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  11. Gender Identity Disorders: Current Medical And Social Paradigm And The Icd-11 Innovations.

Gender Identity Disorders: Current Medical and Social Paradigm and the ICD-11 Innovations.

Anton V Dyachenko, Alexey Y Perekhov, Victor A Soldatkin

    Consortium Psychiatricum
    |July 29, 2024

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    View abstract on PubMed

    Summary
    This summary is machine-generated.

    This review examines gender identity concepts and the paradigm shift in clinical practice. It highlights the need for psychiatric assessment to rule out mental disorders, emphasizing destigmatization over depathologization.

    Area of Science:

    • Psychiatry
    • Gender Studies
    • Medical Sociology

    Background:

    • Current literature on gender identity disorders features varied terminology and a shift towards normocentric approaches.
    • There is a noted lack of evidence-based research and theoretical grounding for recent paradigm shifts in gender identity.
    • Russian psychiatric perspectives maintain a stronger clinical orientation.

    Purpose of the Study:

    • To review current concepts of gender identity in both normal and pathological contexts.
    • To analyze the impact of the medical and social paradigm shift on clinical practice.
    • To critically evaluate the evidence base for revised approaches to gender identity.

    Main Methods:

    • Literature review of academic and clinical publications on gender identity.
    Keywords:
    gender dysphoriagender identity disordersgender reassignmenttransgender

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  • Analysis of conceptual frameworks and terminology in gender identity research.
  • Comparative assessment of clinical versus normocentric approaches.

    • Main Results:

    • Modern literature shows a trend away from clinical judgment towards socially defined norms in gender identity.
    • Evidence supporting the underlying gender theory for paradigm revision is limited, raising validity concerns.
    • Clinical assessment by psychiatrists is crucial for differential diagnosis of mental disorders in individuals seeking gender reassignment.

    Conclusions:

    • The validity of the revised medical and social paradigm for gender identity is questionable due to insufficient evidence.
    • Psychiatric evaluation is essential to differentiate gender identity issues from mental disorders.
    • Destigmatizing mental disorders is a more critical concern than depathologizing gender identity.
    transsexualism