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APA modifies Gender Identity Disorder diagnosis

Replaces ‘Gender Identity Disorder’ with ‘Gender Dysphoria’

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Dana Beyer, Maryland
Dana Beyer, Maryland, gay news, Washington Blade

Dana Beyer (Washington Blade photo by Michael Key)

Advocates welcomed the American Psychiatric Association’s decision on Saturday to remove Gender Identity Disorder from its list of mental disorders.

The APA specifically removed GID from the Diagnostic and Statistical Manuel (DSM) of Mental Disorders and replaced it with Gender Dysphoria.

The organization, which represents more than 36,000 psychiatrists from around the world, has revised the DSM five times since it was founded in 1844. The latest revision process began 15 years ago.

Transgender activist Dana Beyer, who worked on the task force that wrote the new language the APA adopted with the Washington Psychiatric Society, said the removal of GID from the DSM is comparable to the organization’s declassification of homosexuality as a mental illness in 1973.

“What we did in that workgroup and what other activists have been pushing for is reconceptionalizing the state of being trans from a mental illness,” she told the Washington Blade. Beyer added this change will have implications for children who see a therapist for GID to trans activists fighting against what she described as “fundamental opposition” in state legislatures. “We are no longer mentally ill and that has huge implications just as it did for homosexuality in 1973. It’s absolutely game-changing.”

Michael Silverman, executive director of the New York-based Transgender Legal Defense and Education Fund, said opponents of trans rights often used the term “disorder” as a “weapon to deny transgender individuals equal rights and equal treatment.” Doctor Jillian Weiss of Ramapo University in New Jersey agreed as she described the DSM revisions as a “step in the right direction.”

Psychiatrists and other medical providers had begun to commonly diagnose trans patients with GID by the early 1990s — the APA added it to the DSM when it revised it for the third time in 1987. The diagnoses, however, remain controversial among some trans advocates.

Kelley Winters of the group GID Reform Advocates told the Blade the change in title from Gender Identity Disorder to Gender Dysphoria signifies the “problem to be treated is not the person’s identity,” but rather “the distress that is often experienced by those who need access to medical transition care.” She further noted the new terminology remains within what she described as a “manual of disorder.”

She also criticized the APA for not removing the “Transvestic Disorder” category she asserts remains defamatory to cross-dressers and transsexuals in a post on the Bilerico Project on Wednesday.

Winters welcomed, however, the move to change GID to Gender Dysphoria in the DSM.

“This change in title is significant because it actually signals a change of attitude within the APA that our gender identities are no longer considered the focus of pathology,” she told the Blade. “That change is not insignificant. It carries a message. Despite this forward progress, the sad fact remains that trans and especially transsexual folks needing hormonal or surgical transition care are still classified as mentally disordered.”

Advocates remain hopeful the proposed revisions will allow trans people to have increased access to quality health care.

“It is imperative that transgender people who experience dysphoria have access to medical care to treat it. Unfortunately, that has rarely been the case,” Silverman said. “As the American Medical Association has stated, the denial of medical care for patients with Gender Dysphoria is discriminatory and must be stopped.”

Weiss agreed.

“The term ‘disorder’ gave the impression that people with this condition had an illness that made them dangerous or incompetent,” she said. “Of course, there is much to say about this, and whether the change will impact medical and social practices remains to be seen.”

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7 Comments

7 Comments

  1. Danielle O'Hallisey

    December 6, 2012 at 2:53 am

    Same thing, different word. Nice try though…

  2. Thomas Nowacki

    December 7, 2012 at 4:54 pm

    But we are still listed under another name. A rose is a rose you can change the name but it is still a rose.

  3. willowanne liddle

    December 24, 2012 at 12:07 am

    Being catagorized as a dysphoric is wrong..We have a need to be who we are in our minds and soul..Our transistion is our journey to that end..Most MD’s do not know a thing about being Transgender and seeing a therapist is also a waste of our time, unless your a very young person seeking answers..Most Transexuals know who they are and what to do about it, so lets cut to the chase and make those services available at reasonable costs..

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National

Activists demand ICE release transgender, HIV-positive detainees

Protest took place outside agency’s D.C. headquarters on Wednesday

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Jessycka Ckatallea Letona, an indigenous transgender woman from Guatemala who spent nearly two years in U.S. Immigration and Customs Enforcement custody, participated in a protest in front of ICE's headquarters in Southwest D.C. on Oct. 27, 2021. (Washington Blade photo by Michael K. Lavers)

Jessycka Ckatallea Letona is an indigenous transgender woman from Guatemala who fled persecution in her homeland because of her gender identity.

She asked for asylum in the U.S. in 2016 when she entered the country in Eagle Pass, Texas.

Ckatallea on Wednesday told the Washington Blade that U.S. Immigration and Customs Enforcement officials placed her in a pod with 70 men at a privately-run detention center in Florence, Ariz. She also said personnel at another ICE detention center in Santa Ana, Calif., ridiculed her because of her gender identity and forced her to strip naked before she attended hearings in her asylum case.

Ckatallea spent a year and eight months in ICE custody before her release. She won her asylum case and now lives in the San Francisco Bay Area.

“It was a very traumatic experience,” said Ckatallea as she spoke with the Blade in front of ICE’s headquarters in Southwest D.C. “I came to a country thinking that it would take care of me, that it would protect me because of my gender identity.”

Ckatallea is one of the more than a dozen immigrant rights activists who participated in a protest in front of ICE’s headquarters that Familia: Trans Queer Liberation Movement, Immigration Equality and the End Trans Detention campaign organized. Ckatallea, Immigration Equality Executive Director Aaron Morris and other protest participants demanded ICE immediately release trans people and people with HIV/AIDS from their custody.

The groups placed on the sidewalk in front of the building a Day of the Dead “ofrenda” to honor three trans women—Victoria Orellano, Roxsana Hernández and Johana “Joa” Medina León—who died in ICE custody or immediately after their release. The “ofrenda” also paid tribute to Pablo Sánchez Gotopo, a Venezuelan man with AIDS who died in ICE custody on Oct. 1.

Immigrant rights activists on Oct. 27, 2021, placed a Day of the Dead “ofrenda” outside U.S. Immigration and Customs Enforcement headquarters in Southwest D.C. that honored three transgender women and a man with AIDS who died while in ICE custody or immediately upon their release. (Washington Blade photo by Michael K. Lavers)

Ckatallea, Morris and the other protesters approached the building’s entrance and presented security personnel with a petition that calls upon President Biden and Homeland Security Secretary Alejandro Mayorkas to “immediately release all transgender people, people living with HIV, and people with medical conditions from ICE custody.”

ICE has repeatedly defended its treatment of trans people and people with HIV/AIDS who are in their custody.

The Blade in July 2020 interviewed a person with HIV who was in ICE custody at the Adams County Detention Center, the same privately-run facility in which Gotopo was held until his hospitalization. The person with whom the Blade spoke described conditions inside the detention center as “not safe” because personnel were not doing enough to protect them and other detainees from COVID-19.

Congressman Mike Quigley (D-Ill.) is among the dozens of lawmakers who have called for the release of all trans people and people with HIV/AIDS from ICE custody. The Illinois Democrat on Tuesday reiterated this call during a virtual briefing that Familia: Trans Queer Liberation Movement, Immigration Equality and the End Trans Detention Campaign organized.

“ICE’s clear inability to do better leads me to seek to end of ICE’s detention of all trans migrants,” said Quigley. “During both the Trump and Biden administration I led dozens of my colleagues to demand that ICE release transgender detainees and end its practice of holding trans migrants in custody. We had hoped that things would change with the new administration, so far I’m disappointed.”

Congresswoman Pramila Jayapal (D-Wash.) also participated in the briefing alongside Immigration Equality Legal Director Bridget Crawford and Sharita Gruberg of the Center for American Progress and others.

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Texas

Texas GOP Governor Greg Abbott signs anti-Trans youth sports bill

“Despite the powerful testimony of trans kids & adults- the emails to the Governor to veto this harmful piece of legislation it is now law”

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Texas Republican Governor Greg Abbott (Blade file screenshot)

AUSTIN – Texas Republican Gov. Greg Abbott signed into law Monday H.B. 25, an anti-Transgender youth sports bill banning Trans K-12 student-athletes from playing on sports teams consistent with their gender identity. 

H.B. 25 is the 9th statewide bill signed into law this year banning transgender youth from participating in school sports and the 10th in the country. This bill also comes during a year when Texas lawmakers have proposed nearly 70 anti-LGBTQ bills, including more than 40 bills that specifically target transgender and nonbinary youth — far more than any other state.

“We are devastated at the passage of this bill. Despite the powerful testimony of trans kids and adults, families and advocates, and the many emails and calls our community placed to the Governor’s office to veto this harmful piece of legislation it is now law,” Ricardo Martinez, CEO of Equality Texas, said.

“Most immediately, our focus is our community and integrating concepts of healing justice to provide advocates who have already been harmed by this bill with spaces to refill their cup and unpack the acute trauma caused by these legislative sessions. Our organizations will also begin to shift focus to electing pro-equality lawmakers who understand our issues and prioritize representing the vast majority of Texans who firmly believe that discrimination against trans and LGB+ people is wrong,” he added.

Earlier this month, the Texas state government was criticized for removing web pages with resources for LGBTQ youth, including information about The Trevor Project’s crisis services. The Trevor Project the world’s largest suicide prevention and crisis intervention organization for LGBTQ+ young people.

“Transgender and nonbinary youth are already at higher risk for poor mental health and suicide because of bullying, discrimination, and rejection. This misguided legislation will only make matters worse,” Amit Paley, CEO and Executive Director of The Trevor Project said in a statement released Monday afternoon.

To every trans Texan who may be feeling hurt and attacked by this legislation and months of ugly political debate — please know that you are valid, and you are deserving of equal opportunity, dignity and respect. The Trevor Project is here for you 24/7 if you ever need support, and we will continue fighting alongside a broad coalition of advocates to challenge this law,” Paley said.

********************

Additional resources:

Research consistently demonstrates that transgender and nonbinary youth face unique mental health challenges and an elevated risk for bullying and suicide risk compared to their peers.  

  • The Trevor Project’s 2021 National Survey on LGBTQ Youth Mental Health found that more than half (52%) of transgender and nonbinary youth seriously considered suicide in the past year, and 1 in 5 attempted suicide. 94% of LGBTQ youth reported that recent politics negatively impacted their mental health. 
  • A newly published research brief on “Bullying and Suicide Risk among LGBTQ Youth,” found that 61% of transgender and nonbinary (TGNB) students reported being bullied either in-person or electronically in the past year, compared to 45% of cisgender LGBQ students. TGNB students who were bullied in the past year reported more than twice the rate of attempting suicide in the past year compared to those who were not. And TGNB students who said their school was LGBTQ-affirming reported significantly lower rates of being bullied (55%) compared to those in schools that weren’t LGBTQ-affirming (65%).
  • A 2020 peer-reviewed study found that transgender and nonbinary youth who report experiencing discrimination based on their gender identity had more than double the odds of attempting suicide in the past year compared to those who did not experience discrimination based on their gender identity.
  • Trevor’s research has also found that a majority of LGBTQ young people (68%) had never participated in sports for a school or community league or club — with many citing fear of bullying and discrimination as a key factor for not participating.

If you or someone you know needs help or support, The Trevor Project’s trained crisis counselors are available 24/7 at 1-866-488-7386, via chat at TheTrevorProject.org/Help, or by texting START to 678678.

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National

Ohio high school cancels play with Gay character after Pastor complains

The School’s fall production of “She Kills Monsters” was scheduled to open in less than one month until the play was canceled

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Hillsboro High School (Screenshot via Cincinnati ABC affiliate WCPO-TV)

HILLSBORO, Oh. — A Southwest Ohio high school’s play was abruptly canceled after Jeff Lyle, a local pastor from Good News Gathering, complained of a gay character. 

Hillsboro High School’s fall production of “She Kills Monsters” was scheduled to open in less than one month, until students learned the play would be canceled last week, reports Cincinnati’s ABC affiliate WCPO

The story follows a high school senior as she learns about her late sister’s life. It is implied throughout the play that her sister is gay, according to the news station.

The play’s cancellation comes a week after Lyle, a long-time voice of the anti-LGBTQ+ religious-right in Ohio, and a group of parents confronted the production’s directors at a meeting, according to Cincinnati CBS affiliate Local 12. Lyle denies pressuring school officials, but tells WCPO he supports the decision.

“From a Biblical worldview this play is inappropriate for a number of reasons, e.g. sexual innuendo, implied sexual activity between unmarried persons, repeated use of foul language including taking the Lord’s name in vain,” Lyle said. 

Some families say they believe Lyle did influence the school’s decision. 

“I think that’s wrong,” Jon Polstra, a father of one of the actors, told WCPO. “All they would have had to do if they objected to something in the play was not go to the play.”

In a statement to Local 12, Hillsboro City Schools Superintendent Tim Davis said the play was canceled because it “was not appropriate for our K-12 audience.”

The Lexington Herald Leader reports that the school planned to perform a version intended for audiences as young as 11 years old. 

Students were “devastated” and “blindsided” by the news, according to WCPO. 

“It felt like we had just been told, ‘Screw off and your lives don’t matter,'” Christopher Cronan, a Hillsboro High student, said. “I am openly bisexual in that school and I have faced a lot of homophobia there, but I never expected them to cancel a play for a fictional character.”

Cronan’s father, Ryan, also voiced his frustration. 

“They want to say the town is just not ready, but how are you not ready? It’s 2021,” Ryan Cronan said.

Students have started a GoFundMe in hopes of putting on the production at a community theater in 2022.

“If we do raise enough money, I am going to be genuinely happy for a very long time, because that means people do care,” Cronan told WCPO.

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