- the desire to live as a member of the opposite sex
- there is discomfort with anatomical sex, and a wish to change the body into that of the preferred sex
- it must have been persistently present for at least 2 years, and not due to another mental disorder (such as schizophrenia) or intersex, genetic, or sex-chromosomal abnormality
- the majority of transsexuals experience a successful outcome after sex-reassignment treatment
Dual role transvestism
- includes the wearing of clothes of the opposite sex for part of the time to enjoy the temporary experience of membership of the opposite sex
- there is no desire for permanent sex change
- no sexual excitement accompanies this cross-dressing, distinguishing it from fetishistic transvestism
Gender identity disorder of childhood
- persistent, intense distress about assigned sex, together with the desire to be of the other sex – there is a profound disturbance of the sense of maleness or femaleness
- usually manifest during early childhood, and always before puberty
- more common in boys
- between 1/3-2/3 of boys show homosexual orientation during and after adolescence – very few exhibit transsexualism in later life
- some girls show homosexual tendencies in later life, and retain male gender identification, although most do not
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