Gay rights won a major victory in 1973 when the American Psychiatric Association removed homosexuality from the DSM (Diagnostic and Statistical Manual). Trans identity, however, remains in the DSM as "gender dysphoria." This medicalization is a double-edged sword: it allows insurance to cover surgeries, but it also pathologizes trans people. Some young trans activists want complete depathologization; others accept the medical model out of necessity. This creates generational divides not seen in LGB communities.
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