At one point in the film one of contestants looks at the camera and says very seriously: "You know this is not sexual for us at all".
And then it struck me. Of course they don't find it sexual; they are not drawn sexually to women. A bit of leg in high heels wouldn’t be the least bit arousing to a homosexual male. They are not aroused by seeing it and they are not aroused by wearing it.
Now let's put this into the context of gender dysphoria. Prior to puberty and sexualisation the only difference you might see in dysphoric children is the level of effeminacy. Typically you might find that those who may tend to become homosexual at a later stage could exhibit early signs of this behavior whereas the heterosexual probably would be like any other boy or at least appear to be. Both boys might be drawn to the idea of being female but there is no eroticism present for either.
As both enter puberty, the heterosexual boy begins to have fantasies about girls, wakes up with erections and begins to see a conflict between his burgeoning sexual attraction to women and his own desire for femaleness. This is the period where the clothing becomes arousing and the confusion between identity and sexual orientation happens. This boy wants to repair himself desperately and be normal for girls and he will do his best to suppress his gender issues for decades to come.
The homosexual dysphoric realizes there is a gender issue but is now also drawn to males so as agonizing as the decision process is there is no disconnect between the sexual orientation and the gender identity. This individual will likely transition much sooner, and hopefully make a normal life for herself as a woman in society. She has never experienced erotic imprinting because she is not sexually aroused by women. Dressing in female clothes seems normal and is not in the least way exciting.
The heterosexual will go through periods of confusion and may even believe that he is a fetishist because the arousal patterns continue to confuse him. But even as the arousal wanes, the inner female remains intact. It was always intact and always will be; we just don’t know why.
A fetishist will not seek out a life as a female in the world but will be happy sitting at home dressing privately in front of a mirror and masturbate; as his potency declines so will his desire to dress.
Harry Benjamin, unlike Ray Blanchard, did not segregate his patients according to sexual orientation but instead used a gender disorientation scale to measure the degree of disconnect with their birth gender. The more alienated to his body the higher the rating; his types V and VI had to transition or face insurmountable pressure and incapacitated function in life.
For Benjamin there was no homosexual transsexual (androphilic) or autogynephilic transsexual; there were only transsexuals.
Thankfully we still have people today who continue his good work in this direction. Anne Vitale is one of them.
Back in 2005 before the next update in the DSM, she did a presentation in Italy in which see said:
"As the DSM prepares the next update, I urge the authors to consider that the cross-gender behavior typical of gender variant people is neither a sexual disorder nor a gender identity disorder. Rather it is an anxiety disorder secondary to physical and sociological gender expression deprivation. Rather than referring to the cluster of behaviors as “Transsexualism” or “Gender Identity Disorder” I propose as I have elsewhere (25), that the condition be referred to as Gender Expression Deprivation Anxiety Disorder (GEDAD)"
They didn't listen to her but they should have.