A Critique of Gender Identity Disorder and its Application
DOI:
https://doi.org/10.18192/riss-ijhs.v2i2.1520Keywords:
Gender Identity Disorder, ethics, psychiatrist, psychopathologyAbstract
For some, Gender Identity Disorder (GID) becomes the only way to achieve sex reassignment surgery (SRS). It will be shown that GID acts as a problematic regulatory mechanism based on its application.
It will be argued that GID normalizes a dichotomous view of gender. In this way, GID’s implicit applications allow the mental health professional to assert their views of what proper gendered behavior is, further normalizing a binary view of gender.
Insurance companies require a GID diagnosis in order to provide economic assistance to those wishing to undergo sex reassignment surgery. Those who cannot afford to transition must fall under GID’s gaze in order to achieve SRS. This will be shown to be unacceptable and a way in which GID operates as a regulatory mechanism.
Appealing to a GID diagnosis can further stigmatize the individual who wishes to transition due to the necessitation of distress as an explicit mechanism of diagnosis. Having to fall under GID may internalize the negative aspects of the diagnosis.
A criticism of GID as a form of psychopathology will be given and also be linked to the idea of GID as a regulatory apparatus. It will be shown that there should be no link between ethical discomfort and GID-free sex reassignment surgery. Also, it will be shown that psychopathology has normalizing capabilities that further entrench gender binaries.
It is important to consider the removal of GID from the DSM, but, as a condition, still offer funding for sex reassignment surgery without having to appeal to a mental health professional’s assessment.
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.), Washington, DC: American Psychiatric Association.
Butler, J. (2004). Undoing gender. New York, NY: Routledge.
Giordano, S. (2012). Sliding doors: Should treatment of gender identity disorder and other body modifications be privately funded? Medicine, Healthcare, and Philosophy, 15(1), 34-40. doi: 10.1007/s11019-010-9303-y
Hale, J. (2001). Medical ethics and transsexuality. Retrieved from www.symposion.com/ift/hbigda/2001/69_hale.htm
Isay, R. A., (1997). Remove gender identity disorder from the DSM. Psychiatric News, 32(22), 9-13.
Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. (1st ed.) Binghamton, NY: The Haworth Press, Inc.
Lev, A. I. (2006). Disordering gender identity: Gender identity disorder in the DSM-IV-TR. Journal of Psychology & Human Sexuality, 17(3-4), 35-69. doi: 10.1300/ J056v17n03_03
Levine, S. B., & Solomon, A. (2009). Meanings and political implications of “psychopathology” in a gender identity clinic: A report of 10 cases. Journal of Sex & Marital Therapy, 35(1), 40-57. doi: 10.1080/00926230802525646
Meyer-Bahlburg, H. F. L. (2010). From mental disorder to iatrogenic hypogonadism: Dilemmas in conceptualizing gender identity variants as psychiatric conditions. Archives of Sexual Behavior, 39(2), 461-476. doi: 10.1007/s10508- 009-9532-4
Murphy, T. F. (2010). The ethics of helping transgender men and women have children. Perspectives in Biology and Medicine, 53(1), 46-60. doi: 10.1353/pbm.0.0138
Siomopoulos, V. (1974). Transsexualism: Disorder of gender identity, thought disorder, or both? Journal of the American Academy of Psychoanalysis, 2(3), 201-213.
Zucker, K. J. (2010). The DSM diagnostic criteria for gender identity disorder in children. Archives of Sexual Behavior, 39(2), 477-498. doi: 10.1007/s10508-009-9540-4
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