Queer Diagnoses: Parallels and Contrasts in the History of Homosexuality, Gender Variance, and the Diagnostic and Statistical Manual

  title={Queer Diagnoses: Parallels and Contrasts in the History of Homosexuality, Gender Variance, and the Diagnostic and Statistical Manual},
  author={Jack Drescher},
  journal={Archives of Sexual Behavior},
  • J. Drescher
  • Published 1 April 2010
  • Psychology
  • Archives of Sexual Behavior
The American Psychiatric Association (APA) is in the process of revising its Diagnostic and Statistical Manual (DSM), with the DSM-V having an anticipated publication date of 2012. As part of that ongoing process, in May 2008, APA announced its appointment of the Work Group on Sexual and Gender Identity Disorders (WGSGID). The announcement generated a flurry of concerned and anxious responses in the lesbian, gay, bisexual, and transgender (LGBT) community, mostly focused on the status of the… 

Queer diagnoses revisited: The past and future of homosexuality and gender diagnoses in DSM and ICD

  • J. Drescher
  • Psychology, Medicine
    International review of psychiatry
  • 2015
The history of homosexuality and the gender diagnoses in the DSM and in the International Statistical Classification of Diseases and Related Health Problems (ICD) as well as what is expected to happen to the homosexuality and gender diagnoses following the current ICD-11 revision process are updated.

On the Proposed Sexual and Gender Identity Diagnoses for DSM-5: History and Controversies

In February, 2010, the American Psychiatric Association unveiled its proposed revisions to the Sexual and Gender Identity Disorders for the fifth edition of its Diagnostic and Statistical Manual of

The review process of the DSM 5: is gender a cultural or diagnostic category?

In May 2013, the fifth version of the Diagnostic and Statistical Manual of Mental Disorder (DSM) was published. After five years of intense debates involving experts, human rights activists,

Pathologizing Sexual Deviance: A History

While much of the historical literature revolves around the controversy over homosexuality, this article also reviews the recent medicohistorical and sociohistorical work on other forms of sexual deviance, including the diagnostic categories listed in the latest edition, the DSM-IV-TR: exhibitionism, voyeurism, fetishism, frotteurism, pedophilia, sexual masochism, sexual sadism, and transvestic fetishism.

Sexual orientation and gender identity: review of concepts, controversies and their relation to psychopathology classification systems

It is argued that sexual orientation and gender identity have been viewed, in the history of the field of psychopathology, between two poles: gender transgression and gender variance/fluidity.

Minding the body: Situating gender identity diagnoses in the ICD-11

The ICD-11 Working Group on the Classification of Sexual Disorders and Sexual Health believes it is now appropriate to abandon a psychopathological model of transgender people based on 1940s conceptualizations of sexual deviance and move towards a model more reflective of current scientific evidence and best practices.

A Perverse Solution to Misplaced Distress

Transgender people have long been associated with sexual perversion. For example, many early versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) infamously categorized any

The Notion of Gender in Psychiatry: a Focus on DSM-5

In this paper I review how the notion of gender is understood in psychiatry, specifically in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). First, I examine

Depathologizing Sexual Orientation and Transgender Identities in Psychiatric Classifications

The history and rationales of conceptualization and classification of homosexuality and transgender identity in both ICD and DSM are presented, including fundamental points of disagreement as well as arguments that have been effective in achieving changes in both classifications.

Chapter 2 – Gender Diagnoses




Gender Dissonance

Abstract Since its appearance in 1980, the diagnostic category “gender identity disorder” (GID) in the Diagnostic and Statistical Manual of Mental Disorders (DSM) has sparked concern among gender

Was the Gender Identity Disorder of Childhood Diagnosis Introduced into DSM-III as a Backdoor Maneuver to Replace Homosexuality? A Historical Note

This article argues that GIDC was included as a psychiatric diagnosis because it met the generally accepted criteria used by the framers of DSM-III for inclusion and was guided by the reliance on “expert consensus” (research clinicians)—the same mechanism that led to the introduction of many new psychiatric diagnoses, including those for which systematic field trials were not available when the DSM- III was published.

Sexual and Gender Diagnoses of the Diagnostic and Statistical Manual (DSM)

An edited volume re-evaluating the sexual and gender disorders of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual (DSM) is prepared.

The Implications of Removing Homosexuality from the DSM as a Mental Disorder

On February 8, 1973, the Nomenclature Committee of the APA met with an ad hoc committee of gay activists to remove homosexuality between consenting adults from the list of mental disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM).

Meanings and Political Implications of “Psychopathology” in a Gender Identity Clinic: A Report of 10 Cases

A clinical review of co-morbid diagnostic patterns of the last 10 patients interviewed by the Gender Identity Clinic found 90% of these diverse patients had at least one other significant form of psychopathology.

Removing gender identity disorder from the Diagnostic and Statistical Manual of Mental Disorders: a call for action.

Social workers should support the elimination of GID from the DSM now, as they supported the declassification of homosexuality as a mental illness in the 1970s.

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

Comparing the strong resistance against sexuality related specifiers, and the relative difficulty assessing sexual orientation in individuals pursuing hormonal and surgical interventions to change physical sex characteristics, it should be investigated whether other potentially relevant specifiers are more appropriate.

A Selective Bibliography of Transsexualism

ABSTRACT Transsexualism, codified in DSM-IV-TR as Gender Identity Disorder, first appeared in DSM-III in 1980 with the name Gender Dysphoria, but its history in the psychiatric profession dates back

Homosexuality and American Psychiatry: The Politics of Diagnosis

In 1973, after several years of bitter dispute, the Board of Trustees of the American Psychiatric Association decided to remove homosexuality from its official list of mental diseases. Infuriated by

Is Gender Identity Disorder in Children a Mental Disorder?

The evaluation indicates that children who experience a sense of inappropriateness in the culturally prescribed gender role of their sex but do not experience discomfort with their biological sex should not be considered to have GID.