
Originally published in American Psychologist in 2019, this was among the first of many articles written collaboratively with my colleagues in the Trans Pregnancy Project team: Damien W Riggs, Carla Pfeffer, Sally Hines, Francis Ray White, and Elisabetta Ruspini. I hope that through its inclusion in this new handbook on theories of gender and power in feminist psychology, this slightly updated essay will reach new readers and provide helpful context on the construction of sex/gender norms through classification and diagnosis.
As I explained on its original publication, in this piece “we examine how the interests of cisgender clinicians and trans patients have variously been opposed and entwined, and contextualise this in relation to wider structures of racism, sexism, colonialism, and binary thinking around sex and gender. We focus especially on how guidance for diagnosing trans people and managing trans healthcare has been contested across various versions of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (the DSM) and the International Harry Benjamin Gender Dysphoria Association (HBIGDA, later WPATH) Standards of Care.”
A free open access version of the original article remains available here: [Transnormativity in the Psy Disciplines: Constructing Pathology in the Diagnostic and Statistical Manual and Standards of Care].