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.
- American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.Google Scholar
- Beigel, H. G., & Feldman, R. (1963). The male transvestite’s motivation in fiction, research, and reality. In H. G. Beigel (Ed.), Advances in sex research (pp. 198–209). New York: Harper & Row.Google Scholar
- Benjamin, H. (1966). The transsexual phenomenon. New York: Julian Press.Google Scholar
- Blanchard, R. (1985). Research methods for the typological study of gender disorders in males. In B. W. Steiner (Ed.), Gender dysphoria: Development, research, management (pp. 227–257). New York: Plenum Press.Google Scholar
- Blanchard, R. (1991). Clinical observations and systematic studies of autogynephilia. Journal of Sex & Marital Therapy, 17, 235–251.Google Scholar
- Cantor, J. M., Blanchard, R., & Barbaree, H. E. (2009). Sexual disorders. In P. H. Blaney & T. Millon (Eds.), Oxford textbook of psychopathology (2nd ed., pp. 527–548). New York: Oxford University Press.Google Scholar
- Zucker, K. J., & Blanchard, R. (1997). Transvestic fetishism: Psychopathology and theory. In D. R. Laws & W. O’Donohue (Eds.), Sexual deviance: Theory, assessment, and treatment (pp. 253–279). New York: Guilford Press.Google Scholar