Transnormativity in the psy disciplines: Constructing pathology in the Diagnostic and Statistical Manual and Standards of Care

Riggs, D.W., Pearce, R., Pfeffer, C.A., Hines, S., White, F.R. and Ruspini, E. 2019. Transnormativity in the psy disciplines: Constructing pathology in the Diagnostic and Statistical Manual and Standards of Care. American Psychologist. 74 (8), pp. 912-924. https://doi.org/10.1037/amp0000545

TitleTransnormativity in the psy disciplines: Constructing pathology in the Diagnostic and Statistical Manual and Standards of Care
TypeJournal article
AuthorsRiggs, D.W., Pearce, R., Pfeffer, C.A., Hines, S., White, F.R. and Ruspini, E.
Abstract

The psy disciplines (i.e., psychiatry, psychology, psychoanalysis, and psychotherapy) have played a significant role in shaping understandings of transgender people’s lives in ways that are transnormative (i.e., by emphasizing one particular account of what it means to be transgender). This paper documents 1) how the rise of the psy disciplines created opportunities for transgender people to access treatment (but that such access often required tacit acceptance of transnormativity), and 2) how transgender people have resisted transnormative accounts within the psy disciplines. More specifically, this paper explores how both the American Psychiatric Association’s Diagnostic and Statistical Manual, and what is now the World Professional Association for Transgender Health’s Standards of Care, have often enshrined highly regulatory accounts of transgender people’s lives, while also changing over time, in part due to the contributions of transgender people. The paper concludes by considering recent contributions by transgender people in terms of the use of informed consent models of care and clinical research, and highlights the ongoing marginalization of transgender people in terms of access to ethical, trans-competent care.

Keywordsclinical care
history
pathologization
psy disciplines
transgender
transnormativity
JournalAmerican Psychologist
Journal citation74 (8), pp. 912-924
ISSN0003-066X
Year2019
PublisherAmerican Psychological Association
Accepted author manuscript
File Access Level
Open (open metadata and files)
Publisher's version
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1037/amp0000545
Web address (URL)https://psycnet.apa.org/doiLanding?doi=10.1037%2Famp0000545
Publication dates
Published01 Nov 2019
FunderESRC (Economic & Social Research Council)

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