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[US] Rep. Robert Garcia calls out Peru for classifying trans, intersex & nonbinary people as mentally ill (www.advocate.com)

submitted 5 months ago by jeffw to c/world

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[–] [email protected] 23 points 5 months ago (1 children)

I mean, I am mentally ill, but not because I'm nonbinary.

[–] FlyingSquid 15 points 5 months ago

I don't know you, but I know for many people, coming out helps with their mental illness issues.

Unsurprisingly, the stress of hiding your true self all the time for years is not mentally healthy.

[–] captainlezbian 12 points 5 months ago (1 children)

Listen, it’s one kind of wrong to declare trans and nonbinary people as mentally ill, but like i really don’t see how my mental health impacts the genital structure I was born with

[–] FlyingSquid 3 points 5 months ago (1 children)

It only impacts it if you know it's wrong and you can't let the world know that your genitals don't match your gender.

Like keeping any other huge secret would impact your mental health.

[–] captainlezbian 3 points 5 months ago

Oh yeah, but that’s like saying that having been to war is a mental disorder. Like as someone both trans and intersex, the former is an acknowledgment of an inner truth where all expressions of it are filtered through the brain at some point, but the latter idk what to tell people it’s like having a sixth toe (in the condition I’m thinking of of mine). You may not like it, and people may try to “fix” it or make me feel bad about it, but it was just there before my bottom surgery.

In a similar vein I have a cousin with (iirc) mono X. It’s definitely had negative impacts on her life and mental health but it’s a chromosomal condition not a mental condition

[–] NotMyOldRedditName 4 points 5 months ago* (last edited 5 months ago)

Okay, so intersex people are mentally ill from the moment that plays out in the womb?

Is this a schrodingers mental illness, where up until the intersex is determined by an ultrasound that they are both mentally fine and mentally ill?

[+] [email protected] -14 points 5 months ago (4 children)

Lol don't you love it.

Peru does something to force healthcare providers to cover transgender procedures and treatments, people are outraged that it's been labelled an illness. You can't make this stuff up.

[–] [email protected] 16 points 5 months ago* (last edited 5 months ago)

I'm not sure that's what the criticism is about. The law references ego-dystonic sexual orientation as one of the "mental illnesses" it covers. From Wikipedia (edits mine):

Ego-dystonic sexual orientation is a highly controversial mental health diagnosis that was included in the Diagnostic and Statistical Manual of Mental Disorders (DSM) from 1980 to 1987 and in the International Classification of Diseases (ICD) from 1990 to 2019. Individuals could be diagnosed with ego-dystonic sexual orientation if their sexual orientation or attractions were at odds with their idealized self-image. It describes a conflict between the sexual orientation a person wishes to have and their actual sexual orientation.

The addition constituted a political compromise between those who believed that homosexuality was a pathological condition and those who believed it was a normal variant of sexuality. Under pressure from mounting scientific evidence that the desire to be heterosexual is a common phase in a gay, lesbian, or bisexual person's identity development rather than a mental illness, the diagnosis was removed. Leading up to the ICD-11, a WHO-appointed working group recommended its deletion, due to a lack of clinical utility and the potential for negative consequences. The ICD-11 does not include any diagnostic categories that can be applied to people on the basis of sexual orientation, bringing the ICD in line with the DSM-5.

The current manuals for mental disorders (ICD-11, DSM-5) already include diagnostic categories that can be used as a basis for providing healthcare to LGBTIQ+ people (e g., gender dysphoria). The criticism of the Peruvian law is that it is based on outdated categories that regard the actual sexual identities and orientations as a whole as "mental illnesses" (rather than the affective and emotional issues that LGBTIQ+ are vulnerable to), which has no clinical value and is extremely prone to being used to discriminate against LGBTIQ+ people.

[–] FlyingSquid 13 points 5 months ago (2 children)

If the only way to help transgendered people is to call them mentally ill, maybe there's a bigger problem you're missing.

[–] [email protected] 2 points 5 months ago (1 children)

It is not the only way, WHO provides a code "gender incongruence" that is a condition "related to sexual health". Not a mental disorder. https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd

[–] FlyingSquid 2 points 5 months ago

Fine. Then Peru should do that.

[–] [email protected] 1 points 5 months ago (2 children)

Yeah, the problem is "do no harm". To modify your body, a medical professional needs to be fixing something, i.e. you have an illness that needs treatment.

[–] [email protected] 1 points 5 months ago (1 children)

Bro forgot about the entire practice of plastic surgery.

[–] [email protected] 0 points 5 months ago (1 children)

Are you saying gender affirming care is elective?

[–] [email protected] 1 points 5 months ago

No, just responding to this bit

To modify your body, a medical professional needs to be fixing something,

[–] FlyingSquid 0 points 5 months ago

So... you are under the bizarre (and very wrong) impression that doctors in other countries only give gender-affirming care to people they have determined have an illness?

Because, as I said, you are very wrong.

[–] [email protected] 2 points 5 months ago

The way other countries do it is by considering "gender dysphoria" an illness. This way, you aren't ill for being trans, but you can absolutely feel sick if you're trans but cannot transition, so the cure for gender dysphoria is to facilitate medical transitioning.

[–] [email protected] 2 points 5 months ago

It could pass a Gender Identity Recognition Act by self-identification. Then cover trasngender health by insurance, prohibit healthcare discrimination on grounds of gender identity, and use a modern, non-pathologizing code the one provided like ICD-11 by WHO "gender incongruence" a condition "related to sexual health". Not a mental disorder. https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd