Autogynephilia is a narcissistic, sexualised self-reward syndrome. It is a non-homosexual man’s compulsive desire to be, or appear to be, a woman. It is satisfied by achieving this, more or less. Although there are other rewards, the most powerful one is by having sex as a woman.
That is to say, by being penetrated, usually anally.
Because it is self-reinforcing, the more often the satisfaction is achieved, the stronger it gets. It is narcissistic because it is focussed on the male self in role as a woman. Because sexualised reward is so strong, autogynephilia is extremely powerful and quickly becomes an obsession. Sex as a woman can turbo-charge it.
I have taken the liberty of republishing in full the pages of the American Psychiatric Association’s Diagnostic and Statistical Manual, Fifth Edition (APA DSM-V) which are relevant to Gender Dysphoria.
If the APA objects, I’ll take it down, but I publish this in good faith, without alteration or comment, as a public information service. I will write another post commenting. I’ll also put a link to this and to the DSM itself (which is downloadable in full as a .pdf) on my Links page.
I strongly advise anyone interested in the field of transsexualism, transvestism, gender dysphoria and related topics to thoroughly study the document below.
Note: The APA now has a programme of rolling revision to its online materials, so the specific wordings may change. This was the state as downloaded in February 2018. As a result, this is only a guide and in all cases of clinical interaction, the current version on the APA website (see link below) should be referred to.