Call to Action

[Janet_Girl]

This was passed on to me amd thought I would share.

Kelley Winters, Ph.D.
GID Reform Advocates
www.gidreform.org
kelley@gidreform.org

On May 5th 2011, the American Psychiatric Association (APA) released a second round of proposed diagnostic criteria for the 5th Edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These include two diagnostic categories that impact the trans communities, Gender Dysphoria (formerly Gender Identity Disorder, or GID) and Transvestic Disorder (Formerly Transvestic Fetishism). While GID has received a great deal of attention in the press and from GLBTQ advocates, the second Transvestic category is too often overlooked. This is unfortunate, because the Transvestic Disorder diagnosis is designed to punish social and sexual gender nonconformity and enforce binary stereotypes of assigned birth sex. It plays no role in enabling access to medical transition care, for those who need it, and is frequently cited when care is denied (Winters 2010). I urge all trans community members, friends, care providers and allies to call for the removal of this punitive and scientifically unfounded diagnosis from the DSM-5. The current period for public comment to the APA ends June 15.

Like its predecessor, Transvestic Fetishism, in the current DSM, Transvestic Disorder is authored by Dr. Ray Blanchard, of the Toronto Centre for Addiction and Mental Health (CAMH, formerly known as the Clarke Institute). Blanchard has drawn outrage from the transcommunity for his defamatory theory of  ->-bleeped-<-, asserting that all transsexual women who are not exclusively attracted to males are motivated to transition by self-obsessed sexual fetishism (Winters 2008A). He is canonizing this harmful stereotype of transsexual women in the DSM-5 by adding an  ->-bleeped-<- specifier to the Transvestic Fetishism diagnosis (APA 2011) . Worse yet, Blanchard has broadly expanded the diagnosis to implicate gender nonconforming people of all sexes and all sexual orientations, even inventing an autoandrophilia specifier to smear transsexual men. Most recently, he has added an "In Remission" specifier to preclude the possibility of exit from diagnosis. Like a roach motel, there may be no way out of the Transvestic Disorder diagnosis, once ensnared.

What You Can Do Now

Go to the APA DSM-5 web site (APA 2011), click on "register now," create a user account and enter your statement in the box. The deadline for this second period of public comment is June 15 2011.
Sign the Petition to Remove Transvestic Disorder from the DSM-5 (IFGE 2010), sponsored by the International Foundation for Gender Education.
Demand that your local, national and international GLBTQ nonprofit organizations issue public statements calling for the removal of this defamatory Transvestic Disorder category from the DSM-5. Very few have so far.
Spread the word to your network, friends and allies.
For more information, see GID Reform Advocates (Winters, 2010)

References

American Psychiatric Association (2011) "DSM-5 Development; Proposed Revisions, 302.3 Transvestic Fetishism," http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=189#

Ehrbar, R., Winters, K., Gorton, N. (2009) "Revision Suggestions for Gender Related Diagnoses in the DSM and ICD," The World Professional Association for Transgender Health (WPATH) 2009 XXI Biennial Symposium, Oslo, Norway, http://www.gidreform.org/wpath2009/

International Foundation for Gender Education (2010) "Petition to Remove Transvestic Disorder from the DSM-5," http://dsm.ifge.org/petition/

Lev, A.I., Winters, K., Alie, L., Ansara, Y., Deutsch, M., Dickey, L., Ehrbar, R., Ehrensaft, D., Green, J., Meier, S., Richmond, K., Samons, S., Susset, F., (2010). "Response to Proposed DSM-5 Diagnostic Criteria. Professionals Concerned With Gender Diagnoses in the DSM." Retrieved December 4, 2010 from: http://professionals.gidreform.org

TransYouth Family Allies (2010) "Comments on the Proposed Revision to 302.6 Gender Identity Disorder in Children, Submitted to the American Psychiatric Association," April 20, http://www.imatyfa.org/whatsnew/2010/10apr-commentsondsm-v.html

Winters, K. (2008). Gender Madness in American Psychiatry: Essays from the struggle for Dignity, GID Reform Advocates, www.gendermadness.com

Winters, K (2008A)  ->-bleeped-<-: The Infallible Derogatory Hypothesis, Part 1, GID Reform Advocates, November 10, http://www.gidreform.org/blog2008Nov10.html

Winters, K. (2010) "Ten Reasons Why the Transvestic Disorder Diagnosis in the DSM-5 Has Got to Go," GID Reform Advocates, Oct. 15, http://www.gidreform.org/blog2010Oct15.html

Winters, K. and Ehrbar, R. (2010) "Beyond Conundrum: Strategies for Diagnostic Harm Reduction," Journal of Gay & Lesbian Mental Health, 14:2, 130-139, April World Professional Association for Transgender Health (2010). "Statement Urging the De-psychopathologisation of Gender Variance," May 26, http://wpath.org/publications_public_policy.cfm

If it is in the wrong place, feel free to move it, Z.

[spacial]

Transvestic Disorder (Formerly Transvestic Fetishism) doesn't seem to have any practical diagnostic criteria, that is exclusive to this category.

Moreover, it can be reasonably attached to almost any behaviour or activity. I'm reminded of Joan of Arc. But we can reasonably include that which is judged to be gender inappropriate.

It seems to be motivated by political expediency and popular demand.

This is neither medica, scientific, academic or in the best interests of patients.

It is entirely unprofessional and brings the entire document and thsoe who have put their names to it, into clear, disrepute.