Host Ira Glass explains that the show this week consists of one long story, the story of something very small that was part of something very large in the history of our country. (2 minutes)

Act One.

In 1973, the American Psychiatric Association (APA) declared that homosexuality was not a disease simply by changing the 81-word definition of sexual deviance in its own reference manual. It was a change that attracted a lot of attention at the time, but the story of what led up to that change is one that we hear today, from reporter Alix Spiegel. Part one of Alix's story details the activities of a closeted group of gay psychiatrists within the APA who met in secret and called themselves the GAYPA ... and another, even more secret group of gay psychiatrists among the political echelons of the APA. Alix's own grandfather was among these psychiatrists, and the president-elect of the APA at the time of the change. (24 minutes)

Act Two.

Alix Spiegel's story continues, with a man dressed in a Nixon mask called Dr. Anonymous, and a pivotal encounter in a Hawaiian bar. (30 minutes)

Funding for Alix Spiegel's story came from the Corporation for Public Broadcasting.

Song: "Psycho Therapy," The Ramones