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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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New York

Gay man shot to death on NYC subway train

Police say shooting was random and unprovoked

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Daniel Enriquez (Photo courtesy of the NYPD)

A gay man became the latest victim of a New York City subway shooting on Sunday when police say a male suspect shot Daniel Enriquez, 48, in the chest in an unprovoked random act inside a subway car traveling from Brooklyn to Manhattan.

Police on Tuesday arrested Andrew Abdullah, 25, who they identified as the sole suspect in the shooting, after attorneys representing him from the Legal Aid Society attempted to arrange for his surrender, according to a report by NBC 4 News in New York.

Police said the shooting occurred around 11:42 a.m. while the train was traveling over the Manhattan Bridge. The then unidentified suspect walked off the train and disappeared into a crowd of people when the train stopped at the Canal Street station minutes after Enriquez lay dying on the floor on the train car, police said.

Possibly based on the viewing of images from video surveillance cameras, police sources told the New York Times that investigators identified the suspect as Abdullah whose last known residence was in Manhattan, as a suspect in the fatal shooting. NYPD officials released two photos of Abdullah and appealed to the public for help in finding him.

Adam Pollack, Enriquez’s partner of 18 years, told both the Times and the New York Post that Enriquez took the subway to meet his brother for brunch. According to Pollack, Enriquez previously had taken Ubers into Manhattan, where he worked and socialized, from the couple’s home in the Park Slope section of Brooklyn. But in recent weeks the cost of taking an Uber rose dramatically to more than $80 for the round-trip fare, prompting Enriquez to begin taking the subway, Pollack told the Times and Post.

“I don’t love the subway,” the Post quoted Pollack as saying. “I know how dangerous New York is. It took me two years to get back on the subway. I don’t feel safe on the subway,” he said.

The fatal shooting of Enriquez took place six weeks after another gunman identified as Frank R. James began shooting inside a crowded rush-hour subway car in Brooklyn, injuring at least 23 people.

Pollack told the Times his partner was a native New Yorker who worked as a researcher for the Goldman Sachs investment bank in Manhattan. Enriquez was the eldest of five children and a beloved uncle known for taking his nieces and nephews for ice cream in local parks and out to amusement parks when he visited them, Pollack told the Times.

When asked by the Washington Blade if any evidence has surfaced to indicate suspect Abdullah targeted Enriquez because he thought Enriquez was gay, a police public information officer said the investigation into the incident was continuing.

“There’s nothing on that now,” the officer said. “Everything, the motive, and all of that stuff, is part of the investigation and that is still ongoing. So, there’s no comment on that yet.”

The Times reports that court records show Abdullah, who is now in police custody, was charged along with others in 2017 in an 83-count indictment for alleged gang related activity. The following year he pleaded guilty to criminal possession of weapons and other charges in 2018 and was sentenced the following year to a prison term and released on parole several months later.

According to the Times, he faced new gun charges in 2020, was charged in 2021 with assault and endangering a child, and in April of this year was charged with possession of stolen property and unauthorized use of a vehicle.

“We are devastated by this senseless tragedy and our deepest sympathies are with Dan’s family at this difficult time,” Goldman Sachs CEO David Solomon said in a statement.

Andrew Abdullah (Photo courtesy of the NYPD)
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U.S. Federal Courts

Federal judge blocks White House from ending Title 42

Advocacy groups say policy further endangered LGBTQ asylum seekers

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The Mexico-U.S. border in Mexicali, Mexico, on July 22, 2018. A federal judge in Louisiana has blocked the Biden administration from terminating Title 42, a Centers for Disease Control and Prevention policy that closed the Southern border to most asylum seekers and migrants because of the pandemic. The previous White House's policy was to have ended on May 23, 2022. (Washington Blade photo by Michael K. Lavers)

A Centers for Disease Control and Prevention rule that closed the Southern border to most asylum seekers and migrants because of the pandemic was to have ended Monday, but it remains in place after a federal judge blocked the Biden administration’s plans to end it.

The White House last month announced it would terminate Title 42, a policy the previous administration implemented in March 2020.

U.S. District Judge Robert Summerhays in Louisiana on May 20 issued a ruling that prevented the Biden administration from terminating the Trump-era policy. White House Press Secretary Karine Jean-Pierre in a statement announced the Justice Department will appeal the decision, while adding the administration “will continue to enforce the CDC’s 2020 Title 42 public health authority pending the appeal.”

“This means that migrants who attempt to enter the United States unlawfully will be subject to expulsion under Title 42, as well as immigration consequences such as removal under Title 8 (of the U.S. Code),” said Jean-Pierre.

Advocacy groups and members of Congress with whom the Washington Blade has spoken since Title 42 took effect say it continues to place LGBTQ asylum seekers and other vulnerable groups who seek refuge in the U.S. at even more risk.

Oluchi Omeoga, co-director of the Black LGBTQIA+ Migrant Project, last month described Title 42 as a “racist and harmful policy.” ORAM (Organization of Refuge, Asylum and Migration) Executive Director Steve Roth said Title 42 “put asylum seekers in harm’s way in border towns and prevented them from seeking safety in the United States.”

Title 42 was to have ended less than a month after five members of Congress from California visited two LGBTQ shelters for asylum seekers in the Mexican border city of Tijuana.

The Council for Global Equality, which organized the trip, in a tweet after Summerhays issued his ruling described Title 42 as a “catastrophe.”

“The Biden administration cannot breathe a sign of relief until it’s a matter of the past,” said the Council for Global Equality on Saturday. “We remain committed to end Title 42.”

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U.S. Military/Pentagon

U.S. Army considers allowing LGBTQ troops to transfer from hostile states

Proposed guidance remains in draft form

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Top Army G-1 officer & enlisted advisor speaking with Joint Base Lewis-McChord single and dual military parents (Photo Credit: U.S. Army)

A draft policy is circulating among top officials of the U.S. Army that would allow soldiers to be able to request a transfer if they feel state or local laws discriminate against them based on gender, sex, religion, race or pregnancy.

Steve Beynon writing for Military.com reported last week the guidance, which would update a vague service policy to add specific language on discrimination, is far from final and would need approval from Army Secretary Christine Wormuth. But if enacted, it could be one of the most progressive policies for the Army amid a growing wave of local anti-LGBTQ and restrictive contraception laws in conservative-leaning states, where the Army has a majority of its bases and major commands.

“Some states are becoming untenable to live in; there’s a rise in hate crimes and rise in LGBT discrimination,” Lindsay Church, executive director of Minority Veterans of America, an advocacy group, told Military.com. “In order to serve this country, people need to be able to do their job and know their families are safe. All of these states get billions for bases but barely tolerate a lot of the service members.”

This policy tweak to the existing Army regulations pertaining to compassionate reassignment would clarify the current standard rules, which are oft times fairly vague.

A source in the Army told Beynon the new guidance has not yet been fully worked out through the policy planning process or briefed to senior leaders including the Army secretary or the office of Defense Secretary Lloyd Austin.

“The Army does not comment on leaked, draft documents,” Angel Tomko, a service spokesperson, told Military.com in an emailed statement. “AR 600-100 and 600-200 establish the criteria for which soldiers may request for a compassionate reassignment. The chain of command is responsible for ensuring soldiers and families’ needs are supported and maintain a high quality of life.”

A base member wears rainbow socks during Pride Month Five Kilometer Pride Run at Joint Base Andrews, Md., June 28, 2017.
(U.S. Air Force photo by Airman 1st Class Valentina Lopez)

The Crystal City-based RAND Corporation had published a study on sexual orientation, gender identity and health among active duty servicemembers in 2015 that listed approximate six percent of LGBTQ troops are gay or bisexual and one percent are trans or nonbinary.

A senior analyst for RAND told the Washington Blade on background those numbers are likely much lower than in actuality as 2015 was less than four years after the repeal of ‘Don’t Ask, Don’t Tell’ and prior to when the Trump administration enacted the trans servicemember ban in 2017, which has had a chilling effect on open service.

The Biden administration repealed the Trump ban.

Another factor is that the current 18-24 year old troops colloquially referred to as “Gen Z” are much more inclined to embrace an LGBTQ identity and that would cause the numbers to be higher than reported.

Also factored in is uncertainty in the tweaking of policy in light of the recent leak of the draft U.S. Supreme Court decision that would effectively repeal Roe v. Wade.

According to Military.com it’s unclear whether the Army’s inclusion of pregnancy on the list would protect reproductive care for soldiers if Roe v. Wade is overturned. That language could be intended to protect pregnant service members or their families from employment or other discrimination, but could also be a means for some to argue for transfers based on broader reproductive rights.

One advocacy group pointed out that the current wave of anti-LGBTQ legislation will negatively impact the moral of service members:

“What we’re seeing across the board is a small group of elected officials who are trying to politicize and weaponize LGBTQ identities in despicable ways. They’re not only doing that to our youth, but the collateral damage is hurting our service members,” Jacob Thomas, communications director for Common Defense, a progressive advocacy organization, told Military.com. “[Troops] can’t be forced to live in places where they aren’t seen as fully human.”

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