Domination is the preferred and pathological model of assimilation into Western culture. For lesbian, gay, bisexual, transgender, and queers (LGBTQs) in America, the resulting stress can reach devastating levels. In response to such circumstances, the assimilation experience of LGBTQ Americans facilitates their manifestation of the Bleaching Syndrome. As a LGBTQ strategy, the Bleaching Syndrome is characterized by the efforts of a stigmatized out-group to assume the identity of a dominant in-group via anatomical paradigm. In this way, assimilation and a better quality of life is presumed assured. Such a strategy, however, in extreme cases may be fatal. For members of LGBTQ out-groups, identity across the life span is alternative to the pathological anatomical paradigm. In this way, LGBTQ Americans may be identified more by gender as who they are and less by genitalia.