Transvestic fetishismis a psychiatric diagnosis applied to people who are sexually aroused by the act ofcross-dressingand experience significant distress or impairment – socially or occupationally – because of their behavior.[2][1]It differs fromcross-dressingwithout distress or impairment, and/or for entertainment or other purposes that do not involvesexual arousal.Under the nametransvestic disorder,it is categorized as a paraphiliac disorder in theDSM-5.[3]

Transvestic fetishism
SpecialtyPsychiatry
SymptomsBeing sexually aroused by the act ofcross-dressingand experiencing significant distress or impairment – socially or occupationally – because of one’s behavior.[1]

In the DSM-5

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TheDSM-5states that late-onsetgender dysphoriain adolescent and adult natal males is preceded by "transvestic behavior with sexual excitement" in many cases.[4]

According to DSM-IV, transvestic fetishism was limited toheterosexualmen; however, the DSM-5 does not have this restriction, and opens it to women and men with this interest, regardless of theirsexual orientation.[2]It is, however, usually documented in men.[5]

There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:[1]

  1. Individuals must be sexually aroused by the act of cross-dressing.
  2. Individuals must experience significant distress or impairment – socially or occupationally – because of their behavior.

References

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Citations
  1. ^abcAmerican Psychiatric Association. (2000).Diagnostic and Statistical Manual of Mental Disorders(4th ed., text rev.). Washington, DC: American Psychiatric Publishing.
  2. ^ab"Paraphilic Disorders Fact Sheet"(PDF).dsm5.org.May 15, 2013. Archived fromthe original(PDF)on November 23, 2016.
  3. ^American Psychiatric Association (2013).Diagnostic and Statistical Manual of Mental Disorders(Fifth ed.). Arlington, VA: American Psychiatric Publishing. pp.685–705.ISBN978-0-89042-555-8.
  4. ^Diagnostic and Statistical Manual of Mental Disorders(Fifth ed.). Arlington, VA: American Psychiatric Publishing. 2013. pp.451–460.ISBN978-0-89042-554-1.
  5. ^Cowen P, Harrison P, Burns T (2012).Shorter Oxford Textbook of Psychiatry.OUP Oxford.p. 373.ISBN978-0191626753.
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