This is not the place for your misappropriation of one trans woman’s account of her choices and experience. This topic is about protections for transgender people in our federal institutions. And yes, in general conversation “sexual deviance” is used to mean intentional, chosen misbehavior. Gender dysphoria, the only diagnostic category applied to trans folk under American Psychiatric Association standards, has nothing to do with sexuality, deviant or not.
This is from the APA’s brochure for concerned laypeople on transgender issues:
A psychological state is considered a mental disorder only if it causes significant distress or disability. Many transgender people do not experience their gender as distressing or disabling, which implies that identifying as transgender does not constitute a mental disorder. For these individuals, the significant problem is finding affordable resources, such as counseling, hormone therapy, medical procedures and the social support necessary to freely express their gender identity and minimize discrimination. Many other obstacles may lead to distress, including a lack of acceptance within society, direct or indirect experiences with discrimination, or assault. These experiences may lead many transgender people to suffer with anxiety, depression or related disorders at higher rates than nontransgender persons.
The treatment for gender dysphoria is support for the social and medical transition of the patient’s choice, and treatment of triggering trauma is a separate issue. The APA does not think my child’s gender dysphoria is a reaction to trauma, but that failure to support their dysphoria may have made some otherwise ordinary experiences traumatic. This is especially an issue for trans women at the mercy of cis men, such as in a prison.
There’s an article on the revisions to the Bureau of Prisons manual on NPR today, and it includes this important information about the lawsuit that triggered the changes:
The August 2017 filing said the women did not have a strong case at that time. The transgender inmates housed at the two facilities in question — Federal Medical Center, Carswell and Federal Prison Camp, Bryan — were not housed in the same units as the plaintiffs. In addition, the women alleged that the transgender inmates they named in the case had committed certain acts against them, but the Bureau of Prison’s investigation failed to find enough evidence to prove those allegations to be true.
But, the filing did anticipate that Attorney General Jeff Sessions’ new appointee for Federal Bureau of Prisons Director, Mark S. Inch, would likely reevaluate the underlying issues of the four women’s case. Friday’s revisions are perhaps part of that predicted reevaluation. [emphasis and emphasis added]