Transvestic fetishism
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Transvestic fetishism is a psychiatric diagnosis applied in some countries to people who are sexually aroused by the act of cross-dressing and experience significant distress or impairment – socially or occupationally – because of their behavior.[1][2]
In countries which have adopted the World Health Organization standard ICD-11 CDDR it is not a diagnosis, but has been deprecated in favor of the more general "Paraphilic disorder involving solitary behavior or consenting individuals".[3]
In countries, such as the United States, which use the American Psychiatric Association DSM-5 it is categorized as a paraphilic disorder under the name transvestic disorder.[4] It differs from cross-dressing without distress or impairment, or for entertainment or other purposes that do not involve sexual arousal.
Diagnosis
DSM-5
The DSM-5 states that late-onset gender dysphoria in adolescent and adult natal males is preceded by "transvestic behavior with sexual excitement" in many cases.[5]
According to DSM-IV, transvestic fetishism was limited to heterosexual men; however, the DSM-5 does not have this restriction, and opens it to women and men with this interest, regardless of their sexual orientation.[1] It is, however, usually documented in men.[6]
There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:[2]
- Individuals must be sexually aroused by the act of cross-dressing.
- Individuals must experience significant distress or impairment – socially or occupationally – because of their behavior.
References
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- ↑ a b American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.). Washington, DC: American Psychiatric Publishing.
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