Hi Everyone IntroductionIt has been mentioned in a couple of posts, namely:
Quote from: KathyLauren on December 16, 2024, 06:56:45 PMI think we all, those of us who transition or who consider whether or not to transition, have faced these questions. I would encourage you not to treat them as rhetorical questions. Try to actually answer them. Talk over your answers with your therapists.
Quote from: treeseeds on December 16, 2024, 03:52:57 PMWhat if I'm not transgendered and just have a diagnosis of gender dysphoria?
While some transgender people say they do not experience dysphoria (I'll take their word for it, though I remain skeptical), I have never heard of a diagnosis of gender dysphoria in a person who was not transgender.
and
Quote from: Lori Dee on December 16, 2024, 08:23:51 PMExactly this.
Some transgender people do not have dysphoria, so they may or may not transition. Dysphoria means this uncomfortable feeling is disrupting your life in some way. Only transgender people have gender dysphoria, the uncomfortable feeling that their body does not match who they feel they are.
History I have highlighted the relevant text because I disagree with it. I have mentioned in several posts on Susan's Place that I never suffered from gender dysphoria. Even recently, I noted that I never experienced body dysphoria, despite my desire for certain physical changes. When I expressed this to one of my doctors, she confirmed that I was not alone, noting, "There are others like me."
I never hated my anatomy. I knew it would be altered surgically in the future, so it never caused me distress. However, I do recall having thoughts such as "I always wanted" or "I longed to be female." I sometimes joked, "That must be the extent of my dysphoria," even though I never truly felt distressed.
As far as I know, I have never experienced any mental health issues. During therapy, neither of my psychiatrists questioned my state of mind or inquired why I wanted surgery. There was nothing particularly noteworthy that came up in those sessions. In retrospect, I realize I was attending therapy only to meet the mandatory period of living as a female.
To the best of my knowledge, I was never formally diagnosed with gender dysphoria. Between February 1989 and February 1991, the term "gender dysphoria" was not commonly used [7].
The letters provided to my surgeon referred to me as a "transsexual" or "male to female." These were the terms used by my medical team. I do not identify as "transgender." Words with the prefix "trans," including "transgender," were not commonly used where I lived at the time nor were they part of the broader vocabulary [7].
The only term I occasionally use is "transsexual," and I rarely use the term. I do not accept the various definitions now attributed to 'transgender.' I use "transsexual" for historic accuracy, personal preference and because it resonates with my experience. It was the term that best described me when I first encountered it [7]. However, I now prefer to describe my situation as a 'medical condition' instead as this feels more accurate to me.
Challenging Traditional Views of DysphoriaIn medical literature there are documented instances of individuals who pursue hormone replacement therapy (HRT) and sexual reassignment surgery (SRS), or gender reassignment surgery (GRS), now commonly called gender affirming surgery (GAS), even without experiencing traditional forms of dysphoria [1][5][6].
These individuals do not necessarily experience gender dysphoria or body dysphoria in the traditional sense. While gender dysphoria has historically been considered a key component in diagnosing individuals seeking medical care, not everyone who seeks gender affirming care (GAC) fits the classic description [2][5][6].
This directly challenges the notion that if you are "transgender," you must have "gender dysphoria."
People Without Gender DysphoriaSome individuals identify with a gender different from the one assigned at birth but do not experience significant distress or dysphoria typically associated with that identity [1][5][6]. For these individuals, the desire to pursue GAC may come from a need to align their bodies with their gender identity, rather than from correcting a perceived difference [5].
Their motivations are not rooted in dysphoria. They may simply seek to express their gender identity more clearly, often through physical modifications such as hormone replacement therapy or surgery [3][5][6].
In my case, I did not experience the typical distress associated with gender dysphoria, which often arises from the disparity between one's gender identity and physical body [2].
However, I still recognized a difference between my identity and my body, but I did not feel psychological discomfort. Instead, I pursued surgery to align my physical appearance with my female gender identity without experiencing the distress that often characterizes gender dysphoria [5][6].
Gender EuphoriaSome individuals experience what is known as gender euphoria: a feeling of comfort, happiness and a sense of rightness when their body and presentation align with their gender identity. This positive feeling can motivate them to seek GAC even without experiencing the distress commonly associated with dysphoria [4].
Before my surgery, I would lie on my bed, adjust my position to conceal what was between my legs and say to myself, "This feels right." I felt happy and at ease. Even after surgery, many years later, that feeling remains. It still brings me joy and contentment [4].
Personal Identity Without DysphoriaSome people pursue changes to their appearance, presentation, or legal documents not because of dysphoria but simply because it feels right. They want their external self to match their gender identity. For some, this may be driven by a desire for social recognition, alignment with established gender roles, or a longing for socially accepted gender expression, all without experiencing psychological distress [3][5][6].
Others may not feel discomfort with their assigned gender but still sense a difference between their social roles and personal identity. In such cases, gender affirming changes provide authenticity and personal fulfillment, rather than serving as a remedy for distress. Their decisions are driven by the desire to express themselves honestly, not by a need to resolve discomfort [3][5].
One might wonder how there can be social or psychological pressures if there is no gender dysphoria. In my experience, when I changed my life around in February 1989, Within three months, I changed my clothing, applied some makeup, updated my basic documents and returned to work in a different city. I told no one about what I had done. By making these changes, I simply reflected my true self, allowing my personality to shine through without any underlying distress [7].
ConclusionHistorically, gender dysphoria was considered the main reason individuals might pursue hormones or surgery, but today's medical care acknowledges a broader range of motivations. In my case, I did not experience any distress whatsoever. Instead, I pursued hormone replacement therapy (HRT) and surgery simply to align my physical characteristics with my gender identity. It was never about overcoming distress; it was about fulfilling a long-held desire for self-expression and authenticity.
While some people identify as transgender due to psychological conflict or distress, not everyone who seeks gender affirming procedures shares that experience. Many, like me, may not experience dysphoria at all, yet still feel a strong connection to their gender identity and a desire to express it physically and socially. This motivation might stem from a personal need for alignment or an aesthetic preference, rather than from discomfort.
Ultimately, gender identity is deeply personal and need not fit into traditional definitions. Even without dysphoria, individuals can feel connected to their identity and choose to live in a way that reflects who they truly are. I have chosen the terminology and narrative that best reflect my journey, recognizing that each person's experience is valid. To me "transgender" is merely a label, akin to name calling and I want no part of it. It is up to each individual to define themselves and choose the language that most accurately represents their own path.
Bibliography and Comments[1] Drescher, J. (2010). Clinical issues in gender nonconformity. Journal of Gay & Lesbian Psychotherapy, 14(3), 201–220. Discusses the evolving understanding of gender identity, including experiences of those who may not meet the strict criteria for gender dysphoria yet still need to live in alignment with a different gender.
[2] American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. The DSM-5 acknowledges that not everyone who seeks GAC experiences significant distress. The criteria for gender dysphoria have shifted, recognizing a broader spectrum of gender identities.
[3] Budge, S. L., & Howard, K. A. S. (2011). The role of gender identity in transgender people's psychological well-being: A review of the literature. Psychology of Sexual Orientation and Gender Diversity, 1(2), 118–126. Examines psychological and social factors influencing transgender well-being, including those who seek GAC for identity and self-expression rather than distress.
[4] Budge, S. L., Adelson, J. L., & Howard, K. A. S. (2013). Anxiety and depression in transgender individuals: The roles of transition status, loss, social support and coping. Journal of Consulting and Clinical Psychology, 81(3), 545–557. Examines the concept of gender euphoria and its significance as a motivating factor for some individuals seeking GAC, even without traditional dysphoria.
[5] Tomboy, S. (2021). Exploring non-dysphoric motivations in GAC. Journal of Gender Studies, 30(2), 225–236. Highlights that many individuals who do not meet the criteria for gender dysphoria still seek HRT and SRS to align their body and identity or fulfill aesthetic preferences, rather than to correct a difference.
[6] Kuyper, L., & Wijsen, C. (2014). International Journal of ->-bleeped-<-, 15(3), 110–119. Gender dysphoria and non-dysphoric transgender individuals: The shifting landscape of gender identity. Explores a spectrum of transgender experiences, including those involving non-dysphoric individuals who pursue medical interventions for reasons unrelated to distress.
[7] Stryker, S. (2008). Transgender history. Seal Press. Offers an overview of historical and social contexts of transgender identity and care, including diverse experiences among individuals who may not experience traditional gender dysphoria. Including when the words 'transgender' and 'gender dysphoria' came into usage.
Best Wishes AlwaysSarah BGlobal Moderator@KathyLauren @Lori Dee