
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
Filed under: Commentary, News, Transgender | Tagged: APA, autogynephilia, DSM, gender dysphoria, gender gender identity, GID, glbt, harry benjamin, intersex, psychology, reparative therapy, trans, transadvocate, transexual, Transgender, transsexual, WPATH | 4 Comments »
“Being Male”
This is something I wrote in my personal blog, and I just thought I would share it here as well. It is a reflection on how I felt about my life as a “male” and how I experienced that life.
The concept of life as a male, that life before transition and even during transition, has been on my mind lately. I have been considering what it must be like to actually fully experience ones gender, rather than to exist within in the social construct of one’s gender in order to survive. I think back to my childhood and my young adult years, and I realize that there was so much of life that I was never fully able to enjoy and experience.
There were periods of time, some of them fairly long, where I was able to suppress my dysphoria, but even in those times, I still never fully experienced life as a male. Instead I lived with a constant uncomfortable feeling about what I was expected to do, the things that were going on around me, and even the things that I was doing. I went through the motions, living life the way others wanted me to live it. Never really fully engaging myself in life, unable to fully engage. Instead I was left to look at what was going on around me with the constant feeling that I was an unwilling participant, looking from the outside in, looking in at a life that was not mine, one that I did not fully understand.
Yet, I was able to build a successful life, but the joys of my successes were often shrouded by that constant uncomfortable feeling. The feeling that something was not right. There were periods of time where I acknowledged what it was, I acknowledged my feminine self, but hid it away. Afraid to express my true inner feelings, I hid inside this “male shell” and continued to play by the rules that were set for me, the rules that were set by the gender I was assigned at birth because of the physical appearance of my body. Rules that ignored the relevance of my mind, my spirit, my true self. Even though awareness came around the age of 5, I am sure that it was not something that arose only at that age. Memories before that time are few. I think in many regards I attribute not knowing before this time to not remembering a lot of life before that age.
How does one experience life when they feel so disconnected from it? That is the question that has been on my mind so much. How did I experience life when I was young, fighting the knowledge that my body did not match my mind, fighting the urge to express my desire to break out of the mold that I was expected to fit into. I think about it now more than ever, the desire to break the mold, and all the while the fear that arises with the idea of being found out. I continue to laugh at the male jokes and partially entertain the “male” conversations, all the while thinking that I would not be a part of these conversations if I were presenting as a women. I stand there thinking that, then, I would be spared the low brow humor, the constant testosterone driven conversations, the things that men talk about when they think there are no women around. Sometimes it makes me feel like a spy, like I am a woman disguised as a male infiltrating male culture and observing male rituals.
The reality of it is that I am a woman masquerading as a male, only this is not by choice. I was born with the body, and until my transition is complete I must live with it. I will continue to be the spy, observing, and not totally understanding. If anything, that lack of understanding is what often made life difficult. I never understood why guys do the things that they do, why they behave the way that they do, why they say the things that they say. If someone were to ask me what it is like to be a guy, I would honestly say that after 34 years of living in the male world, I don’t know and I don’t really understand it.
What I do understand is what it is like to feel trapped within a social construct that does not fit with who you truly are in the inside. I look forward to the day when I can live fully as myself, and interact with the world as the woman that I am. I look forward to the day when I no longer have to feel like I am putting on my disguise and venturing out into the male world for more field observations. I can then get out of the spy business, and get on with the business of being me.
There are times when I wonder what it is like to experience life with without feeling this disconnect. I look at men walking down the street, in the store, or out at the park, and I wonder what it is like for them to interact with the world feeling like a man on the inside and being one on the outside. I look at women, and wonder what it is like to have your outside match your inside, to not just be a woman in your mind and soul, but in your body as well. I guess you could say that at times I feel envy for those living in the cisgender world, those who have never had to question their gender, those who have always been able to pursue their passions knowing who they are.
This journey, for me, is not just about aligning my physical body with my mind and soul, but about being able to not have to pretend any more. To be able to finally live life and interact with the world as the woman that I am. I know that transition is not a cure all, and I will, more likely than not, be out about my being trans and probably be an activist, but at least I will finally experience what it is like to look in the mirror and see the woman I am reflected back to me.
Filed under: Blogging, Commentary, Transgender | Tagged: awareness, disconnect, dysphoria, emotions, expectations, female, friends, gender, gender dysphoria, gender identity, gender roles, GID, happiness, hope, life, male, Roles, self-reflection, transition, understanding | 5 Comments »