Wow, no shortage of opinions on this topic! I think Blanchard knows quite a bit and has keen insight to many crossdresser's weaknesses. Perhaps he is a bit cruel in his generalizations. We are still people. I find that any autogynephilia that affects me is, alas, related to the reality that, to be honest, no one else appreciates helen-I don't consider this pure narcissism as I really don't like myself or how I look, but in the fantasy state, I am OK.
I truly love women, but I sense that I will never be close physically to one who values Helen for who she is and I know that transgenderism and committed crossdressing (I still view it as transvestism) is so ingrained I can't change now at 62. Nor should I be expected to or required.
I confess envy for those who can 'lightswitch' from crossdressing to be a 'normal' male to maintain conjugal relationships. I can't do that any more.
