Original Paper

Archives of Sexual Behavior

, Volume 39, Issue 2, pp 363-372

First online:

The DSM Diagnostic Criteria for Transvestic Fetishism

  • Ray BlanchardAffiliated withKurt Freund Laboratory, Law and Mental Health Program, Centre for Addiction and Mental HealthDepartment of Psychiatry, University of Toronto Email author 

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This paper contains the author’s report on transvestism, submitted on July 31, 2008, to the work group charged with revising the diagnoses concerning sexual and gender identity disorders for the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). In the first part of this report, the author reviews differences among previous editions of the DSM as a convenient way to illustrate problems with the nomenclature and uncertainties in the descriptive pathology of transvestism. He concludes this part by proposing a revised set of diagnostic criteria, including a new set of specifiers. In the second part, he presents a secondary analysis of a pre-existing dataset in order to investigate the utility of the proposed specifiers.


Autogynephilia Cross-dressing DSM-V Fetishism Paraphilia Penile plethysmography Transvestism