+Or consider Anne Vitale's ["The Gender Variant Phenomenon—A Developmental Review"](http://www.avitale.com/developmentalreview.htm), which makes the _same_ observations as Blanchard-and-friends and arrives at essentially the _same_ two-type taxonomy of MtF, but dressed up in socially-desirable language—
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+> As sexual maturity advances, Group Three, cloistered gender dysphoric boys, often combine excessive masturbation (one individual reported masturbating up to 5 and even 6 times a day) with an increase in secret cross-dressing activity to release anxiety.
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+Got that? They _often combine excessive masturbation_ with an _increase in secret cross-dressing activity_ to _release anxiety_—their terrible, terrible _gender expression deprivation anxiety!_
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