The Burden of Autogynephilia | with Lisa Shupe. Our liberated culture itself refuses to acknowledge that aspects of sexuality can be harmful. Shupe is telling us how hard it is to live with a fetish because fetishes destroy relationships

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[–][deleted] 7 insightful - 1 fun7 insightful - 0 fun8 insightful - 1 fun -  (1 child)

I love BB, and will try to watch the whole thing ... but anyone willing to give a synopsis or bullet points to help all of us out who don't have time to watch an entire full length movie on Jamie/Lisa Shupe?

I know he was the first person to become "non-binary", and has flip-flopped around in identities since then. And maybe now he realizes he is AGP?

[–]wafflegaffWoman. SuperBi. 4 insightful - 1 fun4 insightful - 0 fun5 insightful - 1 fun -  (0 children)

I mostly listened to it while doing other things, which is how I found the time; it's mostly just the two of them talking on camera to each other. The below might not be 100% accurate since I was not taking notes (perhaps someone else watching it now or soon can compare), but yes, he realizes now that he has AGP. And has now spent years trying to figure out what works to treat or manage it, while doctors demonstrate that they know little to nothing about AGP and/or don't take it seriously. He's found that he has to frame it as being primarily gender dysphoria (i.e. say what they want to hear) in order to get help that works, such as chemical castration (with a variant of Lupron whose name I forget) and estrogen. His natural testosterone flares up his symptoms. But he is pretty confident that the AGP preceded and contributed to feelings of gender dysphoria. He's also aware that what controls his symptoms isn't great for his physical health in some ways, but would rather cope with that than experience un-managed AGP.

That's the trap he's currently still trying to find his way out of—how to get ongoing treatment so he can live a more normal life, without having to use female pronouns and a female name and play along with the ignorance / biases of doctors.

As GatitoMalo mentioned, he did get a diagnosis of BPD at one point, and that does need to be taken into account when coming up with a treatment approach. (BPD is also a diagnosis that can bias providers against a patient, though, unfortunately, so I wonder if that has had any influence here. Shupe expressed no awareness of this possibility, but I wonder, given some of his experiences this year alone with doctors, including a traumatizing stint in a psych ward. More about that stigma here: https://www.nami.org/Blogs/NAMI-Blog/June-2017/The-Stigma-Associated-with-Borderline-Personality)

[Edit to remove redundant verbiage.] Overall, he doesn't think doctors get it, and his explanations of his experiences with trying to sort out how to treat it lend weight to that perspective.