Transvestism (also called transvestitism) is the practice of cross-dressing, which is wearing clothing traditionally associated with the opposite sex. Transvestite refers to a person who cross-dresses; however, the word often has additional connotations.
Although the word transvestism was coined as late as the 1910s, the phenomenon is not new. It was referred to in the bible and traces back to Ethiopia and the origin of man. The word has undergone several changes of meaning since it was first coined and is still used in a variety of senses.
Hirschfeld himself was not happy with the term: He believed that clothing was only an outward symbol chosen on the basis of various internal psychological situations. In fact, Hirschfeld helped people to achieve the very first name changes (legal given names were and are required to be gender-specific in Germany) and performed the first reported sexual reassignment surgery. Hirschfeld's transvestites therefore were, in today's terms, not only transvestites, but people from all over the transgender spectrum.
Hirschfeld also noticed that sexual arousal was often associated with transvestitism. In more recent terminology, this is called autogynephilia. Hirschfeld also clearly distinguished between transvestism as an expression of a person's "contra-sexual" (transgender) feelings and fetishistic behavior, even if the latter involved wearing clothes of the other sex.
This group did — and sometimes still does — distance themselves strictly from both gay men and transsexuals, and usually also deny any fetishistic intentions. It was probably this development that led to the explicit definition of transvestic fetishism as distinctively different from transvestism.
However, when this group of people achieved public attention, they were commonly referred to as transvestites rather than cross-dressers. That led, paradoxically, to yet another usage of transvestism: cross-dressing, male-bodied, male-identified, heterosexual persons. This group typically self-identifies as "cross-dressers".
Echoing the changing history of the term "transvestism", cross-dressing (but not cross-dresser) is now being used to describe the act of wearing clothing of another gender.
When cross-dressing occurs for erotic purposes over a period of at least six months and when it causes significant distress or impairment, the behavior is considered a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders called transvestic fetishism.
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