A male with transvestite masturbation appeared to have suffered early body image impairment which then became fused with genital and castration anxiety during the phallic phase. This in turn resulted in pervasive body-phallus identifications along with total body-disintegration anxiety. The transvestism was a defense against castration anxiety and derived from early efforts of his mother to dress and treat him as a 'sissy' and from his sister using him in sex play.