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Ray Milton Blanchard III ( ; born October 9, 1945) is an American-Canadian sexologist who researches
pedophilia Pedophilia ( alternatively spelled paedophilia) is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin the process of pube ...
,
sexual orientation Sexual orientation is an enduring personal pattern of romantic attraction or sexual attraction (or a combination of these) to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Patterns ar ...
and
gender identity Gender identity is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent and consistent with the in ...
. He has found that men with more older brothers are more likely to be gay than men with fewer older brothers, a phenomenon he attributes to the reaction of the mother's immune system to male fetuses. Blanchard has also published research studies on phallometry and several
paraphilia A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human ...
s, including autoerotic asphyxia. Blanchard also proposed a typology of transsexualism.


Education and career

Blanchard was born in
Hammonton, New Jersey Hammonton is a Town (New Jersey), town in Atlantic County, New Jersey, Atlantic County, in the U.S. state of New Jersey, that has been referred to as the "Blueberry Capital of the World". As of the 2020 United States census, the town's populati ...
to parents Angelina (née Celi) and Ray Milton Blanchard Jr. His father, who served as an Aviation Metalsmith in the
United States Navy The United States Navy (USN) is the naval warfare, maritime military branch, service branch of the United States Department of Defense. It is the world's most powerful navy with the largest Displacement (ship), displacement, at 4.5 millio ...
, went
missing in action Missing in action (MIA) is a casualty (person), casualty classification assigned to combatants, military chaplains, combat medics, and prisoner of war, prisoners of war who are reported missing during wartime or ceasefire. They may have been ...
during
World War II World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
. He is memorialized at the National Memorial Cemetery of the Pacific in Honolulu. He received his A.B. in
Psychology Psychology is the scientific study of mind and behavior. Its subject matter includes the behavior of humans and nonhumans, both consciousness, conscious and Unconscious mind, unconscious phenomena, and mental processes such as thoughts, feel ...
from the
University of Pennsylvania The University of Pennsylvania (Penn or UPenn) is a Private university, private Ivy League research university in Philadelphia, Pennsylvania, United States. One of nine colonial colleges, it was chartered in 1755 through the efforts of f ...
in 1967 and his Ph.D. from the
University of Illinois The University of Illinois Urbana-Champaign (UIUC, U of I, Illinois, or University of Illinois) is a public university, public land-grant university, land-grant research university in the Champaign–Urbana metropolitan area, Illinois, United ...
in 1973. He conducted postdoctoral research at
Dalhousie University Dalhousie University (commonly known as Dal) is a large public research university in Nova Scotia, Canada, with three campuses in Halifax, Nova Scotia, Halifax, a fourth in Bible Hill, Nova Scotia, Bible Hill, and a second medical school campus ...
until 1976, when he accepted a position as a
clinical psychologist Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well ...
at the Ontario Correctional Institute in Brampton, Ontario, Canada (a suburb of
Toronto Toronto ( , locally pronounced or ) is the List of the largest municipalities in Canada by population, most populous city in Canada. It is the capital city of the Provinces and territories of Canada, Canadian province of Ontario. With a p ...
). There, Blanchard met Kurt Freund, who became his mentor. Freund was conducting research in
chemical castration Chemical castration is castration via anaphrodisiac drugs, whether to reduce libido and sexual activity, management of cancer, to treat cancer, or otherwise. Unlike orchiectomy, surgical castration, where the gonads are removed through an incision ...
for sex offenders. In 1980, he joined the Clarke Institute of Psychiatry (now part of the Centre for Addiction and Mental Health). In 1995 Blanchard was named Head of Clinical Sexology Services in the Law and Mental Health Programme of the CAMH, where he served until 2010. He is an adjunct Professor of Psychiatry at the
University of Toronto The University of Toronto (UToronto or U of T) is a public university, public research university whose main campus is located on the grounds that surround Queen's Park (Toronto), Queen's Park in Toronto, Ontario, Canada. It was founded by ...
. He served on the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 39,200 members who are in ...
DSM-IV The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a com ...
Subcommittee on Gender Identity Disorders and was named to the DSM-5 committee. Blanchard was a member of the World Professional Association for Transgender Health (WPATH), then called the Harry Benjamin International Gender Dysphoria Association (HBIGDA). However, after criticism of the book, '' The Man Who Would Be Queen'', which relied heavily on Blanchard's typology, Blanchard left HBIGDA on November 4, 2003. In December 2003, the
Southern Poverty Law Center The Southern Poverty Law Center (SPLC) is an American 501(c)(3) nonprofit legal advocacy organization specializing in civil rights and public interest litigation. Based in Montgomery, Alabama, it is known for its legal cases against white ...
reported that Ray Blanchard and J. Michael Bailey were associated with Steve Sailer's Human Biodiversity Institute, a group of
far-right Far-right politics, often termed right-wing extremism, encompasses a range of ideologies that are marked by ultraconservatism, authoritarianism, ultranationalism, and nativism. This political spectrum situates itself on the far end of the ...
writers, academics, and others associated with
pseudoscientific Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method. Pseudoscience is often characterized by contradictory, exaggerated or unfalsifiable cl ...
race theories and
eugenics Eugenics is a set of largely discredited beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter the frequency of various human phenotypes by inhibiting the fer ...
. According to
Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of Academic publishing, scholarly literature across an array of publishing formats and disciplines. Released in Beta release, beta in November 2004, th ...
, Blanchard's works have been cited more than 14,000 times and he has an
h-index The ''h''-index is an author-level metric that measures both the productivity and citation impact of the publications, initially used for an individual scientist or scholar. The ''h''-index correlates with success indicators such as winning t ...
of 65.


Work


Fraternal birth order effect

Blanchard has conducted research on factors that influence the development of sexual orientation, including biological factors. He has proposed a theory known as a
fraternal birth order effect Fraternal birth order, also known as the older brother effect, has been correlated with male sexual orientation, with a significant volume of research finding that the more older brothers a male has from the same mother, the greater the probabilit ...
or older brother effect. This theory is that the more older brothers a man has, the greater the probability is that he will have a
homosexual Homosexuality is romantic attraction, sexual attraction, or sexual behavior between people of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" exc ...
sexual orientation Sexual orientation is an enduring personal pattern of romantic attraction or sexual attraction (or a combination of these) to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Patterns ar ...
. The number of older ''sisters'' has no effect, however. The same is not true for lesbians—neither the number of older brothers nor the number of older sisters appears to be related to the sexual orientation of women. The fraternal birth order effect has been described by one of its proponents as "the most consistent biodemographic correlate of sexual orientation in men", with each older brother increasing a man's odds of being gay by about 33%. Blanchard hypothesizes that the older brother effect is caused by interactions between a male fetus and the immune system of the mother: because certain proteins (called H-y antigens) are produced by male and not by female fetuses, the mother's immune system reacts only to male fetuses and is more likely to produce a reaction with each successive exposure to a male fetus.


Typology of transsexualism

Blanchard coined the term "autogynephilia" to describe
trans women A trans woman or transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity and may experience gender dysphoria (distress brought upon by the discrepancy between a person's gender identity and their ...
with an erotic desire "to be women," and hypothesized that all gender dysphoria experienced by this group is of two types: "homosexual" gender dysphoria and "non-homosexual" gender dysphoria. Blanchard defined the former as being present in transsexuals attracted to men, while he defined the latter as being present in transsexuals attracted to the idea of themselves as women. Within the
transgender A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were sex assignment, assigned at birth. The opposite of ''transgender'' is ''cisgender'', which describes perso ...
community, the idea has been criticized. Blanchard's findings and research have been rejected by the World Professional Association for Transgender Health (WPATH), the largest association of medical professionals who provide care for transgender people, as lacking empirical evidence. Blanchard supports
public funding A subsidy, subvention or government incentive is a type of government expenditure for individuals and households, as well as businesses with the aim of stabilizing the economy. It ensures that individuals and households are viable by having acce ...
of
sex reassignment surgery Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
as an appropriate treatment for transsexual people, as he believes the available evidence supports that the surgery helps them live more comfortably and happily, with high satisfaction rates. Blanchard defined autogynephilic as "a man's paraphilic tendency to be sexually aroused by the thought or image of himself as a woman". He researched this theory by conducting a test on a sample of 119 MtF transsexuals who submitted an anonymous questionnaire to test if they were autogynephilic or homosexual. Blanchard believed that not all transsexuals fit in the category of "homosexual" and that some were instead autogynephilic transsexuals. Survey participants felt that they were neither homosexual nor autogynephilic transsexuals and should not be classified in either group. A majority felt that the sexual attraction to become a woman weakened with age, but others reported that they had noticed a change after physical transition. Blanchard ultimately concluded that transsexuals were either sexually aroused by men, androphilic, or aroused by the thought of being a woman, nonandrophilic. The number of openly transgender women has rapidly increased over the past several decades. More and more individuals have undergone operations and
hormone therapy Hormone therapy or hormonal therapy is the use of hormones in medical treatment. Treatment with hormone antagonists may also be referred to as hormonal therapy or antihormone therapy. The most general classes of hormone therapy are hormonal therap ...
. They believe that their gender identity, defined as "one's inner sense of being male or female, masculine or feminine", did not match the body they were in. According to Blanchard, "Autogynephilic transsexuals were men who were also sexually attracted to women, but whose paraphilic sexual interest made them want to go farther and permanently change their bodies to become the objects of their attraction". According to Julia Serano, Blanchard's autogynephilia theory is commonly used by trans-exclusionary radical feminists, or " gender critical" feminists, to imply that trans women are sexually deviant men. According to the Southern Poverty Law Center, Blanchard's autogynephilia theory has been promoted by anti-LGBT hate groups.


''Teleiophilia''

Teleiophilia, which denotes sexual interest in adults, is not categorized as a paraphilia, in contrast to concepts like
pedophilia Pedophilia ( alternatively spelled paedophilia) is a psychiatric disorder in which an adult or older adolescent experiences a primary or exclusive sexual attraction to prepubescent children. Although girls typically begin the process of pube ...
, which involves sexual interest in prepubescent children. The term was formalized in order to forestall neologisms, such as "adultophilia" or "normophilia", that were occasionally used but had no precise definition. The term is used primarily by professional sexologists in the scientific literature.


DSM-5 appointment

Blanchard served on the gender dysphoria sub-working group for the DSM-IV. Blanchard served as chair of the paraphilia sub-working group for the
DSM-5 The ''Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition'' (DSM-5), is the 2013 update to the '' Diagnostic and Statistical Manual of Mental Disorders'', the taxonomic and diagnostic tool published by the American Psychiat ...
. Transgender activists protested the appointment for the DSM-5. The National LGBTQ Task Force issued a statement questioning the APA's decision to appoint Ray Blanchard and Kenneth Zucker to the DSM-5 working group for Gender and Sexual Identity Disorders, stating that, "Kenneth Zucker and Ray Blanchard are clearly out of step with the occurring shift in how doctors and other health professionals think about transgender people and gender variance."


DSM-5 paraphilias

In 2008, Blanchard was the lead author of an influential paper proposing the introduction of
hebephilia Hebephilia is the strong, persistent sexual interest by adults in pubescent children who are in early adolescence, typically ages 11–14 and showing Tanner stages 2 to 3 of physical development. It differs from pedophilia (the primary or exclusi ...
in the DSM-5. The paper, coauthored mostly with colleagues from CAMH and the University of Toronto, triggered a number of reactions, many of them critical on the basis that it pathologizes reproductively valid behavior in order to uphold current social and legal standards. Critics include Richard Green, DSM-IV editor
Michael First Michael B. First (born 1956) is an American psychiatrist who focuses on diagnostic criteria for mental disorders. He is Professor of Clinical Psychiatry at Columbia University. First was one of the editors of DSM-IV-TR, the Editor of Text and C ...
, forensic psychologist Karen Franklin, and Charles Allen Moser, while William O'Donohue argued that the proposal did not go far enough. Blanchard also wrote the literature review paper for the DSM-5 committee regarding pedophilia, in which he summarized and attempted to address the criticism over the
DSM-IV-TR The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a c ...
definition of pedophilia. The DSM-5 diagnosis initially proposed a new name ("pedohebophilic disorder") and the rationale for the change cited several of Blanchard's scientific publications. In the end, the ''pedohebephilic disorder'' proposal was rejected, but the name was changed from ''pedophilia'' to ''pedophilic disorder'', reflecting the DSM-5's general distinction between
paraphilia A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human ...
and paraphilic disorder. Blanchard noted that both Richard Green and William O'Donohue remarked that a so-called "contented pedophile"—an individual who fantasizes about having sex with a child, but does not commit
child sexual abuse Child sexual abuse (CSA), also called child molestation, is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include engaging in Human sexual activity, sexual activit ...
, but just masturbates fantasizing it, and who does not feel subjectively distressed afterward—does not meet the
DSM-IV-TR The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a c ...
criteria for pedophilia, because Criterion B is not met. Whereas Green proposed to solve the problem by removing pedophilia from the DSM, and O'Donohue proposed to remove criterion B for pedophilia, Blanchard proposed a general solution applicable to all paraphilias, namely a distinction between paraphilia and ''paraphilic disorder''. The latter term is proposed to identify the diagnosable condition, which meets both Criterion A and B, whereas an individual who does not meet Criterion B, can be ascertained, but ''not'' diagnosed, as having a paraphilia. (Blanchard acknowledges Kenneth Zucker and James Cantor for discussions about this distinction). Interviewed by
bioethics Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, me ...
professor Alice Dreger, Blanchard explained: "We tried to go as far as we could in depathologizing mild and harmless paraphilias, while recognizing that severe paraphilias that distress or impair people or cause them to do harm to others are validly regarded as disorders."


Views on transgender people

In a December 2017 article, Blanchard and J. Michael Bailey wrote an article for 4thWaveNow—a site that opposes
gender-affirming care Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions which affect transgender individuals.Gorton N, Grubb HM (2014). General, Sexual, and Reproductive health. In L. Erickson-Schroth. ...
for young transgender people—supporting the concept of " rapid-onset gender dysphoria" (ROGD). In an interview with ''
Vice A vice is a practice, behaviour, Habit (psychology), habit or item generally considered morally wrong in the associated society. In more minor usage, vice can refer to a fault, a negative character trait, a defect, an infirmity, or a bad or unhe ...
'', Blanchard expressed the view that trans people, "should be considered as whatever their biological sex is plus the fact that they are transsexuals." Blanchard rejected the idea that treating gender dysphoria as a mental disorder contributes to stigma against the trans community, adding: "I mean, how many people who make a joke about trannies consult the DSM first?" In November 2023, Blanchard stated on his official
Twitter Twitter, officially known as X since 2023, is an American microblogging and social networking service. It is one of the world's largest social media platforms and one of the most-visited websites. Users can share short text messages, image ...
account that in his view "it’s irrelevant whether a man can become a woman or vice versa. What’s relevant is whether individuals tormented by the desire to be the opposite sex are happier when they present that way, and whether or how much the majority of society is willing to accommodate this."


References


External links


Blanchard Faculty Webpage
at the University of Toronto
Blanchard Webpage
via Department of Psychiatry
Ray Blanchard profile
via American Psychiatric Association

– Written by Blanchard in February 2004
Ray Blanchard discusses gay brother studies
– YouTube video {{DEFAULTSORT:Blanchard, Ray 1945 births Living people American sexologists Writers on LGBTQ topics Transgender studies academics People from Hammonton, New Jersey University of Illinois Urbana-Champaign alumni University of Pennsylvania alumni 21st-century American psychologists Canadian psychologists Canadian sexologists 20th-century American psychologists