The following are the proposed revisions to the diagnostic criteria for children exhibiting sex-role incongruence. If approved, they will be used to diagnose sex-role noncompliant children to be treated with medical “puberty suppression”, sterilization and extensive plastic surgery to change the child’s body to a newly dysfunctional but superficially rough visual approximation of the other sex. The APA’s position is that social sex-roles are biologically created, possibly by brain neurology which although incredibly plastic in every other instance, for some reason in terms of sex roles is unchangeable. They advocate sterilization and lifetime cross-sex hormone treatments for children that are unable or unwilling to adhere to sex-based gender stereotypes and traditions.
P 00 Gender Dysphoria in Children
Updated May 4, 2011
Gender Dysphoria (in Children)** 
A. A marked incongruence between one’s experienced/expressed gender and assigned gender, of at least 6 months duration, as manifested by at least 6* of the following indicators (including A1): [2, 3, 4]
1. a strong desire to be of the other gender or an insistence that he or she is the other gender (or some alternative gender different from one’s assigned gender) 
2. in boys, a strong preference for cross-dressing or simulating female attire; in girls, a strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical feminine clothing 
3. a strong preference for cross-gender roles in make-believe or fantasy play 
4. a strong preference for the toys, games, or activities typical of the other gender 
5. a strong preference for playmates of the other gender 
6. in boys, a strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; in girls, a strong rejection of typically feminine toys, games, and activities 
7. a strong dislike of one’s sexual anatomy 
8. a strong desire for the primary and/or secondary sex characteristics that match one’s experienced gender 
B. The condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning, or with a significantly increased risk of suffering, such as distress or disability.**
The proposed revisions rename the childhood diagnosis from the DSM4’s previous “Gender Identity Disorder” (GID) to the revised name “Gender Dysphoria”(GD).
Gender = Sex Role. Dysphoria = Distress.
The previous APA revisions proposed to re-name the diagnosis “Gender Incongruence” (GI) :
“In response to criticisms that the term was stigmatizing, we originally proposed to replace the term “Gender Identity Disorder” with Gender Incongruence. This was accompanied by a re-definition of the condition, revised criteria, eliminating the previous subtype pertaining to sexual attraction, and introducing a new subtype categorization that does not exclude individuals with a somatic disorder of sex development (DSD). We chose the new term, Gender Incongruence, as descriptive and to avoid a presupposition of the presence of a clinically significant acute distress in all cases as a requirement for the diagnosis. In part, this was based on more general discussions in the DSM-5 Task Force on separating out the distress/impairment criterion and evaluating these parameters as a separate dimensions.
We also debated and discussed the merit of placing this condition in a special category apart from (formerly Axis-I) psychiatric diagnoses to reflect its unusual status as a mental condition treated with cross-sex hormones, gender reassignment surgery, and social and legal transition to the desired gender (particularly with regard to adolescents and adults). We chose not to make any decision between its categorization as a psychiatric or a medical condition and wished to avoid jeopardizing either insurance coverage or treatment access”
Also reinstated at the behest of transgenderists is the severity scale, which trans-activists feel assists with the authorization of sterilization and medicalization of children who experience distress conforming to sex-roles.
“This revised proposal also re-introduces a clinical significance criterion, B, which clarifies that diagnosis requires distress or impairment that meets a clinical threshold. This criterion is present in the DSM-IV but was removed from the first DSM-5 proposal. Parents of affirmed/transitioned youth and care providers have raised concerns that removal of the clinical significance criterion would further obscure the medical necessity of puberty delaying medications as well as hormonal and surgical transition care.”
Here is the APA’s clinical significance survey. Each question must be answered as shown:
- Very Strong
“Dimensional Assessment for Gender Dysphoria in Children
Questions A1-A8 are the dimensional metrics for the corresponding categorical criteria.
Instructions: Please circle the letter next to the statement that applies to your child the best.
For Male Children (Parent-Report)
A1. Over the past 6 months, how intense was your son’s desire to be a girl or insistence he is a girl?
A2. Over the past 6 months, how intense was your son’s preference to wear girls’ or women’s clothing during dress-up play or activities (e.g., during dress-up play or at other times)?
A3. Over the past 6 months, how intense was your son’s preference for female roles in fantasy or pretend play?
A4. Over the past 6 months, how intense was your son’s preference for the toys, games, and activities typical of girls?
A5. Over the past 6 months, how intense was your son’s preference for girl playmates?
A6a. Over the past 6 months, how intense was your son’s rejection of typically masculine toys, games, and activities?
A6b. Over the past 6 months, how intense was your son’s avoidance of rough-and-tumble play?
A7. Over the past 6 months, how intense was your son’s dislike of his sexual anatomy (e.g., that he dislikes or hates his penis or testes)?
A8. Over the past 6 months, how intense was your son’s desire for the sexual anatomy of a girl (e.g., sits to urinate, pretends to have breasts, would like to have a vagina)?
For Female Children (Parent-Report)
A1. Over the past 6 months, how intense was your daughter’s desire to be a boy or insistence she is a boy?
A2a. Over the past 6 months, how intense was your daughter’s preference for wearing only typical masculine clothing?
A2b. Over the past 6 months, how intense was your daughter’s resistance to the wearing of typical feminine clothing?
A3. Over the past 6 months, how intense was your daughter’s preference for male roles in fantasy or pretend play?
A4. Over the past 6 months, how intense was your daughter’s preference for the toys, games, and activities typical of boys?
A5. Over the past 6 months, how intense was your daughter’s preference for boy playmates?
A6. Over the past 6 months, how intense was your daughter’s rejection of typically feminine toys, games, and activities?
A7. Over the past 6 months, how intense was your daughter’s dislike of her sexual anatomy (e.g., dislikes the prospects of breast development or that she has a vagina)?
A8. Over the past 6 months, how intense was your daughter’s desire for the sexual anatomy of a boy (e.g., that she would like to have a penis or to grow one; stands to urinate)?
Should religious or other parents be permitted to subject their children to “treatments” which prevent them from going through puberty and subsequent surgical sterilization because they exhibit distress about complying with sex-roles? Because they do not want to treated in the way boys and girls are treated – very differently according to sex- and reject the roles expected of them, and enforced on them, even by violence, or medical violence in the case of the sterilization advocated by transgenderists and the APA? Should children distressed by sex-roles be diagnosed with a mental illness or “medical” condition even though they are perfectly healthy in every way prior to “treatment”, but not after, because the “treatment” is permanently disabling? Is it child abuse? Is it a human rights crime? We KNOW WITHOUT A DOUBT that the vast majority of these kids will acquire the ability to cope with their sex-role distress after going though natural puberty, without further need for psychiatric support, whether by finding social support among other sex-role rejecting people, or by fighting the nature of sex-roles and rejecting the roles entirely. We KNOW that MOST of these kids, left alone, grow up to be GAY, and well-adjusted in their communities. Should psychiatrists be “correcting” gender-nonconforming children? Should they be slating these kids for irreversible sterilization and profound surgical genital mutilation? Should boys that want to have long hair and play with girls and hate sports and like dolls be pathologized? Should girls that don’t want to be treated as girls be “treated” with lifetime cross-hormones so they can look like boys? Or should the APA develop “treatments” that are non-invasive and that support children who reject the gender roles imposed on them? Should the APA fight sex-role conformity rather than promote it by pathologizing children?
The American Psychiatric Association requests public feedback on these proposed revisions. Deadline is June 12, 2011.
May 1, 2011
March 27, 2011
February 13, 2011
Fast on the heels of the Trans community in the social political realm of surgical gender body modification is the MTE (Male To Eunuch) community. Formerly isolated MTEs (non-transgender males who have their testicles removed electively), “Nullo” and “Smoothies” (non-trans males who have both testicles and penis removed for a smooth completely genital-less appearance*) have formed strong communities since the advent of the internet and are becoming increasingly activist in lobbying for medical/surgical services that are currently offered only to those males who have a conflicted “internal gender identity”. MTE’s say the fact that they retain their male identity should not limit their access to the same medical and surgical services offered to transgender males with genital dysphoria.
Clip from “American Eunuch” a 2003 Sundance Film Festival documentary about MTEs. WARNING GRAPHIC
Nullos and MTE’s often seek castration and penectomy from surgeons in Thailand and India, and a few SRS providers in the US who have been willing to forgo the Harry Benjamin Standards of Care which were set up for MTF and FTM clients, but not for MTE’s who cannot meet their requirements (such as living in the opposite sex’s social gender role for a year) simply because they have no interest in undergoing social gender reassignment. Some US states allow chemical castration and Texas allows voluntary surgical castration for criminal sex offenders but not to lawful citizens which MTE’s assert is unfair.
Many MTE’s and “smoothies” report wanting to remove their genitals since early childhood, and some seek out desperate remedies for their surgical desires, either attempting self-castration, or seeking out the illegal services of “cutters”: self-styled underground surgeons who will perform castrations and penectomies in hotel rooms using substandard dirty equipment, often with tragic results.
Why do MTEs and Nullos want to be castrated? Their narratives vary, from a typical one here: “ I became a eunuch because I had an overwhelming desire to be castrated. I started out cutting my scrotum and for a few years, I never considered castration, but somewhere along the way, my desire/fantasy changed and I couldn’t stop thinking about getting castrated. I couldn’t control the desire and finally got castrated. It wasn’t to control my sex drive, it was a desire I couldn’t control, I’d go to bed thinking about it and wake up thinking about it. Maybe my desire for castration was a result of sexual frustration or maybe it was my way of finding some sort of weird sexual satisfaction, I don’t know, but I had to be castrated and finally was castrated. “
Other MTE’s and self described “Neuters” seek genital nullification or castration for the purported “Eunuch Zen” described as a feeling of peacefulness and calmness that occurs after the removal of one’s genitals. Some Nullos retain some sexual pleasure in the prostate area, some do not, and according to one report “Some of us who have had had total removal of the penis nonetheless experience almost perpetual arousal at times.”
There is a long history of MTEs through the ages, but only since the internet have MTEs Smoothies and Nullos been able to share voices worldwide. Talula of Eunuch.org says “We need, as a eunuch community, a medical way to say ‘Yes! I want to lose my testicles!’ without getting sexual reassignment surgery. People will do it themselves if there’s not an alternative,” he says. “I know. I know because I did it.”
(*Some Nullo purists contend a “true” Nullo undergoes nipple excision as well as castration and penectomy for total “smoothie” effect)
20 year old british model and actress Claudia Seye Aderotimi died Tuesday, hours after being injected with what investigators speculate was industrial grade silicone (the kind you get at home depot to grout your bathroom tiles with) in the buttocks by a fake doctor performing illegal plastic surgery in a Philadelphia hotel room. The young victim died of apparent silicone embolism to the lungs.
Police are seeking the suspect, transgender YouTube artist 41 year-old Padge Victoria Windslowe who goes by stage name Black Madam and is seen in the video from YouTube above. Warrants served at Windslowe’s apartment yesterday revealed multiple cell phones, multiple aliases and identification cards, and credit card in the name of Vanessa Brown, as well as syringes and silicone. “Windslowe juggled many identities. The cards found in the apartment on West Montgomery Ave. identified her as Tonya McClelland, Vanessa Brown, and Page Victoria Winslowe. In her neighborhood, everyone knew her as “Vicky.” The suspect identified themself to the victim as “Lillian Lang”. Windslowe “advertised buttock enhancement injections on her YouTube channel, according to court filings”. The advertisements have since been removed. According to the NYDailyNews “Windslowe’s Facebook page describes her as a “classically trained musician” who was also “the head of a lucrative ‘adult services company.’”
Illegal and dangerous black market silicone injecting is “a procedure that few if any doctors would recommend. Nevertheless, it remains popular in the nation’s transgender communities, where illegal “pumping parties” provide the chance for groups of people to get injections at somebody’s house, apartment or motel room.”
The victim, Claudia, was not transgender but an aspiring actress and model who had previously undergone the same procedure in November. Her ex-boyfriend said “After she had the injections last time, she told me she couldn’t take the pain and wouldn’t do it again. I never thought she would go back.” “When she first mentioned having surgery, I thought it was just a joke. We laughed about it and I never imagined it would end up being the cause of her death.” “she told me having the injections made her feel better about herself. Every girl has something they don’t like about their looks and she mentioned her bum a few times.”
The “APB alert” twitter was issued after the procedure was performed. The other links are to a photo of a feminized individual modeling their buttocks for the camera. “you better do it” BlackMadam comments.
Windslowe was also the founder of a “secret society” of transgender males called the “Ssshe Society”. I’ve included the text of their manifesto in the comments.