Challenging The Gender Binary Case Study

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Tackling Tighearnan: Challenging the Gender Binary
We as a society often view matters in absolutes: black/white; good/bad; male/female. But what if that distinction were not so clear? Dividing and organizing individuals through gender identity and sexual orientation creates behavioral boundaries that may lead to disorders (Butcher, Hooley, & Mineka). Gender binary assigns rigid male/female categories to various aspects of society –boys don’t cry; girls don’t cross their legs that way. Civilized thought, free from ignorance and prejudice, has begun to infiltrate our discussions about gender (Dvorsky, & Hughes, 2008). In this week’s case study, patient Tighearnan has a conversation with therapist Julie Tilsen (Alexander Street Press, 2011). My analysis of the conversation and a diagnosis are as follows:
Week 8: Tighearnan
302.6 (F64-2) Gender Dsyphoria in Adolescents and Adults, post transition
V61.9 Unspecified family circumstance
V62.4 Target of (perceived) adverse discrimination or persecution
Diagnostic Impression and Rationale
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He began his transition from female to male two and a half years ago. Tighearnan came out as a lesbian at age 15 and although his mother has been moderately supportive, he has not fully communicated with his family about his transition. Tighearnan considers himself a coward (Alexander Street Press, 2011). Altogether, he appears well adjusted and able to communicate about what he refers to as his “three selves” or “tripled-tiered” existence of being queer, trans, and Asian American (Alexander Street Press, 2011). Tighearnan’s slightest distress originates with his mother acceptance and