Questioning Transphobia

Here’s a video (edited by Mila Pavlin of Trans-Ponder) from the recent GID Reform Now protest at the American Psychiatric Association 2009 Annual Meeting. This is the approximately 7-minute speech of Madeline Deutch, MD, that she made to the 150 protesters. A transcription of a large portion of the speech begins below the video.

This video has been removed by the author

(Curtsey to Autumn Sandeen at Pam’s House Blend)

ETA, May 21: Sorry everybody; I have no idea why the link has been removed. I found an alternative link (click here) which seems to play just fine on You Tube – although it too comes up with a ‘video removed’ error when I embed it in this blog page.

ETA, May 23: There’s also a You Tube vid of Kelley Winters’ speech here

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Cross-posted at Bird of Paradox

Via Reform GID Now:

Protesters call for Reform of Gender Disorders at American Psychiatric Association Convention

What: San Francisco, California. A coalition of transgender community advocates and mental health providers will gather in San Francisco May 18 to protest how the American Psychiatric Association (APA) is handling revisions to “gender identity disorder” and related diagnoses in their fifth edition of the ‘Diagnostic and Statistical Manual of Mental Disorders’ (DSM-V).

Where: At the corner of 4th Street and Howard Street –Outside the Moscone Center

When: Protest starts at 6:00pm, Monday May 18th

Who: Community leaders scheduled to speak include Julia Serano, PhD; Madeline Deutsch, MD; Masen Davis, MSW; Kelley Winters, PhD; Danielle Askini, MSW; Mara Keisling; Andrea James, MA; Lore Dickey, PhD; Michele Angello, PhD; and Rebecca Allison, MD.

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Cross-posted at Bird of Paradox

Via In The Life comes this useful overview of “the controversy raging over the inclusion of Gender Identity Disorder in the American Psychiatric Associations Diagnostic and Statistical Manual“, examining whether GID should be removed from the forthcoming DSM-V, or reclassified.

At the risk of oversimplifying and making sweeping generalisations, TS/TG adults are as reliant on a diagnosis of GID as we are pathologised by it, because healthcare systems around the world require the diagnosis before we can access hormones, surgery, etc. The challenge seems to be how to balance those needs with the destigmatisation of TS/TG people by both the medical profession and mainstream cis society.

That same pathologisation results in gender variant children being subjected to so-called reparative therapies by parents and mental health professionals that regard adult transsexuality or homosexuality as a “bad outcome”.

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(Cross-posted at Bird of Paradox)

A possibly interesting development (or is it a stitch-up?) with regard to the DSM revision process seems to be suggested by this press release from the APA yesterday (link here to PDF):

ARLINGTON, Va. (April 28, 2009) – The American Psychiatric Association (APA) Board of Trustees has established a task force on the treatment of Gender Identity Disorders (GID) to address concerns about the relative lack of evidence-based treatment guidelines and to determine if guidelines should be developed. The task force was created on a recommendation by the APA Committee on Gay, Lesbian, and Bisexual Issues.

The board asked the task force to review the literature on the treatment of Gender Identity Disorder at different ages and to report back with “an opinion as to whether or not there is sufficient credible literature to take the next step and develop treatment recommendations.”

The board asked the task force to communicate with the Diagnostic and Statistical Manual of Mental Disorders (DSM) work group on Gender Identity Disorder, which can serve as a resource on diagnostic issues during the term of the task force.

After the May 2008 announcement of DSM-V work group membership, the APA received many inquiries regarding the Gender Identity Disorders work group on treatment. These inquiries most often dealt with treatment controversies for GID in children, rather than issues related specifically to the DSM text and diagnostic criteria. While the diagnosis and treatment of mental disorders are inextricably linked, separation of the diagnostic mission of the DSM work groups from the evaluation of treatment issues is especially important.

At first reading it suggests that the APA is actually taking seriously the criticism received regarding (a) “the relative lack of evidence-based treatment guidelines” and (b) “treatment controversies for GID in children“.

Both these points seem to refer to reparative treatments for the condition – treatments which don’t appear to have had any meaningful success and indeed may have caused more harm than good.

But, of course, when the Task Force has been asked “to communicate with the Diagnostic and Statistical Manual of Mental Disorders (DSM) work group on Gender Identity Disorder” – chaired by Ken Zucker – whose reparative techniques are under criticism here – and with Ray Blanchard (chair of the Paraphilias Subcommittee and inventor of the mental illness he terms autogynephilia) – well, it doesn’t really inspire confidence that this will be an unbiased, objective and independent review.

Plus ça change, plus c’est la même chose…

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(Cross-posted at Bird of Paradox)

There’s a new Facebook group (link here) aimed at highlighting the controversial policies and practises which are carried out at the Centre for Addiction and Mental Health (CAMH) in Toronto.

Lynn Conway has also posted a wealth of information on the TSRoadmap site (link here) about CAMH and its staff, including Ken Zucker and Ray Blanchard. In addition to their favoured ‘reparative therapy’ approach at CAMH, they have also been the subjects of some controversy following their appointments to the American Psychiatric Association’s Sexual & Gender Identity Disorders Work Group, which is charged with reviewing the Diagnostic and Statistical Manual of Mental Disorders (DSM) – a hugely influential document which includes five different diagnoses for ‘Gender Identity Disorder’ (GID).

The Clarke Institute is a Toronto mental institution charged with serving gender-variant clients in the area. Under the direction of Ray Blanchard, it has become widely known as one of the most notorious facilities in the world in terms of controlling access to medical services.

According to their website they offer services, including for “those who wish to manage their cross-gender feelings and the expression of those feelings while remaining in their original gender role.” This is another way to describe reparative therapy similar to groups who claim to “cure” gays and lesbians.

Much of the anti-trans thinking in the world today emanates from The Clarke, long nicknamed “Jurassic Clarke” in the trans community for its regressive policies.

(Via TSRoadmap)

However, even a recent internal report has voiced concerns about “dismissive, condescending and authoritarian attitudes” at CAMH and cites the following key concerns:

1. Homophobia has been cited as one of 3 major internal issues
2. LGBTTTQQI issues are not part of the cultural competency of all staff
3. Although there are Queer & Trans-specific services in the Addictions program, these are not offered in Mental Health
4. The Gender Identity Clinic (GIC) and the Gender Identity Disorder Service (GIDS) have not been well regarded by some members of LGBTTTQQI communities due to negative experiences, underlying operational theories, approach, and treatment philosophy.

(Direct link here to PDF of the full report – and – direct link here to PDF of the executive summary)

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(Cross-posted at Bird of Paradox)

Transcript:

Staying Sane
365Gay News
Logo
Originally aired 26 February 2009

Ross Palombo: A transgender university professor targeted, she says, for speaking out, and her fight against a prominent psychiatrist may help others keep their sanity. Chagmion Antoine has that story from New York. Chagmion.

Chagmion Antoine: Ross, even though homosexuality was removed from the American Psychiatric Association’s list of mental illnesses back in 1973, people who are transgender are still diagnosed with gender identity disorder today. And one professor at the University of Michigan says that’s crazy talk.

Chagmion Antoine (voiceover): Lynn Conway has been fighting for the rights of transgender people ever since her own experience cost her her job in the 1960s. Now she’s a professor emeritus at the University of Michigan, and her website is a respected resource for trans people all around the world. So why is she being sued for libel by one of the world’s leading researchers on gender identity?

Professor Lynn Conway: This isn’t between Dr. Zucker and Professor Lynn Conway, this is between Dr. Zucker and the entire transgender community.

Chagmion Antoine (voiceover): Dr. Kenneth Zucker, a Toronto-based sexologist, spent his career diagnosing children with gender identity issues as mentally ill. When he was appointed to the APA as an authority on gender identity disorders last year, Conway sounded the alarm.

Professor Lynn Conway: Dr. Zucker and his clinic are the sources of decades of pseudoscience claiming that transgender people, especially transgender children, are mentally disordered and in need of reparative therapy. I seek to expose that.

Chagmion Antoine (voiceover): And she did. Zucker’s appointment to the APA’s committee was protested by trans people around the world.

Mishyana: To say the least, Dr. Zucker is not appropriate for this position.

Chagmion Antoine (voiceover): Zucker fired back with this letter to Conway, threatening to sue. He never followed through. Zucker declined to comment to 365, but Conway says his scare tactics are meant to draw attention from the bigger picture.

Professor Lynn Conway: There are a lot of us out there. A lot of us are actually rather cool people. I think he’d enjoy meeting us all.

Chagmion Antoine: Here’s an interesting fact. Lynn Conway is also a pioneering researcher in computer chip technology. She literally helped write the book. Ross.

Ross Palombo: Thanks, Chagmion.

Lynn Conway’s side of the story can be found by clicking here.

I’ve been unable to find any response from Kenneth Zucker; if anyone knows of such a thing, please post the link in the comments and I’ll update this post accordingly.

The TS Roadmap website’s page about Kenneth Zucker can be found by clicking here.

(Cross-posted at bird of paradox)

Posted at The Bilerico Project:

In the movie Ghostbusters professor Peter Venkman, played by Bill Murray, deflected questions with a quip,

Back off, man. I’m a scientist.

In the reality of human gender diversity, the current diagnostic categories of Gender Identity Disorder (GID) and Transvestic Fetishism in the Diagnostic and Statistical Manual of Mental Disorders (DSM) convey a presumption that internal gender identity or social gender expression that vary from assigned birth sex roles are intrinsically pathological and sexually deviant. Their authors and supporters have defended this axiom by disparaging skeptical criticism and indignation as “attack” on science and academic expression. Thus, the premise of “disordered” gender identity has ascended to the level of dogma in American psychiatry and psychology, imposing a near-impossible burden of proof upon contrary evidence, dissenting opinion and especially upon transitioned individuals to demonstrate our legitimacy in our affirmed roles.

In an interview with MSNBC this year, Dr. Kenneth Zucker, chairman of the current DSM-V Sexual and Gender Identity Disorders work group and a chief author of the current GID diagnosis, stated that there “has to be an empirical basis to modify anything in the DSM.” But has the appropriate burden of proof been reversed here? Should his work group be equally committed to review the validity of the current diagnostic categories? What is the basis, where is the science to substantiate the premise of “disordered” gender identity that underlies them?

Lilienfeld, Lynn and Lorh, editors of Science and Pseudoscience in Clinical Psychology, noted that

the burden of proof in science rests invariably on the individuals making a claim, not on the critic.

At the core of the GID diagnosis is the presumption that social or medical transition contrary to birth sex is always a negative outcome and acquiescence to birth sex role is a positive one. This is reflected in the diagnostic criteria, which tar even the happiest, most well adjusted post-operative transsexual men and women as disordered, and absolve closeted or concealed gender dysphoria (distress with current physical sex characteristics or ascribed gender role) from diagnosis of mental illness. This doctrine of “disordered” gender identity is underscored throughout the supporting text, where persistent gender identity differing from birth sex is termed a “chronic course” of disorder and the need for gender congruence is disparaged as “preoccupation.”

I strongly recommend reading the whole post at Bilerico or at the GID Reform Weblog.

Sarah posted two reports on the protest:

Of Zombie Commuters, Nice Young Policemen, Creepy Old Men, and Protests

In the days when the Sun was setting on it, British Rail extended the overhead electrification on the Kings Cross to Cambridge line north, beyond Cambridge, to the line’s end at Kings Lynn, on the north Norfolk coast. In true British fashion, they did it on the cheap, and the power supply north of Cambridge would supposedly break if you try to take an 8 coach train to Kings Lynn.

This turned out to be fortuitous for me this morning, because of the 6 trains an hour between Cambridge and London, 2 of them are expresses – the xx:15 and xx:45 trains. The xx:45s don’t start at Cambridge, but come form the north first, giving the intrepid fenland commuters an hourly fast service to London.

In peak periods though, 4 coaches won’t cut it – they struggle to fit the rush hour load in 8, and these are some of the most overcrowded trains in the country. This means that they have 4 waiting at Cambridge and the 4 coming from Norfolk creep up behind them, before coupling onto them. This takes time.

That’s why, despite running out onto the platform, breathless at 06:46 this morning, I was still able to catch the infeasibly early 06:45 departure to Kings Cross. It was full of people who sat there for the whole journey in total silence, most of us apparently resenting being there. To add insult to injury, the morning was overcast and we weren’t even rewarded with a sunrise for our efforts.

The hurtle at London was otherwise uneventful, and I only had to endure a few stops of nose-to-armpit, oven-like conditions on the Victoria Line before emerging amongst the shop workers, arriving for their morning shifts, at Oxford Circus Underground station.

I made my way to the Royal Society of Medicine on Wimpole Street and found nobody there. For a few minutes I was having visions of being a one-woman protest, and looking very foolish, but others soon arrived, starting with the very pleasant bird_of_paradox, who I’d not met before. Also on the scene were two very young male policemen, there to make sure that the demonstration we had planned went off peacefully, or whatever it is policemen at these things are supposed to do (stand there and look bored for 2 hours, it turns out, but at least they did it decoratively)

After a little while, we were all assembled, and Natacha, who had worked hard to herd everyone on Facebook and cleared everything with the police got to work setting up some placards for some of us to hold. There were three in the event, and we decided there and then what to put on them. “Don’t block blockers”, “Trans Children are human beings – treat them like it”, and “No reparative therapy here”.

For those unfamiliar with what’s got transpeople so excised over a conference at the Royal Society of Medicine, I’ll provide a bit of background. The conference was about the use of GnRH agonist drugs in pubescent trans people to delay their puberty and buy them time. This is a practice that is widespread in some parts of the world, but not in the UK. There’s an American-Canadian psychologist called Kenneth Zucker, who was presenting the opening address to the conference, and he has achieved notoriety in the trans community for what many see as the use of aversion/reparative therapy in young children to make them conform to gender roles. Essentially, this involoves punishing the children for playing “inappropriately”, until they get “programmed” to react badly to the “inappropriate” gender cues, rather like Alex in A Clockwork Orange, who finds himself feeling violently ill when exposed to Beethoven’s 9th Symphony.

Some of us feel this is emotional and psychological abuse. It’s bad enough when it’s done to adults. Zucker says he’s done it with children as young as three. This is where the “ex-gay” movement has run to after being discredited over so-called conversion programmes with homosexual adults and teenagers – it now plys its trade under the guise of “therapy” aimed at preventing children growing up with “gender-inappropriate” behaviour. The subtext is that, “if forcibly stop little Jimmy playing with Barbie, we might stop him from wanting to hug a boy in 15 years time, which he probably won’t want to do anyway”.

Anyway, we set up what turned out to be a terribly “nice” middle class affair, with us saying, Good morning” to people as they walked past, while offering them a copy of this leaflet. The takeup rate was pretty good, with most people meeting our cheery smiles. A small proportion of people, maybe about 10-20%, walked past us either waving dismissively, or muttering under their breath and looking at us in disgust. There was a surprising correlation between the people who did that, and the people who then went and stood right in front of the arrow in the picture, tugging at a locked door.

Perhaps, in their “not had morning coffee” state, they were thrown by the sight of a bunch of transpeople and allies, distastefully sullying the entrance to the RSM and having the nerve to try and hand out leaflets. They might be contaminated! They might catch TEH TRANZ from them! That’s a rather nicer interpretation than the alternative – that a large number of the UK medical establishment’s great and good can’t work out how to walk through an open door, when there are signs.

But we handed out lots and lots of leaflets. So many, in fact, that by 9am our initial pile of over a hundred leaflets was looking seriously depleted. Thankfully there was a copy shop that was opening for the morning just literally across the road. I nipped in there and had another hundred made, and apparently while I was in there I missed the opportunity to hand a leaflet to Dr Curtis, my erstwhile gender specialist. Oh well.

There was person I didn’t miss though, and this has to go down as the creepiest thing that’s happened to me today (and something happened earlier this morning that was quite creepy to start with – someone, who I have good reason to believe may work for the Metropolitan Police, has been leaving fun little anonymous comments on my LJ over the Toiletgate incident, so it already faced stiff competition).

There were various people from, mostly non-mainstream media organisations there; I spoke on camera to a lady who was involved in making a film, about why we were protesting. I hope I didn’t look like a dork, or sound too male. Anyway, while handing leaflets out, I was dimly aware of someone else hovering around the other side of the street taking photographs of us, the demonstrators, with an SLR camera.

As the time for registration approached, this chap came over and made to go in. One of my fellow demonstrators stopped him and said, “Are you with the press?”

He gave a rather abrupt, “No”, and as he was doing so, I said, in the cheery manner we’d been greeting people for the last hour, “Good monring!” and held out a leaflet.

As he took it, I looked up and realised who our would be paparazzo was; I recognised him as none other than Professor Richard Green, formerly head of the Charing Cross Gender Identity Clinic.

And he was hanging around, taking photos of protesters outside an RSM conference on trans issues.

Right. Well that didn’t at all feel like the creepy old man hanging round by the school gate, oh no.

Perhaps he has a Little Book of Uppity Trannies. A rogues’ gallery of those of us who need putting in our place? I wonder if he realised that I was the same person who playfully taunted him as he left the General Medical Council with his tail between his legs after the GMC had failed to grant him and Charing Cross a virtual monopoly on treatment of transpeople in southern England last year?

If that’s the case, you’re out of luck, Dick. They already cut it off, dear.

It was nice to see a number of people I knew going in, some of whom stopped for a nice chat and to exchange information (got some fab stuff from the GIRES people). One attendee in particular had a special handout prepared for them – an A4 brown envelope containing 20 copies of the leaflet which they were going to strategically leave around inside.

We never saw Zucker himself, so perhaps he was ferried in a side entrance, lest the bunch of, polite middle class people with the cheery greeting decided to offer him a leaflet and wish him good morning with intent.

But all-in-all, I think the protest went very well. I’m sure plenty of the people we gave the leaflets to were there for other reasons (such as working there), but that’s probably good. As with the Bitch protest in May, the effect we were hoping for was to perhaps make the RSM think twice about inviting people like Zucker next time. Perhaps they’ll realise that if they rub transpeople’s collective noses in it, we’ll come along and perhaps cause them a bit of embarrassment in front of their target audience.

In closing, I did feel a bit sorry for the policemen, who got to stand there looking bored (and very, very young – am I really going to be 35 tomorrow?)

I did offer them a copy of the leaflet to read, in order to pass the time, after they realised that nobody had brought pitchforks and flaming torches, but they declined. They seemed like nice chaps anyway.

An update to this post from earlier today. I’ve spoken to someone who was in the conference, and they asked Richard Green why he was taking photos of us.

Apparently he was doing it at the request of Zucker himself, who wanted a souvenir, because he “found the attention amusing”.

So there are going to be pictures of me, a few other transpeople, and a bunch of allies in Zucker’s holiday snaps album. Knowing what they say about those who protest too much, I do hope he’s not planning to view them with a box of Kleenex at the ready.

Urgh! I think I need a shower.

And sandpaper.

From the transfeminist livejournal community:

The London Transfeminist Group is meeting this Thursday, 25th of September, in order for those planning to protest the invitation of controversial American-Canadian doctor, Kenneth Zucker, to keynote the Royal Society of Medicine’s discussion on treatment of transgendered adolescents on October 1st.

Kenneth Zucker is infamous within the trans community for using what many feel to be aversion therapy on children as young as three, who show “gender variant” behaviour. Some of us feel that subjecting any child, yet alone those so young, to “treatment” which involves confiscating their favourite toys and forbidding them contact with their best friends amounts to psychologically abusing these children. We further feel that in engaging with this treatment, Dr Zucker is pandering to the homophobic and transphobic fears of the parents of these children that they might “grow up gay”, or “grow up to be trans”.

We further feel that the Royal Society of Medicine brings itself into disrepute by inviting someone who subjects children to treatment which harkens back to a dark age of abuse of queer and gender-variant people by the mental health community. Regardless of whether Dr Zucker is sometimes in favour of trans-positive treatment for adolescents, such as the use of puberty blocking drugs, inviting this man to present the keynote shows a woeful lack of respect for trans and queer people in the UK, and sends the message that “doctors” who are prepared to engage in reparative and aversion therapy against queer and gender-variant people are still tolerated and respected amongst their peers.

Please join us for a pre-protest discussion of this issue, as well as collaborating in producing leaflets, placards, etc. for the protest at Gays The Word Bookshop, Marchmont Street, this Thursday at 7:30 pm.

BirdofParadox has all the details.

An excerpt from Lynn Conway’s report:

Summary and Findings:

The APA Task Force Report on Gender Identity and Gender Variance [APA08 - PDF here] greatly underreports the prevalence of “gender identity disorder” by a factor on the order of 10 to 20.

The underreporting of GID prevalence derives from a deliberate misuse of clinical definitions and a failure to mention known calculation errors in sources.

The unreasonably low prevalence numbers are given to three significant figures in the Report, as if they were precisely accurate – while failing to mention well-known sources of estimation error.

The Task Force then dismisses recent work by Olyslager and Conway that had exposed large errors in earlier studies by calling that work a “minority position” – as if a scientific analysis must be certified by a majority vote, rather than judged on its merits.

The Task Force further dismisses the work of Olyslager and Conway by insinuating that citation by “transgender activists” somehow reduces its validity – while failing to cite it themselves.

Finally, the Task Force fails to mention recent scientific studies that report far higher-levels of GID prevalence than does their Report.

Please read Helen G’s post for more details – she covers it in pretty much the same detail I would.

The short form is that the APA task force is claiming that GID occurs approximately 1/20th the rate it actually does in the real world, allowing them to claim it’s a rare condition and probably supporting Zucker’s reparative therapy for trans children, since he’d be able to assure parents that it’s unlikely their child really has GID.