Is Transgenderism a mental illness?
The American Psychiatric Association thinks so, or is history repeating itself? The new DSM-V, the medical profession’s bible for diagnosing, is set to come out in May after delays caused by several areas of controversy. But, the APA has a legacy of uneasy relations with the lesbian, gay, bisexual and transgender community, having included homosexuality in the DSM’s list of psychiatric disorders until 1973. Some transgender activists want issues of gender identity kicked off the list of mental illnesses too.
Transgender is an umbrella term used to describe people whose gender identity (sense of themselves as male or female) or gender expression differs from that usually associated with their birth sex. Many transgender people live part-time or full-time as members of the other gender. Broadly speaking, anyone whose identity, appearance, or behavior falls outside of conventional gender norms can be described as transgender. However, not everyone whose appearance or behavior is gender-atypical will identify as a transgender person.
Wikipedia says: Beginning therapy is recommended for all people who are frustrated by their gender, especially if they desire to transition. People who experience discord between their gender and the expectations of others or whose gender identity conflicts with their body benefit by talking through their feelings in depth with someone who will listen indefinitely. However, gender identity is new to psychology and research is still in its infancy.
Some believe a person with a diagnosed Gender Identity Disorder (GID) experiences distress and/or disability and it may manifest as depression or inability to work and form healthy relationships with others. This diagnosis is often over-simplified to mean that simply being transgender means a person suffers from GID which is not true. This has caused much confusion to transgender people and those who strongly seek to either criticize or affirm them. Transgender people who are comfortable with their gender, whose gender does not directly cause inner frustration, or impair their functioning, do not have GID and are not applicable for a related mental disorder. GID is not permanent and is usually resolved through therapy and transitioning, especially its social aspects. GID does not refer to people who feel oppressed by the negative attitudes and behaviors of others.
Transgender issues are new in the scientific field and affect relatively few people, so understandably many mental healthcare providers know little about transgender issues. People seeking help from these professionals often end up educating the professional rather than receiving help.
The issues around psychological classifications and associated stigma have recently become more complex since it was announced that colleagues from The Centre for Addiction and Mental Health (CAMH), a consortium of mental health clinics at several sites in Toronto will serve on the DSM’s Sexual and Gender Identity Disorders Work Group. CAMH has aims to ‘cure’ transgendered people of their ‘disorder’, especially in children.
Amanda Simpson
The issue is that a person who is unclear about his gender identity, just like a person who is lesbian or gay should not have to face cruelty and stigma based solely on their sexual preference or identity. Kudos to President Obama for making history on New Year’s Eve when he appointed the former Mitchell Simpson, who now identifies himself as a female named Amanda, to a position as a senior adviser in the Commerce Department. Simpson apparently is the first transgendered individual become a presidential appointee to the federal government.
People in the LGBT community can experience double stigma when they also live with a mental illness. The National Alliance on Mental Illness supports the LGBT community in its Multi-cultural Action Center. For more information visit www.nami.org
article abstract from Tucsoncitizen.com
Since you reposted this article from the Tucson Citizen blog, I want to add here part of a comment that I left there as well. This comment, of course, is directed to the original author, not you here at SgButterfly:
You did a reasonably good job with this article until you got to the second to the last paragraph. It is offensive to trans people, like myself, to refer to them by their former names and identities and to not use the pronouns that conform to their gender identities. It is completely irrelevant to this or any other article about this issue what Amanda’s old name was. Plus, Amanda is not “the former Mitchell Simpson, who now identifies himself [sic] as a female named Amanda.” Saying that she merely “identifies [her]self as a female named Amanda” implies that she isn’t “really” a woman and her name isn’t “really” Amanda and that, instead, she is just pretending to be a woman named Amanda and deceiving the public in the process. Amanda IS a woman, regardless of what her past might have been, and her name IS Amanda, regardless of what her former name might have been. Why does this matter? It matters because the beliefs that we aren’t really who we say we are and are just deceiving people are responsible for the discrimination, harassment, assaults and, yes, even murders of trans people that happen all too often in this country. (Recent surveys indicate that anywhere from 50% to 97% of trans people have been the victim of employment discrimination because of their gender identity. The risk of murder for a trans person, especially a trans woman of color is approximately 12 times that of the general population.)
I suggest you read the media guide prepared by the Gay and Lesbian Alliance Against Defamantion (GLAAD) on transgender terminology and reporting. You can find the media guide here: http://www.glaad.org/Page.aspx?pid=376. It contains much useful information for anyone who wants to write about trans people and the issues we face.
January 9th, 2010 at 2:33 PM