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	<title>Comments on: Transgender Advocates&#8217; Statements on APA DSM Workgroups</title>
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	<link>http://www.boxturtlebulletin.com/2008/05/30/2126</link>
	<description>News, analysis and fact-checking of anti-gay rhetoric</description>
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		<title>By: Ephilei</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-13280</link>
		<dc:creator>Ephilei</dc:creator>
		<pubDate>Thu, 10 Jul 2008 04:52:52 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-13280</guid>
		<description>Oops, I did mean &quot;doesn&#039;t make recommendations.&quot; I believe it&#039;s the intro of the DSM that discusses this.

Ms Assigned - The DSM belongs to the American Psychological Association, so I doubt they&#039;ll take Canada into consideration. I believe Canada generally uses the DSM but makes adjustments occasionally.</description>
		<content:encoded><![CDATA[<p>Oops, I did mean &#8220;doesn&#8217;t make recommendations.&#8221; I believe it&#8217;s the intro of the DSM that discusses this.</p>
<p>Ms Assigned &#8211; The DSM belongs to the American Psychological Association, so I doubt they&#8217;ll take Canada into consideration. I believe Canada generally uses the DSM but makes adjustments occasionally.</p>
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		<title>By: Jillian Barfield</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-12228</link>
		<dc:creator>Jillian Barfield</dc:creator>
		<pubDate>Tue, 17 Jun 2008 23:33:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-12228</guid>
		<description>I agree with Ms. Assigned&#039;s last comment to an extent.   Without the stigma and shame, discrimination and resulting depression, there would be no &#039;disorder&#039; to diagnose. 

The DSM diagnosis of a mental disorder obviously causes a degree of stigmatization.  The way I see it, the problem isn&#039;t with trans-folk, it&#039;s with the world&#039;s perception of them and the resulting discriminatory behaviors displayed towards them.   

The &#039;diagnosis&#039; of transgenderism isn&#039;t important.  The underlying depression is what needs to be diagnosed.  

Being TG is not an illness.  Gender variance is present in every species in nature.  

The reluctance of insurance companies to cover trans-people is pure and simple discrimination that helps perpetuate the stigma and is also one of the underlying causes of the depression.

Maybe by 2012, public opinion will change enough that the APA will consider alternate diagnoses criteria for &#039;GID&#039; and put it into another category where it belongs.  

It&#039;s a physical problem with a physical cure.  

That&#039;s my opinion.

Jillian</description>
		<content:encoded><![CDATA[<p>I agree with Ms. Assigned&#8217;s last comment to an extent.   Without the stigma and shame, discrimination and resulting depression, there would be no &#8216;disorder&#8217; to diagnose. </p>
<p>The DSM diagnosis of a mental disorder obviously causes a degree of stigmatization.  The way I see it, the problem isn&#8217;t with trans-folk, it&#8217;s with the world&#8217;s perception of them and the resulting discriminatory behaviors displayed towards them.   </p>
<p>The &#8216;diagnosis&#8217; of transgenderism isn&#8217;t important.  The underlying depression is what needs to be diagnosed.  </p>
<p>Being TG is not an illness.  Gender variance is present in every species in nature.  </p>
<p>The reluctance of insurance companies to cover trans-people is pure and simple discrimination that helps perpetuate the stigma and is also one of the underlying causes of the depression.</p>
<p>Maybe by 2012, public opinion will change enough that the APA will consider alternate diagnoses criteria for &#8216;GID&#8217; and put it into another category where it belongs.  </p>
<p>It&#8217;s a physical problem with a physical cure.  </p>
<p>That&#8217;s my opinion.</p>
<p>Jillian</p>
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		<title>By: Ms Assigned</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-11543</link>
		<dc:creator>Ms Assigned</dc:creator>
		<pubDate>Sun, 01 Jun 2008 01:19:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-11543</guid>
		<description>Ephilei writes:
&gt; So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals.

If that were to happen then it would become illegal to use that diagnosis in Canada since it would conflict with anti-discrimination laws being based on sexual orientation. It would not be legal to use any diagnosis that differentiates in any way on a basis of sexual orientation.

Boo states:
&gt; In any event, if you want to transition the “official” way, you need a diagnosis to justify hormone and surgical treatment.

That cannot affect the DSM process, the APA is at pains to point out that it is a diagnosis document and not a treatment document. Even if it were true that a GID diagnosis is useful because it opens the door to treatment that is not allowed to be taken into account when deciding whether to simply delete the diagnosis (which is what should will happen because stigma and shame is caused by the diagnosis existence, without the DSM the stigma will go, at this point all the DSM does for transfolk is to facilitate stigma and hate)</description>
		<content:encoded><![CDATA[<p>Ephilei writes:<br />
&gt; So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals.</p>
<p>If that were to happen then it would become illegal to use that diagnosis in Canada since it would conflict with anti-discrimination laws being based on sexual orientation. It would not be legal to use any diagnosis that differentiates in any way on a basis of sexual orientation.</p>
<p>Boo states:<br />
&gt; In any event, if you want to transition the “official” way, you need a diagnosis to justify hormone and surgical treatment.</p>
<p>That cannot affect the DSM process, the APA is at pains to point out that it is a diagnosis document and not a treatment document. Even if it were true that a GID diagnosis is useful because it opens the door to treatment that is not allowed to be taken into account when deciding whether to simply delete the diagnosis (which is what should will happen because stigma and shame is caused by the diagnosis existence, without the DSM the stigma will go, at this point all the DSM does for transfolk is to facilitate stigma and hate)</p>
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		<title>By: Boo</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-11529</link>
		<dc:creator>Boo</dc:creator>
		<pubDate>Sat, 31 May 2008 21:47:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-11529</guid>
		<description>&lt;i&gt;Remember, the DSM makes recommendation for treatment.&lt;/i&gt;

No, that&#039;s the SOC. The DSM describes  diagnoses. (Or maybe you meant to write &quot;makes no recommendation for treatment&quot;?) In any event, if you want to transition the &quot;official&quot; way, you need a diagnosis to justify hormone and surgical treatment. Of course, more and more people are going farther and farther outside official channels to transition, which will only increase if Zucker and Blanchard have their way with DSM V. But if you want to use an American, Canadian, or European surgeon, you&#039;ve pretty much got to have 2 letters officially stating that you have GID. 

&lt;i&gt;I think the autogynephile model does fit a few trans people, but it is not a complete model as Blanchard believes. So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals. &lt;/i&gt;

It doesn&#039;t completely fit anyone. Even mega-AG cheerleader Anne Lawrence has made claims about herself that contradict it. But the issue isn&#039;t what you or I or anyone else believes, except for the people sitting on the committees writing the diagnoses. That happens to include Blanchard and Zucker. Bailey included his hope that they&#039;ll split the diagnosis in his book. I think they&#039;re telegraphing what they&#039;ll at least try.</description>
		<content:encoded><![CDATA[<p><i>Remember, the DSM makes recommendation for treatment.</i></p>
<p>No, that&#8217;s the SOC. The DSM describes  diagnoses. (Or maybe you meant to write &#8220;makes no recommendation for treatment&#8221;?) In any event, if you want to transition the &#8220;official&#8221; way, you need a diagnosis to justify hormone and surgical treatment. Of course, more and more people are going farther and farther outside official channels to transition, which will only increase if Zucker and Blanchard have their way with DSM V. But if you want to use an American, Canadian, or European surgeon, you&#8217;ve pretty much got to have 2 letters officially stating that you have GID. </p>
<p><i>I think the autogynephile model does fit a few trans people, but it is not a complete model as Blanchard believes. So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals. </i></p>
<p>It doesn&#8217;t completely fit anyone. Even mega-AG cheerleader Anne Lawrence has made claims about herself that contradict it. But the issue isn&#8217;t what you or I or anyone else believes, except for the people sitting on the committees writing the diagnoses. That happens to include Blanchard and Zucker. Bailey included his hope that they&#8217;ll split the diagnosis in his book. I think they&#8217;re telegraphing what they&#8217;ll at least try.</p>
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		<title>By: Ephilei</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-11515</link>
		<dc:creator>Ephilei</dc:creator>
		<pubDate>Sat, 31 May 2008 07:42:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-11515</guid>
		<description>I think Blanchard&#039;s (and by extension, Bailey&#039;s) views of autogynephilia have met with over-reaction by the trans community. But with a such a bad history with everyone who wants to diagnose us, who can blame us for being defensive? I think the autogynephile model does fit a few trans people, but it is not a complete model as Blanchard believes. So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals. 

Remember, the DSM makes recommendation for treatment. Period. That&#039;s explicitly stated. Even for non-controversial disorders where treatment is fairly obvious, the DSM does not specify treatment. Boo&#039;s fear (above) that trans people will need such and such to transition because of the DSM is without base.

I also feel obligated to clarify that the Gender Identity Disorder does not include all transgender people - only those for whom their gender identity and body causes distress and lack of real world functioning. In my experience, very few trans people also have GID. But Zucker over-diagnoses it (in my opinion) because he equates gender identity as causing the distress whereas I think it’s almost always transphobic people that causes the distress. Regardless, that fact will also not change in the DSM V because it relies on the way every &quot;disorder&quot; is defined in the DSM.

Jim, you may want to do more research into Zucker. He&#039;s Nicolosi&#039;s equivalent in the ex-trans movement. Zucker wants nothing less than preventing as many children as possible from &quot;becoming&quot; trans and sees ex-gay-like therapy as the way to do it.</description>
		<content:encoded><![CDATA[<p>I think Blanchard&#8217;s (and by extension, Bailey&#8217;s) views of autogynephilia have met with over-reaction by the trans community. But with a such a bad history with everyone who wants to diagnose us, who can blame us for being defensive? I think the autogynephile model does fit a few trans people, but it is not a complete model as Blanchard believes. So I am worried that in the next DSM, GID gets split into homosexual and heterosexual transexuals. </p>
<p>Remember, the DSM makes recommendation for treatment. Period. That&#8217;s explicitly stated. Even for non-controversial disorders where treatment is fairly obvious, the DSM does not specify treatment. Boo&#8217;s fear (above) that trans people will need such and such to transition because of the DSM is without base.</p>
<p>I also feel obligated to clarify that the Gender Identity Disorder does not include all transgender people &#8211; only those for whom their gender identity and body causes distress and lack of real world functioning. In my experience, very few trans people also have GID. But Zucker over-diagnoses it (in my opinion) because he equates gender identity as causing the distress whereas I think it’s almost always transphobic people that causes the distress. Regardless, that fact will also not change in the DSM V because it relies on the way every &#8220;disorder&#8221; is defined in the DSM.</p>
<p>Jim, you may want to do more research into Zucker. He&#8217;s Nicolosi&#8217;s equivalent in the ex-trans movement. Zucker wants nothing less than preventing as many children as possible from &#8220;becoming&#8221; trans and sees ex-gay-like therapy as the way to do it.</p>
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		<title>By: Boo</title>
		<link>http://www.boxturtlebulletin.com/2008/05/30/2126/comment-page-1#comment-11497</link>
		<dc:creator>Boo</dc:creator>
		<pubDate>Fri, 30 May 2008 22:45:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.boxturtlebulletin.com/2008/05/30/2126#comment-11497</guid>
		<description>Blanchard is of concern for more than just &quot;autogynephilia&quot; and degrading tests. The other half of his etiology theory is &quot;homosexual transsexualism,&quot; which basically states that all MtFs who are attracted to males are essentially uber-homosexuals who transition because they think they&#039;ve got a better chance at having lots of sex with str8 men transitioned than they would as ultra effeminate gay men. J. Michael Bailey&#039;s &quot;notorious&quot; offensive and degrading book The Man Who Would Be Queen expounds at length on &quot;homosexual transsexuals&quot; as essentially nature&#039;s way of providing guys with one night stands. According to Bailey, who is very tightly connected with the Blanchard-Zucker CAMH clique, &quot;homosexual transsexuals&quot; are &quot;especially well suited to prostitution&quot; and make it their mission in life to seduce any &quot;single, heterosexual male&quot; that they come across, but they&#039;re incapable of committed relationships. Essentially, the book&#039;s section on &quot;homosexual transsexuals&quot; reads like an invitation to commit rape. For this, Bailey draws high praise from Blanchard, Zucker, and the other CAMH clinicians. 

The concern is that they&#039;re aiming to spilt GID into diagnoses of &quot;homosexual transsexualism&quot; under sexual or gender disorders, and &quot;autogynephilia&quot; under paraphilias, meaning if you can&#039;t convince your therapist that you&#039;re exclusively attracted to guys, you&#039;ll have to get diagnosed with a paraphilia to transition. (And if you can, then you get diagnosed as an uberslut.)</description>
		<content:encoded><![CDATA[<p>Blanchard is of concern for more than just &#8220;autogynephilia&#8221; and degrading tests. The other half of his etiology theory is &#8220;homosexual transsexualism,&#8221; which basically states that all MtFs who are attracted to males are essentially uber-homosexuals who transition because they think they&#8217;ve got a better chance at having lots of sex with str8 men transitioned than they would as ultra effeminate gay men. J. Michael Bailey&#8217;s &#8220;notorious&#8221; offensive and degrading book The Man Who Would Be Queen expounds at length on &#8220;homosexual transsexuals&#8221; as essentially nature&#8217;s way of providing guys with one night stands. According to Bailey, who is very tightly connected with the Blanchard-Zucker CAMH clique, &#8220;homosexual transsexuals&#8221; are &#8220;especially well suited to prostitution&#8221; and make it their mission in life to seduce any &#8220;single, heterosexual male&#8221; that they come across, but they&#8217;re incapable of committed relationships. Essentially, the book&#8217;s section on &#8220;homosexual transsexuals&#8221; reads like an invitation to commit rape. For this, Bailey draws high praise from Blanchard, Zucker, and the other CAMH clinicians. </p>
<p>The concern is that they&#8217;re aiming to spilt GID into diagnoses of &#8220;homosexual transsexualism&#8221; under sexual or gender disorders, and &#8220;autogynephilia&#8221; under paraphilias, meaning if you can&#8217;t convince your therapist that you&#8217;re exclusively attracted to guys, you&#8217;ll have to get diagnosed with a paraphilia to transition. (And if you can, then you get diagnosed as an uberslut.)</p>
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