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Transvestic fetishism

From Wikipedia, the free encyclopedia
Paraphilic disorder in the United States

See also:Transvestism
Medical condition
Transvestic fetishism
Other namesTransvestic disorder
SpecialtyPsychiatry
SymptomsBeing sexually aroused by the act ofcross-dressing and experiencing significant distress or impairment because of one’s behavior[1]
Cross-dressing

Transvestic fetishism is apsychiatric diagnosis applied in some countries to people who are sexually aroused by the act ofcross-dressing and experience significant distress or impairment – socially or occupationally – because of their behavior.[2][1]

However in countries which have adopted theWorld Health Organization standardICD-11 CDDR it is not a diagnosis, but been deprecated in favor of the more general "Paraphilic disorder involving solitary behavior or consenting individuals".[3]

In countries, such as the United States as of 2025, which use the American Psychiatric AssociationDSM-5 it is categorized as aparaphilicdisorder under the nametransvestic disorder.[4] It differs fromcross-dressing without distress or impairment, or for entertainment or other purposes that do not involvesexual arousal.

Diagnosis

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DSM-5

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

According toDSM-IV, transvestic fetishism was limited toheterosexual men; 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.[6]

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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  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. ^"Paraphilic disorder involving solitary behaviour or consenting individuals".
  4. ^American Psychiatric Association (2013).Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA: American Psychiatric Publishing. pp. 685–705.ISBN 978-0-89042-555-8.
  5. ^Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). Arlington, VA: American Psychiatric Publishing. 2013. pp. 451–460.ISBN 978-0-89042-554-1.
  6. ^Cowen P, Harrison P, Burns T (2012).Shorter Oxford Textbook of Psychiatry.OUP Oxford. p. 373.ISBN 978-0191626753.
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