Summary

Psychologist Ray Blanchard tested an idea, drawn from Kurt Freund's work, that male-to-female transsexuals come in two basic types. Using routine questionnaires at a Toronto gender clinic, he grouped 163 patients by attraction to men and women. He asked whether they had ever been sexually aroused while cross-dressing. Two-thirds or more of those attracted to women, to both sexes or to neither said yes, compared with 15% of those attracted to men. Blanchard concluded that the groups not attracted only to men form one family, separate from those attracted to men. The paper became the basis of his later 'autogynephilia' theory and of a label in the main US psychiatric manual (DSM-5). Its evidence is a single self-reported question from one 1980s clinic, with small groups and no comparison group, and critics question whether the types hold up elsewhere.

Key findings

• 163 bolnikov, transseksualnih iz moškega v žensko, v torontski psihiatrični kliniki je izpolnilo vprašalnike o spolni privlačnosti. Njihova povprečna starost je bila okoli 30 let.
• Statistična metoda, ki ljudi razvršča po podobnih ocenah in je bila vnaprej nastavljena za iskanje štirih skupin, je dala 100 bolnikov, ki jih privlačijo moški, 35, ki jih privlačita oba spola, 16, ki jih privlačijo ženske, in 12, ki jih ne privlači nobeden.
• Spolno vzburjenost ob oblačenju v oblačila nasprotnega spola je poročalo 14 od 16 tistih, ki jih privlačijo ženske (88 %), 9 od 12 tistih, ki jih ne privlači nobeden (75 %), in 23 od 35 tistih, ki jih privlačita oba spola (66 %), proti 15 od 100 tistih, ki jih privlačijo moški (15 %).
• Skupina, ki jo privlačijo moški, se je jasno razlikovala od vsake druge skupine, medtem ko se druge tri skupine med seboj niso jasno razlikovale.
• Blanchard je zaključil, da so tisti, ki jih privlačita oba spola ali nobeden, različice tistih, ki jih privlačijo ženske, kar daje dva osnovna tipa: privlačijo jih moški, in ne (pozneje imenovan „avtoginefilni“).
• Študija je bila izhodišče za Blanchardove tipe in njegovo idejo avtoginefilije iz leta 1989, ki jo je ameriški psihiatrični priročnik DSM-5 pozneje uporabil za oznako, pripeto k diagnozi motnje oblačenja v oblačila nasprotnega spola.

Abstract

This study tested a prediction derived from the hypothesis that asexual and bisexual transsexualism are actually subtypes of heterosexual transsexualism. Two questionnaire scales measuring erotic attraction to males and females were administered to 163 male-to-female transsexuals. A cluster analysis of their scores divided the subjects into four groups: heterosexual, homosexual, bisexual, and asexual. Fisher Exact tests were used to compare the frequency with which subjects in the four clusters reported a history of erotic arousal in association with cross-dressing. As predicted, there were no differences among the asexual, bisexual, and heterosexual transsexuals, and all three groups included a much higher proportion of fetishistic cases than the homosexual group (p less than or equal to .0001, two-tailed). These findings support the view that male transsexuals may be divided into two basic types: heterosexual and homosexual.

Conclusion

The prediction that asexual and bisexual transsexuals would report a history of cross-gender fetishism about as often as heterosexual transsexuals, and much more often than homosexual transsexuals, survived what Blanchard called an objective, 'hands-off' test that could have shown it false. He argued that anyone dissatisfied with his hypothesis must offer an alternative that explains the high rates of cross-gender fetishism in the asexual and bisexual groups and makes a new, testable prediction. He concluded that male transsexuals may be divided into two basic types, heterosexual and homosexual, with the asexual and bisexual forms being variants of the heterosexual type.