Ira Basil Pauly (born November 15, 1930) is an American psychiatrist who was an All American college football player at UCLA, and is known for his influential work on transsexualism.
Pauly attended grammar school in Beverly Hills, California, and then Beverly Hills High School. [1]
He then earned his undergraduate degree with honors from the University of California, Los Angeles, in 1954, where he belonged to the fraternity Tau Epsilon Phi (TEP). [1] There he was a standout football for the UCLA Bruins football team and rugby player. [2] [3] He won the Bruins' 1952 most improved player trophy [2] and 1953 Spirit and Scholarship Award [2] and was named a First Team Academic All-American in 1953. in 1953. [2] That season, UCLA won the Pacific Coast Conference and played in the Rose Bowl, [4] during which he started both ways, as center and linebacker. [5] As to his mother's reaction to him playing football, he said: "My mother wasn’t that crazy about it, though she never forbade me. In those days, the Jewish son was supposed to be a doctor, not a football player." [1]
He was selected as the 1953 Los Angeles Jewish Collegiate Athlete of the Year by B'nai B'rith. [2] In 2004, Pauly was inducted into the Southern California Jewish Sports Hall of Fame. [2]
He graduated from UCLA Medical School in 1958, and did his internship there. [5]
In the 1960s, while on the faculty at University of Oregon Medical School, Pauly began writing and speaking about treatment of transsexualism. He became supportive of sex reassignment surgery in 1961 "after soul-searching deliberation." [6] Pauly noted that both transsexualism and abortion were "sex and tabooed topics" that elicited strong responses. [6] Pauly is credited for undertaking the first global review of the published outcome data on transsexualism in 1965. [7] Also in the mid-1960s, he began collaborating with endocrinologist Harry Benjamin, who cited Pauly's work in The Transsexual Phenomenon. [8] The two later worked to popularize their research in the lay press. [9] In 1975, Pauly and University of Oregon medical student Thomas W. Lindgren introduced the Body Image Scale, with which subjects rate feelings about 30 body parts from 1 (very satisfied) to 5 (very dissatisfied). [10] His 1981 follow-up report on outcome data was later published with independent reviews by Bengt Lundström and Jan Wålinder in 1984. Pauly served as president of the Harry Benjamin International Gender Dysphoria Association, now known as the World Professional Association for Transgender Health, from 1985 to 1987.
Pauly left Oregon for an appointment as professor and chairman, Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine in Reno, Nev. Under his leadership, the Department of Psychiatry developed a fully accredited residency. [11] He retired from the medical school in 1994.
Pauly also served on the American Psychiatric Association's Subcommittee on Gender Identity Disorders. [12]
He continued to practice clinically until 2010.
He married Ann Flanagan in 1960. He has four sons, Brett, Quinn, Devin and Tye, and seven grandchildren.
Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identity—their personal sense of their own gender—and their sex assigned at birth. The term replaced the previous diagnostic label of gender identity disorder (GID) in 2013 with the release of the diagnostic manual DSM-5. The condition was renamed to remove the stigma associated with the term disorder.
Gender-affirming surgery is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their identified gender. The phrase is most often associated with transgender health care and intersex medical interventions, however many such treatments are also pursued by cisgender and non-intersex individuals. It is also known as sex reassignment surgery, gender confirmation surgery, and several other names.
Gender identity is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent, and consistent with the individual's gender identity. Gender expression typically reflects a person's gender identity, but this is not always the case. While a person may express behaviors, attitudes, and appearances consistent with a particular gender role, such expression may not necessarily reflect their gender identity. The term gender identity was coined by psychiatry professor Robert J. Stoller in 1964 and popularized by the controversial psychologist John Money.
Harry Benjamin was a German-American endocrinologist and sexologist, widely known for his clinical work with transgender people.
Richard Green was an American-British sexologist, psychiatrist, lawyer, and author known for his research on homosexuality and transsexualism, specifically gender identity disorder in children. He is known for his behaviorism experiment in which he attempted to prevent male homosexuality and transsexuality by extinguishing feminine behavior in young boys. He later came to favor biological explanations for male homosexuality.
Androphilia and gynephilia are terms used in behavioral science to describe sexual orientation, as an alternative to a gender binary homosexual and heterosexual conceptualization. Androphilia describes sexual attraction to men and/or masculinity; gynephilia describes the sexual attraction to women and/or femininity. Ambiphilia describes the combination of both androphilia and gynephilia in a given individual, or bisexuality.
Ray Milton Blanchard is an American-Canadian sexologist who researches pedophilia, sexual orientation and gender identity. He has found that men with more older brothers are more likely to be gay than men with fewer older brothers, a phenomenon he attributes to the reaction of the mother's immune system to male fetuses. Blanchard has also published research studies on phallometry and several paraphilias, including autoerotic asphyxia. Blanchard also proposed a typology of transsexualism.
American-Canadian sexologist Ray Blanchard proposed a psychological typology of gender dysphoria, transsexualism, and fetishistic transvestism in a series of academic papers through the 1980s and 1990s. Building on the work of earlier researchers, including his colleague Kurt Freund, Blanchard categorized trans women into two groups: homosexual transsexuals who are attracted exclusively to men and are feminine in both behavior and appearance; and autogynephilic transsexuals who experience sexual arousal at the idea of having a female body (autogynephilia). Blanchard and his supporters argue that the typology explains differences between the two groups in childhood gender nonconformity, sexual orientation, history of sexual fetishism, and age of transition.
Gender incongruence is the state of having a gender identity that does not correspond to one's sex assigned at birth. This is experienced by people who identify as transgender or transsexual, and often results in gender dysphoria. The causes of gender incongruence have been studied for decades.
The classification of transsexual and gender non-conforming people into distinct groups has been attempted since the mid-1960s.
Eli Coleman is an American sexologist. He is professor emeritus and former director of the Eli Coleman Institute for Sexual and Gender Health in the Department of Family Medicine and Community Health at the University of Minnesota. In 2007, he was appointed the first endowed Chair in Sexual Health at the University of Minnesota Medical School. He has published research on sexual orientation, sexual dysfunction and compulsivity, gender dysphoria, and sex offenders.
Kenneth J. Zucker is an American-Canadian psychologist and sexologist. He was named editor-in-chief of Archives of Sexual Behavior in 2001. He was psychologist-in-chief at Toronto's Centre for Addiction and Mental Health (CAMH) and head of its Gender Identity Service until December 2015. Zucker is a professor in the departments of psychiatry and psychology at the University of Toronto.
Susan Jane Bradley is a Canadian psychiatrist. She has written many journal articles and books, including Gender Identity Disorder and Psychosexual Problems in Children and Adolescents and Affect Regulation and the Development of Psychopathology. Bradley was chair of the DSM-IV Subcommittee on Gender Disorders.
Susan W. Coates is an American psychoanalyst, who has worked on gender dysphoria in children and early childhood trauma.
Stephen Barrett Levine is an American psychiatrist known for his work in human sexuality, particularly sexual dysfunction and transsexualism.
Heino F. L. Meyer-Bahlburg is a German-born psychologist best known for his work on biology of sexual orientation, gender identity, intersexuality, and HIV.
In the study of Gender incongruence, the essentialist idea of a feminine essence refers to the proposal that trans women are females trapped in male bodies. This idea has been interpreted in many senses, as a female mind, spirit, soul, personality, etc., as well as in more literal senses such as having a female brain structure; it is also a psychological narrative, that is, a self-description of how some transsexuals see themselves, or of how they may portray themselves to qualify for certain medical treatments.
Transsexual people experience a gender identity that is inconsistent with their assigned sex, and desire to permanently transition to the sex or gender with which they identify, usually seeking medical assistance to help them align their body with their identified sex or gender.
Anne Alexandra Lawrence is an American psychologist, sexologist, and former anesthesiologist who has published extensively on gender incongruence. Anne transitioned male to female in her 40s.
Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions, as well as sex reassignment therapies, for transgender individuals. A major component of transgender health care is gender-affirming care, the medical aspect of gender transition. Questions implicated in transgender health care include gender variance, sex reassignment therapy, health risks, and access to healthcare for trans people in different countries around the world.