Dysphoria is distress, one half of "distress or impairment"
A psychiatrist or psychologist in 2013 could very easily say- this person is experiencing impairment because of their cross-dressing behavior, a symptom of their GID. This is a perfectly valid way of interpreting the DSM-IV criteria.
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I think I may have missed something, to not sure what. Don't know what point you're making here, and I think it's because I'm reading posts out of order or something, rather than being your fault.
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