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— CH. 1 · THE FIRST WORDS —

Transgender

~3 min read · Ch. 1 of 5
5 sections
  • In 1965, psychiatrist John F. Oliven published a book titled Sexual Hygiene and Pathology. He wrote the word transgenderism in its pages for the first time. This specific phrase appeared only after he revised an earlier edition of his work. Before that moment, medical texts used terms like transsexual or cross-dresser to describe people whose gender identity differed from their birth sex. The concept existed long before the words did. Historical records mention figures like the Chevalière d'Éon who lived between 1728 and 1810. She was a French diplomat known for wearing men's clothing while holding public office. Yet no single label captured her experience until decades later.

  • Harry Benjamin introduced a classification system called the Sex Orientation Scale in 1966. This scale placed individuals into one of six categories based on their reasons for cross-dressing. It focused heavily on heterosexual trans women and often excluded trans men entirely. By the early 1990s, activists began rejecting this rigid framework. They demanded language that reflected psychological identity rather than surgical outcomes. In 1994, the American Psychiatric Association changed the DSM IV entry from Transsexual to Gender Identity Disorder. Then in 2013, they replaced that diagnosis with Gender Dysphoria. This shift signaled a move away from pathologizing being transgender itself. Instead, it framed distress as the problem requiring treatment. Many clinicians now emphasize flexibility over strict diagnostic criteria when helping clients navigate their identities.

  • A 2014 study by the Williams Institute found that 41% of transgender people had attempted suicide at some point. The rate rose significantly among those who faced discrimination in housing or healthcare. Another study showed that trans children with supportive parents had only a 4% attempt rate. That represented a 93% decrease compared to peers without such support. Data from the U.S. Transgender Survey revealed stark differences between those who wanted hormones and those who received them. People waiting for hormone therapy reported 57.9% suicidal thoughts in the past year. Those who actually received hormones saw that number drop to 42.9%. Access to gender-affirming care directly correlated with improved mental health outcomes across multiple datasets.

  • Canada became the first nation to collect census data on its transgender population in 2021. Statistics Canada reported 59,460 Canadians identified as transgender that year. This figure represented 0.19% of the total population. In the United States, estimates placed the number of adults identifying as transgender at roughly 1%. Youth identification reached 3.3%, totaling about 724,000 individuals aged 13 to 17. Australia recorded 178,900 people reporting a gender different from their birth sex in its 2021 Census. New Zealand found 26,097 self-identified transgender residents in 2023. These numbers varied widely depending on how each country defined the term. Some studies suggested prevalence ranged from less than 0.1% to 0.6% globally. The lack of consistent terminology made precise counting difficult across borders.

  • Monica Helms designed the Transgender Pride Flag in 1999. She first displayed it publicly during a pride parade in Phoenix, Arizona, in 2000. The flag features five horizontal stripes: light blue, pink, white, pink, and light blue. Rachel Crandall Crocker founded International Transgender Day of Visibility in 2009. It occurs annually on March 31 to celebrate transgender lives. Another observance honors Rita Hester who was killed on the 28th of November 1998. Her murder remains unsolved but is described as an act of transphobia. Transgender Day of Remembrance takes place every year on November 20 to memorialize victims of hate crimes. These events have grown into global movements since the early 1990s. They serve both to honor those lost and to raise awareness about ongoing violence against the community.

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Common questions

When did John F. Oliven first publish the word transgenderism?

John F. Oliven published the word transgenderism in 1965 within his book Sexual Hygiene and Pathology. This specific phrase appeared only after he revised an earlier edition of his work.

What changes occurred to the DSM IV entry for transsexual people between 1994 and 2013?

The American Psychiatric Association changed the DSM IV entry from Transsexual to Gender Identity Disorder in 1994. They replaced that diagnosis with Gender Dysphoria in 2013 to frame distress as the problem requiring treatment rather than pathologizing being transgender itself.

How does access to hormone therapy affect suicide rates among transgender people according to a 2014 study?

A 2014 study by the Williams Institute found that people waiting for hormone therapy reported 57.9% suicidal thoughts in the past year. Those who actually received hormones saw that number drop to 42.9%, showing that access to gender-affirming care directly correlated with improved mental health outcomes.

Which country became the first nation to collect census data on its transgender population in 2021?

Canada became the first nation to collect census data on its transgender population in 2021. Statistics Canada reported 59,460 Canadians identified as transgender that year, representing 0.19% of the total population.

Who designed the Transgender Pride Flag and when was it first displayed publicly?

Monica Helms designed the Transgender Pride Flag in 1999. She first displayed it publicly during a pride parade in Phoenix, Arizona, in 2000.