Lawrence AA. Transgenderism in non-homosexual males as a paraphilic phenomenon: Implications for case conceptualization and treatment. Sexual and Relationship Therapy 2009: 24 (2), pp. 188-206.
The concept of autogynephilia provides a theory of motivation for MTF sex reassignment, in that it proposes that nonhomosexual MTF transsexuals seek sex reassignment primarily because they are sexually aroused by (and love) the idea of having women’s bodies and living as women. They want to actualize their autogynephilic fantasies by acquiring women’s bodies (or, more accurately, facsimiles of women’s bodies) through hormone therapy and genital surgery (Blanchard, 1993a, 1993b, 1993c) and by living as women. This theory can be seen as the logical extension of the widely accepted idea that transvestic fetishists cross-dress primarily because they are sexually aroused by (and love) the idea of wearing women’s clothing and impersonating women and want to actualize their transvestic fantasies through crossdressing. The concept of autogynephilia thus provides an answer to the question posed earlier: if the gender dysphoria that nonhomosexual MTF transsexuals experience cannot be attributed to the presence of female- typical behaviors, attitudes or interests, what can it be attributed to? The answer is: the desire of these transsexuals to actualize their autogynephilic feelings and ‘‘become what they love’’ and lust for.
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