"81 Words" is an episode of the popular public radio program, This American Life , which is broadcast from Chicago Public Radio. This episode was originally aired January 18, 2002. The episode is narrated by Alix Spiegel, who was the recipient of the George Foster Peabody Award, the Livingston Award, and the Dupont Award. She won the 2002 Livingston Award in National Reporting for the 204th episode of This American Life, "81 Words". [1] The program is hosted by Ira Glass, who gives the introduction for the episode stating,
"It's just uncanny, I think that's the word. It's just uncanny when something so small, for a moment, for the length of time it takes to sign [he is referring to a pen used to sign major U.S. legal documents] can carry the entire weight of history of a nation. Today's radio program is about something small like that, that was at the epicenter of massive social change in our country for a brief moment." [2]
This narrative tale falls into the category of healing narrative. It is the healing narrative of Dr. John Patrick Spiegel, Alix Spiegel's grandfather. Dr. John P. Spiegel was a psychiatrist and the former president of the American Psychiatric Association. [3]
The episode is split into two acts. The first act explains that in 1973, the American Psychiatric Association (APA) declared that homosexuality was not a disease, by changing the 81-word definition of sexual deviance in its own reference manual. It was a change that attracted a lot of attention at the time, but the story of what led up to that change is one that was reported by Spiegel. Part one of Spiegel's story details the activities of a closeted group of gay psychiatrists within the APA who met in secret and called themselves the GAYPA ... and another, even more secret group of gay psychiatrists among the political echelons of the APA. Spiegel's own grandfather was among these psychiatrists, and the president-elect of the APA at the time of the change. [2] Alix Spiegel states in the beginning of the story that, "...I know this story not because I read it in a book or learned it in any class, but because it's one of those stories that my family uses to explain itself." The story begins with a recording of John P. Spiegel interviewing himself in which he talks about how he has been asked to travel to Ireland to work with a gay activist who is trying to change the Irish constitution. Spiegel was asked to testify as an expert in mental health. Dr. Spiegel was asked to testify about the mental health of homosexuals. Oddly enough he was a homosexual who had not told anyone. He was asked to do this because he was the president elect of the American Psychiatric Association in 1973. It stated in the Diagnostic and Statistical Manual of Mental Disorders (DSM) that homosexuality was termed sexual deviance and that homosexuals were pathological. [4] This gave the country the right to treat homosexuals differently. [5] Alix Spiegel's family had always told the story of Dr. Spiegel as one that expressed him as the sole person to abolish the 81 word definition of homosexuality from the DSM, until a family vacation after Dr. Spiegel's wife had died, when he emerged from a beach bungalow with a much younger man who was later introduced to a shocked family as his lover.
The second act of the radio program explains the history of homosexuality in psychological terms and gives the conclusion to the story. At the same time that Dr. Spiegel is working in Ireland, a few gay activists began to make protests to try to get the designation of homosexuality changed. The story from this point gives a history of homosexuality, from its original state as a crime against the will of God, to it being a form of insanity, then stating it was just faulty wiring. The story continues by talking about Dr. Irving Bieber, who started doing a lot of tests with homosexuals. Dr. Bieber tried to find the cause for homosexuality in a psychological sense. The story continues to talk about the group of gay activists that worked inside of the APA, that had a large part to do with the changing of the 81 word definition. The GAYPA worked in the APA to get Dr. Robert Spitzer (the head of the APA) to rewrite the 81 word definition. The story ends with Dr. John P. Spiegel, president-elect of the APA, accepting the new definition of homosexuality.
The Diagnostic and Statistical Manual of Mental Disorders is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria. It is the main book for the diagnosis and treatment of mental disorders in the United States and Australia, while in other countries it may be used in conjunction with other documents. The DSM-5 is considered one of the principal guides of psychiatry, along with the International Classification of Diseases (ICD), Chinese Classification of Mental Disorders (CCMD), and the Psychodynamic Diagnostic Manual. However, not all providers rely on the DSM-5 as a guide, since the ICD's mental disorder diagnoses are used around the world. Psychiatry like Medicine is not an exact science» and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions.
A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner. Paraphilias are contrasted with normophilic ("normal") sexual interests, though the definition of what makes a sexual interest normal or atypical remains controversial.
Anti-psychiatry, sometimes spelled antipsychiatry, is a movement based on the view that psychiatric treatment can be often more damaging than helpful to patients. The term anti-psychiatry was coined in 1912, and the movement emerged in the 1960s, highlighting controversies about psychiatry. Objections include the reliability of psychiatric diagnosis, the questionable effectiveness and harm associated with psychiatric medications, the failure of psychiatry to demonstrate any disease treatment mechanism for psychiatric medication effects, and legal concerns about equal human rights and civil freedom being nullified by the presence of diagnosis. Historical critiques of psychiatry came to light after focus on the extreme harms associated with electroconvulsive therapy and insulin shock therapy. The term "anti-psychiatry" is in dispute and often used to dismiss all critics of psychiatry, many of whom agree that a specialized role of helper for people in emotional distress may at times be appropriate, and allow for individual choice around treatment decisions.
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"Homosexual panic" is a term coined by American psychiatrist Edward J. Kempf in 1920 for a condition of "panic due to the pressure of uncontrollable perverse sexual cravings". Kempf classified this condition as an acute pernicious dissociative disorder, meaning that it involved a disruption in typical perception and memory functions of an individual. In the psychiatrist's honour, the condition has come to also be known as "Kempf's disease". Although homosexuality itself was removed from the APA's DSM in 1973, some form of homosexual panic was retained in the manual until the release of DSM-V in 2013.
Robert Leopold Spitzer was a psychiatrist and professor of psychiatry at Columbia University in New York City. He was a major force in the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Ego-dystonic sexual orientation is a highly controversial mental health diagnosis that was included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) from 1980 to 1987 and in the World Health Organization's (WHO) International Classification of Diseases (ICD) from 1990 to 2019. Individuals could be diagnosed with ego-dystonic sexual orientation if their sexual orientation or attractions were at odds with their idealized self-image, causing anxiety and a desire to change their orientation or become more comfortable with it. It describes not innate sexual orientation itself, but a conflict between the sexual orientation a person wishes to have and their actual sexual orientation.
John Ercel Fryer, M.D. was a prominent American psychiatrist and advocate for gay rights. He is most notably remembered for his impactful speech delivered anonymously at the 1972 American Psychiatric Association (APA) annual conference. Fryer addressed the conference under the pseudonym Dr. Henry Anonymous, catalyzing the movement to remove homosexuality as a classified mental illness from the APA Diagnostic and Statistical Manual of Mental Disorders. In recognition of his significant contributions, the APA established the "John E. Fryer, M.D., Award" in his honor.
The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is the 2013 update to the Diagnostic and Statistical Manual of Mental Disorders, the taxonomic and diagnostic tool published by the American Psychiatric Association (APA). In 2022, a revised version (DSM-5-TR) was published. In the United States, the DSM serves as the principal authority for psychiatric diagnoses. Treatment recommendations, as well as payment by health care providers, are often determined by DSM classifications, so the appearance of a new version has practical importance. However, some providers instead rely on the International Statistical Classification of Diseases and Related Health Problems (ICD), and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions. The DSM-5 is the only DSM to use an Arabic numeral instead of a Roman numeral in its title, as well as the only living document version of a DSM.
The Association of LGBTQ Psychiatrists, originally the Association of Gay and Lesbian Psychiatrists (AGLP), is an organization that educates and advocates on lesbian, gay, bisexual, and transgender (LGBT) mental health issues.
Kenneth J. Zucker is an American-Canadian psychologist and sexologist. He was named editor-in-chief of Archives of Sexual Behavior in 2001. He was psychologist-in-chief at Toronto's Centre for Addiction and Mental Health (CAMH) and head of its Gender Identity Service until December 2015. Zucker is a professor in the departments of psychiatry and psychology at the University of Toronto.
Jack Drescher is an American psychiatrist and psychoanalyst known for his work on sexual orientation and gender identity.
John Paul Spiegel was an American psychiatrist, and expert on violence and combat stress and the 103rd President of the American Psychiatric Association (APA). As president-elect of the APA in 1973, and a closeted homosexual at the time, he helped to change the definition of homosexuality in the Diagnostic and Statistical Manual of Mental Disorders (DSM) which had previously described homosexuality as sexual deviance and that homosexuals were pathological.
Henry Brill was an American psychiatrist and educator. A native of Bridgeport, Connecticut, he earned both his undergraduate and medical degrees from Yale University. After receiving his M.D. in 1932, he began a career in the New York state psychiatric system, culminating in the directorship of Pilgrim Psychiatric Center in Brentwood, NY from 1958 to 1976. At its height in the mid-1950s, Pilgrim was the largest mental institution in the world, with a census of 13,875 patients. Brill also served as Deputy Commissioner of the New York State Department of Mental Hygiene from 1959 to 1964.
Alix Spiegel is an American public radio producer and science journalist. She currently works for This American Life. Spiegel previously hosted and produced the NPR program Invisibilia with Lulu Miller and Hanna Rosin. She was one of the early producers of This American Life, then went on to work for National Public Radio and The New York Times.
Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM) beginning with the first edition, published in 1952 by the American Psychiatric Association (APA). This classification was challenged by gay rights activists during the gay liberation following the 1969 Stonewall riots, and in December 1973, the APA board of trustees voted to declassify homosexuality as a mental disorder. In 1974, the DSM was updated and homosexuality was replaced with a new diagnostic code for individuals distressed by their homosexuality, termed ego-dystonic sexual orientation. Distress over one's sexual orientation remained in the manual, under different names, until the DSM-5 in 2013.
Lawrence Hartmann is a child and adult psychiatrist, social-psychiatric activist, clinician, professor, and former President of the American Psychiatric Association (APA). Hartmann played a central role in the APA's 1973 decision to remove homosexuality as a diagnosis of mental illness from its Diagnostic and Statistical Manual. This change decisively changed the modern era of LGBTQ rights by providing support for the overturning of laws and prejudices against homosexuals and by advancing gay civil rights, including the right to immigrate, to adopt, to buy a home, to teach, to marry, and to be left alone.
Robert Piotr Cabaj was an American psychiatrist, scholar and author, known for his extensive publications on LGBT mental health, including editing one of the early and influential textbooks in the field. He served as president of the Association of Gay and Lesbian Psychiatrists (AGLP) and of the Gay and Lesbian Medical Association.