Page:Adams ex rel. Kasper v. School Board of St. Johns County, Florida (2018).pdf/7

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Case 3:17-cv-00739-TJC-JBT Document 192 Filed 07/26/18 Page 7 of 70 PageID 10685

The Medical Amici[1] explain that “‘[g]ender identity’ refers to a person’s internal sense of being male, female, or another gender.” Doc. 119, Ex. A at 6. A transgender individual is someone who “‘consistently, persistently, and insistently’ identifies as a gender different than the sex they were assigned at birth.” Id. at 7. A 2016 publication estimated that 1.4 million transgender adults are living in the United States, 0.6 percent of the adult population. Id. at 4. “Gender identity is distinct from and does not predict sexual orientation; transgender people, like cisgender [non-transgender] people, may identify as heterosexual, gay, lesbian, bisexual, or asexual.” Id. at 4–5.

“[M]any transgender individuals are diagnosed with gender dysphoria, a condition that is characterized by debilitating distress and anxiety resulting from the incongruence between an individual’s gender identity and birth-assigned sex.” Id. at 7. Gender dysphoria is recognized by the Diagnostic and Statistical Manual of Mental


  1. Upon review, and over defendant’s objection (Doc. 118), the motion for leave to file an amicus brief by the American Academy of Nursing, the American Academy of Pediatrics, the American Association of Child & Adolescent Psychiatry, the American College of Physicians, the American Medical Association, the American Medical Women’s Association, the Association of Medical School Pediatric Department Chairs, the American Nurses Association, the GLMA-Health Professionals Advancing LGBT Equality, the Endocrine Society and the Pediatric Endocrine Society, (hereinafter, “the Medical Amici”) (Doc. 119), is granted to the extent that the Court will rely on its brief (Doc. 119, Ex. A) for helpful explanations of biological and medical terminology. Additionally, the position of these medical associations as to the appropriate standard of care for gender dysphoria is useful to understanding that diagnosis. Defendant’s motion to strike their brief (Doc. 118) is denied.

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