Harry Benjamin (1885-1986) was a German-born
doctor. He is renowned for his pioneering work with Transsexualism (later known as Harry Benjamin’s Syndrome 'HBS').
He received his doctorate in medicine in 1912 in Tübingen for a dissertation on tuberculosis.
Sexual medicine interested him, but it was not a part of
his medical studies. After several failed attempts to start a medical career in New York, in 1915 Benjamin started his own
general medical practise. Later he also practised in San Francisco in the summer of every year.
His special interest was hormonal research, and thus he became
a disciple of Eugen Steinach, whom he visited in Vienna every summer throughout the 1920s and early 1930s. On these occasions,
he also took frequent side trips to Berlin, where he visited both Magnus Hirschfeld and Albert Moll and participated in their
congresses.
In 1948, in San Francisco, Harry Benjamin was asked by Alfred
Kinsey, a fellow sexologist, to see a child who "assured to be a girl", despite being born male. The mother of the child wished
for help that would assist rather than thwart the child. Kinsey had seen nothing of the like previously. Neither had Dr Benjamin.
This child rapidly led Benjamin to understand that this was
a different condition than that of transvestism, under which adults who had such needs had been classified to that time (see
for a competent history of earlier cases).
Despite psychiatrists whom Benjamin involved in the case
failing to agree amongst themselves on a path of treatment, Benjamin eventually decided to treat the child with oestrogen
(Premarin, introduced in 1941), which had a "calming effect".
He helped arrange for the mother and child to go to Germany
where surgery to assist the child could be performed, but from where they ceased to maintain contact, much to Benjamin’s
regret.
However Benjamin continued to refine his understanding, in
1954 openly introducing the term Transsexualism in the medical community, and going on to treat several hundred patients with
similar needs in a similar manner, often without accepting any payment. (The term `transsexualim' was originally coined by
Hirschfeld in 1923).
Carefully selected colleagues of various disciplines, such
as psychiatrist John Alden and electrologist Martha Foss assisted him in San Francisco, and plastic surgeon Jose Jesus Barbosa
performed genital reconstructive surgery in Tijuana, Mexico. His patients regarded him as a man of immense caring, respect,
and kindness, and many kept in touch with him until his death.
Medical attitudes toward Harry Benjamin’s Syndrome
were very diverse among different countries, and many doctors considered all such people (including children) best treated
by forced treatments such as drugged detention, electro-convulsive therapy or lobotomy.
Although Benjamin’s 1966 book, The Transsexual Phenomenon, was immensely important as the first large work describing and explaining the affirmative treatment path he pioneered,
he had already published papers and lectured to professional audiences extensively.
In his work, Benjamin believed in a physiological cause or
explanation for Transsexualism. He was very much biologically oriented as he himself declared jokingly to Freud in a meeting:
"that a disharmony of souls might perhaps be explained by a disharmony of endocrine glands".
Charles L Ihlenfeld worked with Benjamin for 6 years. Dr
Benjamin intended him to become his heir apparent. However, he left the practice to undertake a psychiatric residency. Dr
Ihlenfeld has written:
"By and large psychiatrists of this time considered gender
dysphoria as a manifestation of significant psychopathology, and considered the treatment Benjamin was then prescribing as
psychiatrically contraindicated. Rather than discouraging Benjamin, this response simply reinforced his feeling that psychiatry
as a discipline lacked common sense".
Harry Benjamin was married to Gretchen, to whom he dedicated
The Transsexual Phenomenon, for 60 years.
The Harry Benjamin International Gender Dysphoria Association
(HBIGDA) began in 1979 and it used Benjamin’s name with his personal permission. In his long and distinguished career,
Benjamin came to know many famous American and European scientists, scholars, and artists.