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Gender Identity Disorder to be discussed for DSM V December 19, 2009

Posted by Geekgirl in Gender Identity, psychology, transgender.
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American Psychiatric Association appoints a working group on Sexual and Gender Identity disorders. Activists want this term removed, since transgender and transsexual individuals are not mentally ill. But without it, how will transgender individuals get access to necessary health care?

I do not have access to the publication. But if you are interested, I suggest that you email the author of the paper, who advocates change.

jadres@psychoanalysis.net.

Arch Sex Behav. 2009 Sep 25. [Epub ahead of print]

Queer Diagnoses: Parallels and Contrasts in the History of Homosexuality, Gender Variance, and the Diagnostic and Statistical Manual.

Drescher J.

Department of Psychiatry and Behavioral Sciences, New York Medical College, 440 West 24th St., Suite 1A, New York, NY, 10011, USA, jadres@psychoanalysis.net.

The American Psychiatric Association (APA) is in the process of revising its Diagnostic and Statistical Manual (DSM), with the DSM-V having an anticipated publication date of 2012.

As part of that ongoing process, in May 2008, APA announced its appointment of the Work Group on Sexual and Gender Identity Disorders (WGSGID). The announcement generated a flurry of concerned and anxious responses in the lesbian, gay, bisexual, and transgender (LGBT) community, mostly focused on the status of the diagnostic categories of Gender Identity Disorder (GID) (for both children and adolescents and adults).

Activists argued, as in the case of homosexuality in the 1970s, that it is wrong to label expressions of gender variance as symptoms of a mental disorder and that perpetuating DSM-IV-TR’s GID diagnoses in the DSM-V would further stigmatize and cause harm to transgender individuals. Other advocates in the trans community expressed concern that deleting GID would lead to denying medical and surgical care for transgender adults.

This review explores how criticisms of the existing GID diagnoses parallel and contrast with earlier historical events that led APA to remove homosexuality from the DSM in 1973. It begins with a brief introduction to binary formulations that lead not only to linkages of sexual orientation and gender identity, but also to scientific and clinical etiological theories that implicitly moralize about matters of sexuality and gender.

Next is a review of the history of how homosexuality came to be removed from the DSM-II in 1973 and how, not long thereafter, the GID diagnoses found their way into DSM-III in 1980. Similarities and differences in the relationships of homosexuality and gender identity to psychiatric and medical thinking are elucidated. Following a discussion of these issues, the author recommends changes in the DSM-V and some internal and public actions that the American Psychiatric Association should take.

PMID: 19838785 [PubMed – as supplied by publisher]

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