The National Coalition for LGBT Health statement calling for the removal from the DSM-5 of all diagnoses pathologizing gender identity or expression

Published: April 20, 2010

The National Coalition for LGBT Health statement calling for the removal from the DSM-5 of all diagnoses pathologizing gender identity or expression

The National Coalition for LGBT Health, a coalition of over 70 state and national
organizational advocates and health services providers for the lesbian, gay,
bisexual, and transgender (LGBT) community, welcomes the opportunity to
comment on the American Psychiatric Association’s draft revisions to the
Diagnostic and Statistical Manual (DSM).

Fundamentally, the National Coalition does not support the continued inclusion
of diagnoses regarding transsexuality, gender nonconformity, or gender identity
in the DSM. As noted in the statement prepared by Callen-Lorde Community
Health Center and the Lesbian, Gay, Bisexual, and Transgender Community
Center of New York City, the proposed definition of a mental disorder in the
DSM-5 explicitly prohibits the inclusion of diagnoses that are “primarily the
result of social deviance or conflicts with society.” The continued inclusion of
transsexuality in the DSM-5 as “Gender Incongruence” (GI) contradicts this
mandate by requiring transgender and gender-nonconforming people to validate
and clinically manifest society’s discomfort with gender nonconformity in order
to access the medical care that they need.

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