
Self-As-Male Arousal
Autoandrophilia
Added 21 Jun 2026 · Updated 31 Jul 2026
Autoandrophilia is a proposed paraphilic pattern in which a person assigned female is sexually aroused by the thought or image of themselves as male. It is the little-studied counterpart to autogynephilia, and its own originator later doubted that it describes a real phenomenon.
- Prevalence
- Rare
- Category
- Identity & Transformation
- Clinical term
- Autoandrophilia
- Domain
- Sexual interest · Paraphilia
- Confidence
- Low confidence
- Status
- Sparsely studied, contested research construct; not a stand-alone DSM-5-TR/ICD-11 diagnosis and not equivalent to transgender identity.
- Also known as
- autoandrophilia, self-masculinization arousal, Autoandrophilia (Arousal at self as male), arousal at thought of being male
- Added
- 21 Jun 2026
- Updated
- 31 Jul 2026
Overview
Autoandrophilia is a proposed paraphilic pattern in which a person assigned female experiences sexual arousal at the idea or image of being, or becoming, a man. It is framed as the conceptual counterpart to autogynephilia, and both are placed within a theoretical model of an "erotic target location error": desire that would ordinarily be directed outward toward a partner is theorised to have "located" instead onto the self embodying a desired trait. The construct is sparsely studied and actively contested; unusually, the man most associated with it later said in print that he doubted the phenomenon exists. This article traces that thin and self-questioning lineage, and underscores that the term should not be read as an account of, or commentary on, transgender identity.
Examples
What the term covers. The construct names a proposed pattern of arousal and nothing else — not a practice, not a community, not a category of people. The content described in the small comparative literature is almost entirely mental: arousal reported at the thought of having a male body, at imagined masculinisation, or at masculine-coded self-presentation. Its footing in the diagnostic canon is not narrow but absent: the specifier "with autoandrophilia" was drafted for DSM-5 in 2010 and dropped before publication.
What the term does not cover. It is not a synonym for being transgender, a trans man or transmasculine. Health bodies treat gender as a matter of identity, ICD-11 moved gender incongruence out of the mental-disorders chapter entirely, and nothing about any person's gender can be inferred from a research construct. It is not cross-dressing, which is frequently non-erotic, nor the diagnosis transvestic disorder, which requires distress or impairment. It is not the fiction convention of gender-swap fantasy, which stands entirely on its own. It is not autosexuality, an orientation describing attraction to oneself as one already is, and it is not attraction to trans men, which points outward at a partner. Its proposed mirror image is autogynephilia, and the wider theoretical family it was slotted into is erotic target identity inversion.
How the word is used. Narrowly academic, and used mostly in the negative: it appears in the literature chiefly as the missing counterpart in arguments about whether the underlying typology is symmetrical or merely male-focused, rather than as a description of anybody — a use consistent with the published doubts of its own sponsor, recorded below. Outside academia it surfaces in online arguments about gender, deployed as an accusation no published research supports. Using it accurately means naming it as a disputed and largely unevidenced hypothesis.
History & origins
A label built by symmetry
The term belongs to a family of "auto-" paraphilia labels built from Greek roots (autos, "self"; anēr/andros, "man"; -philia, "love" or "attraction"). Unlike its counterpart, it does not trace to a single landmark study describing observed cases; it was coined chiefly to mirror an existing male-directed concept.
- 1989: Ray Blanchard articulated autogynephilia, "love of oneself as a woman", in The Journal of Nervous and Mental Disease, anchoring his two-type transsexualism typology.
- 1993: Blanchard and Kurt Freund formalised the erotic-target-location-error mechanism in the British Journal of Psychiatry, the umbrella under which a female-bodied analogue would later be slotted.
- The female-directed term autoandrophilia entered the literature when other writers extended Blanchard's framework to people assigned female; the precise first use is not well documented.
The DSM-5 episode
The sharpest documented moment in the term's history is also the most revealing about its empirical standing.
- October 2010: The DSM-5 paraphilias working group, chaired by Blanchard, floated both "with autogynephilia" and "with autoandrophilia" as draft specifiers for transvestic disorder. The World Professional Association for Transgender Health opposed the specifiers, citing a lack of empirical evidence and consensus.
- 2013: In the published DSM-5, the "with autogynephilia" specifier survived but "with autoandrophilia" was removed. Blanchard later explained that he had proposed it "simply in order not to be accused of sexism… I don't think the phenomenon even exists", an extraordinary disavowal by the concept's own sponsor.
- Neither the DSM-5-TR (2022) nor the ICD-11 lists autoandrophilia, and ICD-11 moved gender incongruence out of the mental-disorders chapter entirely.
In practice
Reported expression is largely internal and imaginative: mental imagery of having a male body, fantasies of masculinisation, or arousal tied to masculine-coded self-presentation. That description should be read with its provenance in mind, since it is extrapolated from the better-documented self-as-female counterpart rather than drawn from any body of observed cases. It overlaps in the literature with cross-dressing and gender-swap fantasy, and it appears chiefly in comparative academic writing rather than within any large or self-identified community.
Psychology
Within the erotic-target-location-error framework, the appeal is theorised as an attraction that has "located" onto the self as the embodiment of a desired category rather than onto an external partner. Because the evidence base is exceptionally thin, and because the model's own architect questioned the phenomenon's existence, these accounts remain speculative.
Is autoandrophilia the same as being transgender?
No. Autoandrophilia describes a proposed pattern of sexual arousal, whereas being transgender is a matter of gender identity: a person's own sense of their gender. Mainstream health bodies are careful to keep the two separate, and the ICD-11 reclassified gender incongruence out of the mental-disorders chapter precisely to avoid pathologising identity. Treating an identity as a paraphilia is a category error, and the term should not be read as an account of transgender experience.
Prevalence & culture
Prevalence is unknown; the figure recorded here is provisional and proxy-based, treating the pattern as rarer and far less documented than autogynephilia. Surveys of unusual fantasy such as Joyal, Cossette & Lapierre (2015) place niche embodiment interests at the uncommon-to-rare end of the spectrum. Cultural visibility and dedicated community size are both very low, and the limited attention the topic receives is almost entirely scholarly.
Safety, consent & law
The interest concerns one's own self-image and is not in itself harmful or illegal. It is clinically relevant only where it causes the individual distress or functional impairment, and any discussion warrants the same care owed to sensitive questions of gender identity.
Common questions
Is autoandrophilia in the DSM or the ICD?
No, and it never has been. A specifier reading "with autoandrophilia" was floated in the October 2010 DSM-5 draft as a possible addition to transvestic disorder, but it was removed before the manual was published in 2013. The DSM-5-TR of 2022 does not carry it either, and the ICD-11 does not list it at all. Its counterpart specifier, "with autogynephilia", did survive — an asymmetry that is itself part of the argument about the theory.
Is there any evidence that autoandrophilia exists?
Very little, and the most striking objection comes from inside the theory. The term entered the literature by symmetry rather than from observed cases, and Ray Blanchard, whose framework it was built to mirror, later wrote that he had proposed the specifier "simply in order not to be accused of sexism" and added that he did not think the phenomenon exists. The WPATH consensus process had opposed the specifier in 2010 on precisely this ground.
What is the difference between autoandrophilia and autogynephilia?
Direction, and decades of unequal attention. Autogynephilia was coined by Blanchard in 1989 for a proposed pattern of arousal at the thought of oneself as female in people assigned male; autoandrophilia was later proposed as its female-assigned mirror. The first has a large and fiercely contested literature and a surviving DSM specifier; the second has almost no dedicated research, no diagnostic foothold, and a sponsor who publicly doubted it.
Where does the term autoandrophilia come from?
From Greek roots — autos, "self", anēr/andros, "man", and -philia — assembled on the model of an existing male-directed term rather than coined to describe observed cases. Unlike its counterpart it traces to no landmark paper and no documented first use; writers extending Blanchard's framework to people assigned female simply needed a word. That origin is a large part of why its empirical standing is so weak.
What is an erotic target location error?
It is the mechanism Kurt Freund and Blanchard proposed in 1993 to unify several patterns at once: the idea that desire which would ordinarily point outward at a partner has instead "located" onto the self as an embodiment of the desired category. Autoandrophilia was slotted into this framework rather than discovered within it. The mechanism is a hypothesis about how something might work rather than a finding, and critics read it as a structure built to accommodate a typology.
Do people actually identify as autoandrophilic?
Scarcely anyone does. There is no meaningful community organised around the term, no forum culture, and none of the online circulation its counterpart abbreviation has acquired. What attention it receives is almost entirely scholarly, and it appears more often inside critiques of a theory than in anyone's account of themselves. A label nobody claims is a poor basis for describing anybody.
- Self-As-Female Arousal32/100Autogynephilia · Identity & TransformationAutogynephilia is a contested research construct describing a proposed pattern in which a person assigned male is sexually aroused by the thought or image of themselves as female. It appears in the DSM-5 only as a specifier for transvestic disorder, not as a stand-alone diagnosis.32
- Cross-Dressing60/100Transvestism · Identity & TransformationWearing clothing associated with another gender, sometimes for erotic arousal and sometimes for comfort, self-expression, or relaxation. When arousal is persistent and causes distress it is diagnosed clinically as transvestic disorder; the interest itself is benign and distinct from transgender identity.60
- Gender Swap Fetish30/100Identity & TransformationAn erotic or imaginative interest in fantasy scenarios where a character changes sex or swaps bodies: expressed mainly through fiction, art, captions, games, and role-play rather than real-world acts. A media-driven theme distinct from real gender identity.30
- Female Masking17/100Identity & TransformationFemale masking is the practice of wearing a lifelike full-head silicone or latex mask, usually with a matching body suit, to present as a woman or as an idealized doll-like figure. It centres on transformation, embodiment and total concealment of the wearer's own identity.17
- Petrification Fetish17/100Identity & TransformationAn erotic or imaginative fascination with the fantasy of a living body turning to stone, most often played out in art, fiction and role-play rather than as an interest in real statues. It is distinct from agalmatophilia, the attraction to statues as objects.17
- Body Inflation20/100Identity & TransformationA fantasy-driven interest in the imagined swelling, rounding, or expansion of a body to cartoonish proportions, overwhelmingly expressed through art, animation, and fiction. It centres on the visual and conceptual transformation rather than any real physiological event.20
From Greek autos ("self") + aner/andros ("man") + -philia ("love, attraction"): literally "love of oneself as a man." Coined as the female-bodied counterpart to Ray Blanchard's autogynephilia (1989).
self-as-other · gender identity arousal · embodiment
Prevalence is computed from the entry's cited population estimate. Rows marked ESTare indicative editorial estimates scored against a fixed anchor rubric — not measured quantities. Method & anchors: methodology.
Rare · ≈ 1 in 1,000
- 01List of paraphilias — Wikipediadefinition/existence of autoandrophilia as a listed paraphilic interest
- 02Paraphilia — Wikipediaclassification as an erotic-target identity / self-as-other paraphilia
- 03Joyal, Cossette & Lapierre (2015), What Exactly Is an Unusual Sexual Fantasy?, J. Sexual Medicine 12(2):328-340framing that places such niche embodiment interests among uncommon/rare fantasies
- 04Autoandrophilia — Wikipediahistory of the term as the proposed female-bodied counterpart to autogynephilia and Blanchard's erotic-target-location-error model
- 05Erotic target location error — Wikipediathe erotic-target-location-error mechanism coined by Freund & Blanchard (1993) under which the construct is theorised
- 06Blanchard's transsexualism typology — Wikipediathe October 2010 DSM-5 draft 'with autoandrophilia' specifier and Blanchard's later statement that he doubts the phenomenon exists, proposing it 'in order not to be accused of sexism'
- 07Transvestic disorder — WikipediaDSM-5 (2013) retained 'with autogynephilia' but removed the proposed 'with autoandrophilia' specifier before publication
- 08Ray Blanchard — Wikipediabiography of the sexologist whose framework the term was built to mirror
- 09Kurt Freund — Wikipediaco-author with Blanchard of the 1993 erotic-target-location-error paper underpinning the model
- 10Should Transvestic Fetishism Be Classified in DSM 5? Recommendations from the WPATH Consensus Process (2010)WPATH consensus opposing the autogynephilia/autoandrophilia specifiers for lack of empirical evidence
- 11Gender incongruence — WikipediaICD-11 moved gender incongruence out of the mental-disorders chapter and does not list autoandrophilia