First, one of the most important – and, for many, confusing – questions: why do some trans people need medical intervention at all? Dysphoria, the an… - Shon Faye

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First, one of the most important – and, for many, confusing – questions: why do some trans people need medical intervention at all? Dysphoria, the antonym of ‘euphoria’, is the clinical term now used to describe the intense feeling of anxiety, distress or unhappiness some trans people feel in relation to their primary sex characteristics (genitals), their secondary sex characteristics (breasts, facial hair, menstruation, face shape, voice) or how these physical traits cause society to interact with them, by perceiving them as a male or female. Previously called ‘gender identity disorder’ and, before that, ‘transsexualism’, gender dysphoria is the name given to an experience many trans people struggle with, which can be helped by medical intervention. Although the term is widely used within the community, different trans people can experience dysphoria in very different ways, and so might have different clinical needs.

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About Shon Faye

(born 27 March 1988) is an English writer, editor, journalist, and presenter, known for her commentary on LGBTQ+, women's, and mental health issues. She hosts the podcast Call Me Mother and is the author of the 2021 book .

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What we choose to define (and stigmatize) as ‘mental illness’ is itself a matter of politics. For instance, our perception of homosexuality as an identity instead of a disorder is a relatively recent development, made possible by decades of campaigning to depathologize it.

Movements are taken out of the hands of the radical, angry, non-respectable, non-conforming people who did the years of unrewarded hard graft to make it all happen, then gradually they are overrun by small-minded career activists out to make a name for themselves. In other words, social justice movements that cede their ability to decide priorities and direction to wealthy corporations and media outlets also grant those groups the right to determine which political demands are acceptable and which are not.

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