The Concept of Autogynephilia and the Typology of Male Gender Dysphoria

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Abstract
This study tested the hypothesis that all gender-dysphoric males who are not sexually aroused by mena (homosexual) are instead sexually aroused by the thought or image of themselves as women (autogynephilic). Subjects were 212 adult male-to-female transsexuals. These were divided into four groups: one homosexual and three nonhomosexual. The three nonhomosexual groups were heterosexual, bisexual, and analloerotic (unattracted to male or female partners, but not necessarily devoid of all erotic behavior). A core Autogynephilia scale was developed to assess a subject''s propensity to be sexually aroused by the fantasy of being a woman. The four transsexual groups were compared on this measure (and on several others), using Newman-Keuls multiple-range tests at p < .05. As predicted, all three nonhomosexual groups were more likely than the homosexual group to report sexaul stimulation by cross-gender fantasy. This finding supprts the hypothesis that the major types of nonhomosexual gender dysphoria constitue variant forms of one underlying disorder, which may be characterized as autogynephilic gender dysphoria.

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