At Quillette, Louise Perry interviews Dr. Ray Blanchard about transsexualism, and his controversial-in-the-LGBT-community typology of transsexualism:
Ray Blanchard is an adjunct Professor of Psychiatry at the University of Toronto who specialises in the study of human sexuality, with a particular focus on sexual orientation, paraphilias, and gender identity disorders. In the 1980s and 1990s he developed a theory around the causes of gender dysphoria in natal males that became known as “Blanchard’s transsexualism typology“. This typology — which continues to attract a great deal of controversy — categorizes trans women (that is, natal males who identify as women) into two discrete groups.
The first group is composed of “androphilic” (sometimes termed “homosexual”) trans women, who are exclusively sexually attracted to men and are markedly feminine in behaviour and appearance from a young age. They typically begin the process of medical transition before the age of 30.
The second group are motivated to transition as a result of what Blanchard termed “autogynephilia”: a sexual orientation defined by sexual arousal at the thought or image of oneself as a woman. Autogynephiles are typically sexually attracted to women, although they may also identify as asexual or bisexual. They are more likely to transition later in life and to have been conventionally masculine in presentation up until that point.
Although Blanchard’s typology is supported by a wide range of sexologists and other researchers, it is strongly rejected by most trans activists who dispute the existence of autogynephilia. The medical historian Alice Dreger, whose 2015 book Galileo’s Middle Finger included an account of the autogynephilia controversy, summarises the conflict:
There’s a critical difference between autogynephilia and most other sexual orientations: Most other orientations aren’t erotically disrupted simply by being labeled. When you call a typical gay man homosexual, you’re not disturbing his sexual hopes and desires. By contrast, autogynephilia is perhaps best understood as a love that would really rather we didn’t speak its name. The ultimate eroticism of autogynephilia lies in the idea of really becoming or being a woman, not in being a natal male who desires to be a woman.
I interviewed Blanchard over email and Skype. The text has been lightly edited for clarity.