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Mercedes Allen responds to accusations of scaremongering

On a post to her personal blog, and cross-posted to Bilerico and Transadvocate, Mercedes Allen reflects on the responses to her original Uh-oh post, including several that have been reported here and elsewhere.

I and others have been accused of scaremongering in the ongoing debate(s) surrounding this issue. Dr. Forstein has some excellent points for us to examine. Some of the other aspects and debates, though, I still stand behind.

Mercedes goes on to respond directly to Henry Hall’s comments:

Henry Hall accuses me of scaremongering with regard to my concerns about removing any diagnosis of GID from the DSM, without some better model to replace it…
…I am not fearmongering: I am saying, don’t cut the trapeze rope until we know that the next bar is within reach.

She also acknowledges the importance of Dr. Marshall Forstein’s statement by saying:

I can admit that my own personal panic led me to overlook the fact that the DSM itself does not recommend treatment. I was wrong and my inexperience got the better of me. This is not a small point, and we need to take some comfort in that. Scaremongering? Perhaps, though not intentionally.

Read Mercedes’ thoughtful and comprehensive response here.

Transgender Realities – Videos featuring SAGA’s Michael Woodward and Amanda Simpson

Today making its way into transgender-related news was a link to the Southern Arizona Gender Alliance interview entitled “Political Perspectives: Transgender Realities,” a 1/2 hour program produced by Access Tucson. The show is being shown via Access Tucson through the month of May but has been divided into three parts on YouTube, and now here. It’s a worthy watch, and SAGA’s Michael Woodward and Amanda Simpson did a fantastic job with the interview.

Part 1:

Part 2:

Part 3:

Happiness

Ok, so I have finally decided that the time was right for me to step up and say something here.  

Why are so many of us so afraid to feel happy?  It is guilt?  Is it that nagging feeling that everything is in the process of falling, or about to fall apart?  Do we worry so much about everyone else that we lose sight of ourselves through all of this?

Yes, transition is a stressful and often painful thing.  But why do we do it?  To be ourselves of course, but also to find personal happiness.  I find that far too often we spend the majority of our time talking about the negatives of transition and how bad things are either for ourselves or the others around us.  I’m not discounting the fact that many people lose everything to this, but in the end are we not happier than when we began?  And if not, why?

I can truly say that before transition I did not know what happiness really was.  I may have thought I did, but I really didn’t.  If I recall all of the times I thought I was happy, none of them hold a candle to how I feel now.  Now before I go on I should probably mention a few things for those who don’t know.  I’m 33 years old, MTF, been transitioning since September 2007, and have been on HRT for 7 weeks.

In the last week or so I have begun to see the world in a different way, and begun to thing differently about things.  Difficult to articulate all that I feel right now, but the overriding thing has been the tremendous amount of joy and happiness I am feeling.  Granted I have been much happier than ever before since beginning transition, but the last little while has been completely off the scale.  

It feels like living inside joy.  As if joy itself were something tangible that you could just reach out and grab!  I have my share of challenges and difficulties through all of this, but I am so happy with my life now that is doesn’t get me down for very long anymore.  I see my future, and its very bright.

People have often accused me of seeing things in an overly positive light.  To that I say, “Why not?”  Keeping a positive attitude about things has truly saved my life.  I wake up everyday and tell myself how amazing it is to be alive, and how great the day is going to be.  And you know what?  It usually is.

Take today for example.  I was standing in the flower section of my local supermarket looking for fresh flowers for my Mom when I was approached by a very nice man who, to make a long story short, told me I was beautiful and asked if I would be interested in grabbing a coffee with him at the cafe in the store.  Now even though I turned him down, it made my whole day to get that kind of attention!  It let me know that I really have arrived and my path is the right one.

So I say take the time to feel the happiness and joy that transition brings to you.  After suffering through all the dark years that we do, I think we deserve to let ourselves be happy.  Don’t let the fear and guilt stop you.  Life is too short for that.  Don’t you agree?

Educating the World – Person to Person

I had a rather cool experience recently which showed me how small the world is – and how the right approach can cause people to be accepting even when you don’t expect it. My friend Abby suggested I share it with you all.

It all started one day at work – I was at lunch with my boss, co-worker G. and my trusty retirement-age volunteer worker D.

G. was talking about practicing guitar with his Tucson-based death metal band the night before and his musical history and aspirations. After some time, D. said to G. “You don’t happen to know a musician called something Blackstone, do you?”

G: “No, I don’t think so…”
D: “I forget his first name… something beginning with B…”
Me: “Bruce, perhaps?”
D: “That might be it. Yes, because the interesting thing about him was that he was in the paper recently…”
Me: “Oh, yes – I know him.”
D: “Yes, the paper wrote about him – he came out as a cross-dresser. So, how do you know him?”
Me: “Um… oh, the paper my husband worked for wrote an article about the band he is in…”
D: “Maybe that was the article!”
Me: “Oh, no… you read the recent one about the IFGE conference. The other one was back last year some time.”
D: “Oh, okay. Anyway, he does wonderful cabinetry. He did our whole kitchen. Very nice guy.”
Me: “Yes, he is.”

And that might have been the end of it. Except that, of course, it wasn’t. On reflection, I sent this email to D. after he’d left for the day:

You might be amused by this video that a friend of ours made, interviewing Bruce right after he’d talked to the Arizona Daily Star reporter

D. only volunteers for us one day a week, and he didn’t return my email, so I was a little apprehensive going in to work the next Wednesday. As I was walking up from the parking lot, I saw him, and he stopped to wait for me to catch up. He had a broad grin on his face and the first thing he said to me was:

“Thank you for that video link you sent me with Bruce in it. We really enjoyed watching that one! Yup, that’s our Bruce!”

I felt so happy to have been a part of helping educate the straight, white middle-class neighborhoods of Northeast Tucson!

On hearing of the reaction of D. and his wife, Bruce said:

Thank you for letting me know about [D. and J.] They are repeat clients of mine and great people.

Since I am becoming more and more out, I realize that eventually the knowledge of who I really am will inevitably creep into my work life sometimes. This has caused me a little bit of concern because I am self employed and loss of income can be frightening … so far as I can tell there have been no consequences to my business by my being out. So , thank you for letting me know about [D. and J.] – it’s also good in that [they] are now far less likely to have a negative reaction to other trans people.

The message I hope to get across is that it is truly worth it to share your true selves and those of your friends with others, even if you think they may not be accepting. Their reaction will often depend upon your demeanor as you talk to them. I tried to be as matter-of-fact as I could be, presenting the fact that I knew “that side” of Bruce as perfectly normal and natural. Whether you are yourself transgendered, or a SOFFA, you have a role to play, large or small, in educating the rest of the world.

Are We Maladaptive?

Okay, so I got myself into a bit of a tiff with Abby down below. Here’s the link.

In general, the conversation is about how GID should be classified in the DSM. The tendency, obviously, is for us to want a kinder, gentler revision…one sensitive to our feelings, and easier to schlep to the public than something like “autogynephilia”. Ideally, we’d get it removed entirely.

That doesn’t seem likely to me, of course. Unlike homosexuality, transsexuality requires treatment (currently that treatment involves hormones and surgeries…hopefully that will always be the case). And as long as treatment is necessary, the doctors will need a set of diagnostic criteria…hence the DSM.

But maybe I’m wrong.

Maybe gender dysphoria is a physical ailment, as I’ve so often heard said, rather than a mental one. Maybe it’s like having kidney stones. Kidney stones often require surgery, but I’m pretty sure they’re not listed in the DSM.

Maybe we can prove that gender dysphoria is like kidney stones.

Harkening back to my undergrad days and my Abnormal Psychology class (thank you Ms. H.!), along with the help of Google, I was able to dredge up the criteria for mental disorders.

For a given behavior to qualify as a mental disorder, it must meet these four points:

  • Statistical Infrequency
  • Deviation from Social Norms
  • Personal Distress
  • Maladaptiveness

The first two are obvious…we meet those. No argument here.

Personal Distress seems obvious. Yes, the dysphoria we suffer causes us distress. The same was (and still is, occasionally) said of homosexuality. Is it the dysphoria itself that causes the distress, or the way the rest of the world treats us? I suppose that question can only be answered by the individual.

The one that really gets my goat, though, is the maladaptive piece. According to one website I looked at:

A behavior pattern or characteristic is “adaptive” when it is constructive, helpful, healthy and contributes to the person moving in a valued direction.

A maladaptive behavior is the opposite then…a behavior that is destructive, unhelpful, unhealthy, and contributes to a person moving in a non-valued direction. The site gives the example of heroin use as being maladaptive (duh).

So what behavior are we talking about here? If we’re talking about having gender dysphoric feelings and not acting upon them, then yes, I’d say that’s a maladaptive behavior. But shouldn’t we be looking at it the other way? Shouldn’t we wait until a person does act upon a feeling, then judge whether it’s adaptive or maladaptive? To use the example above, the urge to use heroin is only maladaptive when acted upon; to not act upon it is responsible, and therefore adaptive. I’m going to go out on a limb here and say that the same standard should be applied to all such observable behaviors. And most times that I’m aware of, acting upon gender dysphoric feelings results in a person “moving in a valued direction” (except, of course, where Personal Distress rears its head).

Is this going to be the case for everyone? Probably not. There may be people out there who meet all four of these criteria. And there’s no reason the DSM can’t include an article that addresses the needs of these individuals…they did it for homosexuality. But for the rest of us – and every successful transition is another case study the DSM crew should look at – is there a way we can be excluded from the onus of GID and still receive the treatment we need?

To be perfectly honest, even I’m not convinced by my argument. Obviously, being transsexual is not like having kidney stones. And while I think the whole adaptive/maladaptive thing is interesting, I’m sure I’m not the first person to think of it. Sadly, it’ll take more than an hour’s worth of Google research before I’ll be able to completely repudiate decades worth of mental health research, but in the meantime, there are a few people out there who can make those kind of claims.

Advocate won’t examine own responsibility for “pregnant man” story

My friend Peter points to a piece in the Advocate which asks:

As the media world buzzed about the “pregnant man,” trans activists stayed relatively mum. Now we’re asking: Has Thomas Beatie’s public exposure hurt the transgender movement?

When Oregon trans man Thomas Beatie first told the world that he was pregnant in The Advocate in March, readers learned that he transitioned about 10 years ago, underwent a double mastectomy, and began testosterone injections. He and his wife, Nancy, decided to have a child, but because of a hysterectomy years ago, Nancy couldn’t carry the baby. So Beatie stopped his hormone injections, underwent artificial insemination, and, after several doctors refused to treat him, finally found an obstetrician who would. His pregnancy, he wrote, was “free of complications.” Health complications, maybe, but it would not be without other difficulties.

For all the personal trials Thomas Beatie has endured, his decision to go public may cause even broader political and cultural implications for the transgender population as a whole. And some trans people worry that the sensational—and occasionally nasty—media coverage that’s appeared since the article was published is only the beginning.

[…]

Beatie, however, did have one complaint that might have been lost in all the baby news. He said he reached out to transgender organizations before he went public. Half never called back; most of the others discouraged him from the exposure. Ultimately, they said, they were worried.

[…]

“We may hear all kinds of noise in terms of morality and ethics, but to me it’s just that,” adds [transgender activist Donna] Rose, who says she has no problem with Beatie speaking out. “We heard the same noise when people first started talking about test-tube babies. But then the discussion faded.” Rose is wary of spelling out all the things that could go wrong with the trans man’s pregnancy, saying, “I don’t want to give our enemies a road map on how to hurt us.”

Which may point to why, for the most part, LGBT and trans groups have stayed relatively quiet about this story. Though some have issued press releases condemning the sensationalized press coverage, none of the national organizations The Advocate contacted would say what plans, if any, they have to counter possible backlash—like Oregon laws becoming more restrictive toward trans people.

One thing that doesn’t seem to be mentioned is that he wasn’t actually the first transman to become pregnant.

But the second thing, the more important thing is this:

The Advocate is an LGB(t) news source, and they were the first ones to break the story by printing Beatie’s account of it. They ran with the story even after the trans organizations asked him to please be careful about what he doing.

This new article in the Advocate talks about Beatie’s decision. But where is any coverage of their own news sense in running this article? Where is the account of the internal debate about whether they should run “the pregnant man” story? How many transgender organizations did the Advocate speak to before publishing it?

In the linked article, they also ask what the transgender organizations are going to do about countering the backlash.

That’s not what I care about.

The trans orgs are the ones who will have to live with the backlash. But it’s not their job to counter it.

I want to know what the Advocate, an LGB(t) publication, plans to do to counter the backlash from the article they chose to run.

Screw this whole victim-blaming crap of dumping the responsibility on transgender organizations. Trans groups didn’t publish this story — the Advocate did.

News concerning the DSM – V. (a.k.a. “uh-oh.”)

The following was posted on Transadvocate.com website. I’m reposting it because like Mercedes, I see this as a very consequential and momentous event in the psychological and medical treatment of transgendered people. — Lori Davis
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

(crossposted in several places, and people are welcome to forward this on freely to others in the transgender and GLBT communities, as I see this as being very serious — Mercedes)

A short time ago, I’d discussed the movement to have “Gender Identity Disorder” (GID, a.k.a. “Gender Dysphoria”) removed from the DSM-IV or reclassified, and how we needed to work to ensure that any such change was an improvement on the existing model, rather than a scrapping or savaging of it.

Lynn Conway reports that on May 1st, 2008, the American Psychiatric Association named its work group members appointed to revise the Manual for Diagnosis of Mental Disorders in preparation for the DSM-V. Such a revision would include the entry for GID.

On the Task Force, named as Sexual and Gender Identity Disorders Chair, we find Dr. Kenneth Zucker, from Toronto’s infamous Centre for Addictions and Mental Health (CAMH, formerly the Clarke Institute). Dr. Zucker is infamous for utilizing reparative (i.e. “ex-gay”) therapy to “cure” gender-variant children. Named to his work group, we find Zucker’s mentor, Dr. Ray Blanchard, Head of Clinical Sexology Services at CAMH and creator of the theory of autogynephilia, categorized as a paraphilia and defined as “a man’s paraphilic tendency to be sexually aroused by the thought or image of himself as a woman.”

Drs. Blanchard, Zucker, J. Michael Bailey (whose work has even gone so far as to touch on eugenics) and a small cadre of others are proponents of dividing the transsexual population by sexual orientation (”homosexual transsexuals” vs. ”autogynephilic”) and have repeatedly run afoul of the World Professional Association for Transgender Health (WPATH, formerly HBIGDA), and openly defied the Standards of Care that WPATH maintains (modeled after the original SoC developed by Dr. Harry Benjamin) in favor of conversion techniques. Blanchard and Bailey supporters also include Dr. Alice Dreger, who re-stigmatized treatment of intersex, controversial sexologist Dr. Anne Lawrence, and Dr. Paul McHugh, who had set out in the begining of his career to close the Gender Clinic at Johns Hopkins University and has been one of our most vocal detractors.

An additional danger that gay and lesbian communities need to be cognizant of is that if Zucker and company entrench conversion therapy in the DSM-V, then it is a clear, dangerous step toward also legitimizing ex-gay therapy and re-stigmatizing homosexuality.

I am not familiar with others named to the Work Group. It would be worthwhile looking into any history with WPATH that they might have, to know if we have any positive advocates on board, or just more stigmatizing adversarial clinicians. They may be appointed primarily to address other listings categorized as ”Sexual and Gender Identity Disorders,” I don’t know. They are:

* Dr. Irving M. Binik, McGill University, Montreal, Canada
* Dr. Peggy T. Cohen-Kettenis, VU University Medical Center, Amsterdam
* Dr. Jack Drescher, New York Medical College, St. Luke’s-Roosevelt Hospital Center, NY
* Dr. Cynthia Graham, Isis Education Centre, Warneford Hospital, Oxfordshire, UK
* Dr. Richard B. Krueger, NY State Psyciatric Institute and Columbia University, NY
* Dr. Niklas Langstrom, Karolinka Institutet, Stockholm, Sweden
* Dr. Heino F.L. Meyer-Bahlburg, Columbia University, NY
* Dr. Robert Taylor Segraves, MetroHealth Medical Center, Cleveland

The APA press release states that for further information regarding this, to contact Rhondalee Dean-Royce (rroyce@psych.org) and Sharon Reis (sreis@gymr.com), though it’s possible that they may govern the press release only, rather than have any involvement in the decision to appoint Zucker. The APA itself is headquartered at 1000 Wilson Boulevard, Suite 1825, Arlington VA, 22209. Their Annual General Meeting is currently being held (May 3-8, 2008) in Washington, DC.

I’m poorly situated (Western Canada, with no travel budget) to lead the drive for this, which I see as a very serious danger to the transgender community. So I am calling on the various Transgender and GLBT organizations to band together to take action on this, and will assist in whatever way that I and AlbertaTrans.org can.

I am also calling upon our allies and advocates in the medical community and affiliated with WPATH to band together with us and combat this move which could potentially see WPATH stripped of its authority on matters regarding treatment of transsexuals.

– Mercedes Allen, May 5, 2008

My Greatest Burden, My Greatest Gift by Marti Abernathy

In a recent email I received, someone wrote “When love is good, life is good.” It reminded me of how I felt after finding love for the first time after my ex-wife. My ex was the “the love of my life.” When we married, I never expected us to part. Our relationship lasted for 10 years, then things fell apart. That experience of loss reminded me of the the Hindenburg. I spent the next 4 years feeling like a charred piece of rubble. In December of 2004, I found love when I least expected it. Meeting Ellen and finding that fire in my soul again totally refreshed and renewed my spirit. It’s when I wrote the tag line for my personal blog, Marti Abernathey.com, “Breathing is existence, but loving is living.”

One of the biggest hurdles for me in keeping love (in the past) was looking for love from others, before I believed I was worthy of it. No matter how many people told me they loved me, I just couldn’t believe it myself. I felt different, I felt ugly, I felt… wrong.

There are many times I wonder if I did the right thing by transitioning. The more I get into different theories (feminist and otherwise) the more it’s made me analyze my thoughts and feelings about why I’m trans and why I transitioned. In every step of the process I’ve always felt it was right. It reminds me of Christ’s words in the bible about bad trees not producing good fruit, and good trees producing bad fruit.

“Even so every good tree bringeth forth good fruit; but a corrupt tree bringeth forth evil fruit. A good tree cannot bring forth evil fruit, neither can a corrupt tree bring forth good fruit. Matthew 7:17-18”

My life, my spirit, and my essence have found a peace and a focus I’ve never felt before, since I’ve been aware of my existence as a human being. The rock of that joy and the goodness of that tree is something I don’t think I’ll ever be able to describe.

A Cooler Kid Than I Ever Was

I just wanted to take a few moments and share this blog entry I found today.   This kid is in 9th grade and willing to make a stand for LGBT rights.

How cool is that?