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Paper: Revision Suggestions for Gender Related Diagnoses in the DSM and ICD

   

At the 2009 WPATH conference in Oslo, a reformed disease model was presented based on work by Randall Ehrbar, Psy.D., Kelley Winters, Ph.D. and Nick Gorton, M.D. It reconfigures gender dysphoria as an acute form of distress that can go into “remission.”

Summary of Proposed Diagnosis:

Dx Criteria – Both A and B
• A: Strong and persistent distress with physical sex characteristics, or ascribed social gender role, that is incongruent with persistent gender identity.
• B: Distress is clinically significant or causes impairment in social, occupational, or other important areas of functioning, when this distress or impairment is not solely due to external prejudice or discrimination.

GD in remission
• No longer meets criteria, needs treatment to maintain remission

‘Exit clause’
• No longer meets criteria, doesn’t need treatment to maintain remission

Full article:
http://www.gidreform.org/wpath2009/


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Posted by Andrea James on 06/19 at 11:17 AM

The “distress or impairment” is ALWAYS mostly due to external prejudice or discrimination. So whether this diagnosis can be applied or not will depend on whether there are other extraneous and unrelated causes of distress and impairment. Such as having financial problems or a diagnosis of cancer (purely to give two examples of how one can qualify for the diagnosis).

ALMOST ALWAYS the distress and impairment of transsexual people is entirely caused by external prejudice AND discrimination. It is society that is sick, not transfolk. The parallels between psychiatric homosexuality and transsexualism run very close indeed, this is politicking, not medicine.

Posted by  on  06/19  at  01:18 PM

I think they address these issues pretty well in the link. They note that if your distress comes from discrimination, prejudice, etc. that you do not fall under the diagnosis.

Posted by  on  06/19  at  05:42 PM

Mori Jones writes:- “They note that if your distress comes from discrimination, prejudice, etc. that you do not fall under the diagnosis.”

Please read again the article. One does not fall under the proposed diagnosis “when this distress or impairment is not SOLELY due to external prejudice or discrimination”

The prejudice exclusion applies ONLY if the patient has no other cause of distress in his or her life. If one is distressed, for example, by poverty or cancer then being a victim of transphobia automatically makes one mentally ill under this diagnosis. Is there even one person on earth who is distressed SOLELY by just one thing?

To the psychiatrists I have just one message - “Get off our backs, write us out of your books, stop hurting transpeople with your medicine. There are lots of people who actually need psychiatry, go find some, stop bringing your profession into disrepute.”

Posted by  on  06/20  at  09:43 AM
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