In 1991, Eve Kosofsky Sedgwick published "How to Bring Your Kids Up Gay: The War on Effeminate Boys" in the "Fear of a Queer Planet" issue of Social Text (ST 29). The immediate prompt for Sedgwick's essay was the first Bush administration's repudiation of its own Department of Health and Human Services's 1989 report drawing attention to the exceptionally high rate of suicides among gay and lesbian youth. Interested in what a depressed queer teenager or child might encounter if seeking, or being forced to seek, help from psychological clinicians, Sedgwick
discovered that while homosexuality had been withdrawn (with much self-congratulation) from the official catalog of pathologies, psychiatrists' approach to gender was now guided, at least officially, by something called Gender Identity Disorder (GID). "Help" was synonymous with steering kids toward acclimation to the supposed order of "traditional" gender roles. Sedgwick asked "how it happens that the depathologization of an atypical sexual object-choice can be yoked to the new pathologization of an atypical gender identification." In a series of bracing readings of major work in the field, some of which claimed to affirm "healthy" (read: normatively gendered) forms of homosexuality, she made clear the compatibility of this diagnosis with a broad structure of thinking and feeling designed to eliminate queerness in its initial stages, before it had a chance to live beyond early childhood. Her powerful polemic labeled this work "a train of squalid lies. The overarching lie is the lie that they are predicated on anything but the therapists' disavowed desire for a non-gay
outcome."

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