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In 2010, at the insistence of the transgender community, the World Professional Association for Transgender Heath released the following statement regarding proposed changes to the American Psychiatric Association's infamous bible of "mental disorders", DSM-V.

The WPATH Board of Directors strongly urges the de-psychopathologisation of gender variance worldwide. The expression of gender characteristics, including identities, that are not stereotypically associated with one’s assigned sex at birth is a common and culturally-diverse human phenomenon which should not be judged as inherently pathological or negative. The psychopathologlisation of gender characteristics and identities reinforces or can prompt stigma, making prejudice and discrimination more likely, rendering transgender and transsexual people more vulnerable to social and legal marginalisation and exclusion, and increasing risks to mental and physical well-being. WPATH urges governmental and medical professional organizations to review their policies and practices to eliminate stigma toward gender-variant people.

WPATH did not have the courage to point to the shameful records of certain members of the relevant committees on DSM-V, but they are well aware of the outrage in the transgender community over selection of Drs. Kenneth Zucker and Raymond Blanchard as chairmen. These are men whom the TG community regards as reparatist reactionaries, who practice "therapies" that force trans children to accept their socially assigned gender roles. They also have a long history of pathologizing adult transgender people and subjecting both them and children to humilating and pseudoscientific procedures such as penile plethysmography -- which has been banned as evidence in US courts but is still used on sex offenders.

This is the sort of "treatment" these quacks provide to the trans community, who are frequently "captives" of their clinics in order to get needed medical services, or are children involuntarily subjected to their brutality.

Their selection by the APA is an affront to the entire LGBT community, and reveals the low intellectual and ethical standards prevailing at the APA.

Here are a few starting points for more information.

Ray Blanchard

Michael Bailey

Blanchard-Bailey-Laurence Clearinghouse

J. Michael Bailey Investigation

Paul McHugh

The webpage Zucker attempted to suppress

Zucker's role in the pathologization of gender variance (Scroll down to see article.)

The GID reform movement

Petition to remove crossdressing from the DSM

One World, One Pain.

by CA TreeHugger on Thu Apr 28, 2011 at 10:34:57 AM PDT

[ Parent | Reply to This ]

Originally posted to TransAction on Thu Apr 28, 2011 at 12:11 PM PDT.

Also republished by Mental Health Awareness.

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Comment Preferences

  •  Question in Oregon I have to get (4+ / 0-)

    a WPATH therapist to give me a letter for the proper gender on my state issue ID.

    How do I find a DMV approved therapist?

    I've already shelled out the $175.00 to go to court to do the name change.

    My out of state ID did not have such a difficult bunch of hoops for me to get a valid ID that would be accepted as mine.

    Education is a progressive discovery of our own ignorance.

    by Horace Boothroyd III on Thu Apr 28, 2011 at 12:17:43 PM PDT

  •  Thanks for doing this CA TreeHugger (7+ / 0-)

    It's time we treat all of our citizens with respect and equality.

    The means is the ends in the process of becoming. - Mahatma Gandhi

    by HoundDog on Thu Apr 28, 2011 at 12:26:37 PM PDT

  •  The APA pathologizes what's unpopular. And (11+ / 0-)

    the more things that are "pathological", the arger your pool of potential patients.  And, since the APA edits the DSM, what's out-of-fashion is listed, more than what's actually a problem.

    By 1980, not only had masturbation, oral sex, and ego-syntonic homosexuality disappeared from the Diagnostic and Statistical Manual:  at the same time, therapists discovered a whole new collection of sex pathologies, including premature ejaculation, failure to achieve orgasm, fear of sex, and low levels of sexual desire. Whereas in 1952 Americans were considered sick for wanting too much sex, by 1980 we were sick for wanting too little.  Once again, the specific nature of our behavior had not changed:  people who wanted to fuck a lot still wanted to fuck a lot, people who were bored by sex remained bored by sex.  What had changed was the sexual script – the human judgment – favored by the people who dominated social thinking in those years.

    “I’ve come to the conclusion that people who say they never have had a second thought most probably have never had a first!”‘

    by BobSmith415 on Thu Apr 28, 2011 at 12:33:37 PM PDT

    •  Yes exactly (5+ / 0-)

      But this time we can drag them naked and screaming through the Intertoobs while they try to get away with it.

      Let a generation come up who automatically think, whenever they hear of psychiatry, of little trangirls being forced by bearded old men to put their willies into a "fruit machine".

      •  Well, said Bob, and excellent plan CA Treehugger (5+ / 0-)

        Real science tells us for any charactoristic based on a mixture of nurture and natures, i.e. the environment, and biology, including genetics, we should expect a probabalistic distribution called a Bell Curve.

        If you have not read the book Brain Sex, you will enjoy it.  

        In response to what they considered to be oversimplistic reductions of sexual behavior to two few dimensions, like male, female, gay, straight, by previous scientitists, and other psychologists, they proposed that any taxonomy with less than five or six dimensions could be rejected on a primae facia basis.

        Even, the usual split of Genotype in XX, and XY, leaves out a half dozen or so other variations, like Klinefelters, XYY, XXY, XXXY, and damaged framents, and partial pairs.

        And, the Phenotype of babies with penises or vagina, comes in a wide variety of intersex contindition, some of which used to be called hermaphrodism.

        Sexual Orientation, has people attracted to men, woman, both, and neither.  As well, as some other combinations.   Depending on how the other identifies gay, or straight, are no longer used on surveys.    Because, a physioloical male, who identifies as a woman, and is attracted to woman, might say she is a lesbian, while the therapist insist he is a heterosexual attracted to woman.   Like wise, a MtF TG who hasn't hat surgery, might say she is a hetereosexual because she is attracted "men", or male like lesbians.

        Sexual Identify can be a real basket of surprises, as you have people born male of female, identifying as male, female, both, neither, gederqueer, androgenous, and others, as well as some who are attracted to non-human species, or alien fantasy charactors.  

        Sexual affectation teases out a way to "label" males, with masculine identification, but has feminine affectation, of voice, and gesture.  Or, gay males some of which are super macho in affect, and others feminine, even though they might like to be "tops" sexually.

        Sexual Expression, will tease out people who who like to penetrate others, or be penetrated despite whatever the rest of of might expect on the previous catogories, as well as help of apply helpful stereotypical labels to those will depart from their preferred sexual expression based on their situation, like prisioners, or liberals at a Republican convention.

        When thinking about these dimension, one always need to include an "other" category, because you will eventually meet someone who if offended your own prejudicial need for conceptual oversimplification, and "categories" are forcing them, into a category, that they think is either wrong, or none of you buseness.

        I can't remember what the sixth was.  

        It the transgendered community of Boston almost of decade of opposition from some in the Gay, Lesbian, Bisexual communities to the wonderful Fenway Community Health Center to highight it was for the GLBT communities not just the first three.

        But, this doesn't include Intersex folks who, in my experience, don't want attention from the rest of us.

        But, some do, and we have genderqueer folks who think all these categories are expressions of a different deeper pathology.  

        But, sometimes these might be TGs who would love to make it "to the other side" but, can't due to a wildy unconventional body size and type.  Like super macho football players, with big bones who secretly want to be MtF transexuals, but can't pass, and me even feel they look ridiculous trying.

        Some TSs really cheese of other TGs by considering them to by either confused Cross Dresser, paraphilic tranvetitism, or slacker failed, TSs, who gave up for lack of determination.

        I often thought some of my genderqueer, friends are really secret TGs, but don't want to voluntarily put themselves at the bottom of a totem pole.

        And, androgengy is not uncommon.  

        Last time I went to a big convention with some of my TG friends, we met someone claiming to be of the "GenderMindFuck" community.  During the summer this genetic male dressers in a hyper sexualized feminine drag, but, does not shave his beard.  He like to satnd on the corner in ProvinceTown, one of our east-coast gender oasis's diliberately freaking out the tourists, and others in the TG communities.

        He, she, it, is campaigning to get everyone to realize that our compulsive need to place people into overslimplified steretypical categories, is a sign of low IQ, and an inability to deal with everyone as the unique individuals they are.

        Whatever......

        Sorry to go on so long, I was just basically saying keep up the good work, but also, that there is a lot more work, and need for education, here than we probably realize.  

        The means is the ends in the process of becoming. - Mahatma Gandhi

        by HoundDog on Thu Apr 28, 2011 at 02:45:24 PM PDT

        [ Parent ]

        •  I would like to recommend Joan Roughgarden's (4+ / 0-)
          Recommended by:
          HoundDog, annieli, kyril, bluesheep

          excellent book Evolution's Rainbow: Diversity, Gender, and Sexuality in Nature and People

          Joah Roughgarden is a world-famous Stanford evolutionary biologist. Back before I (and before she) transitioned, she wrote my favorite book on mathematical population biology. I was astounded to learn, when I was transitioning, that she had had the same gender therapist I was seeing (Dr. Mildred Brown)

        •  I agree with you on many, if not most of your (0+ / 0-)

          points, with some minor quibbles:

          Real science tells us for any charactoristic based on a mixture of nurture and natures, i.e. the environment, and biology, including genetics, we should expect a probabalistic (sic) distribution called a Bell Curve.
          In my limited experience, there is a large grey area between male and female, that is not highly populated. Sexual attraction is more of a bell shaped curve, until you start adding fetishists, for whom their fetish has more importance than a partner's gender.  
          But, some do, and we have genderqueer folks who think all these categories are expressions of a different deeper pathology.
          Did you really want to use the word "pathology"?
          But, sometimes these might be TGs who would love to make it "to the other side" but, can't due to a wildy unconventional body size and type.  Like super macho football players, with big bones who secretly want to be MtF transexuals, but can't pass, and me even feel they look ridiculous trying. [snip]* Last time I went to a big convention with some of my TG friends, we met someone claiming to be of the "GenderMindFuck" community.
          It seems to me that the existence/emergence of the GMF community pretty much answers your "looks ridiculous", if they can find enough of themselves and make a movement. What was it Arlo Guthrie said? "One person is a radical. Two people are a conspiracy. three people, and you're a Movement..." (How long can comments be in DK4? See my answer to myself below.

          *In retrospect, perhaps [snip] was not the best word to use, considering the subject matter...no offense intended...

          “I’ve come to the conclusion that people who say they never have had a second thought most probably have never had a first!”‘

          by BobSmith415 on Thu Apr 28, 2011 at 04:43:58 PM PDT

          [ Parent ]

          •  I think the "grey area" is socially pruned (1+ / 0-)
            Recommended by:
            BobSmith415

            In effect, the biomodal distribution is shaped deliberately by gender policing.

            Guys like Ken Zucker are the "professional" gender cops, but they encourage and enable literally millions of homophobes. The harm they do to society is magnified enormously and deliberately by institutions such as the APA, which gives them recognition and approval.

            •  I agree about the APA, but IMHO, they're (2+ / 0-)
              Recommended by:
              CA TreeHugger, AaronInSanDiego

              losing. Not fast enough for us, perhaps, but in ways that will be permanent. Just to pick one example, look at pop-culture.

              RuPaul has a syndicated show, Lady Gaga is on our side, and please don't make me bring up "Glee" which is actually on the Fox network. (Yes, the Fox network is broadcasting a show that includes gay teenagers. I grew up in the "All in the Family", "Maude", age which led us to "The Mary Tyler Moore Show", and M..A.S.H."

              I don't know how old you are CA TreeHugger, but when I was a kid, unmarried women who had sex were inevitably punished by the third reel. Homosexuals were closeted and persecuted and miserable. I've lived through Doonesbury's "Joanie" having a crush on the gay "Andy" and having premarital sex with "Rick". This is on the cartoon page.

              What's more important than what I've lived through is what the kids of today are living through. Transgender kids are now being prescribed drugs that will postpone puberty. A 16 year old MtF, Kim Petras has started a musical career.  She started transitioning at twelve.

              Your "professional" gender" cops are losing, and they know it. And more importantly, we know it.

              “I’ve come to the conclusion that people who say they never have had a second thought most probably have never had a first!”‘

              by BobSmith415 on Thu Apr 28, 2011 at 05:47:55 PM PDT

              [ Parent ]

              •  Yes, they are losing (1+ / 0-)
                Recommended by:
                kyril

                But possibly not fast enough to make a difference for DSM-V.

                If Zucker and Blanchard "win" that, I want to be as Pyrrhic  a victory as possible for them personally, for the APA and for the entire theraputic profession. I want all these people as "sensitized" to transphobia and homophobia as would be to racism. Zero tolerance. No professional acceptance whatsover. People like Zucker and Blanchard should have been kicked out of the profession more than a decade ago.

                If they "win", they lose -- big time.

                But do they really care? They are already into torture up their asses. I think that, if the right wins, the APA people will work in prison camps as torturers -- just like the Nazi psychiatrists. There is no moral capacity in most of them, and they will go for it, if there's money for and their peers are doing it and they are afraid of the powers that be.  The entire profession has had this in them from the beginning, and they cycling back to it, again and again. The Eugenics Movement. Homophobia. Misogyny. They were originally created to be mind police for patriarchy, and that is what they always are at core.

                So if the right wins, they will eventually implode in the way the Nazis, did... but their successors will probably learn nothing from it, just as they have learned nothing from the Nazi doctors. That stuff just never applies to "me" if you are a psychologist.

                If the right loses, Zucker et al. will be one more footnote in history like the eugenicist doctor who founded the Clarke institute in Canada. In other words, the practitioners will simply forget he ever existed. They don't study history, and they don't think critically.

                Our best chance is to delegitimate them with the young. My dream is that every the word "psychiatrist" is used, young people will instantly visualize the bearded old sicko Zucker stuffing a little trangirl's willy into a penile plethysmograph. I want "child abuse" to the think people think of first when the word "pyschiatrist" is used, in the same way it automatically enters the mind when the phrase "Catholic priest" is mentioned.

                This is the only way the profession can be shamed into reforming itself. And even that may not be enough.

          •  The best insights I have had from the Tx community (2+ / 0-)
            Recommended by:
            CA TreeHugger, Alexandra Lynch

            (which to me encompasses TS/TG/and some Intersex individuals I've met along the way) are:

            A non-operative MtF, 6'2"+ who took me shopping one day, tried on a pair of jeans, and kept asking me, "Can you tell? Can you tell?"; and I kept saying, "what?" I swear, it must have taken me over a minute until I realized she was asking. And what was I supposed to say, I knew, and when I understood what she was asking me, I couldn't help but "tell"! It's like how to make gold: Scramble six egg yolks and if you don't think of an elephant for six minutes, your egg yolks will turn into gold.

            The late, great Lou Sullivan. Unfortunately, the boy/man she was making wasn't me. But he was always gentle with letting me down when we met at parties. I learned how to be a better gentleman from a man with a vagina.

            Zoe Brain who's original body just decided to switch. Robyn tells me that she blogs here as ZoeB, but I haven't looked her up yet.

            No way I'm going to say I "understand". I don't, maybe I never will. There are choices, there are drives, there are compulsions, addictions, whatever. For the record, I'm against socially/ self distructive compulsions or addictions.

            But there are things that define how we think we are. (I've always been tall enough to ride an unmodified BMW motorcycle, only my legs disagree. The one time I rode one, riding was fine, but every stop sign, every stop light was, "Eeeep! Yeah, they want to sell me one, but, I don't want to buy it this way!!!") Sexual orientation is, well, not an odd idea, but to me, it's "You meet someone, there's a reason for each of you (all of you?) to want to continue the relationship sexually.

            I've said this before, in another comment, but after a while, one starts getting tired of the conversation that begins, "Before we go any further, there's something I need to tell you..."  If I like someone enough to have gotten to that point, my best answer to date, and to my date is, "Whatever. Don't worry about it. Take off your clothes and surprise me."

            “I’ve come to the conclusion that people who say they never have had a second thought most probably have never had a first!”‘

            by BobSmith415 on Thu Apr 28, 2011 at 05:19:55 PM PDT

            [ Parent ]

          •  I don't think attraction is bell shaped (1+ / 0-)
            Recommended by:
            BobSmith415

            Like most other sex-linked traits, it has a bimodal distribution if you include all humans. A bell curve model would predict that the vast majority of people are truly bisexual Kinsey 3s with very little preference, and very very few people are Kinsey 0 or 6; the reality is that (if you map the gendered Kinsey scales onto a universal scale of androphilia/gynephilia) there are two peaks, one at about 1-2 and the other at about 4-5.

  •  What a long winding road (4+ / 0-)

    How long will it be before the APA rcognizes that the only thing "disordered" here is their inclusion of trans people in the category of mental disorders and their promoting of truly "disordered" doctors (quacks?) to make their case. BTW, Zucker's lawsuit threat against Dr. Conway was beyond the pale.

    •  We have about a year (3+ / 0-)
      Recommended by:
      EdSF, SpecialKinFlag, Alexandra Lynch

      Before DSM-V is published, to publicize this and stir up total outrage at their abuses -- and damage the reputation of the APA irreparably. I'm hoping they have to walk through picket lines to get into their offices.

      If the APA cannot self-police ethically, then they need to be put out of business.

      Once a lot of psychiatrist and psychologists start to feel the heat, they may clean up their professional act. But right now, roaches breed in the APA's darkness.

      We need to shine the light of publicity on them

  •  Republished to Mental Health Awareness. (6+ / 0-)

    Good info.

    Sarah Palin is just an anagram for Sharia Plan

    by second gen on Thu Apr 28, 2011 at 01:08:56 PM PDT

  •  Thanks for posting this! (3+ / 0-)
    Recommended by:
    CA TreeHugger, Alexandra Lynch, kyril

    I'm too groggy now to follow all the links - some of them are not new to me - but I will be informing myself in the coming days.

    I'm also going to try to put together a diary about the situation for transfolk in Germany and depending on how much info I find maybe about other european countries.

    Before I realized that I'm trans I had been planning to move back to the states - I'll definitely be waiting on that now until after my transition. No way I'm giving up my German health insurance. And the surgeons here do good work, and I have a bunch of choices about who I can go to for which procedures.  

    LEGALIZE TRANS* !!!! (yes, I know I was yelling. I think it's necessary!)

    by bluesheep on Thu Apr 28, 2011 at 01:50:07 PM PDT

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