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Transvestic fetishism

From Wikipedia - Reading time: 8 min

Transvestic fetishism
SpecialtyPsychiatry in the United States
SymptomsBeing sexually aroused by the act of cross-dressing and experiencing significant distress or impairment – socially or occupationally – because of one’s behavior.[1]
Cross-dressing
History of cross-dressing
Key elements
Modern drag culture
Sexual practices
Other aspects
Passing as male
Passing as female
Organizations
Books
Theories

Transvestic fetishism is a psychiatric diagnosis applied in some countries to people who are sexually aroused by the act of cross-dressing and experience significant distress or impairment – socially or occupationally – because of their behavior.[2][1]

However in countries which have adopted the World Health Organisation standard ICD-11 CDDR it is not a diagnosis, but been deprecated in favor of the more general “Paraphilic disorder involving solitary behaviour or consenting individuals”.[3]

In countries, such as the United States as of 2025, which use the American Psychiatric Association DSM-5 it is categorized as a paraphiliac disorder under the name transvestic disorder.[4] It differs from cross-dressing without distress or impairment, and/or for entertainment or other purposes that do not involve sexual arousal.

In the DSM-5

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The DSM-5 states that late-onset gender dysphoria in adolescent and adult natal males is preceded by "transvestic behavior with sexual excitement" in many cases.[5]

According to DSM-IV, transvestic fetishism was limited to heterosexual men; however, the DSM-5 does not have this restriction, and opens it to women and men with this interest, regardless of their sexual orientation.[2] It is, however, usually documented in men.[6]

There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:[1]

  1. Individuals must be sexually aroused by the act of cross-dressing.
  2. Individuals must experience significant distress or impairment – socially or occupationally – because of their behavior.

References

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Citations
  1. ^ a b c American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.). Washington, DC: American Psychiatric Publishing.
  2. ^ a b "Paraphilic Disorders Fact Sheet" (PDF). dsm5.org. May 15, 2013. Archived from the original (PDF) on November 23, 2016.
  3. ^ "Paraphilic disorder involving solitary behaviour or consenting individuals".
  4. ^ American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA: American Psychiatric Publishing. pp. 685–705. ISBN 978-0-89042-555-8.
  5. ^ Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA: American Psychiatric Publishing. 2013. pp. 451–460. ISBN 978-0-89042-554-1.
  6. ^ Cowen P, Harrison P, Burns T (2012). Shorter Oxford Textbook of Psychiatry. OUP Oxford. p. 373. ISBN 978-0191626753.
Sources
Licensed under CC BY-SA 3.0 | Source: https://en.wikipedia.org/wiki/Transvestic_fetishism
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