Abstract
The long-awaited DSM-5 has finally been published, generating controversy in many areas, including the revised diagnostic category of Gender Dysphoria. This commentary contextualizes the history and reform of the pathologization of diverse gender identities and expressions, within a larger perspective of examining psychological viewpoints on sexual minority persons, and the problems with continuing to label gender identities and expressions as pathological or disordered.
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Notes
Many are not aware that a residual category for homosexuality remained in the DSM-IV under the category of Sexual Disorders Not Otherwise Specified [NOS]. This category includes three items, the last one was, “Persistent and marked distress about sexual orientation” (DSM-IV-TR. 2000, p. 582); ostensibly this could be used for anyone struggling with sexual orientation, though I suspect it was not often used for heterosexuals struggling with their straightness. This has been removed in the DSM-5.
The phrase “non-transsexual type” referred primarily to male cross-dressers, but in some ways was a foreshadowing of the emergence of diverse gender expressions that might not involve a complete gender transition.
The DSM-5 Field Trials were designed to assess the feasibility, clinical utility, and reliability of the diagnostic criteria by testing it in clinical populations, including mental health clinics, general psychiatry clinics, general medical clinics and solo and small group practices.
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Lev, A.I. Gender Dysphoria: Two Steps Forward, One Step Back. Clin Soc Work J 41, 288–296 (2013). https://doi.org/10.1007/s10615-013-0447-0
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DOI: https://doi.org/10.1007/s10615-013-0447-0