Lawrence AA. Do some men who desire sex reassignment have a mental disorder?
Comment on Meyer-Bahlburg (2010). Arch Sex Behav. 2011 Aug;40(4):651-4
Download article here: Lawrence-2011a
In short, autogynephilic eroticism, as evidenced by erotic cross-dressing, precedes cross-gender identity by years or decades in nonhomosexual MtF transsexuals. These transsexuals do not have female core gender identities nor do they have well developed cross-gender identities that precede and act as the driving force behind their desires to turn their bodies into facsimiles of women’s bodies. Rather, nonhomosexual MtF transsexuals gradually develop cross-gender identities after years or decades of erotic cross-dressing, accompanied by the autogynephilic wish to turn their bodies into facsimiles of women’s bodies. In this sense, cross-gender identity in nonhomosexual MtF transsexuals is a secondary phenomenon or epiphenomenon.