Why is Gender Identity Disphoria (GID) the only mental condition mental health professionals can't prove because it's totally based on the trust of the patient to be truthful and honest about themselves, meaning their history, their experience and their view and belief of themselves as a gender different than their birth sex?
With all the advances in neurobiology of the brain and in genetics, they're discovering physical and genetic sources for the potential for GID in people, but it's not absolute and it's conclusive the individual has GID, only a possibility.
But all the research is on dead people so they can't test live people to confirm if they say they have GID, and even if there were medical tests, it still can't prove an person's innate thoughts and feelings about their gender. It's still in the mind of the person.
And all the mental health professionals can do is believe the presentation, behavior and expressions of the individual, but they will always use stereotypical criteria for the determination of GID, very few will allow deviation from the gender norms for their patients to diagnose them with GID.
It's why the whole GID catetory in the DSM-IVR, while better in the DSM-V, will still be nonscientific diagnosis and entirely based on the patient's ability to convince their therapist of themself to have GID and get the prescribed drugs and surgery for the legal changes in their gender.
In the end, what few mental health professionals understands is that it's the patient who wants to be complete and whole. The person will settle for whole since none of them can have the reproductive system of the other sex, they can have some semblences of the body and the life.
And that's what it's about. Nothing else. It's not a mental disease, illnes or even a condition, which is why it can't be proven through psychological or psychiatric tests, which are more about social acceptance than personal acceptance, since their greatest worry for the patient isn't them but society.
They disguise the Real Life Experience (RLE) not for the patient, because they already know who they are and how they want to live as a person, but for the rest of the world to see the patient as they are and want to live in society.
Some call it a reality check, which has some merit because it's the reaction of society to the person, but it's more trying to convince the patient they don't have GID. It's a reverse test, if you survive, you win, if you don't, the professionals win, and the patients loses when the professionals say, "See I told you this would happen."
But through it all the patient is still the same, always wanting to be the person they weren't born. And all the DSM's in history and all the mental health professionals can't change that, the person, something very few of them understand.
And that's why the mental health professional don't want to remove it from the DSM, to lose control over the criteria for gender. Give people freedom to be the gender they are, give them the medical help they need, and give them the mental help to succeed, and you'll be surprised to discover we're all just people, normal like everyone else.
We just want to be happy with ourself. Is that so hard to understand?
Tuesday, September 11, 2012
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