I don't think "vetted through significant psychoanalysis" represents the norm for trans people in any country.
Agree. I think a few doctors probably had a pretty tight reign on the patients they chose to take on between the 50s and 90s but there have always been people who have transitioned without any proper supervision, using black market hormones etc.
Look at all the trans people who where hanging around Andy Warhol’s factory, as an obvious example.
The website a ‘Gender Variance Who’s Who’ is a giant compilation of trans stories and gender doctors and it’s chock full of stories of transitioners bypassing or gaming the psychiatric ‘gatekeeping’ system.
It’s compiled by a TS called ‘Zagria’, who describes being rejected by the ‘Clarke Institute’ in the 80s and then accepted by Russell Reid in 87 (Reid was later found guilty of ‘serious professional misconduct’ by the GMC but was allowed to continue practicing - WTF? en.m.wikipedia.org/wiki/Russell_Reid ).
Zagria is startlingly and unfashionably frank about the peculiarity of trans history and the website is perhaps unintentionally revealing, Zagria describes it as an ‘encyclopaedia’, and it is certainly an ambitious attempt at a comprehensive record - but it’s also full of the authors scathing personal opinions on other trans people, doctors and critics of transgenderism.
(see the review of Christine Burns’ ‘TransBritain’ as an example. Interestingly both Burns and Whittle appear on the index but both links lead to a ‘page not available’ notice. Perhaps someone filed a take down request, as it seems weird that an ‘encyclopaedia of gender variance’ would omit biographies of such prominent activists? 
zagria.blogspot.com/p/index.html?m=1
Elizabeth Coffey (from the ‘transsexual flashes back at flasher’ scene in John Water’s career making film, Pink Flamingos) talks about turning up at John Hopkins hospital in the 70s already socially transitioned and telling the doctors ‘I don’t want a shrink, I just want a plumber’:
m.youtube.com/watch?v=RAmODy8MujE
Coffey describes the process of convincing the doctors to operate as year and half long audition. Reminds me of the kind of things people currently complain about re: the GRC panel (despite that not being an in-person process, which makes me think the complaints have actually been appropriated from TS history, either by accident via cultural memory or deliberate disingenuous manipulation).
Seems to me that any historic or contemporary psychiatric ‘gatekeeping’ has been motivated by doctors wanting to override nature and ‘change a patients sex’ for the sake of their own egos (in the early days they wouldn’t transition anyone who didn’t have ‘passing potential’, which kept a lot of AGPs out) and by questionable surgeons who just want to avoid getting sued.
Psychiatric gatekeeping does not seem to me to be at all motivated by ensuring a person is ‘truly transsexual’, and it certainly isn’t a safety net that ensures that men who are cosmetically made over to look like women are going to behave benevolently towards actual women.
What women want, need, or indeed, have an actual human right to have, doesn’t seem to come into it AT ALL.
A couple of long-ago transitioned TS posters who used to post here (and left intending to take the debate to their own side, rather than stay here and lecture women!) have described their own experiences, both went through old fashioned ‘Harry Benjamin’ rules via the NHS, and both do seem a lot more reasonable than today’s transitioners.
www.genderpsychology.org/transsexual/hbsoc_2001.html
(HB Standards date from 1979 and have since revised 7 times, including being renamed as ‘World Professional Association for Transgender Health’ in 2006. Now there is a move away from WPATH towards ‘informed consent’ ie, no psychiatric diagnostic element at all journalofethics.ama-assn.org/article/informed-consent-medical-care-transgender-and-gender-nonconforming-patients/2016-11
Funnily enough, the name changed happened under the jurisdiction of the first ever non-medical-professional-actual-trans-person president of the ‘Harry Benjamin International Gender Dysphoria Association’, our old ‘friend’ Stephen Whittle, who was President Elect from 05-07 and President from 07-09. Must’ve been the next project on Swhittle’s list after ticking off the GRA in 2004.)
Anyway, I wonder if that reasonableness is more to do with the underlying reasons that led them to believe they were trans, rather than anything medical professionals did or didn’t do (a homophobic society, internalised homophobia, difficult parental relationships and undiagnosed autism being my best guesses) combined with largely successful blending attempts and thus actually being treated as women for decades (as opposed to the special stunning and brave penis-women of present day).
Will try and dig up some of their posts later.
——————-
Oh, and Harry Benjamin seems like a peculiar character, too btw. He’s often denounced by current day transactivists as a gatekeeper but he championed the cause of medical and surgical condition when almost no one else did, so WTF more do they want?
en.m.wikipedia.org/wiki/Harry_Benjamin