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Transvestic disorder

From Wikipedia, the free encyclopedia
(Redirected fromTransvestic fetishism)
Paraphilic disorder in the United States

Not to be confused withTransvestism.
Medical condition
Transvestic disorder
Other namesTransvestic fetishism
A transvestite in black stockings.
A transvestite in black stockings.
SpecialtyPsychiatry
SymptomsBeing sexually aroused by the act ofcross-dressing and experiencing significant distress or impairment because of one’s behavior[1]
Cross-dressing
Key elements

Transvestic disorder (formerlytransvestic 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]

In countries which have adopted theWorld Health Organization standardICD-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 AssociationDSM-5 it is categorized as a specificparaphilic 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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According toDSM-IV, transvestic disorder (called fetishism at that time) 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.[5]

There are two key criteria before a psychiatric diagnosis of "transvestic disorder" 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.

Criticism of DSM5-TR

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An academic criticism says that the main cause of distress is not within the individual but “external invalidation, systemic stigma, and structural barriers” from society.[6]

References

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  1. ^abAmerican 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. ^Cowen P, Harrison P, Burns T (2012).Shorter Oxford Textbook of Psychiatry.OUP Oxford. p. 373.ISBN 978-0191626753.
  6. ^Meneguzzo, Paolo (November 2025)."Between Flesh and Identity: Embodied Selves in Disembodied Systems".Archives of Sexual Behavior.54 (10):3869–3872.doi:10.1007/s10508-025-03314-z.ISSN 1573-2800.PMC 12753564.PMID 40993270.
See also
Actions, states
Body parts
Clothing
Objects
Controversial / illegal
Culture / media
Race
Related topics
History
Cross-gender acting
Contemporary organizations and gatherings
Subcultural slang
Passing techniques
Media
Sexual practices
Theories
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