That we are taken out of the DSM but in the meantime we are stuck with the stigma of being trans and it is that stigma that causes us so much pain.
That it might be the religious leaders telling us we are cursed and damn to hell? That it might be the politicians who want to make us criminals? That it might be our family disowning us? That it might by the bigot on the street shouting obscenities at us who is causing our anxiety?
The Lancet Psychiatry: First field trial supports removing transgender diagnosis from mental disorders chapter within WHO classificationNow tell me you think we didn’t know that? That it is because of what people do to us that causes us so much pain.
The Lancet
Eureka Alert
July 26, 2016
New evidence suggests that it would be appropriate to remove the diagnosis of transgender from its current classification as a mental disorder, according to a study conducted in Mexico City. The study is the first field trial to evaluate a proposed change to the place of the diagnosis within the WHO International Classification of Diseases (ICD).
The research, published in The Lancet Psychiatry journal today and led by the National Institute of Psychiatry Ramón de le Fuente Muñiz, involved interviewing 250 transgender people and found that distress and dysfunction were more strongly predicted by experiences of social rejection and violence than by gender incongruence itself. The study is the first of several field trials and is currently being replicated in Brazil, France, India, Lebanon and South Africa.
"Stigma associated with both mental disorder and transgender identity has contributed to the precarious legal status, human rights violations and barriers to appropriate care among transgender people," says senior author Professor Geoffrey Reed, National Autonomous University of Mexico. "The definition of transgender identity as a mental disorder has been misused to justify denial of health care and contributed to the perception that transgender people must be treated by psychiatric specialists, creating barriers to health care services. The definition has even been misused by some governments to deny self-determination and decision-making authority to transgender people in matters ranging from changing legal documents to child custody and reproduction." [1]
"Our findings support the idea that distress and dysfunction may be the result of stigmatization and maltreatment, rather than integral aspects of transgender identity," says lead investigator Dr Rebeca Robles, Mexican National Institute of Psychiatry. "The next step is to confirm this in further studies in different countries, ahead of the approval of the WHO revision to International Classification of Diseases in 2018." [1]
That it might be the religious leaders telling us we are cursed and damn to hell? That it might be the politicians who want to make us criminals? That it might be our family disowning us? That it might by the bigot on the street shouting obscenities at us who is causing our anxiety?
More than three-quarters of participants (191, 76%) reported experiencing social rejection related to gender incongruence, most commonly by family members, followed by schoolmates/co-workers and friends. A majority of participants (157, 63%) had been a victim of violence related to their gender identity (table 3) - in nearly half of these cases, violence was perpetrated by a family member. Psychological and physical violence were the most commonly reported, and some experienced sexual violence.We know this, we don’t need a study what we know from our own experiences, but if it help to get us out of the DSM I’m for it.
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