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Young and Old Have New Issues With Being Transgender.

Both young people and old folks today are facing questions about being transgender that were never raised before. “What’s new” is that transgender is in public conversation as it has not been previously. In early textbooks used by faculty in nursing and other health sciences, the fact that gender is not a binary concept, but one distributed along a continuum, was noted. However, other than noting this fact, words to describe the various phenomena were absent. Today, books are being written, aimed at audiences as young as 8 years old. Older adults who are transgender are finding support in newly formed groups. What part did the Diagnostic and Statistical Manual of Mental Disorders (DSM 5th ed.; American Psychiatric Association [APA], 2013) play? A history refresher is in order. In 1973, the APA eliminated homosexuality from its list of disorders. In the new edition (i.e., DSM5), gender identity disorder was eliminated, and in its place is gender dysphoria. This new designation is not necessarily an improvement, because it still carries the connotation that someone is uncomfortable or distressed with the assigned biological gender. That is not essentially the case. Transgender individuals are not necessarily clinically depressed, nor are they troubled by other psychosocial symptoms. As Panas (2015) noted in her presentation at the World Congress for Psychiatric Nurses, in Banff, Canada, “I’m not sick! I’m transgender.” Her workshop explored the many challenges and barriers faced by individuals who are transgender as they attempt to navigate society. She compared the societal expectations for heterosexual individuals with those perceived as “others,” therefore strange and not normal. Her list of myths to be dispelled was received well by the audience.