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::What if (a) the person is lying, or (b) the person is incapable of making a rational judgement, or (c) due to social or cultural homophobia the person feels pressure to go along in order to get along, or (d) due to internalized homnophobia, he's in denial?  [[User:RobS|RobS]] 17:55, 24 July 2007 (EDT)
 
::What if (a) the person is lying, or (b) the person is incapable of making a rational judgement, or (c) due to social or cultural homophobia the person feels pressure to go along in order to get along, or (d) due to internalized homnophobia, he's in denial?  [[User:RobS|RobS]] 17:55, 24 July 2007 (EDT)
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:::Well then, (a) this presumption can be made of any disease, that's why there is counciling to determine the reasons and appropriateness of treatment.  (b) GID is not to be treated in the case of a coinciding medical/psychiatric condition, this means not for people who potentially have multiple personality disorder, or some other psychiatric disorder where treatment would only result in worse results for the patient. In the case of a defense mechanism in response to a sexually tramatic experience, GID is contraindicated.  For instance, a girl was raped and as the only way she can resolve the issue psychiatrically on her own, she presumes that she needs to have a gender change.  GID, and its therapy is also contraindicated in this event. (c/d) gender identity therapy begins with vetting the patient to ensure that they're not simply distraught with being gay, or some other such reason.  Gender therapy begins off immediately with the idea that gender reassignment therapy (which consists of counselling, hormones then surgery over the course of at least one year) should be the last option chosen.  If there is anyway for a person with GID to live in their assigned gender, then they are recommended to persue that, and not face the discrimination, and unnecessary nature that would be their treatment.  There is also significant interest in ensuring that treatment is only given to those for whom it is appropriate.
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:::If the treatment would cause more harm than good, then the treatment is contraindicated.  In Iran, I mentioned that transsexuality is accepted, as a result gay, and lesbian people are pressured to change gender in order to have sex with the people they are attracted to, this is widely regarded as inappropriate in the western world.  If gender reassignment therapy is carried out upon someone who is not transsexual, or significantly transgendered, the situation which they are placed in is just as emotionally and psychiatrically damaging as the situation that you are moving transsexuals out of.  As a result, hormones and therapy are denied without approval from an appropriate therapist, and surgery in particular requires the sign off from a Ph.D.  This intented to raise the bar sufficiently that anyone doing it on a whim will not be able to do any lasting damage to themselves by lying in order to gain treatment.  Therapists are well accustomed to behaviors and stories that indicate a person lying about their experiences of GID.  In all cases however, if someone were to simply express that they have homosexual desires, the therapy would '''not''' travel towards treatment, but towards treating that person's discomfort with their homosexuality, whether than means resolving them to their heterosexuality, or having them come to acccept and embrace their homosexuality.  Either way, homosexuality alone is immediately a disqualifying factor for treatment and diagnosis of GID. --[[User:Puellanivis|Puellanivis]] 18:37, 24 July 2007 (EDT)
    
While gay men and butch lesbians typically express their gender roles quite broadly, and may take up gender roles typically considered outside of their traditional roles, such as men paying more attention to their looks, clothes, and fashion, and women caring significantly less about it, and acting more physical, reardless, if you ask them "Do you want to be a woman" and "Do you want to be a man?" they will answer in the negative.  They are happy with their gender, they're simply attracted to the same sex.
 
While gay men and butch lesbians typically express their gender roles quite broadly, and may take up gender roles typically considered outside of their traditional roles, such as men paying more attention to their looks, clothes, and fashion, and women caring significantly less about it, and acting more physical, reardless, if you ask them "Do you want to be a woman" and "Do you want to be a man?" they will answer in the negative.  They are happy with their gender, they're simply attracted to the same sex.
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