Friday, February 02, 2018

Get Us Out…

…Of the DSM!

It is still a stigma hanging over us that the opposition uses against us, we need to get it move out of the DSM and to the ICD where it would be a medical condition.
Depathologising gender diversity in childhood in the process of ICD revision and reform
Global Public Health: An International Journal for Research, Policy and Practice
By Amets Suess Schwend ORCID Icon, Sam Winter, Zhan Chiam, Adam Smiley & Mauro Cabral Grinspan
Received 25 May 2017

From 2007 on, the World Health Organisation (WHO) has been revising its diagnostic manual, the International Statistical Classification of Diseases and Related Health Problems (ICD), with approval of ICD-11 due in 2018. The ICD revision has prompted debates on diagnostic classifications related to gender diversity and gender development processes, and specifically on the ‘Gender incongruence of childhood’ (GIC) code. These debates have taken place at a time an emergent trans depathologisation movement is becoming increasingly international, and regional and international human rights bodies are recognising gender identity as a source of discrimination. With reference to the history of diagnostic classification of gender diversity in childhood, this paper conducts a literature review of academic, activist and institutional documents related to the current discussion on the merits of retaining or abandoning the GIC code. Within this broader discussion, the paper reviews in more detail recent publications arguing for the abandonment of this diagnostic code drawing upon clinical, bioethical and human rights perspectives. The review indicates that gender diverse children engaged in exploring their gender identity and expression do not benefit from diagnosis. Instead they benefit from support from their families, their schools and from society more broadly.
The rest of the article is behind a firewall.

I personally would like to see gender dysphoria be listed as a intersex condition or a Disease of Sexual Development like other intersex conditions. That way we would still be able to get our medical treatment but we would not have the stigma of having a “mental disorder” because most lay people don’t know the difference between dysphoria or a “mental disorder.” However, they don’t realize that the DSM is really nothing more than a list of billable insurance charges and not everything in it is a disorder but the general public does not understand that so we are left with the stigma of it being in the DSM.

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