Erwin K Koranyi (1924-2012) psychiatrist at Ottawa's 1970-1980s gender clinic

Koranyi was born and raised in Budapest. During the Holocaust Koranyi was compelled into slave labour, and his wife had been arrested and was in a holding camp before transit to Auschwitz, when they – and thousands others- were saved by the intervention of the Swedish diplomat Raoul Wallenberg. 

Lici emigrated to Sweden where she became a physician. Erwin was able to complete his medical studies in Innsbruck, Austria. After some time in Israel, he emigrated to Canada, where he became a psychiatrist at Montreal's McGill University. Dr. Koranyi married Edie Rosenbaum, also a Holocaust survivor. In 1970, he moved to the University of Ottawa, and joined the Psychiatric Outpatient Unit at the Ottawa General Hospital. 

Later he transferred to the Royal Ottawa Hospital, where he became Director of Education and later head of a Neuropsychiatric Unit. Among the patients who came to see him were some transsexuals. 

In 1976 Koranyi published "Sex Change Surgery in a Male Transsexual" in the Psychiatric Journal of the University of Ottawa, which included some dubious comments:

“Sometimes deceived by their intense fantasy and desire to be a female, they indulge in self- administered or prescribed estrogen therapy, but as soon as they become impotent as a result of this practice, they stop. …Only some, feminized to an extreme, may ask for a sex change operation. In the face of otherwise good ego strength, if the desire is sufficiently intense and the narcissistic pleasure surpasses the loss of orgastic satisfaction, they may be considered reasonable candidates for the operation. … The transvestite is a part-time cross-dresser, essentially a fetishist, whose 'turn ­on' is the act of dressing itself. Secretly, or sometimes in trusted company, not infrequently with so-specialized prostitutes, rarely with their consenting wives, they cross-dress in order to bring about erection and sexual excitement. … Their actual appearance is frequently of secondary importance, even grotesque, as they do not really wish to convince anyone of their femininity, except themselves, in their sexual fantasies.”

Inevitably, these comments caused kerfuffles.

Linda Stephens, editor of The Journal of Male Feminism, wrote and asked Koranyi for permission to reprint the article. Koranyi declined: 

“this is a topic which may well be easier misunderstood than understood. In our gender clinic we often run into problems with certain patients who have built false hopes and who are therefore exposed to disappointments or worse. We wish to avoid such situations as much as possible.” 

Stephens printed the reply and commented 

“I believe a considerable portion of Dr. Koranyi's article consists of misinformation and unsupported and unsupportable opinion. Nevertheless, we had wished to publish his article and to allow our readers to draw their own conclusions.”

The TVIC Journal printed significant quotes from the article without asking.

The Ottawa gynaecologist Bernard Barwin did an emergency vaginoplasty that year for a trans woman who had done a self-penectomy. Barwin and Koranyi then worked together re trans patients.

In 1980 Koranyi published Transsexuality in the Male: The Spectrum of Gender Dysphoria, with a chapter on trans surgery by Norman Barwin, and a chapter on the legal implications and complications by psychologist Betty Lynch and psychiatrist Selwyn Smith, both also of the Royal Ottawa Hospital. He defined homosexuality, transvestism and transsexuality. 

“The clinically clearly delineated and easily separable cases of these three conditions are the ones that remain in the majority. However, these neatly packaged definitions often collapse, particularly when applied to cases having overlapping characteristics. Therefore, some of these cases are more accurately regarded as manifestations of a spectrum of disorders that defy unambiguous distinction.” 

He did agree with surgery for those whom he sees as true transsexuals:

“Surgery, so fervently desired by transsexuals, should currently be considered an effective, palliative, symptomatic treatment in well-selected cases, particularly because other treatment modalities are not really available. Psychological treatment forms, be they analytical or behavioral in orientation, are effective therapeutic tools in many other instances but fail as a rule with transsexuals, who are rarely, if ever, interested in what these treatments can offer.”

However his definition of Transvestism was still reactionary:

“TRANSVESTISM. In its pure clinical form, this form of fetishism is typified by periodic crossdressing accompanied by sexual excitement. This is relieved by autoerotic means or by the services of specialized prostitutes. The usual sexual orientation is heterosexual, sometimes homosexual.” 

He cited Stoller more than Benjamin. As this book predated The Clarke Institute’s Gender Dysphoria, 1985, there is no suggestion of Autogynephilia.

In 1983 he gave a paper at the 7th World Congress of Psychiatry (W.P.A.) in Vienna, which was printed in the Australian Journal of Forensic Sciences.

“The rationale for this surgery was the notorious failure of all forms of psychotherapies, the intention to reduce the high suicide rate and self-castration and to enhance the potential for social adaptation among transsexuals. … In our gender clinic forty-one male transsexuals were assessed. Seven of them are expecting surgery and in 12 cases the surgery has been completed. Of these 12 transsexuals, four are married; we have indirect information on three who are prostitutes, at least one with a drug addiction problem. We have also seen three female-to-male transsexuals; surgery was performed on two, one of whom lives in a steady relationship, the other conducts a promiscuous lifestyle. On the third. female-to-male transsexual surgery is pending.”

Koranyi retired in 1990, but continued some teaching assignments.

He died aged 88 in 2012.

• Erwin K Koranyi. "Sex Change Surgery in a Male Transsexual". Psychiatric Journal of the University of Ottawa, 1, 3, November 1976. Excerpt in TVIC Journal, 6, 55, May 21 1977 p5 Online.
• Erwin K Koranyi. Letter, and Linda Ann Stephens “Are We in The Middle Ages or Approaching The 21st Century?”. The Journal of Male Feminism, 77, 4 & 5, 1977 p7-8, Online.
• Erwin K Koranyi. Transsexuality in the Male: The Spectrum of Gender Dysphoria. Charles C Thomas Pub Ltd, 1980. With a forward by Ralph Slovenko of Wayne State University, and contributions by Norman Barwin of Ottawa General Hospital and Betty Lynch and Selwyn Smith, both of the Royal Ottawa Hospital.
• Alfred J Koonin. Review of Transsexuality in the Male. Plastic and Reconstructive Surgery, September 1981.
• Erwin K Koranyi. Physical Illness in the Psychiatric Patient. Charles C Thomas Pub Ltd, 1982.
• Erwin K Koranyi. “Transsexuality Revisited”. Australian Journal of Forensic Sciences, 16,1, 1983. Reprinted as “Transsexuality of the 80s” in P Pichot, P Berner, R Wolf & K Thau (eds) Psychiatry The State of the Art:6 Drug Dependence and Alcoholism, Forensic Psychiatry, Military Psychiatry . Springer, 1985.
• Erwin K Koranyi. Dreams and Tears: Chronicle of a Life. General Store Publishing House, 2006.
• Erwin K Koranyi. Echo of Edith. ‎ General Store Publishing House, 2012.
• Myrna & Norman Barwin. “Remembering Erwin Koranyi 1924-2012”. Ottawa Jewish Bulletin, July 23, 2012: 4.

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Quotations, mainly from the 1980 book, in writings by others:

• Carole-Anne Tyler. “The Supreme Sacrifice?: TV, ‘TV’ and the Renee Richards Story”. Differences: A Journal of Feminist Cultural Studies, 1,3, Fall 1989. Republished as Chapter 5 in Carol-Anne Tyler. Female Impersonation. Taylor & Francis, 2013: 195-6n22.
• Morris Meyer. “I Dream of Jeannie: Transsexual Striptease as Scientific Display. The Drama Review, 35, 1, 1991:34-6.
• Alex Sharpe. “Anglo-Australian Judicial Approaches to Transsexuality: Discontinuities, Continuities and Wider Issues At Stake”. Social & Legal Studies, 6,1, 1997: 29, 38-9.
• Alex Sharpe. Transgender Jurisprudence: Dysphoric Bodies of Law. Cavendish Publishing Limited, 2002: 33, 34, 97.
• Moe Meyer. An Archeology of Posing: Essays on Camp, Drag, and Sexuality. Macater Press, 2010: 25.