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History and Prevalence of Gender Dysphoria

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Transgender Medicine

Part of the book series: Contemporary Endocrinology ((COE))

Abstract

The purpose of this chapter is to briefly describe the long history of gender diversity; address difficulties in estimating the number of gender diverse people worldwide and the challenges for researchers and medical and mental health professionals, who wish to define and count this population; to look at the history and utility of Gender Dysphoria as a diagnosis in the DSM-5 and the International Classification of Diseases (ICD); and to provide some historical perspective on the evolution of standards of care over time. It seeks to describe how we got here, how the history of diagnoses has influenced where we are, and how we move forward in the care and management of gender dysphoria. The chapter is divided into four sections: A Short History of Gender Diversity, Being Counted, A Brief Review of Diagnostic Changes over Time, and An Evolution of Guidelines. Each section ends with thoughts on future directions and the need for further work.

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Notes

  1. 1.

    The term transsexual has fallen out of favor with some due to its association with medicalization. However, there are individuals who embrace transsexual as an identity.

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Authors and Affiliations

  1. Department of Social Medicine, University of North Carolina, Chapel Hill, NC, USA

    Tonia Poteat

  2. Clinical Psychologist in Private Practice, New York, NY, USA

    Katherine Rachlin

  3. Sean Lare Counseling and Consulting, Columbia, MD, USA

    Sean Lare

  4. Department of Child and Adolescent Psychiatry, Hassenfeld Children’s Hospital at NYU Langone, New York, NY, USA

    Aron Janssen

  5. University of Victoria, Victoria, BC, Canada

    Aaron Devor

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Correspondence to Tonia Poteat .

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Editors and Affiliations

  1. Friedman Transgender Health and Wellness Program, Division of Endocrinology, Lenox Hill Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA

    Leonid Poretsky

  2. Columbia University, New York, NY, USA

    Wylie C. Hembree

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Poteat, T., Rachlin, K., Lare, S., Janssen, A., Devor, A. (2019). History and Prevalence of Gender Dysphoria. In: Poretsky, L., Hembree, W. (eds) Transgender Medicine. Contemporary Endocrinology. Humana Press, Cham. https://doi.org/10.1007/978-3-030-05683-4_1

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