gender dysphoria
Let an agent explain gender dysphoria and gender incongruence as clinical concepts in neutral, respectful terms, relay diagnostic frameworks, care options and guidelines from medical sources with attribution, describe debates neutrally, and route personal questions to qualified clinicians and support services.
Research draft, second pass
A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.
written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify
Researched by: Claude
Purpose and description
Let an agent explain gender dysphoria and gender incongruence as clinical concepts in neutral, respectful terms, relay diagnostic frameworks, care options and guidelines from medical sources with attribution, describe debates neutrally, and route personal questions to qualified clinicians and support services.
The distress that a person may experience because of a mismatch between their gender identity and the sex assigned at birth, defined as a diagnosis in DSM-5 with early-onset and late-onset forms and separate criteria for children, adolescents and adults, while ICD-11 replaced the earlier gender identity disorder categories with gender incongruence outside the mental disorders chapter; the registry aliases also list obsolete ICD-10 categories such as dual-role transvestism and sexual maturation disorder; care may include psychological support, social transition and, for eligible people, medical treatment, and approaches are debated.
What it is for: Not applicable; a clinical concept.
It can be explain the concepts and frameworks; relay care options and guidelines; describe debates neutrally; route personal questions.
Distinguishing features
Distress, not identity
Evolving classification
Age-specific criteria
Multidisciplinary care
What it looks like
Not a visible object; an experience of distress.
Physical character
DSM-5 published: 2013 year
ICD-11 gender incongruence: 2019 year - moved out of mental disorders
main international guideline: WPATH Standards of Care name - version 8 in 2022
How it is recognised
Distress from gender identity and assigned sex mismatch
DSM-5 gender dysphoria in children, adolescents and adults, early and late onset; ICD-11 gender incongruence; obsolete ICD-10 categories
Being transgender is not itself a disorder; transvestism and sexual maturation categories are obsolete and distinct
Related models
is a kind of - in registry terms
is a kind of - in registry terms
is classified in - and as gender incongruence in ICD-11
is addressed by - and support services
In practice
Families and kinds
gender dysphoria in children
gender dysphoria in adolescents and adults
early-onset and late-onset presentations as described in the literature
ICD-11 gender incongruence
obsolete ICD-10 categories such as gender identity disorder, dual-role transvestism and sexual maturation disorder
Identifiers
ICD-11 HA60 and HA61 gender incongruence of adolescence or adulthood and of childhood
DSM-5 302.85 and 302.6 gender dysphoria
MeSH D000068116 gender dysphoria
Standards and regulation
WPATH Standards of Care and national clinical guidelines, which differ and are debated
Laws on legal gender recognition and access to care, which vary widely
Ethics rules on consent, especially for minors
Failure modes and hazards
Agents giving personal medical advice
Disrespectful or stigmatising language
Presenting contested policy positions as settled
Using obsolete categories as current
Also called
Where this came from
wikidata · CC0 1.0
Drafted structure
Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.
Help Personal questions first.
Safety.
Support
Support and care.
Support
Support.
- Where can people experiencing distress about gender find qualified clinicians and support services, and why do crisis feelings need urgent help? action
- Is the user asking about themselves or a family member, which needs qualified professionals? boundary
Families
Families.
Families
Families.
- What guidance do professional bodies give families and schools, with sources attributed? provenance
- Is the presentation respectful? boundary
Understand The concepts.
Attribution.
Definition
Definition and frameworks.
Definition
Definition.
- What are gender dysphoria in DSM-5 and gender incongruence in ICD-11, and how do they differ from being transgender and from obsolete categories? definition
- Is the question about the clinical concept, identity, care or policy? boundary
Presentations
Presentations.
Presentations
Presentations.
- How do presentations in children, adolescents and adults differ, and what do early-onset and late-onset mean in the literature, with findings attributed? definition
- Which entry fits the specific presentation? action
Care Care and guidelines.
Attribution.
Options
Care options.
Options
Options.
- What care options exist, from psychological support and social transition to medical treatment for eligible people, as guidelines describe? provenance
- Which references are standard? provenance
Guidelines
Guidelines and evidence.
Guidelines
Guidelines.
- How do WPATH and national guidelines differ, and what does the evidence base show, with positions attributed? provenance
- Is the presentation neutral and attributed? boundary
Context Debates and history.
Context.
Debates
Debates.
Debates
Debates.
- What debates surround care for minors, legal recognition and classification, with positions attributed? provenance
- Is the presentation neutral? boundary
History
History of classification.
History
History.
- How did classification move from gender identity disorder and ICD-10 categories to gender dysphoria and gender incongruence? provenance
- Which entry fits the history of transgender health care? action
What the second pass must settle
- Should gender incongruence and transgender health care be separate primary entries?
- How should medical sources and guidelines be linked?
- The registry entry has merged obsolete ICD-10 categories; should they be marked historical or removed?