id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
cjgl-2724	Agbemenu, Esi	Medical Transgressions in America’s Prisons: Defending Transgender Prisoners’ Access to Transition-Related Care	2015	48	.pdf	application/pdf	21359	746	44	9 Systems that operate solely within this limiting binary fail to cover the full spectrum of gender identity and thus serve to marginalize and oppress those who do not fit neatly within the biological and gendered categories of male or female.2 The current Diagnostic and Statistical Manual of Mental Disorders (DSM-5) describes the condition of gender dysphoria as being characterized by the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender, noting that many are distressed if the desired physical interventions by conforming people experience gender dysphoria. '1 8 As such, while some courts have held that gender identity constitutes a serious medical need,109 it has also been made clear that regardless of the holding of a particular case, it should not be assumed that gender dysphoria will meet this standard in every case in which it is alleged.110 108 De'Lonta v. Angelone, 330 F.3d 630, 634 (4th Cir. 2003) (quoting Strickler v. Waters, 989 F.2d 1375, 1381 (4th Cir. 1993)).	cache/cjgl-2724.pdf	txt/cjgl-2724.txt