The DSM Diagnostic Criteria for Transvestic Fetishism
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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.
KeywordsAutogynephilia Cross-dressing DSM-V Fetishism Paraphilia Penile plethysmography Transvestism
The author is a member of the DSM-V Workgroup on Sexual and Gender Identity Disorders. He wishes to thank his colleagues Maxine Petersen, Robert Dickey, and Kenneth J. Zucker for their stimulating conversations, over many years, about cross-gender behavior and ideation in nonhomosexual biological male patients. Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders V Workgroup Reports (Copyright 2009). American Psychiatric Association.
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