Talk:Gender dysphoria: Difference between revisions
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| {{cite book |last1=Becker |first1=Judith V. |last2=Perkins |first2=Andrew |editor1-last=Hales |editor1-first=Robert E. |editor2-last=Yudofsky |editor2-first=Stuart C. |editor3-last=Roberts |editor3-first=Laura Weiss |title=The American Psychiatric Publishing Textbook of Psychiatry |date=2014 |publisher=American Psychiatric Publishing |location=Washington, D.C. |isbn=978-1-5856-2444-7 |pages=679–702 |edition=6th |chapter=Gender Dysphoria}} |
| {{cite book |last1=Becker |first1=Judith V. |last2=Perkins |first2=Andrew |editor1-last=Hales |editor1-first=Robert E. |editor2-last=Yudofsky |editor2-first=Stuart C. |editor3-last=Roberts |editor3-first=Laura Weiss |title=The American Psychiatric Publishing Textbook of Psychiatry |date=2014 |publisher=American Psychiatric Publishing |location=Washington, D.C. |isbn=978-1-5856-2444-7 |pages=679–702 |edition=6th |chapter=Gender Dysphoria}} |
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== Guillamon et.al (source 23) == |
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==Americans with Disabilities Act not complete coverage?== |
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The page has a sentence that says “Gender dysphoria being a disorder also means it is covered by the Americans with Disabilities Act, which may aid transgender people in accessing legal protections they otherwise may be unable to” but then the source it links to (here: https://www.cnn.com/2022/08/16/politics/americans-with-disabilities-act-transgender-gender-dysphoria/index.html) says that opinion was only “issued by a three-judge panel with the US Court of Appeals for the Fourth Circuit” so it seems like it’s not covered by the ADA everywhere in the US and just saying it’s covered is misleading? Can somebody please figure out where it’s covered and add that to the sentence? Thanks. [[Special:Contributions/100.11.62.231|100.11.62.231]] ([[User talk:100.11.62.231|talk]]) 22:14, 21 December 2022 (UTC) |
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The information under “symptoms” for this source comes from the intro/abstract of this paper and references Blanchard’s typology, which has been discredited. The information also contradicts the previous paragraph which states sexual orientation does not impact GD. [[User:Wren Armstrong|Wren Armstrong]] ([[User talk:Wren Armstrong|talk]]) 18:27, 17 October 2024 (UTC) |
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== Is this correct? == |
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== "Attempts to alleviate GD by changing the patient's gender identity to reflect assigned sex have been ineffective" == |
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About this paragraph in the introduction, does this correctly describe the stances of the referenced sources? |
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I think this statement is really in need of some non-tertiary sourcing; I've searched a few times for a review article that has made a conclusion one way or the other on this subject to no avail, and from what I've read in my attempts to do so, it seems like this statement can't truthfully be made with such certainty. [[User:Lameringuewrangler|Lameringuewrangler]] ([[User talk:Lameringuewrangler|talk]]) 06:22, 1 January 2023 (UTC) |
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{{blockquote|Some researchers and transgender people argue for the <b>declassification of the condition</b> because they say the diagnosis <b>pathologizes gender variance and reinforces the binary model of gender</b>.<ref name="Karl Bryant">{{cite encyclopedia |title=Gender Dysphoria |encyclopedia=[[Encyclopædia Britannica Online]] |url=https://www.britannica.com/science/gender-dysphoria |access-date=August 16, 2018 |date=2018 |archive-url=https://web.archive.org/web/20200418213857/https://www.britannica.com/science/gender-dysphoria |archive-date=April 18, 2020 |vauthors=Bryant K |url-status=live}}</ref> However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.<ref name="Zack Ford">{{cite web |title=APA Revises Manual: Being Transgender is No Longer a Mental Disorder |url=http://thinkprogress.org/lgbt/2012/12/03/1271431/apa-revises-manual-being-transgender-is-no-longer-a-mental-disorder/?mobile=nc |url-status=dead |archive-url=https://web.archive.org/web/20130202082602/http://thinkprogress.org/lgbt/2012/12/03/1271431/apa-revises-manual-being-transgender-is-no-longer-a-mental-disorder/?mobile=nc |archive-date=February 2, 2013 |access-date=April 7, 2013 |website=[[ThinkProgress]] |vauthors=Ford Z}}</ref>}} |
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Are they really calling for the declassification of <b>gender dysphoria</b> or the declassification of free self identification? As gender dysphoria has lots of severe [[Gender dysphoria#Signs and symptoms|symptoms]] right? So it is unclear to me how anyone can argue that symptoms should be declassified? Is enough context given here? Are they maybe arguing this out of questioning whether the symptoms are caused by the dysphoria or by environmental factors (discrimination)? I can only really think of possible arguments to declassify gender dysphoria that would indeed lead to "implications" stated in the second sentence, that it would deemed cosmetic. |
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:The Merck isn't good enough? [[User:EvergreenFir|'''<span style="color:#8b00ff;">Eve</span><span style="color:#6528c2;">rgr</span><span style="color:#3f5184;">een</span><span style="color:#197947;">Fir</span>''']] [[User talk:EvergreenFir|(talk)]] 08:03, 1 January 2023 (UTC) |
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::The Merck says it's ineffective, but there's no elaboration or citation included to back that conclusion. [[User:Lameringuewrangler|Lameringuewrangler]] ([[User talk:Lameringuewrangler|talk]]) 08:56, 1 January 2023 (UTC) |
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: What about the citations in the GICE section at [[Conversion therapy]]? [[User:Mathglot|Mathglot]] ([[User talk:Mathglot|talk]]) 09:05, 1 January 2023 (UTC) |
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::[https://psycnet.apa.org/doi/10.1037/0000266-003 This?] I can't access the study directly, but based on the article it sounds like it mainly focuses on the treatment of children on the basis of them being gender nonconforming, not necessarily expressing a gender identity that doesn't align with their sex. I think research that demonstrates repressive treatment for gender dysphoria in consenting adults to be ineffective would be more definitive material to cite here. [[User:Lameringuewrangler|Lameringuewrangler]] ([[User talk:Lameringuewrangler|talk]]) 01:51, 2 January 2023 (UTC) |
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:::Where are you seeing that the article focuses on gender nonconforming children? You're saying it's not necessarily about "expressing a gender identity that doesn't align with their sex." but the title of the chapter you linked to is "Gender identity change efforts:A summary" The abstract makes it clear it's talking about conversion therapy. |
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:::I think it would be great to have a more accessible citation. This is from the [https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4928.pdf first citation] in [[conversion therapy]]: |
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:::{{Quote frame|"efforts to change an individual’s sexual orientation, gender identity, or gender expression —is a practice that is not supported by credible evidence and has been disavowed by behavioral health experts and associations... Most importantly, it may put young people at risk of serious harm. "|}} |
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:::[[User:Sativa Inflorescence|Sativa Inflorescence]] ([[User talk:Sativa Inflorescence|talk]]) 14:39, 2 January 2023 (UTC) |
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::::By "the article" I meant the Wikipedia article it's cited in, or more specifically the section that uses that citation. Again, I can't access the study itself, but the first sentence of the abstract at least implies the focus is on minors. [[User:Lameringuewrangler|Lameringuewrangler]] ([[User talk:Lameringuewrangler|talk]]) 11:34, 3 January 2023 (UTC) |
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So to wrap up a bit, it is not clear to me what exactly the first sentence here means with "declassification", is it an emotional argument out of activism, or is there some solid logic here? If there is solid logic, I don't see it. [[User:Wallby|Wallby]] ([[User talk:Wallby|talk]]) 15:55, 27 October 2024 (UTC) |
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== Semi-protected edit request on 20 March 2023 == |
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:This looks like a fair summary of the existing sources, although one is old and the other is [[WP:tertiary|tertiary]] so I imagine more nuanced coverage of both stances probably exists. |
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{{edit semi-protected|Gender dysphoria|answered=no}} |
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:* From Britannica: {{tqb|Critics have argued that GD diagnoses continue a long-standing history of pathologizing oppressed peoples. Some argue that the diagnosis stigmatizes groups that are simply expressing variation, not pathology. Critics suggest that the diagnosis individualizes a broad cultural and social phenomenon and reinforces a binary mode of gender.}} |
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Add within "gender euphoria" before the last paragraph: Euphorias in gender, sex and sexuality variations have also been associated by sociologists with social factors such as institutional inclusion in education and healthcare; community connection; self-acceptance and social acceptance (Reference ISBN: 978-3-031-23755-3). [[Special:Contributions/137.111.13.227|137.111.13.227]] ([[User talk:137.111.13.227|talk]]) 20:27, 20 March 2023 (UTC) |
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:* From ThinkProgress: {{tqb|On the other hand, insurance companies have been more willing to cover the expenses associated with transition under this language, because treatment for a disorder is considered medically necessary, rather than cosmetic.}} |
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:Hope this helps. –[[User:RoxySaunders|RoxySaunders 🏳️⚧️]] ([[User talk:RoxySaunders|talk]] • [[Special:Contributions/RoxySaunders|stalk]]) 17:24, 27 October 2024 (UTC) |
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::I can't speak for others, but if it helps you conceptualize the "anti-" argument, I offer the following clumsy analogy: I was born with a rare birth mark that spells out "Kick Me". I'm depressed because everyone keeps kicking me. I go to the doctor to get it removed. He says I have kick-me sad-brain disorder. He gives me antidepressants and says not to let it bother me as much when people kick me. I turn to leave. He kicks me. –[[User:RoxySaunders|RoxySaunders 🏳️⚧️]] ([[User talk:RoxySaunders|talk]] • [[Special:Contributions/RoxySaunders|stalk]]) 17:34, 27 October 2024 (UTC) |
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::The first quote doesn't seem to establish declassification. |
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::It only the seems to claim that the formulation and/or application of the current diagnosis allegedly leads to reductionisticly or even entirely wrongly labelling people with a variation-question with a pathological label (second sentence from first quote), and seems to claim that before mentioned of the current diagnosis seems to lack neutrality/objectivity, specifically failing to detect (binary) gender stereotypes. |
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::So is it then correct that declassification is argued for? [[User:Wallby|Wallby]] ([[User talk:Wallby|talk]]) 18:09, 27 October 2024 (UTC) |
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:::With "before mentioned" I meant "the formulation and/or application" again, not sure if there is a more compact/clear way to write that without repeating that entirely. [[User:Wallby|Wallby]] ([[User talk:Wallby|talk]]) 18:11, 27 October 2024 (UTC) |
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::@[[User:RoxySaunders|RoxySaunders]] Also, there is another implication of declassification. The sentence "People with gender dysphoria commonly identify as transgender" says "commonly", thus declassifying would also unavoidably impact people who have gender dysphoria but aren't transgender. [[User:Wallby|Wallby]] ([[User talk:Wallby|talk]]) 20:04, 30 October 2024 (UTC) |
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:::Which is not addressed in that paragraph.. |
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:::{{blockquote|However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.}} |
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:::It doesn't even mention what the impact of declassification would be on people with gender dysphoria who aren't transgender. I know from very close experience that is seems to exist, as this page also seems to suggest/confirm. [[User:Wallby|Wallby]] ([[User talk:Wallby|talk]]) 20:06, 30 October 2024 (UTC) |
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Guillamon et.al (source 23)
[edit]The information under “symptoms” for this source comes from the intro/abstract of this paper and references Blanchard’s typology, which has been discredited. The information also contradicts the previous paragraph which states sexual orientation does not impact GD. Wren Armstrong (talk) 18:27, 17 October 2024 (UTC)
Is this correct?
[edit]About this paragraph in the introduction, does this correctly describe the stances of the referenced sources?
Some researchers and transgender people argue for the declassification of the condition because they say the diagnosis pathologizes gender variance and reinforces the binary model of gender.[1] However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.[2]
Are they really calling for the declassification of gender dysphoria or the declassification of free self identification? As gender dysphoria has lots of severe symptoms right? So it is unclear to me how anyone can argue that symptoms should be declassified? Is enough context given here? Are they maybe arguing this out of questioning whether the symptoms are caused by the dysphoria or by environmental factors (discrimination)? I can only really think of possible arguments to declassify gender dysphoria that would indeed lead to "implications" stated in the second sentence, that it would deemed cosmetic.
So to wrap up a bit, it is not clear to me what exactly the first sentence here means with "declassification", is it an emotional argument out of activism, or is there some solid logic here? If there is solid logic, I don't see it. Wallby (talk) 15:55, 27 October 2024 (UTC)
- This looks like a fair summary of the existing sources, although one is old and the other is tertiary so I imagine more nuanced coverage of both stances probably exists.
- From Britannica:
Critics have argued that GD diagnoses continue a long-standing history of pathologizing oppressed peoples. Some argue that the diagnosis stigmatizes groups that are simply expressing variation, not pathology. Critics suggest that the diagnosis individualizes a broad cultural and social phenomenon and reinforces a binary mode of gender.
- From ThinkProgress:
On the other hand, insurance companies have been more willing to cover the expenses associated with transition under this language, because treatment for a disorder is considered medically necessary, rather than cosmetic.
- From Britannica:
- Hope this helps. –RoxySaunders 🏳️⚧️ (talk • stalk) 17:24, 27 October 2024 (UTC)
- I can't speak for others, but if it helps you conceptualize the "anti-" argument, I offer the following clumsy analogy: I was born with a rare birth mark that spells out "Kick Me". I'm depressed because everyone keeps kicking me. I go to the doctor to get it removed. He says I have kick-me sad-brain disorder. He gives me antidepressants and says not to let it bother me as much when people kick me. I turn to leave. He kicks me. –RoxySaunders 🏳️⚧️ (talk • stalk) 17:34, 27 October 2024 (UTC)
- The first quote doesn't seem to establish declassification.
- It only the seems to claim that the formulation and/or application of the current diagnosis allegedly leads to reductionisticly or even entirely wrongly labelling people with a variation-question with a pathological label (second sentence from first quote), and seems to claim that before mentioned of the current diagnosis seems to lack neutrality/objectivity, specifically failing to detect (binary) gender stereotypes.
- So is it then correct that declassification is argued for? Wallby (talk) 18:09, 27 October 2024 (UTC)
- With "before mentioned" I meant "the formulation and/or application" again, not sure if there is a more compact/clear way to write that without repeating that entirely. Wallby (talk) 18:11, 27 October 2024 (UTC)
- @RoxySaunders Also, there is another implication of declassification. The sentence "People with gender dysphoria commonly identify as transgender" says "commonly", thus declassifying would also unavoidably impact people who have gender dysphoria but aren't transgender. Wallby (talk) 20:04, 30 October 2024 (UTC)
- Which is not addressed in that paragraph..
However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.
- It doesn't even mention what the impact of declassification would be on people with gender dysphoria who aren't transgender. I know from very close experience that is seems to exist, as this page also seems to suggest/confirm. Wallby (talk) 20:06, 30 October 2024 (UTC)
- ^ Bryant K (2018). "Gender Dysphoria". Encyclopædia Britannica Online. Archived from the original on April 18, 2020. Retrieved August 16, 2018.
- ^ Ford Z. "APA Revises Manual: Being Transgender is No Longer a Mental Disorder". ThinkProgress. Archived from the original on February 2, 2013. Retrieved April 7, 2013.
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