The episode is split into two acts. The first act explains that in 1973, the American Psychiatric Association (APA) declared that homosexuality was not a disease, 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 was reported by 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. Alix Spiegel states in the beginn