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André Leonhardt, Martin Fuchs, Kathrin Sevecke

    Praxis Der Kinderpsychologie Und Kinderpsychiatrie
    |December 3, 2024
    PubMed
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    See all related articles

    The International Classification of Diseases, 11th Revision (ICD-11) reclassifies gender incongruence, moving away from pathogenetic views. This change supports destigmatization while emphasizing clinical evaluation for adolescents seeking gender-affirming care.

    Area of Science:

    • Psychiatry
    • Gender Studies
    • Medical Ethics

    Background:

    • The International Classification of Diseases, 11th Revision (ICD-11) introduces significant changes in conceptualizing gender identity.
    • Previous classifications viewed gender identity not aligned with natal sex as pathogenetic.
    • The ICD-11 shifts this understanding to a sexual health context, aiming to reduce stigma.

    Purpose of the Study:

    • To analyze the diagnostic and theoretical revisions within the ICD-11 concerning gender incongruence.
    • To examine the implications of these revisions for the clinical management of children and adolescents.
    • To address the specific challenges in treating adolescents, particularly regarding body-modifying interventions.

    Main Methods:

    • Review and analysis of the ICD-11 diagnostic criteria for gender incongruence.
    Keywords:
    Geschlechtsinkongruenz - ICD-11 - Diagnostik - Entstigmatisierung - Geschlechtsidentitätgender incongruence - ICD-11 - diagnostics - destigmatization - gender identity

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  • Discussion of historical and contemporary debates on classifying gender identity variations.
  • Examination of clinical case studies and ethical considerations in adolescent treatment.

    • Main Results:

    • The ICD-11 diagnosis of "gender incongruence" is now classified under "conditions related to sexual health."
    • This revision represents a move away from pathogenetic models towards a more destigmatizing framework.
    • Adolescents seeking body-modifying procedures present complex clinical and ethical challenges.

    Conclusions:

    • The ICD-11 revisions are a significant step forward in destigmatizing variant gender identity developments.
    • A clinically oriented approach, including differential diagnosis and psychotherapy, is crucial for adolescents.
    • Careful consideration is needed for irreversible interventions, especially for distressed adolescent patients.