Psychology from the Margins


This paper provides a historical context of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM) related to sexual orientation and gender identity. We use the historical context of psychology’s discrimination against sexual minorities (e.g., lesbian, gay, and bisexual persons) to critique current discriminatory practices targeting gender diverse (i.e., trans, nonbinary, and other not cisgender) persons- specifically, the explicit pathologizing of gender variance. The events that led to the removal of homosexuality as a diagnosis are discussed, as are subsequent diagnoses related to sexual orientation and gender identity that continue to pathologize gender variance. We conclude by deriving recommendations for clinical work with transgender and gender non-conforming (TGGD) individuals from existing literature and our historical review.



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