“First, we autogynephilic transsexuals often observe that autogynephilia seems to exert its motive force indirectly, by giving rise to our strongly held, highly valued cross-gender identities. Second, our lives often do feel
as though they lack vitality and purpose if we fail to express our cross-gender identities. Finally, we often pay a heavy price for expressing our cross-gender identities,
because we are not naturally feminine and because the female personas we create
sometimes appear unusual or inauthentic—to ourselves as well as to others.”