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The book Gender Shock by Phyllis Burke is probably the leading vehicle for this interest. The ongoing debate on this issue has recently taken a new tack, as gay and lesbian activists joined the call for an end to GID because of its use as a basis for incarceration and abuse of gender-variant, “potentially homosexual” youth.
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Many activists believe that this is a necessary step towards acquisition of full rights and respect for transgender folk. This is the logical continuation of the movement towards greater individual freedom of expression which has previously de-pathologized homosexuality and transvestism. On the other side, some CDs, TSs and TGs would like to see GID eliminated as a mental illness, in order to further reduce the stigmatization of transgender folk. I’ll ignore those who find ways to use it to their financial advantage, like service providers who try to “cure” people of gender non-conformance. It may, I suppose, benefit the crossdresser who seeks to end his distress over the practice through psychiatric help. There’s a claim that GID may be useful for averting employment discrimination, but I haven’t seen a successful case of it’s application in this way. Those TS folk I’ve spoken with who advocate for continuation of GID believe that insurance coverage is the only way to cover the cost of their surgery. The removal of GID from the DSM threatens these transexuals with loss of insurance repayment for their surgery expense. Those who reimburse for SRS specifically require this DSM-compliant diagnosis of GID. Insurance companies generally require requests for any medical expense reimbursement to include the DSM-coded diagnosis for which treatment was provided. The most vocal supporters of continuing GID as a recognized pathological condition seem to be transsexuals who seek insurance payment for their SRS expense. For the sake of furthering reasonable discourse, and in hopes of promoting a solution that disadvantages none of us, I will try to present clearly here some of the considerations, and one possible solution. However, recent activity from within the larger queer community adds a new dimension to the debate, and even threatens to overwhelm those transgenders who favor continuation of GID as a bona fide psychiatric diagnosis.
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The debate in the transgender community over whether or not Gender Identity Disorder (GID) should be de-pathologized has raged for some time. Gender Identity Disorder: What To Do? Can we eliminate GID without decreasing TS health care access?