The author reviews past efforts to theorize about the nature, cause, and classification of transvestitism, especially its relation to the perversions in general, to homosexuality, fetishism, scopophilia, and addiction. Transvestitism also raises interesting questions about sexual identification, the defensive structure, and reality testing. Francesconi's patient had been abandoned by both parents early in life, during the symbiotic phase. He was reared by rather indifferent, perhaps cold and distant grandparents. The transvestitism served the function of restitution for the separation trauma of the symbiotic phase with an attempt to control mother by this means, as well as to bind his intense aggression toward her.