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Published Online: January 1941

A DYNAMIC APPROACH TO THE STUDY OF REPLACEMENT THERAPY IN CASES OF CASTRATION

GEORGE E. DANIELS and EDWARD S. TAUBERAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 97, Number 4

https://doi.org/10.1176/ajp.97.4.905

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Abstract

1. Replacement therapy should be preceded by a careful pre- and post-operative personality study and prolonged observation.

2. Psychotherapy alone may enhance sexual expression in castrates—as was strikingly demonstrated in a woman patient.

3. In a carefully controlled situation, regular intramuscular doses of testosterone propionate definitely increased signs of sexual activity in two male castrates.

4. The form which this expression took was apparently determined by the following factors: the patient's post-operative psychic make-up, the nature and handling of the transference relationship, and the nature and vicissitudes of the reality situation.

5. In some cases combined psychotherapy and replacement therapy seems indicated.

6. Replacement therapy under psychiatric observation stimulates dream production, which furnishes a valuable check on treatment and suggests a new approach to the study of dream symbolism.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 97 • Number 4 • January 1941

Pages: 905 - 918

History

Published in print: January 1941

Published online: 1 April 2006

Authors

Details

GEORGE E. DANIELS

The Departments of Psychiatry and Medicine, Columbia University, New York, New York

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EDWARD S. TAUBER

The Departments of Psychiatry and Medicine, Columbia University, New York, New York

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A DYNAMIC APPROACH TO THE STUDY OF REPLACEMENT THERAPY IN CASES OF CASTRATION

Abstract

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