Controversies in Gender Diagnoses

LGBT Health
Jack Drescher

Abstract

This article presents the author's thoughts on gender diagnosis controversies during his tenure at the DSM-5 Workgroup on Sexual and Gender Identity Disorders and the ICD-11 Working Group on the Classification of Sexual Disorders and Sexual Health. The work summarizes some of the published conclusions of the DSM-5 and ICD-11 revision processes regarding three particular controversies: (1) stigma versus access to care; (2) the retention of a child gender diagnosis; and (3) the treatment of prepubescent transgender children. Both the DSM and ICD work groups decided that despite the stigma associated with a diagnosis, retaining an adolescent and adult gender diagnosis is necessary to maintain access to care. As for the child gender diagnosis, given the heterogeneity of this clinical population and that gender dysphoria does not persist in most children, a child diagnosis of Gender Dysphoria (DSM) and Gender Incongruence (ICD) should be retained to facilitate ongoing evaluation and management in childhood while acknowledging the uncertainty of the outcome. The treatment of extremely gender variant prepubescent children remains a controversial subject since some underlying assumptions of the treating clinicians are a matter of opini...Continue Reading

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Citations

Jan 13, 2016·International Review of Psychiatry·Jiska Ristori, Thomas D Steensma
Feb 24, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Kristina R Olson
Jan 21, 2016·Annual Review of Clinical Psychology·Kenneth J ZuckerBaudewijntje P C Kreukels
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May 3, 2015·Archives of Sexual Behavior·Alain Giami
May 7, 2015·Archives of Sexual Behavior·Cynthia Kraus
May 31, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Walter O Bockting
Aug 30, 2017·Archives of Sexual Behavior·Kenneth J Zucker
Jan 25, 2018·Global Public Health·Amets Suess SchwendMauro Cabral Grinspan
Jan 15, 2019·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Leigh A Spivey, Laura Edwards-Leeper
Apr 5, 2019·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Raymond P Tucker
Jun 23, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Nigel SherriffUNKNOWN Health4LGBTI Network
Jun 26, 2020·The British Journal of Psychiatry : the Journal of Mental Science·Jacob E PerlsonAlex S Keuroghlian
May 15, 2018·Transgender Health·William ByneJack Pula
Nov 15, 2018·Transgender Health·Zowie Davy, Michael Toze
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Apr 14, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Françoise Askevis-LeherpeuxJean-Luc Roelandt
May 6, 2020·International Journal of Impotence Research·Laura Baetens, Karlien Dhondt
Dec 1, 2020·The Cochrane Database of Systematic Reviews·Claudia HauptGerhard Schreiber
Dec 22, 2020·Focus : Journal of Life Long Learning in Psychiatry·William ByneJack Pula

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