Common themes
Most transvestites are heterosexual males. Typically, they are not transsexual, so they do not desire to actually live as women full-time, but derive sexual pleasure from wearing female clothing.
Transvestism can be a simple fetish for wearing women's clothing. It can also be a symbol of submission or subservience in BDSM play, such as the wearing of a maid's outfit.
Not everyone who cross-dresses during sexual intercourse is a transvestite.
When is it a psychiatric condition?
There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:
- recurrent, intense sexually arousing fantasies, urges, or behaviour, involving cross-dressing
- This causes clinically significant distress or impairment, whether socially, at work, or elsewhere
Thus, transvestism is not considered a mental illness unless it causes significant problems for the transvestite concerned.