Skip to main content
Log in

Elaborating and Testing Erotic Target Identity Inversion Theory in Three Paraphilic Samples

  • Special Section: The Puzzles of Sexual Orientation and Gender Diversity
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

Some men sexually attracted to types of persons (e.g., women) or things (e.g., animals) also have internalized sexual attractions: sexual arousal by the idea of being the type of person or thing to whom they are attracted. Consequently, some of these men develop erotic target identity inversions, in which they imitate, yearn to be, or identify as an instance of their erotic target. Erotic Target Identity Inversion Theory predicts that for every external erotic target to which men are attracted, a subset of men will develop an internalized sexual attraction, which may cause an erotic target identity inversion. We examined these predictions in Internet surveys of three samples of men with paraphilic sexual interests: 322 men attracted to amputees, 1501 men attracted to animals, and 402 men attracted to severely obese persons. All samples included substantial minorities of men reporting internalized sexual attractions and erotic target identity inversions specific to their external sexual attractions (e.g., men attracted to amputees who are also aroused by the fantasy of being amputees and wish to become amputees). The correlation between degree of each internalized sexual attraction and degree of its corresponding erotic target identity inversion was approximately 1.0 after correction for attenuation. In each sample, participants’ specific internalized sexual attraction was positively correlated with autogynephilia, likely the most common internalized sexual attraction in men. Erotic Target Identity Inversion Theory can potentially explain a variety of otherwise puzzling phenomena, including transgender identity among female-attracted natal males and men seeking amputations of healthy limbs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Availability of Data and Materials

These data are available upon reasonable request. A copy of the survey instrument is available to those who contact the corresponding author.

Notes

  1. One complication is that if an internalized sexual attraction is especially strong, this may prevent sexual attraction to any external erotic target. (Lack of sexual interest in others is analloeroticism.) This has been observed among autogynephilic males, some of whom identify as asexual (Blanchard, 1989a). Both Blanchard and we believe that analloerotic autogynephilic males are like males attracted to women, and that the former would express attraction to women if the internalization of their autogynephilia was less complete. Strictly speaking, this means that our first latent variable, “External Sexual Attraction” might be more accurately renamed “Propensity to Have a Specific External Sexual Attraction.” However, in the current research, we recruited participants who had specific external sexual attractions, and so none were analloerotic.

References

  • Abel, G. G., & Osborn, C. (1992). The paraphilias: The extent and nature of sexually deviant and criminal behavior. Psychiatric Clinics of North America, 15, 675–687.

    Article  PubMed  Google Scholar 

  • Bailey, J. M. (2003). The man who would be queen: The science of gender-bending and transsexualism. Joseph Henry Press.

    Google Scholar 

  • Bailey, J. M., Blanchard, R., Hsu, K. J., & Revelle, W. (2021). A map of desire: Multidimensional scaling of men’s sexual interest in male and female children and adults. Psychological Medicine, 51, 2714–2720.

    Article  PubMed  Google Scholar 

  • Bailey, J. M., & Hsu, K. J. (2017). Orienting basic research on chronophilias [Commentary]. Archives of Sexual Behavior, 46, 23–26.

    Article  PubMed  Google Scholar 

  • Bailey, J. M., & Hsu, K. J. (2022). How autogynephilic are natal females? Archives of Sexual Behavior, 51, 3311–3318.

    Article  PubMed  Google Scholar 

  • Bailey, J. M., Hsu, K. J., & Bernhard, P. A. (2016). An Internet study of men sexually attracted to children: Sexual attraction patterns. Journal of Abnormal Psychology, 125, 976–988.

    Article  PubMed  Google Scholar 

  • Bártová, K., Androvičová, R., Krejčová, L., Weiss, P., & Klapilová, K. (2021). The prevalence of paraphilic interests in the Czech population: Preference, arousal, the use of pornography, fantasy, and behavior. Journal of Sex Research, 58, 86–96.

    Article  PubMed  Google Scholar 

  • Baur, E., Forsman, M., Santtila, P., Johansson, A., Sandnabba, K., & Långström, N. (2016). Paraphilic sexual interests and sexually coercive behavior: A population-based twin study. Archives of Sexual Behavior, 45, 1163–1172.

    Article  PubMed  Google Scholar 

  • Bhugra, D., Popelyuk, D., & McMullen, I. (2010). Paraphilias across cultures: Contexts and controversies. Journal of Sex Research, 47, 242–256.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1989a). The classification and labeling of nonhomosexual gender dysphorias. Archives of Sexual Behavior, 18, 315–334.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1989b). The concept of autogynephilia and the typology of male gender dysphoria. Journal of Nervous and Mental Disease, 177, 616–623.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1991). Clinical observations and systematic studies of autogynephilia. Journal of Sex and Marital Therapy, 17, 235–251.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1992). Nonmonotonic relation of autogynephilia and heterosexual attraction. Journal of Abnormal Psychology, 101, 271–276.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1993a). Partial versus complete autogynephilia and gender dysphoria. Journal of Sex and Marital Therapy, 19, 301–307.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1993b). The she-male phenomenon and the concept of partial autogynephilia. Journal of Sex and Marital Therapy, 19, 69–76.

    Article  PubMed  Google Scholar 

  • Blanchard, R. (1993c). Varieties of autogynephilia and their relationship to gender dysphoria. Archives of Sexual Behavior, 22, 241–251.

    Article  PubMed  Google Scholar 

  • Blanchard, R., & Hucker, S. J. (1991). Age, transvestism, bondage, and concurrent paraphilic activities in 117 fatal cases of autoerotic asphyxia. British Journal of Psychiatry, 159, 371–377.

    Article  Google Scholar 

  • Blanchard, R., Racansky, I. G., & Steiner, B. W. (1986). Phallometric detection of fetishistic arousal in heterosexual male cross-dressers. Journal of Sex Research, 22, 452–462.

    Article  Google Scholar 

  • Borneman, M. J. (2010). Correction for attenuation. In N. J. Salkind (Ed.), Encyclopedia of research design (pp. 261–264). Sage.

    Google Scholar 

  • Brown, A., Barker, E. D., & Rahman, Q. (2020). Erotic target identity inversions among men and women in an Internet sample. Journal of Sexual Medicine, 17, 99–110.

    Article  PubMed  Google Scholar 

  • Dawson, S. J., Bannerman, B. A., & Lalumière, M. L. (2016). Paraphilic interests: An examination of sex differences in a nonclinical sample. Sexual Abuse: A Journal of Research and Treatment, 28, 20–45.

    Article  PubMed  Google Scholar 

  • First, M. B. (2005). Desire for amputation of a limb: Paraphilia, psychosis, or a new type of identity disorder. Psychological Medicine, 35, 919–928.

    Article  PubMed  Google Scholar 

  • Foley, K. E. (2017, May 24). New research shows there’s a good reason why some people want to cut off their healthy arms and legs. Quartz. https://qz.com/988823/new-research-shows-theres-a-good-reason-why-some-people-want-to-cut-off-their-healthy-arms-and-legs

  • Freund, K., & Blanchard, R. (1993). Erotic target location errors in male gender dysphorics, paedophiles, and fetishists. British Journal of Psychiatry, 162, 558–563.

    Article  Google Scholar 

  • Hall, W. J., Dawes, H. C., & Plocek, N. (2021). Sexual orientation identity development milestones among lesbian, gay, bisexual, and queer people: A systematic review and meta-analysis. Frontiers in Psychology, 12, 753954. https://doi.org/10.3389/fpsyg.2021.753954

    Article  PubMed  PubMed Central  Google Scholar 

  • Hsu, K. J., & Bailey, J. M. (2017). Autopedophilia: Erotic-target identity inversions in men sexually attracted to children. Psychological Science, 28, 115–123.

    Article  PubMed  Google Scholar 

  • Hsu, K. J., & Bailey, J. M. (2019). The “furry” phenomenon: Characterizing sexual orientation, sexual motivation, and erotic target identity inversions in male furries. Archives of Sexual Behavior, 48, 1349–1369.

    Article  PubMed  Google Scholar 

  • Hsu, K. J., & Bailey, J. M. (2022). Erotic target identity inversions. In D. P. VanderLaan & W. I. Wong (Eds.), Gender and sexuality development: Contemporary theory and research (pp. 589–612). Springer.

    Chapter  Google Scholar 

  • Hsu, K. J., Rosenthal, A. M., & Bailey, J. M. (2015). The psychometric structure of items assessing autogynephilia. Archives of Sexual Behavior, 44, 1301–1312.

    Article  PubMed  Google Scholar 

  • Hsu, K. J., Rosenthal, A. M., Miller, D. I., & Bailey, J. M. (2017). Sexual arousal patterns of autogynephilic male cross-dressers. Archives of Sexual Behavior, 46, 247–253.

    Article  PubMed  Google Scholar 

  • Imhoff, R., Banse, R., & Schmidt, A. F. (2017). Toward a theoretical understanding of sexual orientation and sexual motivation [Commentary]. Archives of Sexual Behavior, 46, 29–33.

    Article  PubMed  Google Scholar 

  • Joyal, C. C., & Carpentier, J. (2017). The prevalence of paraphilic interests and behaviors in the general population: A provincial survey. Journal of Sex Research, 54, 161–171.

    Article  PubMed  Google Scholar 

  • Kimbrough, A. M., Guadagno, R. E., Muscanell, N. L., & Dill, J. (2013). Gender differences in mediated communication: Women connect more than do men. Computers in Human Behavior, 29, 896–900.

    Article  Google Scholar 

  • Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. W. B. Saunders.

    Google Scholar 

  • Långström, N., & Seto, M. C. (2006). Exhibitionistic and voyeuristic behavior in a Swedish national population survey. Archives of Sexual Behavior, 35, 427–435.

    Article  PubMed  Google Scholar 

  • Långström, N., & Zucker, K. J. (2005). Transvestic fetishism in the general population: Prevalence and correlates. Journal of Sex and Marital Therapy, 31, 87–95.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2004). Autogynephilia: A paraphilic model of gender identity disorder. Journal of Gay and Lesbian Psychotherapy, 8, 69–87.

    Google Scholar 

  • Lawrence, A. A. (2006). Clinical and theoretical parallels between desire for limb amputation and gender identity disorder. Archives of Sexual Behavior, 35, 263–278.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2007). Becoming what we love: Autogynephilic transsexualism conceptualized as an expression of romantic love. Perspectives in Biology and Medicine, 50, 506–520.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2009a). Anatomic autoandrophilia in an adult male. Archives of Sexual Behavior, 38, 1050–1056.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2009b). Erotic target location errors: An underappreciated paraphilic dimension. Journal of Sex Research, 46, 194–215.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2010). Societal individualism predicts prevalence of nonhomosexual orientation in male-to-female transsexualism. Archives of Sexual Behavior, 39, 573–583.

    Article  PubMed  Google Scholar 

  • Lawrence, A. A. (2013). Men trapped in men’s bodies: Narratives of autogynephilic transsexualism. Springer.

    Book  Google Scholar 

  • Lawrence, A. A. (2017). Autogynephilia and the typology of male-to-female transsexualism: Concepts and controversies. European Psychologist, 22, 39–54.

    Article  Google Scholar 

  • Moser, C., & Kleinplatz, P. J. (2020). Conceptualization, history, and future of the paraphilias. Annual Review of Clinical Psychology, 16, 379–399.

    Article  PubMed  Google Scholar 

  • Parzer, V., Sjöholm, K., Brix, J. M., Svensson, P. A., Ludvik, B., & Taube, M. (2021). Development of a BMI-assigned Stunkard scale for the evaluation of body image perception based on data of the SOS reference study. Obesity Facts, 14, 397–404.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ramachandran, V. S., & McGeoch, P. (2007). Can vestibular caloric stimulation be used to treat apotemnophilia? Medical Hypotheses, 69, 250–252.

    Article  PubMed  Google Scholar 

  • Roberts, S. E., Plante, C. N., Reysen, S., & Gerbasi, K. C. (2016). Not all fantasies are created equal: Fantasy sport fans’ perceptions of furry, brony, and anime fans. Phoenix Papers, 2, 40–60.

    Google Scholar 

  • Serano, J. (2020). Autogynephilia: A scientific review, feminist analysis, and alternative ‘embodiment fantasies’ model. Sociological Review, 68, 763–778.

    Article  Google Scholar 

  • Seto, M. C. (2012). Is pedophilia a sexual orientation? Archives of Sexual Behavior, 41, 231–236.

    Article  PubMed  Google Scholar 

  • Seto, M. C. (2017). The puzzle of male chronophilias. Archives of Sexual Behavior, 46, 3–22.

    Article  PubMed  Google Scholar 

  • Stoller, R. J. (1985). A child fetishist. In Presentations of gender (pp. 93–136). Yale University Press.

    Google Scholar 

  • Stunkard, A. J., Sorenson, T., & Schulsinger, F. (1983). Use of the Danish adoption register for the study of obesity and thinness. In S. Kety, L. P. Rowland, R. L. Sidman, & S. W. Matthysse (Eds.), The genetics of neurological and psychiatric disorders (pp. 115–120). Raven.

    Google Scholar 

  • Swami, V., Frederick, D. A., Aavik, T., Alcalay, L., Allik, J., Anderson, D., et al. (2010). The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: Results of the International Body Project I. Personality and Social Psychology Bulletin, 36, 309–325.

    Article  PubMed  Google Scholar 

  • Trafimow, D. (2016). The attenuation of correlation coefficients: A statistical literacy issue. Teaching Statistics, 38, 25–28.

    Article  Google Scholar 

  • Weir, C. B., & Jan, A. (2019). BMI classification percentile and cut off points. Treasure: StatPearls.

  • 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). Guilford.

    Google Scholar 

Download references

Acknowledgements

We thank moderators of acrotomophilic, zoophilic, and lipophilic Internet sites who allowed us to survey their communities. We are especially grateful to Komet, ZTHorse, and other members of “Zooville” for their support and specific feedback on the survey.

Funding

This study received no financial support or funding.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Michael Bailey.

Ethics declarations

Conflict of interest

None to declare.

Ethical Approval

The authors certify that the research complies with ethical standards and was approved by the Institutional Review Board of Northwestern University.

Informed Consent

Electronic consent was obtained from all participants included in the study. On the first page of the online survey, participants were informed of the research purpose and potential risks and benefits of participating, that their participation was voluntary, and were presented with contact information for the researcher and for Northwestern University’s IRB. The research survey questions were displayed only if the participant clicked “agree” which indicated that the participant read and understood the information, were at least 18 years of age, and agreed to volunteer as a research participant for the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bailey, J.M., Hsu, K.J. & Jang, H.H. Elaborating and Testing Erotic Target Identity Inversion Theory in Three Paraphilic Samples. Arch Sex Behav (2023). https://doi.org/10.1007/s10508-023-02647-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10508-023-02647-x

Keywords

Navigation