Anne Alexandra Lawrence (born November 17, 1950) is an American
psychologist
A psychologist is a professional who practices psychology and studies mental states, perceptual, cognitive, emotional, and social processes and behavior. Their work often involves the experimentation, observation, and explanation, interpretatio ...
,
sexologist
Sexology is the scientific study of human sexuality, including human sexual interests, behaviors, and functions. The term ''sexology'' does not generally refer to the non-scientific study of sexuality, such as social criticism.
Sexologists app ...
, and
physician
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...
who has published extensively on
gender dysphoria
Gender dysphoria (GD) is the distress a person experiences due to inconsistency between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The term replaced the previous diagnostic label of gender i ...
,
transgender people
A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were assigned at birth.
The opposite of ''transgender'' is ''cisgender'', which describes persons whose gender ...
, and
paraphilia
A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human ...
s.
Lawrence is a
transgender woman
A trans woman or transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their ...
and self-identifies as
autogynephilic.
She is best known for her 2013 book on
autogynephilia, ''
Men Trapped in Men's Bodies: Narratives of Autogynephilic Transsexualism'', which has been regarded by
Ray Blanchard
Ray Milton Blanchard III ( ; born October 9, 1945) is an American-Canadian sexologist who researches pedophilia, sexual orientation and Transgender, gender identity. He has found that men with more older brothers are more likely to be gay than m ...
as the definitive text on the subject.
Lawrence is one of the major researchers in the area of Blanchard's
etiological typology of transgender women and has been one of the most major proponents of the theory.
While Blanchard's typology and autogynephilia are highly controversial subjects and are not accepted by many transgender women and academics, some, such as Lawrence, identify with autogynephilia.
Lawrence's work also extends beyond Blanchard's typology, to transgender women and to
transition more generally.
Personal life
Lawrence attended the
University of Chicago
The University of Chicago (UChicago, Chicago, or UChi) is a Private university, private research university in Chicago, Illinois, United States. Its main campus is in the Hyde Park, Chicago, Hyde Park neighborhood on Chicago's South Side, Chic ...
from 1967 to 1971, where she earned a
Bachelor of Arts
A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts deg ...
(B.A.) in
chemistry
Chemistry is the scientific study of the properties and behavior of matter. It is a physical science within the natural sciences that studies the chemical elements that make up matter and chemical compound, compounds made of atoms, molecules a ...
.
She subsequently attended the
University of Minnesota
The University of Minnesota Twin Cities (historically known as University of Minnesota) is a public university, public Land-grant university, land-grant research university in the Minneapolis–Saint Paul, Twin Cities of Minneapolis and Saint ...
from 1971 to 1974, where she earned a
Doctor of Medicine
A Doctor of Medicine (abbreviated MD, from the Latin language, Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of ph ...
(M.D.).
She completed
internship
An internship is a period of work experience offered by an organization for a limited period of time. Once confined to medical graduates, internship is used to practice for a wide range of placements in businesses, non-profit organizations and g ...
,
residency
Residency may refer to:
* Artist-in-residence, a program to sponsor the residence and work of visual artists, writers, musicians, etc.
* Concert residency, a series of concerts performed at one venue
* Domicile (law), the act of establishing or m ...
, and
fellowship
A fellow is a title and form of address for distinguished, learned, or skilled individuals in academia, medicine, research, and industry. The exact meaning of the term differs in each field. In learned or professional societies, the term refers ...
from 1974 to 1977 and was licensed as an
anesthesiologist
Anesthesiology, anaesthesiology or anaesthesia is the medical specialty concerned with the total perioperative medicine, perioperative care of patients before, during and after surgery. It encompasses anesthesia, intensive care medicine, critica ...
.
She practiced in this area from 1978 to 1997, mostly at the
University of Washington
The University of Washington (UW and informally U-Dub or U Dub) is a public research university in Seattle, Washington, United States. Founded in 1861, the University of Washington is one of the oldest universities on the West Coast of the Uni ...
in
Seattle, Washington
Seattle ( ) is the List of municipalities in Washington, most populous city in the U.S. state of Washington (state), Washington and in the Pacific Northwest region of North America. With a population of 780,995 in 2024, it is the List of Unit ...
.
Lawrence was married from 1987 to 1995 and had two children, a son and a daughter, before separating from her wife in May 1995.
Lawrence is a
transgender woman
A trans woman or transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their ...
.
She uses "she"
pronoun
In linguistics and grammar, a pronoun (Interlinear gloss, glossed ) is a word or a group of words that one may substitute for a noun or noun phrase.
Pronouns have traditionally been regarded as one of the part of speech, parts of speech, but so ...
s for herself.
Lawrence is a proponent of
Ray Blanchard
Ray Milton Blanchard III ( ; born October 9, 1945) is an American-Canadian sexologist who researches pedophilia, sexual orientation and Transgender, gender identity. He has found that men with more older brothers are more likely to be gay than m ...
's
etiological typology of transgender women and personally self-identifies as
autogynephilic.
She has described having autogynephilic feelings and gender dysphoria from early childhood.
She began privately
crossdressing
Cross-dressing is the act of wearing clothes traditionally or stereotypically associated with a different gender. From as early as pre-modern history, cross-dressing has been practiced in order to disguise, comfort, entertain, and express onesel ...
at age 8, which resulted in
sexual arousal
Sexual arousal (also known as sexual excitement) describes the Physiology, physiological and psychological responses in preparation for sexual intercourse or when exposed to Sexual stimulation, sexual stimuli. A number of physiological response ...
, and has described herself as unremarkably masculine and not feminine as a child.
Lawrence came out to her parents as wanting to be a girl when she was age 14 in the 1960s.
She was sent to psychotherapy, which she found to be unhelpful.
Lawrence discovered
Harry Benjamin
Harry Benjamin (January 12, 1885 – August 24, 1986) was a German-American endocrinologist and sexologist, widely known for his clinical work with transgender people.
Early life and career
Benjamin was born in Berlin, and raised in a German ...
's ''
The Transsexual Phenomenon
''The Transsexual Phenomenon'' is a medical textbook published by American endocrinologist and sexologist Harry Benjamin in 1966 with The Julian Press. The text is notable for its examination of transsexualism not as a psychological issue, but rat ...
'' (1966) while at the University of Chicago, which was her first exposure to the concept of transgenderism.
However, she could not relate well to Benjamin's writings, as Benjamin's descriptions of transgender women as being highly feminine and
androphilic did not match her own presentation.
In any case, Lawrence privately continued to crossdress and she
self-administered estrogen off and on starting at age 18 and throughout her adulthood.
She also seriously considered attempting
self-castration, but ultimately did not go through with this.
Lawrence suppressed her feelings about her gender identity for decades as she found nothing that spoke to her own experience and due to fears of the strong
societal prejudice towards transgender people that existed at the time.
She felt that transitioning would cause her to be seen as "psychotic".
In 1994, Lawrence discovered Ray Blanchard's work on autogynephilia and transgenderism and described this experience as an epiphany for her.
She has said that Blanchard's writings gave her the insight and courage to undergo
transition.
Lawrence started transitioning in mid-1994, when she was age 44, and continued through 1996.
She saw
Marsha C. Botzer at the
Ingersoll Gender Center in Seattle for psychotherapy and was diagnosed in early 1995.
She was on full
hormone therapy
Hormone therapy or hormonal therapy is the use of hormones in medical treatment. Treatment with hormone antagonists may also be referred to as hormonal therapy or antihormone therapy. The most general classes of hormone therapy are hormonal therap ...
by 1995
and underwent
vaginoplasty
Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplas ...
with
Toby Meltzer in 1996.
Following transition, Lawrence pivoted her career from anesthesiology to transgender health.
From 1997 to 2001, Lawrence attended the
Institute for Advanced Study of Human Sexuality
The Institute for Advanced Study of Human Sexuality (IASHS) was a private, unaccredited, for-profit graduate school and resource center for the field of sexology in San Francisco, California. It was established in 1976 and closed in 2018. Degr ...
and earned a
Doctor of Philosophy
A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of Postgraduate education, graduate study and original resear ...
(Ph.D.) in
sexology
Sexology is the scientific study of human sexuality, including human sexual interests, Human sexual activity, behaviors, and functions. The term ''sexology'' does not generally refer to the non-scientific study of sexuality, such as social crit ...
.
Then, from 2003 to 2006, she attended the
Washington School of Professional Psychology and earned a
Master of Arts
A Master of Arts ( or ''Artium Magister''; abbreviated MA or AM) is the holder of a master's degree awarded by universities in many countries. The degree is usually contrasted with that of Master of Science. Those admitted to the degree have ...
(M.A.) in
clinical psychology
Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well ...
.
Starting in 1996, Lawrence published extensively in the areas of gender dysphoria, transgender people, and paraphilias, both in
academic journal
An academic journal (or scholarly journal or scientific journal) is a periodical publication in which Scholarly method, scholarship relating to a particular academic discipline is published. They serve as permanent and transparent forums for the ...
s and on her personal website, ''Transsexual Women's Resources''.
From 2000 to 2015, she maintained a
private practice in
transgender medicine and
psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
.
From 2008 until at least 2017, she was an
adjunct associate professor
Associate professor is an academic title with two principal meanings: in the North American system and that of the ''Commonwealth system''.
In the ''North American system'', used in the United States and many other countries, it is a position ...
in the Department of Psychology at the
University of Lethbridge
The University of Lethbridge (also known as uLethbridge, uLeth, and U of L) is a public comprehensive and research university located in Lethbridge, Alberta, Canada, with a second campus in Calgary, Alberta.
Founded in the liberal arts traditio ...
in
Alberta, Canada
Alberta is a Provinces and territories of Canada, province in Canada. It is a part of Western Canada and is one of the three Canadian Prairies, prairie provinces. Alberta is bordered by British Columbia to its west, Saskatchewan to its east, t ...
.
Lawrence was involved in the controversy surrounding
J. Michael Bailey's 2003 book ''
The Man Who Would Be Queen: The Science of Gender-Bending and Transsexualism'', which has been chronicled by
historian
A historian is a person who studies and writes about the past and is regarded as an authority on it. Historians are concerned with the continuous, methodical narrative and research of past events as relating to the human species; as well as the ...
and
bioethicist
Bioethics is both a field of study and professional practice, interested in ethics, ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biolo ...
Alice Dreger
Alice Domurat Dreger () is an American historian, bioethicist, author, and former professor of clinical medical humanities and bioethics at the Feinberg School of Medicine, Northwestern University, in Chicago, Illinois.
Dreger engages in acade ...
.
Lawrence defended Bailey and Blanchard's typology and has described feeling traumatized and alienated from the transgender community following the extreme backlash against the book.
Lawrence retired from practice in 2015.
She was last published in 2018.
However, in late 2023, Lawrence debuted a new version of her website and stated that she is working on a new research project of long-term narratives by autogynephilic transgender women who had transitioned more than 10years ago,
although this was removed months later.
Lawrence resides in Seattle, Washington with her two cats.
Work
Lawrence is a proponent of
Ray Blanchard
Ray Milton Blanchard III ( ; born October 9, 1945) is an American-Canadian sexologist who researches pedophilia, sexual orientation and Transgender, gender identity. He has found that men with more older brothers are more likely to be gay than m ...
's
etiological typology of transgender women and self-identifies as an autogynephilic transgender woman.
Along with Ray Blanchard and
J. Michael Bailey, she is one of the major researchers in the area of Blanchard's typology (also sometimes referred to as the "Blanchard–Bailey–Lawrence" typology), and of autogynephilia particularly.
Lawrence has proposed that autogynephilia is not only
sexual in nature, but also encompasses elements and feelings of
romantic love
Romance or romantic love is a feeling of love for, or a Interpersonal attraction, strong attraction towards another person, and the Courtship, courtship behaviors undertaken by an individual to express those overall feelings and resultant ...
, much like
gynephilia
In behavioral science, androphilia and gynephilia are sexual orientations: Androphilia is sexual attraction to men and/or masculinity; gynephilia is sexual attraction to women and/or femininity. Ambiphilia describes the combination of both androp ...
.
Blanchard's typology and autogynephilia are highly controversial subjects, and are rejected and viewed as offensive by many transgender women.
Critiques have been lobbied at these constructs on a variety of grounds.
However, some people, most famously Lawrence herself, identify with autogynephilia and feel that it accurately describes their experiences.
Lawrence has written a 2013 book on autogynephilia called ''
Men Trapped in Men's Bodies: Narratives of Autogynephilic Transsexualism''.
This book includes over 300 first-person narratives of autogynephilia by transgender women and non-transgender males that were submitted to and collected by Lawrence via her website.
Lawrence has stated that all her life she had an absence of narratives that gave meaning to her own experience, and this was her motivation for writing the book.
It has been regarded by Blanchard as the definitive text on the subject of autogynephilia, and he has compared it to
Magnus Hirschfeld
Magnus Hirschfeld (14 May 1868 – 14 May 1935) was a German physician, Sexology, sexologist and LGBTQ advocate, whose German citizenship was later revoked by the Nazi government.David A. Gerstner, ''Routledge International Encyclopedia of Queer ...
's classic 1910 work, ''
Die Transvestiten: Eine Untersuchung über den Erotischen Verkleidungstrieb'' (''Transvestites: The Erotic Drive to Cross-Dress'').
Besides her book, Lawrence has published numerous
literature review
A literature review is an overview of previously published works on a particular topic. The term can refer to a full scholarly paper or a section of a scholarly work such as books or articles. Either way, a literature review provides the rese ...
s on autogynephilia and Blanchard's typology,
other
erotic target location error
Erotic target location error (ETLE) is a hypothesized dimension for paraphilias, defined by having a sexual preference or strong sexual interest in features that are somewhere other than on one's sexual partners. When one's sexual arousal is base ...
s and paraphilias,
and gender dysphoria, transgenderism, and transition.
She has additionally published multiple
clinical studies
Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietar ...
on transgender women, transition, and autogynephilia and other paraphilias.
Lawrence has defended Blanchard's typology against opposition and critiqued studies claiming to contradict it.
She has also challenged claims by some, such as sexologist
Charles Allen Moser, that
cisgender women experience autogynephilia similarly to transgender women.
She has additionally critiqued the
brain-sex theory of transgenderism, at least applied to transgender women matching the profile of being autogynephilic.
In 2009, Lawrence published a
case report
In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient. Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrenc ...
of
autoandrophilia in a
gay man
Gay men are male homosexuals. Some bisexual and homoromantic men may dually identify as ''gay'' and a number of gay men also identify as ''queer''. Historic terminology for gay men has included '' inverts'' and '' uranians''.
Gay men conti ...
, which was one of the first documented reports of this claimed phenomenon.
Lawrence has been a member of the
American Medical Association
The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. This medical association was founded in 1847 and is headquartered in Chicago, Illinois. Membership was 271,660 ...
and the
International Academy of Sex Research
The International Academy of Sex Research (IASR) is a scientific society for researchers in sexology. According to John Bancroft, retired director of the Kinsey Institute, IASR "can claim...most of the field's leading researchers." IASR is uniqu ...
and has served on the board of directors of the
Society for the Scientific Study of Sexuality The Society for the Scientific Study of Sexuality (SSSS, or "quad-S") is a 501(c)(3) non-profit professional membership organization "dedicated to advancing knowledge of sexuality and communicating scientifically based sexuality research and scholar ...
.
She has been a member of the
Harry Benjamin International Gender Dysphoria Association
The World Professional Association for Transgender Health (WPATH), formerly the Harry Benjamin International Gender Dysphoria Association (HBIGDA), is a professional organization devoted to the understanding and treatment of gender identity and ...
(HBIGDA) (now the
World Professional Association for Transgender Health
The World Professional Association for Transgender Health (WPATH), formerly the Harry Benjamin International Gender Dysphoria Association (HBIGDA), is a professional organization devoted to the understanding and treatment of gender identity and ...
or WPATH) since 1995.
Lawrence was a consultant for the fifth version (1998), a coauthor of the sixth version (2001), and provided limited recommendations for the seventh version (2012) of the HBIGDA/WPATH ''
Standards of Care
In tort law, the standard of care is the only degree of prudence and caution required of an individual who is under a duty of care.
The requirements of the standard are closely dependent on circumstances. Whether the standard of care has been b ...
'' for gender dysphoria and transgender people.
[ Reprinted in ''Journal of Psychology & Human Sexuality'', 13 (1), pp. 1–30 (2001/2002), .] She worked to help liberalize the ''Standards of Care'' and to reduce barriers to care, especially for transgender women who fit the profile of being autogynephilic.
Besides the ''Standards of Care'', Lawrence provided input on gender dysphoria and transgenderism to the 2013 ''
'' (DSM-5).
She subsequently criticized some of the decisions for this area of the DSM-5 after it was published.
Lawrence previously maintained a personal website with information for transgender women called ''Transsexual Women's Resources''.
Selected publications
Books
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Papers
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References
External links
Home - Anne A. Lawrence, MD, PhDDr. Anne Lawrence – Curriculum Vitae
{{DEFAULTSORT:Lawrence, Anne
1950 births
20th-century American psychologists
21st-century American LGBTQ people
21st-century American non-fiction writers
21st-century American psychologists
21st-century American women writers
American anesthesiologists
American LGBTQ scientists
American medical writers
American science writers
American sexologists
American transgender writers
American women medical writers
American women psychologists
American women science writers
Argosy University alumni
Institute for Advanced Study of Human Sexuality alumni
LGBTQ physicians
Living people
Transgender scientists
Transgender women writers
University of Chicago alumni
University of Minnesota alumni
Women anesthesiologists