Classifying Intersex in DSM-5 : Critical Reflections on Gender Dysphoria

Détails

ID Serval
serval:BIB_1D35857DB515
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Classifying Intersex in DSM-5 : Critical Reflections on Gender Dysphoria
Périodique
Archives of Sexual Behavior
Auteur(s)
Kraus C.
ISSN
0004-0002 (Print)
1573-2800 (Online)
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
44
Numéro
5
Pages
1147-1163
Langue
anglais
Notes
Commentary by Meyer-Bahlburg, H. F. 2015. Commentary on Kraus'(2015)" Classifying Intersex in DSM-5: Critical Reflections on Gender Dysphoria". Archives of sexual behavior, 44(7), 1737-1740. URL: http://link.springer.com/article/10.1007/s10508-015-0586-1
Résumé
The new diagnosis of Gender Dysphoria (GD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 2013) defines intersex, renamed "Disorders of Sex Development" (DSD), as a specifier of GD. With this formulation, the status of intersex departs from prior editions, especially from the DSM-IV texts that defined intersex as an exclusion criterion for Gender Identity Disorder. Conversely, GD-with or without a DSD-can apply in the same manner to DSD and non-DSD individuals; it subsumes the physical condition under the mental "disorder." This conceptualization, I suggest, is unprecedented in the history of the DSM. In my view, it is the most significant change in the revised diagnosis, and it raises the question of the suitability of psychiatric diagnosis for individuals with intersex/DSD. Unfortunately, this fundamental question was not raised during the revision process. This article examines, historically and conceptually, the different terms provided for intersex/DSD in the DSM in order to capture the significance of the DSD specifier, and the reasons why the risk of stigma and misdiagnosis, I argue, is increased in DSM-5 compared to DSM-IV. The DSM-5 formulation is paradoxically at variance with the clinical literature, with intersex/DSD and transgender being conceived as incommensurable terms in their diagnostic and treatment aspects. In this light, the removal of intersex/DSD from the DSM would seem a better way to achieve the purpose behind the revised diagnosis, which was to reduce stigma and the risk of misdiagnosis, and to provide the persons concerned with healthcare that caters to their specific needs.
Mots-clé
DSM-5, Gender identity disorder, Gender incongruence, Gender dysphoria, Disorders of sex development, Intersexuality
Pubmed
Création de la notice
12/09/2016 10:30
Dernière modification de la notice
20/08/2019 13:53
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