Archives of Sexual Behavior

, Volume 14, Issue 6, pp 505–516 | Cite as

Social desirability response set and systematic distortion in the self-report of adult male gender patients

  • Ray Blanchard
  • Leonard H. Clemmensen
  • Betty W. Steiner


This study showed that the “socially desirable” presentation for a heterosexual male gender dysphoric is one that emphasizes traits and behaviors characteristic of “classic” transsexualism. Fifty-one homosexual and 64 heterosexual adult male gender patients were administered the Crowne-Marlowe (1964) Social Desirability Scale as well as eight questionnaire measures that tapped various features of the clinical history commonly given great weight in differential diagnosis. The tendency for a heterosexual subject to describe himself in terms of moral excellence or admirable personal qualities was significantly correlated with scores in the “transsexual” direction on all eight sexological measures; for the homosexual subjects, only one correlation was significant. It is argued that the patients most motivated to create a favorable impression on the examiner are likely to be those most anxious to obtain approval for sex reassignment surgery. Because, in this population, the socially desirable presentation is “feminine,” it is possible that the differences in the histories produced by transvestites and heterosexual transsexuals are exaggerated to an unknown degree by the motivation of the latter to obtain approval for this operation. The findings do not diminish the important distinction between these groups, but they do suggest caution in interpreting the self-report data that have been used in comparing them.

Key words

gender identity social desirability transsexualism transvestism 


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  1. Abel, G. G., Barlow, D. H., Blanchard, E. B., and Mavissakalian, M. (1975). Measurement of sexual arousal in male homosexuals: Effects of instructions and stimulus modality.Arch. Sex. Behav. 4: 623–629.PubMedGoogle Scholar
  2. American Psychiatric Association. (1980).Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). APA Washington, D.C.Google Scholar
  3. Baker, H. J. (1969). Transsexualism—Problems in treatment.Amer. J. Psychiat. 125: 1412–1418.PubMedGoogle Scholar
  4. Bancroft, J. (1972). The relationship between gender identity and sexual behavior: Some clinical aspects. In Ounsted, C., and Taylor, D. C. (eds.),Gender Differences: Their Ontogeny and Significance Churchill Livingstone, London.Google Scholar
  5. Benjamin, H. (1966).The Transsexual Phenomenon. Julian Press, New York.Google Scholar
  6. Blanchard, R. (1985a). Research methods for the typological study of gender disorders in males. In Steiner, B. W. (ed.),Gender Dysphoria: Development, Research, Management Plenum Press, New York.Google Scholar
  7. Blanchard, R. (1985b). Typology of male-to-female transsexualism.Arch. Sex. Behav. 14: 247–261.PubMedGoogle Scholar
  8. Blanchard, R., Steiner, B. W., and Clemmensen, L. H. (1985). Gender dysphoria, gender reorientation, and the clinical management of transsexualism.J. Consult. Clin. Psychol. 53: 295–304.PubMedGoogle Scholar
  9. Buhrich, N., and McConaghy, N. (1977). The clinical syndromes of femmiphilic transvestism.Arch. Sex. Behav. 6: 397–412.PubMedGoogle Scholar
  10. Buhrich, N., and McConaghy, N. (1978). Two clinically discrete syndromes of transsexualism.Brit. J. Psychiat. 133: 73–76.PubMedGoogle Scholar
  11. Buhrich, N., and McConaghy, N. (1979). Three clinically discrete categories of fetishistic transvestism.Arch. Sex. Behav. 8: 151–157.PubMedGoogle Scholar
  12. Bullough, V., Bullough, B., and Smith, R. (1983). A comparative study of male transvestites, male to female transsexuals, and male homosexuals.J. Sex Res. 19: 238–257.Google Scholar
  13. Crowne, D. P., and Marlowe, D. (1964).The Approval Motive: Studies in Evaluative Dependence. Wiley, New York.Google Scholar
  14. Freund, K. (1963). A laboratory method for diagnosing predominance of homo- or hetero-erotic interest in the male.Behav. Res. Ther. 1: 85–93.Google Scholar
  15. Freund, K. (1977). Psychophysiological assessment of change in erotic preferences.Behav. Res. Ther. 15: 297–301.PubMedGoogle Scholar
  16. Freund, K. (1985). Cross gender identity in a broader context. In Steiner, B. W. (ed.),Gender Dysphoria: Development, Research, Management Plenum Press, New York.Google Scholar
  17. Freund, K., Langevin, R., Satterberg, J., and Steiner, B. W. (1977). Extension of the Gender Identity Scale for males.Arch. Sex. Behav. 6: 507–519.PubMedGoogle Scholar
  18. Freund, K., Steiner, B. W., and Chan, S. (1982). Two types of cross gender identity.Arch. Sex. Behav. 11: 49–63.PubMedGoogle Scholar
  19. Henson, D. E., and Rubin, H. B. (1971). Voluntary control of eroticism.J. Appl. Behav. Anal. 4: 37–47.Google Scholar
  20. Laws, D. R., and Rubin, H. B. (1969). Instructional control of an autonomic sexual response.J. Appl. Behav. Anal. 2: 93–99.Google Scholar
  21. McLaughlin, S. D. (1982). Reply to Birnbaum.Amer. Psychol. 37: 1142–1144.Google Scholar
  22. Nunnally, J. C. (1978).Psychometric Theory (2nd ed.). McGraw-Hill, New York.Google Scholar
  23. Quinsey, V. L., and Bergersen, S. G. (1976). Instructional control of penile circumference in assessments of sexual preference.Behav. Ther. 7: 489–493.Google Scholar
  24. Robinson, J. P., and Shaver, P. R. (1973).Measures of Social Psychological Attitudes. Institute for Social Research, University of Michigan, Ann Arbor, Michigan.Google Scholar
  25. Rosen, R. C. (1973). Suppression of penile tumescence by instrumental conditioning.Psychosom. Med. 35: 509–514.PubMedGoogle Scholar
  26. Rosen, R. C., Shapiro, D., and Schwartz, G. E., (1975). Voluntary control of penile tumescence.Psychosom. Med. 37: 479–483.PubMedGoogle Scholar
  27. Rubin, H. B., and Henson, D. E. (1975). Voluntary enhancement of penile erection.Bull. Psychon. Soc. 6: 158–160.Google Scholar
  28. Wiggins, J. (1968). Personality structure.Ann. Rev. Psychol. 19: 293–350.Google Scholar
  29. Worden, F. G., and Marsh, J. T. (1955). Psychological factors in men seeking sex transformation.J.A.M.A. 157: 1292–1298.Google Scholar

Copyright information

© Plenum Publishing Corporation 1985

Authors and Affiliations

  • Ray Blanchard
    • 1
  • Leonard H. Clemmensen
    • 1
  • Betty W. Steiner
    • 1
  1. 1.Gender Identity ClinicClarke Institute of PsychiatryTorontoCanada

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