Charlotte Allen discusses how quickly the language has changed when talking about transsexuality over a very short time:
In 2012 the board of trustees of the American Psychiatric Association (APA) approved a set of proposed revisions to its Diagnostic and Statistical Manual of Mental Disorders (the new version is the DSM-5), designed to remove the stigma of mental illness from the transgender classification. Earlier versions of the DSM had defined transgenderism as “gender identity disorder,” which seemed to imply illness. The DSM-5 changed that term to “gender dysphoria.” The change paralleled the association’s removal of homosexuality as a mental disorder in 1973. It signaled that whatever problems transgenders might experience were not due to a pathological misconception that their bodies and gender identities were mismatched but to the fact that their bodies and gender identities were mismatched. Hormones, surgery, cosmetics, and different clothes might still be the “cure” (enabling transgenders to qualify for medical reimbursement for a variety of procedures), but the APA was making it clear, as far as it was concerned, that the problem was not inside the transgender’s head.
The medical evidence for a mismatch between brains and bodies is ambiguous. The two studies cited most frequently by transgender activists, published in 1995 and 2000, examined the brains of a total of seven male-to-female transgenders and found that a region of the hypothalamus, an almond-shaped area of the brain that controls the release of hormones by the pituitary gland, was female-typical in those brains. But those studies have been criticized for not controlling for the estrogen—which affects the size of the hypothalamus—that most male-to-female transgenders take daily in order to maintain their feminine appearance.
Accompanying the APA’s change of classification was a change of vocabulary. Ever since the days of Christine Jorgensen (1926-1989), the World War II serviceman whose surgery in Denmark during the early 1950s brought transgenderism under the media spotlight for the first time, the procedure was known in popular parlance as a “sex change operation.” Then in the 1990s, when the idea of one’s “gender” as something distinct from one’s biological sex began to take hold (thanks to the efforts of academic feminists and other postmodernists, who argued that gender is “socially constructed”), the preferred term became “gender reassignment surgery.” Now the preferred phrase seems to be “gender confirmation surgery.” The change in terminology renders more credible transpeople’s claims to have always belonged to the gender to which they have transitioned.
The once commonly used word “transsexual” has thus become passé — even verboten in the most sensitive circles — just during the past decade. For example, Washington Post reporter Abby Ohlheiser issued a severe scolding to news media for using the word “transsexual” in reference to a 27-year-old male-to-female victim of a grisly murder and dismemberment at the hands of her 28-year-old male lover (who subsequently committed suicide) in Brisbane, Australia, in October 2014. “Although some individuals do identify as ‘transsexual,’ the term is often viewed as old-fashioned and not an appropriate umbrella word,” Ohlheiser wrote in a column deriding the coverage of the crime as “transphobic.” Ohlheiser also objected to media describing the victim, Mayang Prasetyo, as a “prostitute” (Prasetyo had been working as an escort before her death) and reproducing photos of Prasetyo’s busty self clad in a tiny swimsuit that she had posted on the Internet. “Many of the articles covering the murder are laden with provocative photographs of the victim in a bikini, as if any story about a trans person is an excuse to view and scrutinize trans bodies,” Ohlheiser wrote.
