Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder

  title={Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder},
  author={William M Byne and Susan J. Bradley and Eli Coleman and A. Evan Eyler and Richard Green and Edgardo J. Menvielle and Heino F L Meyer-Bahlburg and Richard R. Pleak and David Andrew Tompkins},
  journal={Archives of Sexual Behavior},
Both the diagnosis and treatment of Gender Identity Disorder (GID) are controversial. Although linked, they are separate issues and the DSM does not evaluate treatments. The Board of Trustees (BOT) of the American Psychiatric Association (APA), therefore, formed a Task Force charged to perform a critical review of the literature on the treatment of GID at different ages, to assess the quality of evidence pertaining to treatment, and to prepare a report that included an opinion as to whether or… 

Introduction to the Special Issue on “The Treatment of Gender Dysphoric/Gender Variant Children and Adolescents”

Contributions from diverse clinicians who describe their approach to gender dysphoric/gender variant children and adolescents as well as several discussants to comment on those clinical approaches with a focus on the philosophical and ethical issues they raise are invited.

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.

Controversies in Gender Diagnoses.

The work summarizes some of the published conclusions of the DSM-5 and ICD-11 revision processes regarding three particular controversies: stigma versus access to care; the retention of a child gender diagnosis; and the treatment of prepubescent transgender children.

Ethical issues raised by the treatment of gender-variant prepubescent children.

There is no expert clinical consensus regarding the treatment of prepubescent children who meet diagnostic criteria for what was referred to in both DSM-IV-TR and ICD-10 as gender identity disorder in children and now in DSM-5 as gender dysphoria.

Evaluation and management of children and adolescents with gender identification and transgender disorders

Although the concept of gender identity is a relatively new paradigm and remains an area of active and exciting investigation, findings reported here provide items of information for understanding and treatment of GIDs and illustrate the need for further research.

Chapter 2 – Gender Diagnoses

Psychiatric Aspects of Gender Dysphoria

The present chapter will describe and discuss the main psychiatric aspects related to the care of GD in childhood, adolescence, and adult age in line with international recommendations and guidelines.

The Complexities of Treatment Planning for Transgender Youth with Co-Occurring Severe Mental Illness: A Literature Review and Case Study

The challenges of treating gender dysphoria in the context of complex mental illness such as bipolar disorder, schizophrenia, and sexual trauma are elucidated, and the pitfalls of defining “well-controlled” for the sake of treatment are highlighted.

Psychosocial and Psychological Vulnerability in Adolescents with Gender Dysphoria: A “Proof of Principle” Study

The findings supported the clinical impression that a large percentage of adolescents referred for gender dysphoria have a substantial co-occurring history of psychosocial and psychological vulnerability, thus supporting a “proof of principle” for the importance of a comprehensive psychologic/psychiatric assessment that goes beyond an evaluation ofGender dysphoria per se.



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.

Psychiatric comorbidity of gender identity disorders: a survey among Dutch psychiatrists.

There is little consensus, at least among Dutch psychiatrists, about diagnostic features of gender identity disorder or about the minimum age at which sex reassignment therapy is a safe option, which underline the need for more specific diagnostic rules in this area.

Review of World Professional Association for Transgender Health's Standards of Care for Children and Adolescents with Gender Identity Disorder: A Need for Change?

ABSTRACT With the upcoming seventh edition of the Standards of Care (SOC), this article addresses various relevant aspects of the assessment and treatment of gender-dysphoric children and

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

Critics of the existing GID diagnoses parallel and contrast with earlier historical events that led APA to remove homosexuality from the DSM in 1973, and the author recommends changes in the DSM-V and some internal and public actions that the American Psychiatric Association should take.

The DSM Diagnostic Criteria for Gender Identity Disorder in Children

  • K. Zucker
  • Psychology
    Archives of sexual behavior
  • 2010
It is concluded that the persistent desire to be of the other gender should be a necessary symptom for the diagnosis of Gender Identity Disorder in children in the DSM-III, DSM- III-R, and DSM-IV.

Epidemiology of Gender Identity Disorder: Recommendations for the Standards of Care of the World Professional Association for Transgender Health

It remains unclear whether this represents a true increase in prevalence or simply greater comfort in the seeking out of clinical care as professionals become more attuned to the psychosocial and biomedical needs of transgendered people.

Psychiatric comorbidity in gender identity disorder.

Gender Identity Disorder in Young Boys: A Parent- and Peer-Based Treatment Protocol

Gender identity disorder (GID) as a psychiatric category is currently under debate. Because of the psychosocial consequences of childhood GID and the fact that childhood GID, in most cases, appears

Gender assignment and reassignment in intersexuality: controversies, data, and guidelines for research.

The GID part of the debate aside is left aside and the question of gender assignment and related issues in intersexuality is concentrated on.

Psychiatric comorbidity among children with gender identity disorder.

The results of this categorical diagnostic study show that children with GID are at risk for developing co-occurring psychiatric problems and must realize that externalizing comorbidity, if present, can make a child with GIDs more vulnerable to social ostracism.