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The psychiatric and mental health institutions were heavily involved in the creation of the stereotype of homosexuality as a disease. This paper explores how this view has changed over time and the impact that the institutions have had on homosexuals. This paper also addresses discrepancies in the way that policy of the American Psychiatric Association has been interpreted compared to the actual policy changes that were made. What is gender identity disorder and how does it relate to the removal of homosexuality from the Diagnostic and Statistical Manual of Mental Disorders?