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Gender (r)evolution and contemporary psychiatry.
Yulia Furlong1, Aleksandar Janca2
1Dr Yulia Furlong is a Senior Clinical Lecturer at the University of Western Australia, and Consultant Psychiatrist and the Head of Service for CAMHS Crisis Connect at Perth Children's Hospital. Dr Furlong was the Head of Service for the Paediatric Consultation Liaison and Gender Diversity Service at Perth Children's Hospital until January 2022.
Bjpsych Open
|April 7, 2022
Summary
The International Classification of Diseases-11 (ICD-11) now classifies gender incongruence under sexual health, moving away from mental disorder diagnoses. This reclassification represents a positive shift for transgender and gender-diverse individuals.
Area of Science:
- Medical and Health Humanities
- Psychiatry
- Gender Studies
Background:
- The Diagnostic and Statistical Manual of Mental Disorders (DSM) has historically pathologized gender incongruence.
- The classification of gender-related conditions has significant implications for transgender and gender-diverse individuals' access to care and social acceptance.
- Previous classifications have been criticized for perpetuating stigma and misunderstanding.
Purpose of the Study:
- To analyze the implications of the ICD-11's new classification of gender incongruence.
- To discuss the shift from viewing gender incongruence as a mental disorder to a sexual health matter.
- To highlight the positive impact of this reclassification on transgender and gender-diverse communities.
Main Methods:
- Review of the ICD-11 diagnostic categories.
- Analysis of the editorial "Envisioning a future for transgender and gender-diverse people beyond the DSM" by Perlson et al.
- Discussion of the conceptual shift in classifying gender incongruence.
Main Results:
- The ICD-11 has moved gender incongruence out of the mental and behavioral disorders chapter.
- Gender incongruence is now categorized under conditions related to sexual health.
- This change signifies a move towards depathologization.
Conclusions:
- The ICD-11's reclassification of gender incongruence is a progressive step.
- This shift aligns with calls for destigmatizing transgender and gender-diverse identities.
- The new classification facilitates a more accurate and respectful approach to gender-related healthcare.
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