Dr. Marshall Forstein, Chair of the Work Group on Practices Guidelines on HIV Psychiatry for the American Psychiatric Association (not to be confused with the American Psychological Association), has written a reply to the drive to have Drs. Kenneth Zucker and Ray Blanchard removed from the Work Group developing the revisions for “Sexual and Gender Identity Disorders” for the planned DSM-V. In it, he writes:

“I hope that what I have written makes us pause a bit before we do something to alienate even our supporters and friends in the American Psychiatric and the American Psychological Association who have been very pro-gay and pro-trans in their deliberations so far. There will always be a vocal minority that claim otherwise, but the process is vetted by many people committed to scientific integrity and evidence.”

I and others have been accused of scaremongering in the ongoing debate(s) surrounding this issue. Dr. Forstein has some excellent points for us to examine. Some of the other aspects and debates, though, I still stand behind.

For those who are concerned about the establishment of an adherent to reparative therapy (Dr. Kenneth Zucker) and another seeking to entrench “autogynephilia” (a pathologization of treatment of non- “homosexual transgender” transfolk) in the DSM-V, there have been some new happenings.

One letter writer reports receiving an email from the APA which states that:

“The Sexual and Gender Identity Disorders Work Group, chaired by Kenneth J. Zucker, Ph.D., will have 13 members who will form three subcommittees:

* Gender Identity Disorders, chaired by Peggy T. Cohen-Kettenis, Ph.D.
* Paraphilias, chaired by Ray Blanchard, Ph.D.
* Sexual Dysfunctions, chaired by R. Taylor Segraves, M.D., Ph.D.”

In recent years, the GLB community has been more receptive to (and even energized in) assisting the transgender community, but regularly asks what its needs are. One that is often touted is the “complete depathologization of Trans identities” (quoting from a press release for an October 7, 2007 demonstration in Barcelona, Spain) by removing “Gender Identity Disorder” (GID) from medical classification. The reasoning generally flows in a logic chain stating that with homosexuality removed from the Diagnostic and Statistical Manual (DSM, the “bible” of the medical community) in 1974, gay and lesbian rights were able to follow as a consequence – and with similar removal, we should be able to do the same. Living in an area where GRS (genital reassignment surgery) is covered under provincial Health Care, however, provides a unique perspective on this issue. And with Presidential candidates proposing models for national health care in the U.S., it would obviously be easier to establish GRS coverage for transsexuals at the ground floor, rather than fight for it later. So it is important to note, from this “other side of the coin,” how delisting GID could do far more harm than good.

“This is a story of the lives and loves, and hopes and dreams, of young Batswana [sic] in the context of the changing cultural norms and values of modern times. Each of the dancers are shaped and challenged by the forces upon them: love, power, money, lust, and authority. They must choose their destiny by making difficult choices and search for what they truly believe in.” — plot summary for the documentary, Re Bina Mmogo (2004)

It’s been a really blue funky week and a half for me. Seeing John Edwards drop out of the race just over a week ago, I’m left with nothing but second choices for the upcoming presidential election. I feel as if I’m wakening from a really bad hangover.

My personal preference was for a presidential candidate who would address the rampant inequities, to eliminate poverty and end the disenfranchisement and disparity in this entitlement-oriented society. The last thing I wanted was a choice of gatekeepers for the corporate power stranglehold status quo.

With my last best hope for that out of the campaign at virtually the same time my job ended, it’s been consideration time over the two primary candidates who are left.