1410 



HORMONAL REGULATION OF BEHAVIOR 



TABLE 23.4 



EndogeiKnis honnonal sex and rearing contradictory: 31 cases 



Additional Data 



in themselves, seem to offer any convincing 

 evidence that sex hormones act as a single 

 causal agent in the establishment of an indi- 

 vidual's gender role and psychosexual ori- 

 entation. Restoration of normal female 

 estrogen balance did not alter the psychosex- 

 ual functioning of the 4 patients who had 

 lived as women; the patient who had 

 changed to live as a man declined androgen 

 treatment after surgical castration for ma- 

 lignancy. The remaining 26 patients in the 

 group established a gender role consistent 

 with their assigned sex and rearing, despite 

 the embarrassment and difficulties of living 

 with contradictory secondary sexual devel- 

 opment. 



4- Internal Accessory Organs 



The fourth sex variable embraces the in- 

 ternal derivatives of the Miillerian and 

 Wolffian duct systems. The uterus, as the 

 organ of menstruation, and the prostate and 

 seminal vesicles as organs concerned with 

 the secretion of seminal fluid, are of par- 

 ticular theoretic importance psychologi- 

 cally. 



There were 25 instances in the group of 

 patients studied in whom the assigned sex 

 and rearing was not in accord with the pre- 

 dominant male or female internal accessory 

 structures (Table 23.5). In 22 of the 25 the 

 individual's gender role agreed with the as- 

 signed sex and rearing. The 3 remaining 



