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{{Short description|Paraphilic disorder in the United States}} {{use mdy dates|date=May 2024}} {{use American English|date=April 2025}} {{see also|Transvestism}} {{Infobox medical condition (new) | name = <!--{{PAGENAME}} by default--> | synonym = Transvestic disorder | pronounce = | specialty = [[Psychiatry]] | symptoms = Being sexually aroused by the act of [[cross-dressing]] and experiencing significant distress or impairment because of oneβs behavior<ref name=DSM/> | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} {{Crossdressing}} '''Transvestic fetishism''' is a [[Classification of mental disorders|psychiatric diagnosis]] applied in some countries to people who are sexually aroused by the act of [[cross-dressing]] and experience significant distress or impairment β socially or occupationally β because of their behavior.<ref name="DSM5 2013"/><ref name=DSM/> However in countries which have adopted the [[World Health Organization]] standard [[ICD-11 CDDR]] it is not a diagnosis, but been deprecated in favor of the more general "Paraphilic disorder involving solitary behavior or consenting individuals".<ref>{{Cite web |title=Paraphilic disorder involving solitary behaviour or consenting individuals |url=https://icd.who.int/browse/2025-01/mms/en#2055403635}}</ref> In countries, such as the United States as of 2025, which use the American Psychiatric Association [[DSM-5]] it is categorized as a [[Paraphilia|paraphilic]] [[Mental disorder|disorder]] under the name '''transvestic disorder'''.<ref name="DSM-5-paraphillic">{{Cite book |last=American Psychiatric Association |url=https://archive.org/details/diagnosticstatis0005unse/page/685 |title=Diagnostic and Statistical Manual of Mental Disorders |publisher=American Psychiatric Publishing |year=2013 |isbn=978-0-89042-555-8 |edition=Fifth |location=Arlington, VA |pages=[https://archive.org/details/diagnosticstatis0005unse/page/685 685β705]}}</ref> 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.<ref name=DSM-5>{{Cite book |title=Diagnostic and Statistical Manual of Mental Disorders |publisher=American Psychiatric Publishing |year=2013 |isbn=978-0-89042-554-1 |edition=Fifth |location=Arlington, VA |pages=[https://archive.org/details/diagnosticstatis0005unse/page/451 451β460] |url=https://archive.org/details/diagnosticstatis0005unse/page/451 }}</ref> 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]].<ref name="DSM5 2013">{{cite web |title=Paraphilic Disorders Fact Sheet |website=dsm5.org |date=2013-05-15 |url=https://www.dsm5.org/Documents/Paraphilic%20Disorders%20Fact%20Sheet.pdf |archive-url=http://web.archive.org/web/20161123042559/https://www.dsm5.org/Documents/Paraphilic%20Disorders%20Fact%20Sheet.pdf |archive-date=2016-11-23 |url-status=dead}}</ref> It is, however, usually documented in men.<ref name="Cowen">{{cite book |vauthors=Cowen P, Harrison P, Burns T|title=Shorter Oxford Textbook of Psychiatry|publisher=[[OUP Oxford]]|isbn=978-0191626753|year=2012|page=373|url=https://books.google.com/books?id=Y1DtSGq-LnoC&pg=PA373}}</ref> There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:<ref name=DSM>American Psychiatric Association. (2000). ''Diagnostic and Statistical Manual of Mental Disorders'' (4th ed., text rev.). Washington, DC: American Psychiatric Publishing.</ref> # Individuals must be sexually aroused by the act of cross-dressing. # Individuals must experience significant distress or impairment β socially or occupationally β because of their behavior. ==References== {{reflist}} ; * {{cite book |last1=Wheeler |first1=Jennifer |last2=Newring |first2=Kirk A. B. |last3=Draper |first3=Crissa |chapter=16: Transvestic Fetishism, Psychopathology and Theory; 17: Transvestic Fetishism, Assessment and Treatment |title=Sexual Deviance: Theory, Assessment, and Treatment |editor1-first=Richard D. |editor1-last=Laws |editor2-first=William T. |editor2-last=O'Donohue |editor2-link=William O'Donohue |edition=2 |year=2008 |publisher=[[Guilford Press]] |location=New York |isbn=978-1-59385-605-2 |oclc=230822507 |url=https://archive.org/details/sexualdevianceth0000unse_x8m5 |url-access=registration |via=Internet Archive |pages=272β304}} {{Paraphilia}} {{Sex fetish}} {{Crossdressing footer}} [[Category:Cross-dressing]] [[Category:Fashion-related fetishism]] [[Category:Gender identity]] [[Category:Paraphilias]] [[Category:Sexual fetishism]] [[Category:Sexual roleplay]]
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