Bah. I hate the DSM. It's the Diagnostic and Statistical Manual, which chronicles the symptoms and behaviors associated with each psychological disorder out there. Less than 30 years ago, homosexuality was listed as a disorder. Less than 30 years ago.
Since I started studying psychology I have always had a problem with "Gender Identity Disorder." The current DSM, the fourth edition, is flawed just like the rest of them. Institutionalized trans-phobia. It's obscene, really. The fact of the matter is, folks with so-called Gender Identity Disorder may be feeling really incongruent and shitty and horrifically depressed, but that's not due to the so-called disorder. The feelings are due to some inner turmoil, but mostly the pressures and reflections from society that causes them distress. Therapy can help them to externalize all of this in order to understand the depression better. But I can understand why, for some of them, therapy is the last place they would go for help because of this horrible silver book, the DSM.
Some psychologists argue that because of the way the health care system is set up, the DSM should maintain the disorder label for insurance purposes - in other words to make sure that trans folks can have adequate access to care. And I understand that argument, but why not put the code down for depression and be done with it? If one is suggesting that they are just submitting the code of gender identity disorder for insurance purposes only, just submit something else.
It's a horrible cycle. Inadequate access to care only exacerbates the symptoms, but who wants to go to therapy when you're going to be stigmatized in the exact same way you are in society? When a therapy session is supposed to be a safe place, maybe the one and only safe place.
Pathologizing any gender is sickening, and I hope that in the newest edition of the DSM it'll be deleted. Unfortunately this doesn't seem likely. Dr. Kenneth Zucker, who oversees the Sexual and Gender Identity Disorders Committee is himself, of course, trans-phobic. He is most famous for forcing gender-variant children into reparative therapy to conform to his expectations for male and female behavior in children. In other words, he literally doesn't allow "gender-variant" boys to play with dolls and "gender-variant" girls to play with trucks.
It makes me want to scream! And why in hell would the people involved in creating these task forces and committees for each new edition of the DSM assign such a high-powered role to such an obviously extremist individual?
Ugh. Ugh. Ugh.
Wednesday, May 21, 2008
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