Levine S B
Case Western Reserve University School of Medicine.
J Sex Marital Ther. 1993 Summer;19(2):131-41. doi: 10.1080/00926239308404896.
Adolescent and adult cross-dressing or "transvestism" is the most common antecedent behavioral pattern among those who request sex reassignment surgery. Transvestites are actually a diverse group of men who differ in their gender identities, orientation, and intention. They do, however, have in common a soothing image of themselves as women. Because of this, whether cross-dressing occurs among masculine or feminine males or heterosexuals, homosexuals, bisexuals, or asexuals, or among those with paraphilia, the behavior should be considered the expression of their consciously felt femininity. The confusing differences among cross-dressing males may be explained by their diversity along three dimensions: 1) the ambition for heterosexual intercourse; 2) the natural history of their sexual arousal to female clothing; 3) their current capacity to integrate their masculine and feminine strivings into separate compartments. When cross-dressers give up all vestiges of male gender role behaviors and successfully live and work full time as women, the appropriate descriptive term for them becomes "transsexual."
青少年及成年期的异装行为或“易装癖”是那些要求进行性别重置手术者中最常见的先行行为模式。易装者实际上是一群各不相同的男性，他们在性别认同、性取向和意图方面存在差异。然而，他们确实有一个共同之处，即把自己想象成女性时会感到慰藉。因此，无论异装行为发生在阳刚或阴柔的男性、异性恋者、同性恋者、双性恋者或无性恋者中，还是在有性偏好障碍的人群中，这种行为都应被视为他们自觉感受到的女性气质的一种表达。异装男性之间令人困惑的差异可以从三个维度的多样性来解释：1）异性性交的欲望；2）对女性服装产生性唤起的自然过程；3）他们目前将男性和女性的追求整合到不同层面的能力。当异装者放弃男性性别角色行为的所有痕迹，并成功地以女性身份全职生活和工作时，对他们合适的描述性术语就变成了“变性者”。
