GID Reform in the DSM-5 and ICD-11: a Status Update

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Kelley Winters, Ph.D.Kelley Winters, Ph.D.
GID Reform AdvocatesGID Reform Advocates
May 12, 2013May 12, 2013
Wilton Manors...

1. Social Stigma that
equates nonconformity to
assigned birth sex as mental
defectiveness and sexual
deviance.
2. Access v...

The History: Gender Diversity nomenclature in
the DSM and ICD has historically emphasized
enforcement of birth-assigned ge...

History of Gender Dx in the DSM
➢
DSM-I (1952) none
➢
DSM-II (1968) Sexual Deviations: Transvestitism
➢
DSM-III (1980) Psy...

History of Gender Dx in the ICD
➢
ICD-6 (1948) none
➢
ICD-7 (1955) none
➢
ICD-8 (1965) Sexual deviations: Transvestitism
➢...

“The expression of gender characteristics,
including identities, that are not stereotypically
associated with one’s assign...

Emerging Principles: Medical Necessity of
Transition Care
“An established body of medical research demonstrates
the effect...

Photo by Kelley Winters Images Photography
Stop Trans Pathologization Movement Protest, Barcelona, 2010Stop Trans Patholog...

Gender Identity
Disorder is now
Gender Dysphoria.
Transvestic
Fetishism is now
Transvestic
Disorder
The DSM-5
May, 2013

DSM-5: Gender Dysphoria in
Adolescents/Adults
N9
The good: Change in title from “disordered” gender identity to
Dysphoria ...

DSM-5: Gender Dysphoria in Children
The good: Children must show dissatisfaction with birth-sex
assignment and can no long...

DSM-5: Transvestic
Disorder
Transvestic Disorder, in
the Paraphilias section of
the DSM, punishes
nonconforming gender
exp...

The ICD-11
The World Health
Organization’s
“standard diagnostic
tool for epidemiology,
health management
and clinical purp...

ICD-11 Proposal: Gender Incongruence of
Adolescence and Adulthood
The awesome: Moved out of the Mental and behavioural dis...

ICD-11 Proposal: Gender Incongruence
of Childhood
The awesome: Moved out of the Mental and behavioural disorders
chapter t...

ICD-11 Proposal:
Eliminate Transvestic Dx
The awesome: Eliminate
victimless paraphilia categories,
including:
F65.1: Trans...

Guiding Principle for AA Diagnostic Reform
...
Adults and adolescents
needing access to
medical transition care,
or pubesc...

Guiding Principle for Childhood Dx Reform
Children do not have
medical needs, related
to gender diversity, that
require a ...

Global Action for Trans* Equality (GATE) Civil Society Expert
Working Group, Buenos Aires, April, 2013
Global Action for T...

Kelley Winters, Ph.D.Kelley Winters, Ph.D.
GID Reform AdvocatesGID Reform Advocates
May 12, 2013May 12, 2013
Wilton Manors...

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