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This article contributes to the burgeoning literatures on the sociology of diagnosis and transgender studies by examining the relationship between diagnostic processes and the legitimation of gender identity—the medicalization of transgender people. In order for trans-identified people to access medical and surgical services, they must submit to a complex mental health diagnostic process that relies on criteria set by the American Psychiatric Association and the World Professional Association of Transgender Health (WPATH). By focusing on provider experiences of using the Gender Identity Disorder (GID) diagnosis in the Diagnostic Statistical Manual of Mental Health Disorders, Fourth edition, text revision (DSM-IV-TR) to meet the requirements of WPATH's Standards of Care (SOC-6), we show that diagnostic processes can both support and inhibit a transpatient's abilities to access services. Participants reveal how deeply held cultural views pertaining to gender, mental health, and patient competency are entrenched in diagnostic categories. While the new DSM-5 has relabeled GID as Gender Dysphoria and the SOC-7 has somewhat lessened the requirements for accessing hormone treatments, our data suggest that these changes will not be enough to alter the underlying structure of social control and power that diagnostic categories have over transpeople and their providers.

In this paper, we use the topic of breast cancer as an example of health crisis erasure in both informational and institutional contexts, particularly within the transgender and gender-nonconforming population. Breast cancer health information conforms and defaults to conventional cultural associations with femininity, as is the case with pregnancy and other "single-sex" conditions (Surkan, 2015). Many health information and research practices normalize sexualities, pathologize non-normative gender (Drescher et al., 2012; Fish, 2008; Müller, 2018), and fail to recognize gender-nonconforming categories (Frohard‐Dourlent et al., 2017). Because breast cancer health information is sexually normalized, an information boundary exists for the LGBTQ+ community, particularly among transgender and gender-nonconforming adults who are at greater risk of discrimination in healthcare settings (Casey et al., 2019). Transgender and gender-nonconforming people experience unique marginalization and risk with respect to breast cancer. We call upon and propose library and information research, education, and practice opportunities inclusive of the health information needs of transgender and gender-nonconforming populations.

Introduction: why resilience is important for queer and trans people -- Getting real: defining your self in a world that demands conformity -- You are more than your gender and sexual orientation -- Further identifying negative messages -- Knowing your self-worth -- Standing up for yourself -- Affirming and enjoying your body -- Building relationships and creating community -- Getting support and knowing your resources -- Getting inspired -- Making change and giving back -- Growing and thriving

Introduction -- Definitions, prevalence, and etiology -- Heterosexism -- Assessment -- Practice with individuals -- Treatment related to specific drugs -- Issues related to specific age groups -- Issues related to diversity -- Intervention models -- Practice with couples, families, and small groups -- Conclusions about practice -- Case study: a lesbian couple with a substance use disorder -- Ethical and legal issues -- Policy and legislative issues -- The future of the field