Why GID Must Be Removed From the DSM

Gender Identity Disorder is a fiction.  It was created to allow the psychiatric profession to bill insurance companies.  For reference see Deborah Rudacille’s Riddle of Gender which explains both why and how it was placed in the DSM.  See also Phyllis Burke’s  Gender Shock.

As for medical insurance covering either the year of psychotherapy or SRS:  For them to cover this presumes it is a new condition that struck after one was already covered by the insurance and not a pre-existing condition.

As far back as 1970 Blue Cross and Blue Shield of California were denying coverage to any transsexual who had come out prior to seeking coverage.  They also denied it to those who were obviously transsexual and who went seeking coverage prior to transitioning.

SRS along with women’s right to abortion and contraception are already being stricken from any public heath insurance proposed by the anemic liberals as a way of pacifying the implacable ultra right wing extremists and the misogynistic, homophobic and transphobic Taliban Christians.  Therefore the idea that keeping GID will allow coverage by either private health insurers who look at denying coverage as a performance bonus enhancer or by the public option as dictated by religious bigots is pretty bogus.

To argue that it endangers the insurance coverage within the USA it to argue from a position of incredible privilege that assumes all transsexual or transgender people are privileged enough to have health insurance. In San Francisco, a place where demographic statistics of unemployment of transsexual and transgender people are actually kept, those stats show a higher than 50% unemployment or under employment rate.  Further many positions limit the hours of workers in order to deny them coverage.

For the uninsured the burden of being expected to make some pseudo-medical shrink’s Mercede’s payments is an oppressive insult to their being, their freedom, and their right to have control over their own body.  It used a fraudulent label of mental illness to deny agency and to exploit.

It deprives those forced to pay for this mandated “treatment” of income needed for actual medical treatment. Income they may well need for housing and other costs of both living and transition. In that way it is as exploitative of the poor as the Pay Day Loans and Check Cashing places that charge 300% per annum interest.

Having GID in the DSM permits and encourages the abuse of transkids that is on every level as horrible and destructive of these children as the infant genital mutilation done on children with physically obvious at birth intersex conditions.  If you doubt this one I suggest you track down Dylan Scholinski book The Last Time I Wore a Dress. They kept him locked up for three years maxing out medical insurance benefits to pay for their abusing him.

Among other things it permits the psychiatrists to torture using Electro Shock to the brain as well as powerful psychotropic drugs aimed at destroying the transkids being in order to erase it prior to rebuilding a gender conforming acceptable being.

GID is a rewriting of religious taboo in pseudo scientific terninology.

Once labeled as a pervert with an incurable mental illness it is easy to deny employment in a whole range of professions most notably, teaching.

When we told our life stories honestly in the 1960s and 1970s they called us liars and yet within the vast majority of our life narratives there are common elements that in and of themselves are indicative of a common shared history.  But if our narratives had elements that did not fit particular screeners stereotypes they decided that we were lying about those elements that did.

Rather than trust people with transsexualism to be part of the screening process they told us we were too close to not be biased and so they stuck in people who were biased based on their religious ideology.  People like Paul McHugh, whose extremist brand of Catholicism means he is both misogynistic and transphobic.  He is the man behind the ending of SRS as a legitimate procedure and the creation of GID as pathology.

GID as a diagnosis has a number of draw backs and zero benefits.  That we are labeled as mentally ill is used as justification to deny employment, to deny civil rights protections  as well as to look upon us unfavorably in almost any matter involving the courts.  Including name change and divorce proceedings.  It can be grounds for the denying of employment.  Further thanks to the ultra right wing extremist late Senator Jesse Helms it is also excluded from the Americans with Disability Act.  It is a stigma that permits social abuse rather than a protected diagnosis.

Kelley Winters has written a book that outlines many of the reasons why the fiction of GID needs removal from the DSM.  The book is titled Gender Madness in American Psychiatry: Essays from the Struggle for Dignity.

France has already removed GID from its version of the DSM and the Scandinavian countries are moving in that direction,

One of the best reasons of all for removing GID from the DSM is that it would disempower Kennith Zucker, Richard Green, Ray Blanchard, and Michael Bailey and would place them in the same family of NARTH quacks as Paul Cameron, Charles Socarides, and Joseph Nicolosi.

It would a priori deny any validity what so ever among reasonable people to the slanderous garbage and lies that they write.

6 Responses to “Why GID Must Be Removed From the DSM”

  1. karen A Says:

    WIthout any diagnosis why would

    1) anybody think this was not just a life style choice
    2) SRS not just be considered just cosmetic surgery?
    3) we be allowed to change our ID’s and birth certificates at at all given 2?
    4) anti-discrimination laws get passed (and a number of places have passed them) . Having a diagnosis was a factor in getting them passed where they have been. My transition at work was framed as a medical issue by management and treated as any other BTW.

    Also more people get SRS covered by insurance than most realize (5 people in my small local support group did) and many get HRT and therapy covered by insurance.

    Changing it from a psychological diagnosis to a “physical” one would be best… But neither current state of the science in the subject nor political reality provides the necessary strength to suggest that can happen anytime soon.

    Basically, while I understand where you are coming from and would love to see it as a “physical” diagnosis instead of psychological one, I think you are wrong about the practical realities of the situation.

  2. Suzan Says:

    Well Karen:
    People in the thousands got SRS prior to the creation of the GID fiction.

    The vast majority of states changing Birth Certificates started doing so prior to the creation of the lie called GID.

    The diagnosis has been used against discriminatory laws and has never to my knowledge been used in the passage of anti-discrimination laws.

    Those who had health insurance tended to have straight white male privilege and were not my people.

    My people do sex work or under employed straight jobs. They are so obvious from the time they were born that their transsexualism is a pre existing condition.

    In order to get coverage some fancy lying has to be done. Like discovering it after therapy. When most people claim to know from childhood.

    The insurance companies are evil mother fuckers I would like to see total nationalization of all health care and go from there.

  3. Jessica Says:

    I agree with Karen A.

    I’m also concerned by the strong language about privilege in the United States. While some countries, such as France and the Scandinavian countries, as you point out, have their own versions of the DSM, some, such as Canada, do not. It has always been an argument that is disposed of with great alacrity to say that changes to the DSM, rather an international document, have profound effects on people in Canada also.

    In Canada, which may well be different from the United States, diagnosis under the DSM is accepted as a disability under our human rights law–not directly–but enough to allow for collection of social assistance, which eass of the lives of many transsexual people.

    Single-payer health care, the holy grail of so many Americans, is the reality in Canada–though certainly not perfect. Not to have SOME medical diagnosis–I quite agree with ALL the criticisms of GID–would remove the ability of the very same people who now have access to medical care from making something positive of their lives.

    To argue about privilege is something that cuts both ways.

    Hatred of American health insurance companies and the political-media class that is one with it, while satisfying, has, if carried to this, possibly NOT logical extreme, has many “unintended consequences” for the very same people I would have thought you would be interested in protecting.

    Without an alternative to GID, you are consigning them to a very unpleasant place.

    Things are VERY different from 40 years ago. Solutions may not have the emotional satisfaction we would crave.

    • Suzan Says:

      SRS along with Abortion and women’s coverage of contraception have already been excluded from coverage out of fear of offending the Taliban Christians. Yet we are still not likely to get Nationalized Health in even the most anemic forms.

      For what it is worth I am working class and have rarely ever been covered by health insurance.

  4. Susanna Boudrie Says:

    Our stand in Sweden is that transsexualism should be removed from DSM. Period. This has already been done here for “transsexualism in childhood” and we are arguing for and hope to get it removed for adults. The treatment for children is still paid by the state and will be paid for adults on the basis that UNTREATED transsexualism increases the risk of suicide and mental health problems and hence that preventive treatment is motivated.

    Susanna Boudrie
    stealth, though not deep stealth, activist in Sweden

  5. karen A Says:

    [quote]
    People in the thousands got SRS prior to the creation of the GID fiction.
    [/quote]

    But it was considered a medical condition, the nature of which was considered unknown. That was then This is now. It was a time when the society was loosening up in a lot ways.

    What was good enough back then for eh medical and political establishment won’t fly in todays world. An official diagnosis of some sort is needed to enable continued access to the medical technology we have as well as legally identity wise . Without a ANY generally accepted diagnosis it becomes a lifestyle choice … which is what many think it is

    [quote]
    The vast majority of states changing Birth Certificates started doing so prior to the creation of the lie called GID.
    [/quote]

    As i said it was a different world back then.

    [quote]
    The diagnosis has been used against discriminatory laws and has never to my knowledge been used in the passage of anti-discrimination laws.
    [/quote]

    Could you give me specific example of how the diagnosis was used to pass discriminatory laws? I’m not aware of any. And how do you know the anti-discriminations laws would have been passed if there was no diagnosis of any type?

    [quote]
    Those who had health insurance tended to have straight white male privilege and were not my people.
    [/quote]

    Well it’s not the first you implied I’m not one of your people.. Are late transitioners not part of your people? I thought you had changed that tune awhile back!

    (no I’m not mad- this is rhetoric! 😉 )

    I had insurance coverage… but everyone in that company had the exact same insurance I did … from the dishwasher to the CEO.

    [quote]
    In order to get coverage some fancy lying has to be done. Like discovering it after therapy. When most people claim to know from childhood.
    [/quote]

    Huh?
    Some of us knew from very young on, even if we did not transition early one.. and yes some seemed not to have clue until pretty late. That’s human variability for you.

    [quote]
    The insurance companies are evil mother fuckers
    [/quote]

    That exactly is why SOME diagnosis is needed!

    [quote]
    I would like to see total nationalization of all health care and go from there.
    [/quote]

    There we agree!

    – Karen


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