Forensic psychiatry: transvestism: practice question

A Forensic Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Forensic Medicine · Forensic psychiatry: transvestism

Sample item

A 40-year-old married man, who identifies himself as male and has no wish to change sex, privately wears women's clothes because it causes sexual arousal. How should this be classified?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Transvestic fetishism

In transvestic fetishism, cross-dressing is used for sexual arousal in a person who is comfortable with his own gender identity. In gender dysphoria, the person feels persistently that he or she belongs to the opposite sex and wants to live as that sex. Sexual orientation is a separate issue.

Option by option

  • A. Frotteurism

    Frotteurism involves rubbing against non-consenting persons.

  • B. Transvestic fetishism (correct)

    Correct. Cross-dressing for arousal with a stable male identity is transvestic fetishism.

  • C. Transsexualism (gender dysphoria)

    Gender dysphoria needs a persistent incongruence of identity, which he denies.

  • D. Homosexuality

    Cross-dressing is not the same as same-sex attraction.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Forensic Medicine question

What is the answer to this Forensic Medicine question?

The best answer is B, Transvestic fetishism. In transvestic fetishism, cross-dressing is used for sexual arousal in a person who is comfortable with his own gender identity.

Why is "Frotteurism" not the answer?

Frotteurism involves rubbing against non-consenting persons.

Why is "Transsexualism (gender dysphoria)" not the answer?

Gender dysphoria needs a persistent incongruence of identity, which he denies.

Why is "Homosexuality" not the answer?

Cross-dressing is not the same as same-sex attraction.

What concept does this question test?

It tests Forensic psychiatry: transvestism in Forensic Medicine. In gender dysphoria, the person feels persistently that he or she belongs to the opposite sex and wants to live as that sex. Sexual orientation is a separate issue.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Forensic psychiatry: transvestism?

Learn postmortem changes with their timelines, and toxicology as poison, sign, test and antidote. Then use the flashcards and the other Forensic Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.