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Notes -
Blanchard’s typology. Bailey’s book was apparently a huge signal-boost for the idea. I can see why it’s a suggestive theory; I definitely find the idea of myself-as-a-woman more appealing than most of the other stated reasons for transitioning…relatively speaking.
Ultimately I think Blanchard oversells it. It’s easy to pattern-match the talk about gender affirmation to sexual fulfillment. But that’s the same thing Freud did with daddy issues. Just because a theory fits certain lurid, high/profile cases doesn’t mean it’s actually a realistic one.
It also doesn’t really gel with the trans women I know. If you had to be wildly uncharitable to them, you could argue that they just hated being men so much they took the Benedict Option. From what I’ve see, that’d be a better description than asserting a fetish. See also the bizarre effects of estrogen, etc. on sex drive.
As for actually answering your question—technically, you could include borderline/multiple personality disorders, psychosis, whatever. It’s not a very fair comparison, but it does meet your definition. For an alternative that’s more likely to be framed as identity, there’s headmates/DID. I…really don’t know how to talk about that. There’s a normative aspect that makes me very uncomfortable, plus I get the impression that it’s entirely happening on social media.
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