+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Gender incongruence of childhood in the ICD-11: controversies, proposal, and rationale



Gender incongruence of childhood in the ICD-11: controversies, proposal, and rationale



Lancet. Psychiatry 3(3): 297-304



As part of the development of the eleventh revision of the International Classification of Diseases (ICD-11), WHO appointed a Working Group on Sexual Disorders and Sexual Health to recommend changes necessary in the classification of mental and behavioural disorders in ICD-10 that are related to sexuality and gender identity. This Personal View focuses on the Working Group's proposals to include the diagnosis gender incongruence of childhood in ICD-11 and to move gender incongruence of childhood out of the mental and behavioural disorders chapter of ICD-11. We outline the history of ICD and DSM child gender diagnoses, expert consensus, knowledge gaps, and controversies related to the diagnosis and treatment of extremely gender-variant children. We argue that retaining the gender incongruence of childhood category is justified as a basis to structure clinical care and to ensure access to appropriate services for this vulnerable population, which provides opportunities for education and informed consent, the development of standards and pathways of care to help guide clinicians and family members, and a basis for future research efforts.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057922194

Download citation: RISBibTeXText

PMID: 26946394

DOI: 10.1016/S2215-0366(15)00586-6


Related references

A Qualitative Study of the Acceptability of the Proposed ICD-11 Gender Incongruence of Childhood Diagnosis Among Transgender Adults Who Were Labeled Due to Their Gender Identity Since Childhood. Archives of Sexual Behavior 47(8): 2363-2374, 2018

The psycho-medical case against a gender incongruence of childhood diagnosis. Lancet. Psychiatry 3(5): 404-405, 2016

Gender Incongruence of Childhood Diagnosis and Its Impact on Brazilian Healthcare Access. Archives of Sexual Behavior 46(8): 2511, 2016

Removal of gender incongruence of childhood diagnostic category: a human rights perspective. Lancet. Psychiatry 3(5): 405-406, 2016

Gender Incongruence of Childhood: Clinical Utility and Stakeholder Agreement with the World Health Organization's Proposed ICD-11 Criteria. Plos One 12(1): E0168522, 2017

The Proposed ICD-11 Gender Incongruence of Childhood Diagnosis: A World Professional Association for Transgender Health Membership Survey. Archives of Sexual Behavior 45(7): 1605-1614, 2016

What the Primary Care Pediatrician Needs to Know About Gender Incongruence and Gender Dysphoria in Children and Adolescents. Pediatric Clinics of North America 63(6): 1121-1135, 2017

Current and Future Direction of Gender Dysphoria and Gender Incongruence Research. Journal of Sexual Medicine 12(12): 2226-2228, 2015

Gender Dysphoria and Gender Incongruence: An evolving inter-disciplinary field. International Review of Psychiatry 28(1): 1-4, 2016

Gender incongruence and the brain - Behavioral and neural correlates of voice gender perception in transgender people. Hormones and Behavior 105: 11-21, 2018

Prospective evaluation of hematocrit in gender-affirming hormone treatment: results from European Network for the Investigation of Gender Incongruence. Andrology 6(3): 446-454, 2018

Gender incongruence/gender dysphoria and its classification history. International Review of Psychiatry 28(1): 5-12, 2016

Objection to the Bailey/Miller proposal that the generic name Notropis Rafinesque, 1818 (Class Osteichthyes) should be treated as being of the masculine gender, and counter-proposal, that this name be accepted as being of the feminine gender. Bulletin of Zoological Nomenclature, 9: 274-275, 1954

Performance enhancement with supplements: incongruence between rationale and practice. Journal of the International Society of Sports Nutrition 4: 19-19, 2007

Supplement use in sport: is there a potentially dangerous incongruence between rationale and practice?. Journal of Occupational Medicine and Toxicology 2: 4-4, 2007