Blanchard R, Clemmensen L H, Steiner B W
Arch Sex Behav. 1987 Apr;16(2):139-52. doi: 10.1007/BF01542067.
This study investigated why more males than females complain of dissatisfaction with their anatomical sex (gender dysphoria). New referrals to a university gender identity clinic were dichotomously classified as heterosexual or homosexual. There were 73 heterosexual and 52 homosexual males; 1 heterosexual and 71 homosexual females. The average heterosexual male was 8 years older at inception than the homosexual groups. The heterosexual males reported that their first cross-gender wishes occurred around the time they first cross-dressed, whereas the homosexual groups reported that cross-gender wishes preceded cross-dressing by 3-4 years. Some history of fetishistic arousal was acknowledged by over 80% of the heterosexual males, compared to fewer than 10% of homosexual males and no homosexual females. The results suggest that males are not differentially susceptible to gender dysphoria per se, but rather that they are differentially susceptible to one of the predisposing conditions, namely, fetishistic transvestism.
本研究调查了为何抱怨对自身解剖学性别不满（性别焦虑）的男性多于女性。向一所大学性别认同诊所新转诊的患者被二分法分类为异性恋或同性恋。有73名异性恋男性和52名同性恋男性；1名异性恋女性和71名同性恋女性。异性恋男性在开始时的平均年龄比同性恋组大8岁。异性恋男性报告称，他们最初的跨性别愿望大约在首次穿着异性服装时出现，而同性恋组报告称，跨性别愿望比穿着异性服装早3至4年。超过80%的异性恋男性承认有恋物癖唤起史，相比之下，同性恋男性不到10%，且没有同性恋女性有此情况。结果表明，男性本身对性别焦虑的易感性并无差异，而是对其中一种诱发条件，即恋物性异装癖的易感性存在差异。
