Leger et al. (1969), reviewing the literature on transsexualism, noted that: "The majority of the cases reported in the literature focus on male transsexualism; [and that] observations of female transsexualism are quite rare." They presented a case history of a young woman, Anny, who was referred to them for evaluation for hormone therapy and SRS. A picture of Anny in male clothing accompanies the article. On clinical interview Anny appeared intact, lacking any apparent anxiety, and affecting a very masculine image. While she was having little difficulty meeting other women in her male role (Any denied being homosexual), her family situation was becoming intolerable as her parents actively objected to her SRS wishes.

Leger et al. (1969) reported that Anny's condition was chronic, relating back to early childhood. The patient was ten years younger than her older brother, and as far back as she could remember she had wanted to be a boy. She preferred to play ball or other boys' games and refused to play with dolls. Any stated that she even viewed herself as male in her dreams. While she was willing to be candid about her SRS wishes, the authors suggested that she was less than candid about her family life. Most of the information came from the parents, who were quite distressed. They reported that any stuffed a towel in her pants to simulate the appearance of a penis; she also bound her breasts.

The case was quite typical of female transsexuals. Here was a young woman with no apparent physical basis for her transsexualism. She had a normal female anatomy and was a genetic, chromosomal female. The most pertinent information about the patient's condition came from the psychological tests. Results from the Minnesota Multi phasic Personality Inventory (MMPI), Rorschach, and Thematic Apperception Test (TAT) were presented. The findings suggested a tendency towards dissimulation, paranoid traits, poor reality testing (her F + % on the Rorschach, which measures reality testing, was only 57%, the norm being about 80%), impulsive behavior, narcissism marked by conflicts with her mother, jealousy towards her brother, and a depressive attitude. In summary they concluded that any evidenced a "personality marked by profound anguish, a bad social adaptation, poor reality testing, a dissociative tendency, and a search for security in the adoption of a male role." They concluded that the psychological testing was indispensable in uncovering her underlying psychosis. (see FEMALE TRANSSEXUALISM PART II)