Quote from: tekla on October 22, 2008, 01:16:58 AM
If it's dropped off the DSM, will it *ever* be covered by insurance?
No. But then again, no one will ever have to cart a check to some psychologist to get a letter, and the mental health community would no longer have a veto in the deal.
People who need such help, should seek it. But I don't think that many do. And its put the community in a bad place. The gays got it dropped, so should we. Transition should be a matter of informed consent, not medical or psychological pathology.
And this will help the many many thousands of trans people who can't afford the costs associated with transition? That it will somehow improve things for us if medical transition becomes a completely elective luxury, and not a medical necessity as it is for many of us?
The difference between being gay and being trans is that being gay doesn't require medical intervention. Being trans <em>does</em>, and lack of access to that medical intervention is probably one of the major reasons for suicide attempts among trans people. The lack of treatment itself creates comorbidities such as depression, and for that reason alone, transition-related treatments need to be recognized as medically necessary and covered by insurance.
Not that this means I agree in the least with the standards of care, and how they're designed to convince people that they don't really want to transition, or to protect doctors and surgeons from malpractice suits. Standards of care should be oriented toward patients, not gatekeepers.
Posted on: October 22, 2008, 05:34:32 pm
Quote from: Saraloop on October 21, 2008, 09:52:37 PM
QuoteWhy is it important that there be a possibility?
Some people are able to control their heartbeat. Some Chinese aura masters are able to augment their body heat at will, and not just slightly. What if someone could tap into their mind so deeply that they could control their body on a cellular level? Pretty far fetched but doesn't mean it's impossible, ..and doesn't mean it's the way to go either, but it's still a possibility.
If I could tap into my mind so deeply that I could control my body on a cellular level, it wouldn't be to will myself into not being trans... I mean, my trans history is a part of who I am, and is directly responsible for my identification as a woman. Why would I want to change that?
Or rather, why would trans people want to change their gender identification, but not cis people?
I also think there's a difference between altering autonomic function either consciously or because of your mental state (
anxiety, for example, can affect your heartbeat, your body temperature, and other bodily functions) and explicitly removing or altering what may be fundamental aspects of your personality, or even defined to some degree by neurological structures in your brain. Does it really seem advisable to attempt psychic brain surgery?
It is possible to resist the dissonance between your subconscious sex and anatomical sex, but it is not necessarily healthy, psychologically. The psychological cost of trying to wage war against yourself in the way you describe strikes me as profoundly unhealthy.