 02:55:38 评论 最后一句读不懂啊。 ----------------------------- 这句的意思不难懂，但直译出来特别拗口，我也纠结好久，看来还是效果不佳。 用我的表达来说，这句话意思是：前面一段病人们口述的童年经历，理论上可能是造成变性欲或易装欲的后天原因，而相当多的病人不愿意承认他们的病因是先天性的、内在的（即染色体的和内分泌系统的），而更愿意归疚于后天因素。所以在向本医生描述病况时很难做到客观公正，而是带有强烈的主观愿望色彩，因此本医生就说他们【允许愿望成为思想之父】。 这样是否比较清晰明白？@镜水中天 |
|
@San若梦 2017-08-30 02:43:19 A comparison with Antabuse in the treatment of alcoholism readily comes to one's mind. All transvestites, transsexuals, and alcoholics are problem personalities. If the emotional disturbance behind these personality disorders are rather superficial, an equally superficial symptomatic success may be accomplished at least for a while. But it seems to me that any more deep-seated disturbance (perhaps constitutionally anchored) would be quite unresponsive to this kind of aversion therapy, at least as far as any lasting benefit is concerned. ----------------------------- 戒酒治疗中所用的戒酒硫很容易被拿来做比较。所有的易装欲者、变性欲者、及酗酒者都是人格有问题者，假如说这些人格缺陷背后的情绪上的骚动都很表面化的话，那同样表面化的症状上的成功至少在一段时间内是能够达到的。但在我看来任何更加深层的骚动（也许是结构性存在的）不会对这一类的厌恶疗法有什么反应，至少对任何能持久的益处而言。 |
|
@镜水中天， @周一沉 【把作者话后面的意思更直接地说出来，或许表达得更加清晰而且连贯。】 这其实是我一直就在思考的问题：以科普的目的论，究竟哪种方法更有效？ 1）按原作逐字逐句的直译，也就是我现在正在做的，那尊重原意、保持原貌就是第一要务——所谓【信达雅】里的信吧。 2）在直译基础上改写，用更加符合中文习惯的文体来表达本医生的意思，当然还是要尽最大可能地尊重原意，但原貌就不必拘泥。这就是把【达】放在【信】之前了。 嗯，还得好好琢磨～～ |
| The transvestitic urge (fetishistic or transsexual) contains an element of addiction. Larger "doses" may be required for certain individuals as time goes on. Therein may lie a "progressive" nature of TVism in some instances. If untreated and uncontrolled, "dressing" may be desired more and more frequently and even the idea of physical changes through hormone treatment or through an operation may be gaining ground, particularly in unfavorable - that is to say, constantly stimulating - surroundings. Here psychotherapy and proper guidance at the right time may help, provided a transsexual tendency is not too deep-seated. |
|
@San若梦 2017-08-30 06:19:23 The transvestitic urge (fetishistic or transsexual) contains an element of addiction. Larger "doses" may be required for certain individuals as time goes on. Therein may lie a "progressive" nature of TVism in some instances. If untreated and uncontrolled, "dressing" may be desired more and more frequently and even the idea of physical changes through hormone treatment or through an operation may be gaining ground, particularly in unfavorable - that is to say, constantly stimulating - surroundings. Here psychotherapy and proper guidance at the right time may help, provided a transsexual tendency is not too deep-seated. ----------------------------- 易装的欲望（恋物的或者变性的）包含上瘾的元素。对一些个体来说，“药量”随时间与日俱增，这在一些案例中可能隐含着易装欲的一种“渐进”的本质。假如不接受治疗、不加以控制，“易装”的欲望可能越来越频繁，甚至通过激素或手术来改变身体的主意也会萌发，尤其是当身处不利——即持续不断的刺激——环境中。精神分析疗法和恰逢其时的适当指导在此可能有帮助，假设变性的欲望不是非常深层的话。 |
| Such seemingly progressive aggravation of transvestism was rarely noticed under treatment, although it did apparently occur in a few cases. However, later on, these patients proved to be initially unrecognized transsexuals. The opposite was more frequently observed: under estrogen medication, the desire to "dress" became often less demanding and less sexual and the inability to indulge grew somewhat less frustrating. The explanation probably is that the libido was reduced in its intensity through estrogen and since the transvestitic urge is part of the libido, it was likewise lowered. But I am anticipating a later discussion. |
|
|
|
@San若梦 2017-08-30 06:46:27 Such seemingly progressive aggravation of transvestism was rarely noticed under treatment, although it did apparently occur in a few cases. However, later on, these patients proved to be initially unrecognized transsexuals. The opposite was more frequently observed: under estrogen medication, the desire to "dress" became often less demanding and less sexual and the inability to indulge grew somewhat less frustrating. The explanation probably is that the libido was reduced in its intensity through estrogen and since the transvestitic urge is part of the libido, it was likewise lowered. But I am anticipating a later discussion. ----------------------------- 易装欲这种看起来渐进性的病情加剧在治疗中很少被注意到，虽然在几个案例中明显发生了，不过后来这些病人都被证明是最初没有意识到的变性欲。相反的情况更经常被观察到：在雌性激素作用下，“易装”的欲望经常变得更少需求以及更少涉及性，不能沉溺其中也变得稍微不那么使人沮丧。可能的解释是，通过雌性激素性冲动的强度减弱，而既然易装欲也是性冲动的一部分，那它也可能随之减弱。但我期待着更多的讨论。 |
| The foregoing paragraphs (if repetition may be permitted) apply chiefly to that form of transvestism that is its own purpose, which is to say that it is not the chief symptom of transsexualism. As soon as physical changes are desired, it ceases to be true transvestism, and inclines toward transsexualism (Type IV of S.O.S.; table on page 22). The full and complete transsexual (S.O.S. V and VI) finds only temporary and partial relief through "dressing." I have even met transsexuals who would not "dress" at all.” What good is it?" they said; "it does not make me a woman. I am not interested in her clothes; I am only interested in being a woman." That is the true transsexual sentiment. |
|
@San若梦 2017-08-30 13:00:11 The foregoing paragraphs (if repetition may be permitted) apply chiefly to that form of transvestism that is its own purpose, which is to say that it is not the chief symptom of transsexualism. As soon as physical changes are desired, it ceases to be true transvestism, and inclines toward transsexualism (Type IV of S.O.S.; table on page 22). The full and complete transsexual (S.O.S. V and VI) finds only temporary and partial relief through "dressing." I have even met transsexuals who would not "dress" at all.” What good is it?" they said; "it does not make me a woman. I am not interested in her clothes; I am only interested in being a woman." That is the true transsexual sentiment. ----------------------------- 前述段落（请允许有重复）是主要针对易装欲独有的宗旨，也就是说不是针对变性欲的主要症状。一当改变身体的欲望浮现，它就不再是真正的易装欲，而倾向于变性欲了（……）。完全彻底的变性欲（……）通过“易装”只能得到暂时的、部分的缓解，我甚至见过完全不“易装”的变性欲。“有什么好处？”他们说；“那又不能让我变成一个女人。我并非对她的衣服感兴趣，我只是对成为一个女人感兴趣。”那是一个真正的变性欲者的感情。 |
|
Psychological guidance in transsexualism If the transsexual does find relief in "dressing," to do so would be the first logical advice to be given therapeutically. Its permissive character can be questioned by those who may think of the law before they think of the patient, or who may have insufficient experience along these lines, or who are the type that, automatically, favors prohibition. Too many individuals are that way; what they do not like must be forbidden and punished. Then they are satisfied. I have even met transvestites who dislike (or pretend to dislike) transsexualism so much that they are against estrogen treatment and operation (for reasons of self-protection?). There are also transsexuals who dislike transvestites as well as homosexuals. Intolerance can be found in strange quarters. |
|
@San若梦 2017-08-30 13:28:05 Psychological guidance in transsexualism If the transsexual does find relief in "dressing," to do so would be the first logical advice to be given therapeutically. Its permissive character can be questioned by those who may think of the law before they think of the patient, or who may have insufficient experience along these lines, or who are the type that, automatically, favors prohibition. Too many individuals are that way; what they do not like must be forbidden and punished. Then they are satisfied. I have even met transvestites who dislike (or pretend to dislike) transsexualism so much that they are against estrogen treatment and operation (for reasons of self-protection?). There are also transsexuals who dislike transvestites as well as homosexuals. Intolerance can be found in strange quarters. ----------------------------- 变性欲的心理指导 假如变性欲者能通过“易装”得到慰藉，那从治疗的角度出发，第一个符合逻辑的劝告就该是这么做。这种宽容的态度可能会被某些人质疑，那些人或者是在考量里把法律置于病人之前，或者是对此议题没有足够的经验，或者就是那种自动地就倾向禁止的人。太多的个人都是那样的，只要是他们不喜欢的就必须被禁止并且受到惩罚，那样他们就满意了。我甚至还见到过易装欲者，他们不喜欢（或者是装着不喜欢）变性欲者到了反对雌性激素治疗和手术的地步（自我保护的原因？）。同时也有不喜欢易装欲及同性恋的变性欲者。不宽容能在很多奇怪的角落里找到。 |
| It is my hope that this volume may induce doctors as well as laymen who may come across the transsexual phenomenon to assume a tolerant and rational attitude and let the light of facts replace the ever-present twilight of prejudices. Walter Alvarez [3] was right when he wrote in one of his newspaper columns in sympathy with a transsexual that he had met: |
|
|
|
@镜水中天 2017-08-30 18:19:33 不宽容能在很多奇怪的角落里找到。 这段内容很有意思。 宽容的人，有宽阔的眼界。 ----------------------------- 记得王小波在他的某篇杂文里说过，大意是从来只见过内心简单的人对内心丰富的人施害，而不是相反。这个内心简单与丰富，我的理解不就是以知识与见识的多寡来分别的吗？ 很多人越是对什么一无所知，越是自以为真理在握，这是我完全不能理解的思维。 |
|
@镜水中天，@周一沉 关于【信达雅】的问题，我的看法是所译文种很重要，要分别来看。 前人提的信达雅这个优先顺序，主要针对文学作品而言，那会儿可能压根儿还没有啥科普著作要翻译的吧。 对文学作品，我还是认为【信】应该在【达】之前。一个比较极端的例子可以参看福克纳的《喧嚣与骚动》。 这部书好像被认作“意识流”的开山之作，中文英文我都试图读过，但都没能读得下去，原因就是太乱了嘛，读得我直头晕！ 就我读过的开头两章吧，情节、人物、叙事都支离破碎的一团乱，翻译时若是把【达】搁在【信】之前，那肯定得全部改写。但问题是一改写得通顺了、不让人头晕了，还是福克纳的意识流么？ 科普作品不一样，至少不会有人用意识流来写科普吧～～：）所以对科普我赞同【达】比【信】重要，本医生这本书最后就采用【达信雅】的意译方式。 谢镜水一沉，十分愉快的交流～～：） |
|
@San若梦 2017-08-30 14:04:56 It is my hope that this volume may induce doctors as well as laymen who may come across the transsexual phenomenon to assume a tolerant and rational attitude and let the light of facts replace the ever-present twilight of prejudices. Walter Alvarez [3] was right when he wrote in one of his newspaper columns in sympathy with a transsexual that he had met: ----------------------------- 我的希望是，本书能促使医生们以及外行们在可能遭遇变性欲现像时，能够采取一种宽容、理性的态度，让事实的光芒取代一直存在着的偏见的暮色。Walter Alvarez 是对的，对他所遇见的一位变性欲者深怀同情，他在他的一个新闻栏目里这样写道： |
| I know that for having written this column, I will get a number of vituperative letters from people who will think that I am foul-minded. No, I am just talking about these people dispassionately and scientifically. Let all of us who tend to look on these people as vile, remember that their mix-up was obvious in early childhood when, surely, there was no vileness. We must all learn to have sympathy for these persons who were so badly gypped by Nature. But for the grace of God, we too might be caught in the same cruel trap. |
|
@San若梦 2017-08-31 01:04:40 I know that for having written this column, I will get a number of vituperative letters from people who will think that I am foul-minded. No, I am just talking about these people dispassionately and scientifically. Let all of us who tend to look on these people as vile, remember that their mix-up was obvious in early childhood when, surely, there was no vileness. We must all learn to have sympathy for these persons who were so badly gypped by Nature. But for the grace of God, we too might be caught in the same cruel trap. ----------------------------- 我知道写这个专栏会收到许多谩骂的读者来信，他们会认为我思想污秽。不是的，我仅仅只是在冷静地、科学地谈论这些人们。让我们这些倾向于把他们看作邪恶的人记住，他们的错位很显然是发生在很早的儿时，而那时当然是没有邪恶的。我们必须学着去同情这些被自然严重欺骗了的人们，但是为上帝的恩典，我们也可能被关进这个冷酷的牢笼里。 |
| Living completely as a woman (though illegally) can actually be a life-saving measure for those transsexuals who find an operation unattainable. I know at least a dozen who are in this situation right now. They work as women in offices, factories, beauty salons, as nurses, domestics, and some, alas, as prostitutes, all quite unknown to their employers, associates, or clients. They would best have psychological as well as medical help in addition to living in their female gender identity; but very few actually have such help. Merely the opportunity to talk to somebody about their problems has its therapeutic value. To find some understanding from a doctor instead of coldness, rejection, or ridicule goes a long way toward easing their burden. |
|
@San若梦 2017-08-31 01:28:33 Living completely as a woman (though illegally) can actually be a life-saving measure for those transsexuals who find an operation unattainable. I know at least a dozen who are in this situation right now. They work as women in offices, factories, beauty salons, as nurses, domestics, and some, alas, as prostitutes, all quite unknown to their employers, associates, or clients. They would best have psychological as well as medical help in addition to living in their female gender identity; but very few actually have such help. Merely the opportunity to talk to somebody about their problems has its therapeutic value. To find some understanding from a doctor instead of coldness, rejection, or ridicule goes a long way toward easing their burden. ----------------------------- 完全以女性身份生活（尽管不合法）对那些不能做手术的变性欲者来说，实际上很可能是救命的措施。我知道的至少有一打现在都是处于这种状况。他们以女性身份在办公室、工厂、及美容院工作，当护士、家政，还有一些，唉，妓女，他们的顾主、同事、及客户都对此毫无所知。他们在以女性身份生活之外，最好是还能得到心理上的及医学上的帮助，但只有为数不多的实际上得到了。仅仅是有个机会能跟谁聊一聊自己的问题就有它的治疗价值。从一名医生那获得一些理解，而非冷漠、拒绝、或是嘲笑，能对缓解他们的负担起到很大作用。 |
|
Psychotherapy in transsexualism Psychotherapy with the aim of curing transsexualism, so that the patient will accept himself as a man, it must be repeated here, is a useless undertaking with present available methods. The mind of the transsexual cannot be changed in its false gender orientation. All attempts to this effect have failed. Dr. Robert Laidlaw, chief psychiatrist at Roosevelt Hospital, New York, has studied a number of transsexuals and has come to the conclusion that "psychotherapy has nothing to offer to them," as far as any cure is concerned. In numerous conversations and in psychiatric reports, Dr. Laidlaw considered the transsexual's state "inaccessible to psychotherapy." Dr. John Alden, a prominent psychiatrist in San Francisco, fully concurs with this opinion and has repeatedly stated so. Numerous other psychiatrists agree, to my own personal knowledge. (See psychiatric reports in Chapter 7.) |
|
@San若梦 2017-08-31 06:43:46 Psychotherapy in transsexualism Psychotherapy with the aim of curing transsexualism, so that the patient will accept himself as a man, it must be repeated here, is a useless undertaking with present available methods. The mind of the transsexual cannot be changed in its false gender orientation. All attempts to this effect have failed. Dr. Robert Laidlaw, chief psychiatrist at Roosevelt Hospital, New York, has studied a number of transsexuals and has come to the conclusion that "psychotherapy has nothing to offer to them," as far as any cure is concerned. In numerous conversations and in psychiatric reports, Dr. Laidlaw considered the transsexual's state "inaccessible to psychotherapy." Dr. John Alden, a prominent psychiatrist in San Francisco, fully concurs with this opinion and has repeatedly stated so. Numerous other psychiatrists agree, to my own personal knowledge. (See psychiatric reports in Chapter 7.) ----------------------------- 变性欲的精神分析疗法 以治愈变性欲——病人能够接受自己是个男人——为目标的精神分析疗法，在此必须重复说明，其现有的方法完全都是在做无用功。变性欲者的思想在错位的性别取向上是无法改变的，所有这方面的努力都告失败。纽约罗斯福医院精神科主任医生Robert Laidlaw研究过数名变性欲病人，得出这样的结论，以治愈的结果论“精神分析疗法对他们毫无帮助”。在大量的谈话及精神病学报告中，Laidlaw医生认为变性欲的状态“是精神分析疗法无法企及的”。旧金山一位有名的精神病学家John Alden医生完全赞同此观念，并多次如此声明过。我个人所知，还有许多的精神病学家也认同。（见第七章精神病学报告） |
| In my own practice, I have seen ten or more patients who have been in analysis for as long as three and more years without the slightest change in their transsexual attitude. |
|
@San若梦 2017-08-31 07:43:13 In my own practice, I have seen ten or more patients who have been in analysis for as long as three and more years without the slightest change in their transsexual attitude. ----------------------------- 我自己的诊所里，我见过超过十位的病人曾接受精神分析疗法，时间长达三年以上，但在变性的态度上没有一丝半点的改变。 |
| Since it is evident, therefore, that the mind of the transsexual cannot be adjusted to the body, it is logical and justifiable to attempt the opposite, to adjust the body to the mind. If such a thought is rejected, we would be faced with a therapeutic nihilism to which I could never subscribe in view of the experiences I have had with patients who have undoubtedly been salvaged or at least distinctly helped by their conversion. |
|
一沉看过来～～ |
|
@San若梦 2017-08-31 07:53:51 Since it is evident, therefore, that the mind of the transsexual cannot be adjusted to the body, it is logical and justifiable to attempt the opposite, to adjust the body to the mind. If such a thought is rejected, we would be faced with a therapeutic nihilism to which I could never subscribe in view of the experiences I have had with patients who have undoubtedly been salvaged or at least distinctly helped by their conversion. ----------------------------- 既然很明显变性欲者的头脑不能适应身体，那么往相反方向努力以使身体适应头脑，就很符合逻辑且正当。假如这个想法被拒绝，我们就会面临一个治疗上的虚空（……？） |
| This help has been given by two therapeutic measures aside from psychological guidance and living as a woman: first, estrogen medication and second, surgery. Most of the time, both. |
|
@San若梦 2017-08-31 11:23:15 This help has been given by two therapeutic measures aside from psychological guidance and living as a woman: first, estrogen medication and second, surgery. Most of the time, both. ----------------------------- 这个帮助通过心理指导及以女性身份生活之外的另两种治疗手段达成：第一，雌性激素治疗，第二，手术。大多数时间是双管齐下。 |
|
Estrogen therapy Estrogen, the principal female hormone, in sufficient dosage over a sufficient length of time, acts on the male body in two ways. It produces partial chemical castration and hormonal feminization. Both are temporary results unless treatment is continued for years. Then some permanent changes like a degree of testicular atrophy and more or less distinct gynecomastia may remain. Ordinarily, however, when estrogen treatment is discontinued, a return to the former state can gradually be expected. |
|
@San若梦 2017-08-31 11:32:00 Estrogen therapy Estrogen, the principal female hormone, in sufficient dosage over a sufficient length of time, acts on the male body in two ways. It produces partial chemical castration and hormonal feminization. Both are temporary results unless treatment is continued for years. Then some permanent changes like a degree of testicular atrophy and more or less distinct gynecomastia may remain. Ordinarily, however, when estrogen treatment is discontinued, a return to the former state can gradually be expected. ----------------------------- 雌性激素治疗 雌性激素，主要的一种女性荷尔蒙，在一段足够长的时间里，用足够的药量，能从两个途径对男性身体起作用：不完全的化学阉割及激素上的女性化。除非治疗持续数年，二者的效果都是暂时的。然后有一些永久性的变化会保留，比如一定程度的睾丸萎缩，多少有些明显的男性乳房发育。但一般来说，雌性激素一当停止使用，逐渐就能恢复原来的状态。 |
| I know of one patient who was moderately feminized by estrogen but, being bisexual and not a true transsexual, fell in love with a girl, gave up the idea of sex change, married, and now has two children. The question remains whether he will stay free from transvestism, and for how long. |
|
这个截图再看看，@周一沉，【评论（5）】，但下面的评论只剩3条，因为有两条被我举报后删掉了。 |
|
@San若梦 2017-08-31 11:55:38 I know of one patient who was moderately feminized by estrogen but, being bisexual and not a true transsexual, fell in love with a girl, gave up the idea of sex change, married, and now has two children. The question remains whether he will stay free from transvestism, and for how long. ----------------------------- 我认识一位病人，通过雌性激素治疗后变得适度的女性化，但是身为一个双性恋者而非真正的变性欲者，他爱上一个女孩，放弃了变性的主意，结了婚并有了两个孩子。只有一个问题还存在，他是否能完全摆脱易装欲，以及能保持多久。 |
|
The clinical results of estrogen (to which I usually add progesterone), can be dramatic for the deeply disturbed transsexual. These results are by no means entirely psychological as may be suspected. They are also distinctly endocrine. The hormonal castration produced by estrogen reduces androgen (testosterone) output and activity. In consequence, it lowers libido, it calms the patient, and acts as a biological tranquilizer. The transsexual drive, being part of the transsexual's libido, decreases in intensity, although in the "intensive type" (S.O.S. VI), not always sufficiently to give the necessary comfort. Then ordinary tranquilizers may have to be added. |
|
@San若梦 2017-08-31 12:35:04 The clinical results of estrogen (to which I usually add progesterone), can be dramatic for the deeply disturbed transsexual. These results are by no means entirely psychological as may be suspected. They are also distinctly endocrine. The hormonal castration produced by estrogen reduces androgen (testosterone) output and activity. In consequence, it lowers libido, it calms the patient, and acts as a biological tranquilizer. The transsexual drive, being part of the transsexual's libido, decreases in intensity, although in the "intensive type" (S.O.S. VI), not always sufficiently to give the necessary comfort. Then ordinary tranquilizers may have to be added. ----------------------------- 雌性激素（里面我通常会加黄体酮）的临床效果，对那些深受困扰的变性欲者可能是戏剧性的。这些效果肯定不是有人可能怀疑的那样完全是心理上的，它们明显也是内分泌上的。因雌性激素而产生的激素性阉割作用减少了雄性激素（睾丸酮）的产出及活性，随之使性欲降低，使病人平静下来，其作用像生物性的镇定药。变性的欲望，作为变性欲者性欲的一部分，其强度会降低，虽然对“高强度类型”（……）而言不一定足够到能给于必要的安慰。这时可能需要加上普通的镇定药。 |
| Side effects of estrogen therapy, most of them greatly welcomed by the patient, depend upon individual responses, upon dosage, and chiefly upon length of treatment. Foremost among such side effects is breast development, the appearance of which provides tremendous emotional relief to the transsexual patient. The degree of gynecomastia that may be achieved depends upon the patient's constitutional physical build, that is to say, the amount of glandular breast tissue that is present and could respond to estrogen and progesterone, the breast being the target organ for these hormones. A further important factor is how readily an underweight patient may gain weight and in this way increase the fatty part of the breast. |
|
@San若梦 2017-08-31 13:17:00 Side effects of estrogen therapy, most of them greatly welcomed by the patient, depend upon individual responses, upon dosage, and chiefly upon length of treatment. Foremost among such side effects is breast development, the appearance of which provides tremendous emotional relief to the transsexual patient. The degree of gynecomastia that may be achieved depends upon the patient's constitutional physical build, that is to say, the amount of glandular breast tissue that is present and could respond to estrogen and progesterone, the breast being the target organ for these hormones. A further important factor is how readily an underweight patient may gain weight and in this way increase the fatty part of the breast. ----------------------------- 雌性激素的副作用——大部份都极其为病人们所欢迎——取决于个体的反应，取决于用量，最主要取决于疗程的长度。这些副作用里最主要的一个是乳房发育，发育后的样子给变性欲病人提供了极大的精神上的慰藉。男性乳房发育能达到的程度，取决于病人的体质性身体结构，就是说病人所具有的能对雌性激素和黄体酮起反应的腺体的乳房组织数量，乳房是这些激素作用的对像。另一个重要因素是一个体重过低的病人能很容易增加体重，这样就能增加乳房的脂肪部份。 |
| It may take many months, even a couple of years, to develop a breast that would resemble that of an average, normal female. Chest measurements must naturally be correlated to body weight and can show increases of five or more centimeters a year with weight being constant. |
|
@San若梦 2017-08-31 13:50:19 It may take many months, even a couple of years, to develop a breast that would resemble that of an average, normal female. Chest measurements must naturally be correlated to body weight and can show increases of five or more centimeters a year with weight being constant. ----------------------------- 也许需要好几个月甚至一两年的时间，才能使乳房发育到与一个平均的、正常的女性相当。胸部大小自然与体重相关，当体重保持不变时，每年可显示出五厘米以上的增长。 |
| Frequently transsexuals are too impatient and insist upon quicker results through breast surgery with implants of various kinds. The outcomes are not always satisfactory. I have seen bad infections develop, painful and abnormally hard breasts, but also satisfactory results that helped the patient's emotional status. At best, breast surgery is a gamble. |
|
@San若梦 2017-09-01 03:33:15 Frequently transsexuals are too impatient and insist upon quicker results through breast surgery with implants of various kinds. The outcomes are not always satisfactory. I have seen bad infections develop, painful and abnormally hard breasts, but also satisfactory results that helped the patient's emotional status. At best, breast surgery is a gamble. ----------------------------- 经常性的，变性欲者太没有耐心，坚持要从隆胸手术——有各种不同类型的植入物——得到更快的效果。结果并非总是令人满意的。我见过一些糟糕的感染、很疼痛且超常坚硬的乳房，同时也见过令人满意的、对病人的精神状况有助益的结果。往最好了说，隆胸手术是一个赌博。 |
| Accompanying the development of the breast is an increase in the size of the nipples and a distinct, measurable increase in the areola, the pigmented area around the nipple. Over sensitiveness of the nipple, sometimes to the point of discomfort, occurs with some regularity, especially during the first few weeks of estrogen therapy. Gradually, however, the sensitiveness subsides, or dosage would have to be reduced. |
|
@San若梦 2017-09-01 03:45:38 Accompanying the development of the breast is an increase in the size of the nipples and a distinct, measurable increase in the areola, the pigmented area around the nipple. Over sensitiveness of the nipple, sometimes to the point of discomfort, occurs with some regularity, especially during the first few weeks of estrogen therapy. Gradually, however, the sensitiveness subsides, or dosage would have to be reduced. ----------------------------- 与乳房发育同时发生的还有乳.头增大，以及明显可测的乳晕——乳.头四周那圈色泽稍异的区域——的增大。乳.头的过分敏感，有时到了很不舒服的程度，时有发生，但这是正常现象，尤其是在激素治疗的最初几周。然而这种敏感会逐渐地减弱，否则激素的用量就得减少。 |
|
Another side effect of estrogen therapy concerns hair growth. Body hair almost invariably decreases and after enough time actually disappears, with the exception of pubic and axillary hair. The beard is rarely affected and would have to be removed by electrolysis. Scalp hair is favorably influenced. Usually it grows faster and heavier; baldness may or may not be prevented; probably this is dependent upon hereditary factors. |
| 哇！还有这事！就是说删完之后一点痕迹都没留下？ |
|
@San若梦 2017-09-01 04:19:58 Another side effect of estrogen therapy concerns hair growth. Body hair almost invariably decreases and after enough time actually disappears, with the exception of pubic and axillary hair. The beard is rarely affected and would have to be removed by electrolysis. Scalp hair is favorably influenced. Usually it grows faster and heavier; baldness may or may not be prevented; probably this is dependent upon hereditary factors. ----------------------------- 雌性激素治疗的另一个副作用跟毛发生长有关。除了阴.部和腋下这两处例外，全身体毛几乎总是在减少，时间足够长之后竟然消失。胡子被影响很小，需要用电蚀除毛法去除。头部毛发的影响很受欢迎，它通常会长得更快更多；秃头可能被阻止，也可能不会，大概取决于遗传因素。 |
|
@镜水中天 2017-09-01 18:17:07 好奇本医生对女变男这类情况有探讨吗？ 或许这一类变性欲者很少吧。 或许以女同性恋的形式来表现？ @San若梦 ----------------------------- 本医生这本书前面说明过，因为男性变性欲在已知范围内远多于女性变性欲，很可能他的一百五十多位病人全部是男性（他没明确这么说，但能看得出来），所以他这本书的写作仅针对男变女的状况。 但现在医学界的主流观点是，此二者（男变女、女变男）在本质上完全相同，不同的仅是技术性问题，比如说变性手术的难易程度。若是以手术所需费用作参考来量化，那女变男的手术难度大约是男变女的三倍。 变性欲本质上与同性恋是完全不同的两个问题，无论男变女还是女变男都如是，它们长期以来被混为一谈，有很深远复杂的原因。不管具体原因是什么、怎么形成的，现在都该是正本清源的时候。 |
| I have often seen skin texture improve distinctly under estrogen medication and an acne condition was occasionally cured. |
|
@San若梦 2017-09-02 02:57:11 I have often seen skin texture improve distinctly under estrogen medication and an acne condition was occasionally cured. ----------------------------- 我经常见到病人皮肤的肌理在雌性激素作用下明显变好，并且粉刺也偶尔被治愈。 |
| Fat may shift from the shoulders to the hips in feminine fashion so that hip measurements increase by as much as five to seven centimeters within a year's time, in spite of stationary weight. |
|
@San若梦 2017-09-02 03:11:38 Fat may shift from the shoulders to the hips in feminine fashion so that hip measurements increase by as much as five to seven centimeters within a year's time, in spite of stationary weight. ----------------------------- 脂肪可能会从肩部移至臀部，使其更女性化，所以臀围在一年之内、体重总体不变的情况下能增长五至七厘米。 |
| Strikingly affected are the sex life and the sex functions. Within a few weeks of treatment, some patients report they no longer feel like masturbating, their sex urge, including the desire to "dress," being much reduced. There are no or fewer involuntary morning erections and after six months or so, voluntary erections also become difficult to elicit and about one out of ten patients describes them as distinctly painful. If orgasm can still be reached, there is in more than 50 per cent of the cases no ejaculation, which may to a large extent be due to prostatic shrinkage. |
|
@San若梦 2017-09-02 03:22:55 Strikingly affected are the sex life and the sex functions. Within a few weeks of treatment, some patients report they no longer feel like masturbating, their sex urge, including the desire to "dress," being much reduced. There are no or fewer involuntary morning erections and after six months or so, voluntary erections also become difficult to elicit and about one out of ten patients describes them as distinctly painful. If orgasm can still be reached, there is in more than 50 per cent of the cases no ejaculation, which may to a large extent be due to prostatic shrinkage. ----------------------------- 引人注目的影响是性生活及性功能。治疗开始的几周之内，就有一些病人报告说他们不再想自慰，性欲包括“易装”的欲望都大减；不自觉的晨.勃减少甚至没有了，六个月左右主动的晨.勃已很难引发，并且十成里大约有一成的病人描述说有痛感；假如高.潮仍能达到的话，那有超过50%的案例都没有射精，其原因很大程度上可能是因为前列腺萎缩。 |
|
The physical examination reveals a reduced size of the prostate and after about a year of treatment a somewhat smaller penis also (from disuse?) and perhaps a moderate testicular atrophy. The 17-ketosteroids almost regularly sink below the normal level of the female. Abnormally large estrogen values are found in the urine. |
|
@San若梦 2017-09-02 03:50:57 The physical examination reveals a reduced size of the prostate and after about a year of treatment a somewhat smaller penis also (from disuse?) and perhaps a moderate testicular atrophy. The 17-ketosteroids almost regularly sink below the normal level of the female. Abnormally large estrogen values are found in the urine. ----------------------------- 体检时可以发现前列腺尺寸减小，大约治疗一年之后阴.茎也稍微变小（因为不用？），还有轻微的睾丸萎缩。17-酮类固醇几乎普遍地降到低于正常女性，尿液里雌性激素含量大量超过正常值。 |
| All these changes make the transsexual happy, as he despises each and every manifestation of male sexuality. |
|
@San若梦 2017-09-02 04:10:42 All these changes make the transsexual happy, as he despises each and every manifestation of male sexuality. ----------------------------- 所有的这些变化都令变性欲者兴奋，因为他鄙视每一种及所有的男性性别的表征。 |
| This may be the occasion to mention the fact that, in about one quarter of my patients, androgen in the form of testosterone injections had been administered at some time in the past, the doctor evidently hoping to cure the transsexualism and the effeminacy of the patient through masculinization. Alas, it is the wrong treatment. The conflict is aggravated when the body becomes hairy and the libido increases without, of course, changing its direction. Androgen is to my mind contraindicated in male transsexualism. |
|
@San若梦 2017-09-02 05:20:29 This may be the occasion to mention the fact that, in about one quarter of my patients, androgen in the form of testosterone injections had been administered at some time in the past, the doctor evidently hoping to cure the transsexualism and the effeminacy of the patient through masculinization. Alas, it is the wrong treatment. The conflict is aggravated when the body becomes hairy and the libido increases without, of course, changing its direction. Androgen is to my mind contraindicated in male transsexualism. ----------------------------- 在此可能应该提及一个事实，那就是我的病人里有大约四分之一，在过去某个时间里被注射过睾酮这种雄性激素，那些医生显然是希望通过男性化来治愈病人的变性欲及女人气。唉，这是完全错误的治疗。当病人的身体长出更多体毛，当然还没有改变方向的性欲提高，矛盾也就被激化了。雄性激素在我的认知里，对男性变性欲来说就是个禁忌。 |
| In hypogonadal young boys, an attempt may be made to help the maturing process through injections of the gonadotropic hormone of the pituitary (APL). Hoping to influence nature in this direction, I continued in a few cases weekly injections Of 500 to 2000 units for several months, but saw no influence on the transsexual drive. Estrogen therapy is either given as the substitute for a conversion operation or, in accordance with the suggestion of Hamburger et al., in preparation for the operation in order to test the patient's psychological reaction to feminization. "Let us have it on a temporary, reversible basis first, before an operation would make it irrevocable," has been my argument. |
|
@San若梦 2017-09-02 05:38:08 In hypogonadal young boys, an attempt may be made to help the maturing process through injections of the gonadotropic hormone of the pituitary (APL). Hoping to influence nature in this direction, I continued in a few cases weekly injections Of 500 to 2000 units for several months, but saw no influence on the transsexual drive. Estrogen therapy is either given as the substitute for a conversion operation or, in accordance with the suggestion of Hamburger et al., in preparation for the operation in order to test the patient's psychological reaction to feminization. "Let us have it on a temporary, reversible basis first, before an operation would make it irrevocable," has been my argument. ----------------------------- 对性腺机能减退的年轻男孩，也许会注射脑垂体的促性腺激素（APL）来帮助他们发育成熟的过程。怀着沿此方向影响自然的希望，我在几起案例中开过每周注射500到2000单位的药量，持续几个月之久，但未见对变性欲产生任何影响。雌性激素治疗的作用，或者是为变性手术提供一个替代手段，或者就像汉堡所建议的，为手术做准备——试测病人对女性化的心理反应。“在手术造成不可逆转的结果之前，让我们先在一个暂时的、可逆转的基础上试试看。”一直是我的论点。 |
|
Per Anchersen suggests the following: "Treatment with estrogen hormones to suppress the internal secretion of the testicles and in this way try to feminize the patients by a hormonal castration. This treatment must always be tried for a long time before one decides on a surgical castration." [4] |
|
@San若梦 2017-09-02 07:02:20 Per Anchersen suggests the following: "Treatment with estrogen hormones to suppress the internal secretion of the testicles and in this way try to feminize the patients by a hormonal castration. This treatment must always be tried for a long time before one decides on a surgical castration." [4] ----------------------------- Per Anchersen作出如下建议：“雌性激素治疗通过抑制睾丸的内分泌所造成的激素性阉割，来达到使病人女性化的目的。这种治疗在病人决定做阉割手术之前必须持续很长一段时间。” |
| Close observation and repeated examinations are essential during treatment. Liver function tests may be advisable, the so-called BSP (bromsulphtalein) being probably the most valuable. The liver is the organ that metabolizes ("digests") the estrogen and it is conceivable (although not actually shown) that it may be unfavorably affected by long-continued medication. A hazard may possibly exist if there is a history of hepatitis. The fear of developing cancer through hormone treatments crops up from time to time, especially if there are irresponsible newspaper reports, for instance, of the results of someone's experiments with mice and rats to produce cancer artificially with estrogen. Such experiments admittedly have no bearing on the reactions of the human organism. Is the attempt to apply experiments with the cancer-susceptible mouse to the human area anything but ludicrous?" asked Dr. Robert A. Wilson, whose extensive work has thoroughly debunked the cancer fear of women receiving estrogen during their change of life.[5] |
|
@San若梦 ： 举报 2017-09-02 07:13:43 评论 这是第一次提及【年轻男孩】，所述方法我不懂，只是照字面翻译。在本医生的时代，对变性欲的治疗很少涉及未成年人——不是说未成年人没有这个问题，而是属禁忌，没什么人敢碰——现在青少年的变性欲问题在美国已慢慢走出禁区，作为一个严肃的科学命题被摆到桌面上来。随之而来的是对青少年 @San若梦 ： 2017-09-02 07:24:11 评论 变性欲的治疗，也在青春期前期就可以开始，但比对成年人的治疗的资格鉴定要严格得多。具体的治疗方法，在本医生这本书里是个空白，但在欧美医学界已经相当成熟且系统化。等翻完本医生这本，视形势可能还需要再译一本最新的专门针对青少年的著作，才能把这个问题说明白、说全面。唉，时间不够啊～～：） ---------------------------------------------- @周一沉 2017-09-02 08:18:31 这个问题很复杂。在这些方面加国比美国步子可能更大些。大概两年前左右吧，我看过一个新闻，大意是加国已立法禁止保险公司支付未成年人的变性手术费用，同时禁止监护人为其未成年子女做变性手术的决定，一切都要等成年后自己决定自己承担责任，我觉得从法律角度来说这样更合理。——如果能再进一步，从出生时就不必注明性别，到成年后再那什么似乎更合适，但牵扯的问题肯定非常复杂，只能慢慢进步了。 ----------------------------- 嗯？是我理解有误还是你表达有误？你说的这个应该是退步而非进步呀！ |
|
@San若梦 2017-09-02 08:09:01 Close observation and repeated examinations are essential during treatment. Liver function tests may be advisable, the so-called BSP (bromsulphtalein) being probably the most valuable. The liver is the organ that metabolizes ("digests") the estrogen and it is conceivable (although not actually shown) that it may be unfavorably affected by long-continued medication. A hazard may possibly exist if there is a history of hepatitis. The fear of developing cancer through hormone treatments crops up from time to time, especially if there are irresponsible newspaper reports, for instance, of the results of someone's experiments with mice and rats to produce cancer artificially with estrogen. Such experiments admittedly have no bearing on the reactions of the human organism. Is the attempt to apply experiments with the cancer-susceptible mouse to the human area anything but ludicrous?" asked Dr. Robert A. Wilson, whose extensive work has thoroughly debunked the cancer fear of women receiving estrogen during their change of life.[5] ----------------------------- 近距离的观察和重复的捡查在治疗中至关重要。肝功能检查可能建议要做，其中所谓的BSP（……）可能是最有价值的。肝脏是代谢（“消化”）雌性激素的器官，可以想像（虽然不一定实际显示出来）长期连续的用药可能会对它产生不良影响。假如有过肝炎的历史，那有一种危险可能存在。雌性激素治疗可能引发癌症的恐惧时不时（……），尤其是通过一些不负责任的新闻报道，比如有人的实验结果表明雌性激素可以人为地在老鼠身上产生癌症。人们也承认这类实验与人类肌体的反应并无关系。“这种把易感染癌症的老鼠的实验用在人类身上的企图除了滑稽还能是什么？”Robert A. Wilson医生这样问道，他所做的大量的工作已经彻底揭穿了关于在人生转变时期接受雌性激素的妇女的癌症恐惧。 |
| In my own clinical material of 152 male transsexuals, 141 of whom were treated with medium to fairly large doses of estrogen, some over several years, no incident of breast or any other cancer was observed. One may argue that these are mostly young men, less apt to develop a malignancy. The experiences of urologists, however, who treated elderly and old men with even much larger doses of estrogen for cancer of the prostate, must then be recalled. With the exception of one disputed case of breast cancer (it may have been a metastasis of the prostatic cancer) reported in the medical literature, no such incident was observed in hundreds if not thousands of cases. In a personal communication from Dr. Elmer Belt, one of the outstanding and most experienced urologists in the country, he said: |
|
@San若梦 2017-09-03 04:06:33 In my own clinical material of 152 male transsexuals, 141 of whom were treated with medium to fairly large doses of estrogen, some over several years, no incident of breast or any other cancer was observed. One may argue that these are mostly young men, less apt to develop a malignancy. The experiences of urologists, however, who treated elderly and old men with even much larger doses of estrogen for cancer of the prostate, must then be recalled. With the exception of one disputed case of breast cancer (it may have been a metastasis of the prostatic cancer) reported in the medical literature, no such incident was observed in hundreds if not thousands of cases. In a personal communication from Dr. Elmer Belt, one of the outstanding and most experienced urologists in the country, he said: ----------------------------- 我自己所有的152位男性变性欲的临床资料里，有141位接受过从中等剂量到还算大剂量的雌性激素治疗，有的持续好几年，但没有乳腺癌或任何别的癌症被观察到。有人也许会争辩说，这些大部份都是年轻人，比较不容易得恶行肿瘤。但是，泌尿科医生——他们用甚至更大剂量的雌性激素来治疗老年人的前列腺癌——的经验必须被重新提起。除了一起也许有争议的乳腺癌（可能是前列腺癌的扩散）之外，医学文献中上百个——假如不是上千个的话——案例里并无别的癌症病例的报告。在一次与Elmer Belt医生——这个国家最杰出、最富于经验的泌尿科医生之一——的私人交流中，他说道： |
| In regard to the taking of Stilbestrol as a cause for cancer of the breast, we have placed several hundred men on this material (I imagine if we were to search our records we would find the number to be in excess of two thousand) and in all of these cases we have not seen a single occurrence of cancer of the breast, although the dosages we used were of a very high level. |
|
@San若梦 2017-09-03 04:48:31 In regard to the taking of Stilbestrol as a cause for cancer of the breast, we have placed several hundred men on this material (I imagine if we were to search our records we would find the number to be in excess of two thousand) and in all of these cases we have not seen a single occurrence of cancer of the breast, although the dosages we used were of a very high level. ----------------------------- 至于说到服用己烯雌酚引发乳腺癌，我们有好几百位病人（想象要是搜索我们的记录，可能会发现这个数目超过两千）曾服用过这种药，但没有一起乳腺癌发生，虽然我们的用量非常高。 |
|
Estrogenic Preparations Parenteral use As to the particular estrogenic preparations and dosages to be employed in transsexualism, a good deal of experimentation was and will still be necessary. There are so far very few leads in the medical literature. |
|
@San若梦 2017-09-03 05:22:18 Estrogenic Preparations Parenteral use As to the particular estrogenic preparations and dosages to be employed in transsexualism, a good deal of experimentation was and will still be necessary. There are so far very few leads in the medical literature. ----------------------------- 雌性激素的准备工作 肠胃外服用 至于说到变性欲治疗中特定的雌性激素准备及剂量，大量的实验曾经是并且将来还是必须的。医学文献里只有极少的指导。 |
| In my own practice, Squibb's Delestrogen for intramuscular injections was employed with much satisfaction and positive results. This is a slowly absorbing, well-tolerated, potent preparation (chemically, Estradiol Valerate), and was applied in doses of 20 to 60 mg. (1?2to 1 1?2cc.). Usually 30 to 60 mg. of Delalutin (Squibb) was added, an equally potent progesterone. This combination was given once a week or once in two to three weeks, according to the response as measured by the patient's emotional balance and physical feminization symptoms. Generally I found that dosage seems less important than length and regularity of administration. |
|
@San若梦 2017-09-03 05:22:18 Estrogenic Preparations Parenteral use As to the particular estrogenic preparations and dosages to be employed in transsexualism, a good deal of experimentation was and will still be necessary. There are so far very few leads in the medical literature. ----------------------------- @San若梦 2017-09-03 05:53:04 雌性激素的制剂 肠胃外服用 至于说到变性欲治疗中特定的雌性激素制剂及剂量，大量的实验曾经是并且将来还是必须的。医学文献里只有极少的指导。 ----------------------------- |
|
@San若梦 2017-09-03 05:54:50 In my own practice, Squibb's Delestrogen for intramuscular injections was employed with much satisfaction and positive results. This is a slowly absorbing, well-tolerated, potent preparation (chemically, Estradiol Valerate), and was applied in doses of 20 to 60 mg. (1?2to 1 1?2cc.). Usually 30 to 60 mg. of Delalutin (Squibb) was added, an equally potent progesterone. This combination was given once a week or once in two to three weeks, according to the response as measured by the patient's emotional balance and physical feminization symptoms. Generally I found that dosage seems less important than length and regularity of administration. ----------------------------- 在我自己的临床实践中，肌肉注射（Squibb's Delestrogen）获得了令人满意的、正面的效果。这是一种吸收缓慢、容易被接受的很有效的制剂（化学名称，雌二醇戊酸酯），剂量20到60毫克（1/2到1 1/2毫升）。通常会加30到60毫克的Delalutin (Squibb) ，一种同样有效的黄体酮。根据病人的反应——以病人情绪上的平衡及身体上女性化的症状而定——这种组合的用量为一周一次或两到三周一次。通常我发现用量的重要性不如用药时间长度及是否按时用药。 |
| Another preparation of even higher potency is Squibb's Delestrec, which at this writing is not yet on the market in the United States, but is well known in Germany and other European countries under the name of Progynon Depot (Schering). It is chemically Estradiol Undecylate in oil, likewise slowly absorbing, and containing 100 mg. to 1 cc. Injections of 1 cc. once or twice a month can be sufficient. Occasionally, however, larger doses are required to influence the patient's emotional distress. |
|
|
| 首页 上一页[240] 本页[241] 下一页[242] 尾页[507] [收藏本文] 【下载本文】 |
| 小说文学 最新文章 |
| 长篇小说《程咬金日记》寻出版、网剧、动漫 |
| 亲身经历我在泰国卖佛牌的那几年(转载) |
| 噩梦到天堂——离婚四年成长史 |
| 午夜咖啡馆 |
| 原创长篇小说：城外城 |
| 长篇小说《苍天无声》打工漂泊望乡路底层小 |
| 郭沫若用四字骂鲁迅，鲁迅加一字回骂，世人 |
| 原创先秦历史小说,古色古香《玉之觞》 |
| 北京黑镜头（纪实文学） |
| 长篇连载原创《黑潭》 |
| 上一篇文章 下一篇文章 查看所有文章 |
|
|
古典名著
名著精选
外国名著
儿童童话
武侠小说
名人传记
学习励志
诗词散文
经典故事
其它杂谈
小说文学 恐怖推理 感情生活 瓶邪 原创小说 小说 故事 鬼故事 微小说 文学 耽美 师生 内向 成功 潇湘溪苑 旧巷笙歌 花千骨 剑来 万相之王 深空彼岸 浅浅寂寞 yy小说吧 穿越小说 校园小说 武侠小说 言情小说 玄幻小说 经典语录 三国演义 西游记 红楼梦 水浒传 古诗 易经 后宫 鼠猫 美文 坏蛋 对联 读后感 文字吧 武动乾坤 遮天 凡人修仙传 吞噬星空 盗墓笔记 斗破苍穹 绝世唐门 龙王传说 诛仙 庶女有毒 哈利波特 雪中悍刀行 知否知否应是绿肥红瘦 极品家丁 龙族 玄界之门 莽荒纪 全职高手 心理罪 校花的贴身高手 美人为馅 三体 我欲封天 少年王 旧巷笙歌 花千骨 剑来 万相之王 深空彼岸 天阿降临 重生唐三 最强狂兵 邻家天使大人把我变成废人这事 顶级弃少 大奉打更人 剑道第一仙 一剑独尊 剑仙在此 渡劫之王 第九特区 不败战神 星门 圣墟 |
|
|
| 网站联系: qq:121756557 email:121756557@qq.com |