Objective Tests for Autogynephilic Addiction
Example of the synaptic exchange in a healthy reward system
Blanchard of the CAMH has developed an objective test to determine the presence of autogynephilia. Michael Bailey also developed an objective test for autogynephilia. However, Bailey's test is much simpler than Blanchard's, which reportedly includes approximately one hundred questions.
In Michael Bailey's book, The Man Who Would Be Queen, ©2003, Joseph Henry Press, ISBN 0-309-08418-0, Bailey provides a test to distinguish an autogynephilic transsexual from a homosexual transsexual.  The test appears on page 193. Bailey's test includes a number of questions. The question are grouped, some have a value of +1; others have a value of -1. If the sum of the score gets to +3, Bailey instructs you to stop. The transsexual is autogynephilic. If the sum gets to -3, the subject is homosexual.
+1 As a child, did people think you were about as masculine as other boys?
+1 Are you nearly as attracted to women as to men? Or more attracted to women? Or equally uninterested in both? (Add 1 if "Yes" to any of these.)
+1 Were you over the age of 40 when you began to live full time as a woman?
+1 Have you ever been in the milirary or worked as a policeman or truck driver, or been a computer programmer, businessman, lawyer, scientist, engineer, or physician?
-1 Is your ideal partner a straight man?
-1 As a child, did people think you were an unusually feminine boy?
-1 Were you under the age of 25 when you began to live full time as a woman?
-1 Have you worked as a hairstylist, beautician, female impersonator, lingerie model, or prostitute?
Only one question is necessary to determine autogynephilic addiction in males and conversely autoandrophilic addiction in females.
Has anyone who knew you as a toddler at 18 months or thereabouts reported that you tugged on your clothing in an apparent attempt to remove gender appropriate clothing?
If yes, the person suffers from a gender identity disorder.
If in the case of a male child the answer is no and if the first incidence of proclivities towards cross gender behavior occurrs at age 5 or thereabouts or age 11 or thereabouts, the male-to-female transsexual suffers from an affected autogynephilic disorder.
If in the case of a female child the answer is no and if the first incidence of proclivities towards cross gender behavior occurrs at age 4 or thereabouts or age 10 or thereabouts, the female-to-male transsexual suffers from an affected autoandrophilic disorder.
The reason stems from the fact that gender identity is formed early in life within the first 12 to 18 months of age, earlier than sexual identity (e.g., what sexually arouses you).
the relationship between autogynephilia and behavioral addiction
Example of the synaptic exchange in a reward system suffering from addiction
In fact, the disorder is easy to detect subjectively. Autogynephiles have a common personality sketch. It is all about him as "her". The autogynephile talks endlessly about his transition, his electrolysis sessions, the development of his breasts, the development of his body, his medication protocol. The autogynephile can't talk enough about his gender transition—which was barely on the radar screen a short time ago—even after undergoing procedure after procedure, nor consume enough of other people's gender transition. The autogynephile has volumes of images of himself in all stages of transition, with particular emphasis on the images in which he looks remotely "passable" as a female.
The autogynephile demands the people around him contribute to his living, breathing delusion that he is female were it not due to some nebulous cosmic accident (e.g., the birth defect of having the healthy anatomy of the opposite sex). The autogynephile demands sympathy from the greater population. The autogynephile regards himself as somewhat passable even though to the greater population, he clearly isn't and often becomes outraged at any violation to his otherwise fragile sense of self.
"Even the most passable transsexuals fail to pass 100% of the time," Maxine Peterson says. Maxine Peterson, a.k.a., Leonard Clemensen in prior work, is a clinical researcher, who works alongside psychologist Dr. Ray Blanchard at the Gender Identity Clinic at the CAMH.