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Gender Madness in American Psychiatry Gender Madness in American Psychiatry: Essays from the Struggle for Dignity,
by Kelley Winters (2008)
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Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM), A Reevaluation , Karasic and Drescher, Eds. (2005)
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Essay Series on Gender Diagnoses in the DSM-V

May 30, 2009

Stop Sexualizing Us!

Julia Serano
Julia Serano assisted by Buddy. Photo by Kelley Winters. Read and post comments at gidreform.wordpress.com.

A Guest Essay by Julia Serano, Ph.D.
Presented at a Protest Rally at the
Annual Meeting of the
American Psychiatric Association
San Francisco, May 18, 2009

For decades, the general public, and especially the media, have had a lurid fascination with trans people's bodies and sexualities. From talk shows like Jerry Springer, to reality shows like There's Something About Miriam, novels like Myra Breckinridge, and the countless movies that portray trans women almost exclusively as either sex workers, sexual predators and sexual deviants. This hypersexualization of transgenderism predominantly targets trans women and others on the trans feminine spectrum-because in a world where women are routinely objectified, and where a woman's worth is often judged based on her sexual appeal, it is no surprise that many people presume that those of us who were assigned a male sex at birth, but who identify as women and/or dress in a feminine manner, must do so for primarily sexual reasons.

We are here today to say, stop sexualizing us!

This sexualization of trans feminine gender expression also runs rampant in psychiatry. In the current version of the DSM, there is a diagnosis called Transvestic Fetishism, which specifically targets "male" expressions of femininity. When nontransgender women wear traditionally feminine clothing, they are viewed as healthy. But when the same behavior occurs in people assigned a male sex at birth, the APA deems it psychopathology. This is hypocrisy!

We say to the APA, stop sexualizing us!

And while crossdressing by men is often an expression of femininity, or of an inner gender identity, Transvestic Fetishism presumes that the act of wearing feminine clothing must (in and of itself) be an expression of aberrant sexuality.

We say to the APA, stop sexualizing us!

Studies have shown that, “Cross-dressers ... are virtually indistinguishable from non-cross-dressers.” Despite the empirical lack of evidence that crossdressing is associated with psychopathology, the APA continues to mischaracterize crossdressing as a mental disorder.

We say to the APA, stop sexualizing us!

And if that wasn't bad enough, Transvestic Fetishism has been categorized in the Paraphilias section of the DSM-the category that used to be called Sexual Deviations. This section used to be home to diagnoses like Homosexuality and Nymphomania-societal double standards that for decades were reified in the DSM as mental disorders. Like its predecessors, crossdressing is a harmless, consensual activity that is unnecessarily stigmatized in both the culture at large and within psychiatry. We are here to call for the removal of all forms of crossdressing and transvesticism from the DSM.

We say to the APA, stop sexualizing us!

And while there are many psychologists who understand the distinction between gender and sexuality, who understand that trans people's identities, personalities and sexual histories are infinitely varied, the APA passed over such people, and instead tapped Ray Blanchard to chair of the sub-working group for the next DSM's Paraphilia section.

We say, to the APA, stop sexualizing us!

Blanchard is the inventor of the controversial theory of autogynephilia, which claims that all transgender women are sexually motivated in our transitions. Despite the overwhelming scientific and experiential evidence that contradicts his theory, it has gained traction in the psychological literature-including a mention in the current DSM-precisely because it reifies hypersexualized stereotypes of trans women.

We say, to the APA, stop sexualizing us!

Blanchard views trans feminine spectrum individuals the way most movie producers do. To him, we are all either gay men who become women in order to attract straight men, or we are male perverts who become women in order to fulfill some kind of bizarre sex fantasy.

We say, to the APA, stop sexualizing us!

Blanchard not only believes that we are sexually deviant, but in the psychological literature, he has forwarded his belief that those people who are attracted to us-our lovers, partners and spouses-must also suffer from a paraphilic disorder.

We say, to the APA, stop sexualizing us!

Blanchard's theories have been challenged by a majority of trans activists, allies, advocates and countless trans-knowledgeable psychologists and therapists. Yet, the APA selected him to play a lead role in rewriting trans feminine gender expression back into the DSM.

We say, to the APA, stop sexualizing us!

When you sexualize someone, you invalidate them. That's why feminists have worked so hard to put an end to sexual harassment in the workplace, and it's why we as trans activists seek an end to the psychiatric sexualization of trans feminine gender expression.

We say, to the APA, stop sexualizing us!

Clothing choice does not constitute a psychopathology. We call for the complete removal of crossdressing and Transvesticism (in any form) from the DSM.

We say to the APA, stop sexualizing us!


About the Author:

Julia Serano is an Oakland, California-based writer, spoken word performer, trans activist, and biologist. Julia is the author of Whipping Girl: A Transsexual Woman on Sexism and the Scapegoating of Femininity (Seal Press, 2007), a collection of personal essays that reveal how misogyny frames popular assumptions about femininity and shapes many of the myths and misconceptions people have about transsexual women. Julia has gained noteriety in transgender, queer, and feminist circles for her unique insights into gender. She has a Ph.D in Biochemistry and Molecular Biophysics from Columbia University and is currently a researcher at UC Berkeley in the field of Evolutionary and Developmental Biology.

Published here with permission of the author
Copyright © 2009 Julia Serano

Blog Index:

2010Apr20
Comments on
Draft Revisions
to the DSM5
2010Apr16
Why You
Should Sign
the Petition
2010Feb10
DSM-V
Proposed
Criteria
2010Feb06
Taxing
Medical Necessity
2009Nov03
Update: Statement
on GID & TF
in the DSM-V
2009Jun24
WPATH Presentation:
Revision Suggestions
for Gender Diagnoses
2009May30
Guest Blog
Stop Sexualizing Us!
2009May27
Guest Blog
Aligning Bodies with Minds
2009May23
Call to Action for Affirming APA Position Statements
2009May18
Beyond Conundrum: Strategies for Diagnostic Harm Reduction
2009Apr22
Transvestic Disorder and Policy Dysfunction in the DSM-V
2009Jan24
Book Announcement:
Gender Madness in American Psychiatry
2008Dec16
Guest Blog
What is the Body For?
2008Dec6
Guest Blog
DES's Other Daughters
2008Nov26
The Gender Gulag:
Voices of the Asylum
2008Nov19
Autogynephilia, Infallible
Derogatory Hypothesis
Part 2
2008Nov10
Autogynephilia, Infallible
Derogatory Hypothesis
Part 1
2008Nov02
Disordered Identities,
The Ambiguously Sexual Fetish
2008Oct28
Disallowed Identities,
Disaffirmed Childhood
2008Oct20
Blinded Me With Science:
The Burden of Proof
2008Sep15
Balancing Views on
Gender Diversity
in the DSM-V Process
2008Aug20
Blinded Me with Science:
Devolution of the DSM
2008Aug14
Diagnosis vs. Treatment:
Psychosexual Stigma
2008Aug08
Diagnosis vs. Treatment:
Barriers to Medical Care
2008Jul21
Blinded Me With Science:
Sampling Error
2008Jul16
Top Ten Problems
with the GID Diagnosis
2008Jul07
Disordered Identities:
The Focus of Pathology
2008Jul01
Diagnosis vs. Treatment:
Horns of a False Dilemma
2008Jun24
Maligning Terminology:
Language of Oppression
2008Jun16
Beyond Denial:
GID Diagnostic Criteria and Gender-Conversion Therapies


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