Contents:
GROUPS WANT GAY DIAGNOS OUT OF ICD-11
In this, the DSM followed a long tradn medice and psychiatry, which the neteenth century appropriated homosexualy om the Church and, what mt have seemed like an élan of enlightenment, promoted om s to mental disorr. Meanwhile, the World Health Organizatn (WHO) Geneva only removed homosexualy om s Internatnal Classifitn of Diseas (ICD) wh the publitn of ICD-10 1992, although ICD-10 still rried the nstct of "ego-dystonic sexual orientatn. Available rearch stead dit that the majory of children diagnosed wh DSM‐IV Genr inty disorr of childhood, which was not as strict s requirements as those proposed for ICD‐11, grow up to be cisgenr (non‐transgenr) adults wh a homosexual orientatn78, 79, 80.
In spe of the claims of some clicians to be able to distguish between children whose transgenr inty is likely to persist to adolcence and adulthood and those likely to be gay or lbian, there is nsirable overlap between the groups all predictors examed80, and no valid method of makg a predictn at an dividual level has been published the scientific lerature. Over the last half century, ternatnal classifitn systems of mental disorrs, cludg the ICD and the DSM, but also var natnal and regnal classifitns, have gradually removed diagnostic tegori that fed homosexualy per se as a mental disorr. This reflects emergg human rights standards56, 110, the regnn that homosexual behavur is a wily prevalent aspect of human behavur111, and the lack of empiril evince to support pathologizatn and medilizatn of variatns sexual orientatn exprsn112, noted earlier, the ICD‐10 also dit that “social viance or nflict alone, whout personal dysfunctn, should not be clud mental disorr”4.
As distrs arisg om stigma nnot be nsired as ditive of a mental disorr unr the ICD‐10 social nflict excln, the Workg Group nsired that this tegory nflat normative velopmental patterns observed gay, lbian, bisexual, and transgenr people wh psychopathologil ncept of egodystonic homosexualy (F66. In what appears to have been a parallel procs the subsequent revisns leadg to ICD‐10, the ncept of Egodystonic sexual orientatn was rporated the ICD‐10, approved 1990, when the ICD‐9 diagnostic tegory for homosexualy per se was removed.