Lawrence Anne A
Department of Psychology, University of Lethbridge, Lethbridge, Alta., Canada.
Adv Psychosom Med. 2011;31:135-48. doi: 10.1159/000328921. Epub 2011 Oct 10.
Autogynephilia is defined as a male's propensity to be sexually aroused by the thought of himself as a female. It is the paraphilia that is theorized to underlie transvestism and some forms of male-to-female (MtF) transsexualism. Autogynephilia encompasses sexual arousal with cross-dressing and cross-gender expression that does not involve women's clothing per se. The concept of autogynephilia defines a typology of MtF transsexualism and offers a theory of motivation for one type of MtF transsexualism. Autogynephilia resembles a sexual orientation in that it involves elements of idealization and attachment as well as erotic desire. Nearly 3% of men in Western countries may experience autogynephilia; its most severe manifestation, MtF transsexualism, is rare but increasing in prevalence. Some theorists and clinicians reject the transsexual typology and theory of motivation derived from autogynephilia; their objections suggest a need for additional research. The concept of autogynephilia can assist clinicians in understanding some otherwise puzzling manifestations of nonhomosexual MtF transsexualism. Autogynephilia exemplifies an unusual paraphilic category called 'erotic target identity inversions', in which men desire to impersonate or turn their bodies into facsimiles of the persons or things to which they are sexually attracted.
自体性别恋被定义为男性因想象自己为女性而产生性唤起的倾向。它是一种性偏好障碍，理论上被认为是异装癖和某些形式的男性变女性（MtF）易性症的基础。自体性别恋包括因穿着异性服装和进行跨性别表达而产生的性唤起，而这本身并不涉及女性服装。自体性别恋的概念定义了一种MtF易性症的类型，并为一种类型的MtF易性症提供了动机理论。自体性别恋类似于一种性取向，因为它涉及理想化、依恋以及性欲望等元素。在西方国家，近3%的男性可能会经历自体性别恋；其最严重的表现形式，即MtF易性症，虽然罕见但发病率正在上升。一些理论家和临床医生拒绝接受源自自体性别恋的易性症类型和动机理论；他们的反对意见表明需要进行更多研究。自体性别恋的概念可以帮助临床医生理解非同性恋MtF易性症的一些原本令人困惑的表现。自体性别恋是一种不寻常的性偏好障碍类别，即“性目标身份倒错”的例证，在这种情况中，男性渴望模仿或将自己的身体变成他们所性吸引的人或事物的复制品。
