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November 26, 2008
Kelley Winters, Ph.D.
GID Reform Advocates
www.gidreform.org
In 1860, abolitionist and suffrage leader Susan B. Anthony risked
arrest to help a battered wife, who had been committed by her husband to an
insane asylum for over a year. Mrs. Phoebe Phelps, a school principal and
accomplished author, was imprisoned and allowed no contact with her children,
friends or family for nonconformity to the submissive role expected of women.
It was remarkably easy to incarcerate women of that time with a diagnosis of
“delusions” or in later years “hysteria.” After her release by writ of habeas
corpus, she asked Ms. Anthony to help her flee the grasp of her abusive husband,
a Massachusetts Senator. On Christmas night, Anthony took Mrs. Phelps and her
daughter by train to New York City and a chance for freedom.
“aware of how often her friends of
the Underground Railroad had defied the Fugitive Slave Law and hidden and
transported fugitive slaves, Susan decided she would do the same for this
cultured intelligent woman, a slave to her husband under the law.” [1]
A century and a half later, so much and yet so little have
changed. Our country has abolished the atrocity of slavery, enacted civil liberties
for people of color and just this month elected our first African American
President of the United States. Yet, gender variant Americans are still
incarcerated in mental institutions and physically and emotionally assaulted
with drugs and “aversion therapies” for failing to comport to the roles of
their assigned birth-sex.
In 1995, Dr. Deidre McCloskey, a renowned professor of
economics at the University of Illinois, Chicago, was taken from her home by
sheriff’s deputies with “a warrant for arrest for mental examination.” Dr.
McCloskey was a transsexual woman who had come out of the closet to her family
prior to social transition, Deidre’s sister, a psychologist, held intolerant
views of gender diversity and, like Mrs. Phelps’ nineteenth-century husband,
was easily able to procure a civil commitment to a psychiatric ward.
Dr. McCloskey was incarcerated not once but twice at her
sister’s insistence. In Crossing, a Memoir, [2] McCloskey described the
“treatment protocols” for those seized for gender transgression:
“the victim has no civil rights,
especially if poor and unable to hire a vigorous lawyer; nothing he says is to
be credited; no penalty of perjury or civil liability or even court costs
attaches to the people initiating the seizure if their testimony proves to be
false; and the psychiatrists to everything to avoid the liability from letting
the victim free, are cowardly about taking the responsibility to do so and in
effect are exempted from liability for the consequences of a false seizure and
an unreasonable detention.”
Deidre was interrogated by psychiatrists who displayed utter
ignorance about gender dysphoria and the transition process. She was labeled
as “manic,” resulting from “latent homosexuality,” decades after the American
Psychiatric Association had removed same-sex orientation from the classification
of mental illnesses. One psychiatrist demanded, “Are you a homosexual?” “Do
you wish to become one?” When Deidre responded “no,” that she was attracted to
women, the doctor was incredulous. Reflecting old stereotypes confusing sexual
orientation with gender identity, he responded, “Well, then, why are you doing
this?”
To regain her freedom, Dr. McCloskey was forced to pay $8000
in legal fees and, astonishingly, was billed $3000 by the hospitals that
falsely imprisoned her. She wondered, “What if I were poor?”
Susan Anthony would be disappointed at how little we have
progressed.
The extraordinary narrative of Ms. April Ashley, a British
transwoman and fashion model, illustrates the cruelty inflicted on gender
variant individuals in mental institutions in the 1950s and beyond. Attempting
suicide at eighteen years old, Ashley was rescued by her long hair from the
Mersey river and delivered to the Ormskirk Mental Hospital near Liverpool. She agreed
to a regimen of gender-reparative therapy at nearby Walton Hospital, intending
to change her feminine identity. April’s “treatments” included drugging her
with ether while doctors exacted, “Why do you want to be a woman?” Later, the
interrogations were punctuated with sodium pentathol injections. Ashley was
given massive doses of male hormones. Finally, she was placed in a public ward
and administered electroconvulsive therapy:
“These blitzed souls returned from
the convulsion chamber like zombies, their eyes blinking and heavily bloodshot,
with an attendant supporting them on each side. A few hours later they awoke in
their beds with murderous headaches in comparison to which an aspirin overdose
is like a day at the seaside. When it comes to medical matters I'm usually very
brave but on these occasions was not.”
Ashley’s treatment illustrated a recurring theme in gender
incarceration: obsessed with attempts to change her gender identity, they neglected
the depression and despair that led to her original hospitalization. In spite
of her abuse, Ms. Ashley persevered to live her truth.
“’No matter what you do, you'll never
be able to change my mind. I said with a knowledge I didn't know I had.” [3]
Ashley prevailed as a remarkable pioneer in the transcommunity.
She was one of the first patients for corrective genital surgery with Dr.
Georges Burou in Morocco, and she appeared in Vogue and the movie, The Road
to Hong Kong, starring Bing Crosby and Bob Hope.
Phyllis Burke, author of Gender Shock: Exploding the
Myths of Male and Female, [4] told the heartbreaking story of Jamie, a
transsexual woman who survived fifteen years of hospitalization from age six.
“Jamie did not do boy things, and would not lie about it,” Burke explains.
Admitted in the late 1950s, Jamie was drugged and given numerous
electroconvulsive shock treatments over the span of her imprisonment:
“The treatments never became less
painful, and there was nothing more painful than the shock, not even the rapes
by the male patients, not even Mother and Father never returning.”
At twenty years old, following an extremely painful ECT treatment,
Jamie escaped the institution and made her way to San Francisco and transition
to an affirmed life. Jamie asked Ms. Burke to find as many children like her
as she could and write about their stories,
“No one is talking about them, …
but there are still kids in the hospitals.”
Burke noted that attitudes about childhood gender
nonconformity within American psychiatry were influenced by Dr. Martha
MacDonald and her 1938 study of eight birth-assigned males at Michael Reese
Hospital on the South Side of Chicago. [5] In a paper entitled “Criminally
Aggressive Behavior in Passive-Effeminate Boys,” [6] MacDonald associated
feminine expression with violent aggression. Contrary to this stereotype, she
observed that these youth were “model playmates” in the company of girls, and she
did not clearly distinguish them as perpetrators of violence in the presence of
boys or as victims. Nevertheless, MacDonald advocated psychiatric hospitalization
of gender variant youth -- a role that her own institution would play, decades
later, in one of the best known and most tragic stories of the gender gulag.
In his seminal autobiography, The Last Time I Wore a
Dress: A Memoir, [7] Dylan Scholinski recalls high school years incarcerated
in a series of mental institutions with a diagnosis of Gender Identity
Disorder. [8] The first of these was Michael Reese Hospital, where the
fifteen year-old was termed by doctors “an inappropriate female.”
“Can you tell me,” Scholinski’s
father had asked at a prior clinic, “why she won’t wear a dress?”
At Michael Reese, the award-winning author describes being pressed
to the floor under the boot of a guard who ordered, “Shut up, you f***ing
crazy-ass queer” – a phrase apparently synonymous with a diagnosis of Gender
Identity Disorder; being injected with thorazine; being locked in seclusion; being
tied to a bed while touched, assaulted, by a male patient on the ward. The
attending psychiatrist would ask, “Why don’t you put on a dress instead of
those crummy jeans?”
At Forest Hospital in Des Plaines, Illinois, Scholinski was
told that, “if I appeared more feminine I would be better adjusted.” This was
followed by daily humiliation with “girly lessons,” and make-up sessions:
“If I didn’t emerge from my room
with foundation, lip gloss, blush, mascara, eyeliner, eye shadow and feathered
hair, I lost points. Without points, I couldn’t go to the dining room. I couldn’t
go anywhere. …
Ever lied to save yourself? … Ever
been so false your own skin is your enemy?”
After three years of incarceration in three institutions at
a cost of one million dollars, Scholinski was finally released when insurance
benefits ran out. Today, Dylan is an accomplished artist, author and community
advocate in Denver, Colorado. He recently founded the Sent(a)Mental Project, A
Memorial to GLBTIQ Suicides. [9]
Trey Polesky, a counselor and GID reform advocate [10]
received very similar mistreatment at Forest Hospital in 1990. He tells how a
psychiatrist diagnosed him with Gender Identity Disorder at age 9 and
recommended incarceration to “help me become more in touch with my feminine
side.” In a program of gender-reparative therapy, he was forced to wear pink
and purple dresses and skirts, grow out his hair and read teen fashion
magazines to learn to behave “like a girl.” Trey recalls,
“I finally learned to fake my way
out in order to be released, though the reparative therapy did nothing but
shatter my sense of self confidence in who I was. Essentially, they taught me
to hate who I was.”
Harsh punishment of gender variant youth occurs in
outpatient as well as residential settings. Dr. Arianna Davis today is an
advocate for trans and intersex communities and GID reform. Though born with an
intersex condition and expressing a strong female identity at a very early age,
she was assigned male and later diagnosed as mentally ill for not comporting to
that assignment. Arianna was subjected to a gender-reparative therapy regimen
at UCLA in the 1980s:
“I was subjected to forced testosterone
injections and used as a study subject against my wishes. These things
happened (under the physical beatings and punishment -recomended by a therapist
of a reparative mindset- the urging of my father and the all too eager compliance
of UCLA doctors and researchers).” [11]
Dr. Davis’ story raises the point, a painful memory to so
many of us, of how physical violence from parents of gender variant children is
encouraged by intolerance from the mental health professions – what has been
called, “the sissy-whupping method.” [12] I have often remarked in my own
diversity lectures that if it were possible to beat, shame or coerce the gender
identity out of a child, I would not exist and my audience would not be having
this conversation with me. Playwright Eve Ensler termed this violence toward
young transwomen, “They Beat the Girl Out of My Boy… Or So They Tried,” in a
2004 Los Angeles production of The Vagina Monologues. [13]
In Aldous Huxley’s, Brave New World, psychiatric
aversion therapies were used to condition the lower classes to hate books [14].
In our real world, aversion therapies have long been the cornerstone of
reparative therapies intended to “cure” both gender variance and same-sex
orientation. However, the American Psychiatric Association issued position
statements in 1998 and 2000 opposing these “conversion” treatments that attempt
to change sexual orientation: [15]
“APA recommends that ethical practitioners
refrain from attempts to change individuals' sexual orientation, keeping in
mind the medical dictum to First, do no harm.”
Sadly, the APA never discouraged analogous gender-reparative
therapies attempting to change gender identity or suppress gender expression.
Indeed, the dictum of “First, do no harm,” does not seem to apply to the
treatment of gender variant people within American psychiatry. Nor do the
bounds of human compassion and decency, when it comes to enforcing conformity
to assigned birth sex. For example, Dr. Ron Langevin of the University of
Toronto Clarke Institute of Psychiatry (today known as the Centre for Addiction
and Mental Health) promoted inhumane aversion treatment of cross-dressing individuals
assigned male at birth in his 1983 book, Sexual Strands: Understanding and
Treating Sexual Anomalies in Men. [16]
Reminiscent of a scene from Anthony Burgess’ A Clockwork
Orange, [17] Langevin described chemical aversion therapy to “cure”
cross-dressing,
“In chemical aversion therapy, the
patient is first administered nausea inducing drugs. When he indicates that he
feels sick, his favorite female clothes used for crossdressing are presented.
He should touch them and look at them as best he can. Then he is overwhelmed by
the need to vomit. The clothes are withdrawn and the procedure repeated several
hours later.”
Next, he noted the advantages of “electrical aversion” in
offering greater “control” over timing. He described the treatment of a
patient:
“The conditioning stimuli were
pictures of women wearing panties which were followed by the unconditioned
stimulus, electric shock. The shock level was set so the patient found it so
uncomfortable, he wanted it stopped. In addition to seeing pictures, he was
instructed to handle panties and to imagine himself wearing them. After 41
sessions, he said he was no longer troubled by the “fetish” but a month later,
it spontaneously recovered.”
Finally, Dr. Langevin introduced a newer form of “shame
aversion therapy” used on a “transvestite:”
“the patient was required to
crossdress before a disinterested group of men and women who watched him
without reaction or comment. … In this case, shame replaces electric shock …
the patient was evidently experiencing shame. He was in tears as he crossdressed
and had a look of anguish on his face. He attempted suicide the following day according
to the investigator.” [18]
This unconscionable treatment brings to mind a quote by Nurse
Ratched of Ken Kesey’s One Flew Over the Cuckoo’s Nest. “Aren’t you
ashamed?” she demanded. [19]
Ashamed of what, though? Where exactly is the shame in being
different? Author Dylan Scholinski perhaps said it best:
“But I’ve proven the doctors wrong. I don’t feel
disgust in myself or in love.
They are the ones who should be
ashamed” [20]
Psychiatric incarceration and abuse of gender variant youth
and adults has for generations been facilitated by diagnostic nomenclature that
equates difference with disease: nonconformity to assigned birth-sex with
mental disorder and sexual deviance. It is time for the American Psychiatric
Association and other mental health organizations to repudiate the practice of
gender-reparative therapies, as they have renounced reparative therapies for
sexual orientation. It is time for the APA and the mental health professions
to extend an apology to all who have been imprisoned or traumatized in the
course of these treatments. In drafting the fifth edition of the Diagnostic
and Statistical Manual of Mental Disorder, it is time for the APA to remove
the classification of Transvestic Fetishism and revise that of Gender Identity
Disorder to serve constructive rather than destructive purposes. It is time
for new diagnostic nomenclature consistent with the medical principle of
“First, do no harm.”
[1] A. Lutz, Susan B. Anthony: Rebel, Crusader,
Humanitarian, Zenger, 1959, p90.
[2] D. McCloskey, Crossing, a Memoir, University of
Chicago Pres, 2000, pp. 98, 107, 117.
[3] D. Fallowell and A. Ashley, April Ashley's Odyssey,
Jonathan Cape, London, 1982. http://www.antijen.org/Aprilv1/
[4] P. Burke, Gender Shock: Exploding the Myths of Male
and Female, Anchor, 1996, pp. 75-84.
[5] Burke 1996, pp. 71-74.
[6] M. MacDonald, “Criminally Aggressive Behavior in
Passive-Effeminate Boys,” American Journal of Orthopsychiatry, v.8,
1938, pp. 70-78.
[7] D. Scholinski and J. Adams, The Last Time I Wore a
Dress: A Memoir, Riverhead, 1997, pp. x, 6, 7, 33, 56, 57, 80, 117. Dylan
Scholinski’s name was Daphne at the time of publication.
[8] American Psychiatric Association, Diagnostic and
Statistical Manual of Mental Disorders, Fourth Edition, Text Revision,
Washington, D.C., 2000, pp. 576-582.
[9] D. Scholinski, “Sent(a)Mental Project, A Memorial to
GLBTIQ Suicides,” http://www.myspace.com/dylanscholinski
[10] T. Polesky, http://www.gidreform.org/advocate.html#trey
[11] Personal correspondence, A. Davis. See also http://www.gidreform.org/advocate.html
[12] Holly, “The Sissy-Whupping Method,” Feministe, http://www.feministe.us/blog/archives/2008/05/13/7399/
[13] E. Ensler, “They Beat the Girl Out of My Boy… Or So
They Tried,” performed by Calpernia Addams, The Vagina Monologues, V-Day
Los Angeles, February 2, 2004, http://www.deepstealth.com/vday/
[14] A. Huxley, Brave New World, Harper, 1932, p. 22.
[15] American Psychiatric Association, “Position Statement:
Therapies Focused on Attempts to Change Sexual Orientation (Reparative or
Conversion Therapies),” 2000, http://archive.psych.org/edu/other_res/lib_archives/archives/200001.pdf
[16] R. Langevin, Sexual Strands: Understanding and
Treating Sexual Anomalies in Men, Lawrence Erlbaum Assoc., 1983.
[17] A. Burgess, A Clockwork Orange, William
Heinemann (UK) 1962.
[18] Langevin 1983, pp. 222, 224, 254.
[19] K. Kesey, One Flew Over the Cuckoo’s Nest,
Signet, 1963, p. 242.
[20] Scholinski 1997, p. 195.
Copyright © 2008 Kelley Winters, GID Reform Advocates
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