{ "model": { "rank": 7625, "code": "thing-q1049021", "model_id": "vr.tr.gender-dysphoria", "name": "gender dysphoria", "purpose": "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.", "family": "Thing Registry", "category": "Cross-cutting context", "status": "research-draft", "kind": "thing", "plane": "XCT", "domain": "XCT.STA", "industry": "", "version": "", "url": "/models/thing/q1049021/", "tier": 2, "score": 54, "payload": { "layer": "wikidata", "aliases": [ "dual-role transvestism", "late-onset gender dysphoria", "early-onset gender dysphoria", "gender identity disorder in adolescent or adult", "sexual maturation disorder", "gender dysphoria in children", "ego-dystonic sexual orientation" ], "aliasCount": 7, "merged": 7, "knownIn": 54, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": null, "source": { "dataset": "wikidata", "item": "Q1049021", "url": "https://www.wikidata.org/wiki/Q1049021", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-13T06:52:40Z", "providers": [ "Claude" ], "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify", "pass": 2, "wave": 3, "engine": "claude" }, "metaModel": { "id": "THING-Q1049021", "registryId": "vr.tr.gender-dysphoria", "name": "gender dysphoria", "version": "0.2.0-wave.3", "entryKind": "thing", "family": "Thing Registry", "domain": [ "XCT.STA" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q1049021/", "model": { "registry_id": "vr.tr.gender-dysphoria", "name": "gender dysphoria", "purpose": "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.", "definition": "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.", "affordances": [ "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" ], "appearance": "Not a visible object; an experience of distress.", "visual_identification": [ "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" ], "physical_properties": [ { "quantity": "DSM-5 published", "typical_range": "2013", "unit": "year", "note": "" }, { "quantity": "ICD-11 gender incongruence", "typical_range": "2019", "unit": "year", "note": "moved out of mental disorders" }, { "quantity": "main international guideline", "typical_range": "WPATH Standards of Care", "unit": "name", "note": "version 8 in 2022" } ], "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" ], "related_models": [ { "relation": "is a kind of", "target": "incongruence", "why": "in registry terms" }, { "relation": "is a kind of", "target": "dysphoria", "why": "in registry terms" }, { "relation": "is classified in", "target": "DSM-5", "why": "and as gender incongruence in ICD-11" }, { "relation": "is addressed by", "target": "transgender health care", "why": "and support services" } ], "identifiers": [ { "scheme": "ICD-11", "value_or_pattern": "HA60 and HA61", "note": "gender incongruence of adolescence or adulthood and of childhood" }, { "scheme": "DSM-5", "value_or_pattern": "302.85 and 302.6", "note": "gender dysphoria" }, { "scheme": "MeSH", "value_or_pattern": "D000068116", "note": "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" ], "in_scope": [], "out_of_scope": [], "characteristics": [] }, "sources": [], "structure": { "bundles": [ { "id": "help", "name": "Help", "description": "Personal questions first.", "rationale": "Safety.", "layers": [ { "id": "support", "name": "Support", "description": "Support and care.", "findings": [ { "id": "support-finding", "name": "Support", "description": "Support.", "questions": [ { "text": "Where can people experiencing distress about gender find qualified clinicians and support services, and why do crisis feelings need urgent help?", "kind": "action" }, { "text": "Is the user asking about themselves or a family member, which needs qualified professionals?", "kind": "boundary" } ] } ] }, { "id": "families", "name": "Families", "description": "Families.", "findings": [ { "id": "families-finding", "name": "Families", "description": "Families.", "questions": [ { "text": "What guidance do professional bodies give families and schools, with sources attributed?", "kind": "provenance" }, { "text": "Is the presentation respectful?", "kind": "boundary" } ] } ] } ] }, { "id": "understand", "name": "Understand", "description": "The concepts.", "rationale": "Attribution.", "layers": [ { "id": "definition", "name": "Definition", "description": "Definition and frameworks.", "findings": [ { "id": "definition-finding", "name": "Definition", "description": "Definition.", "questions": [ { "text": "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?", "kind": "definition" }, { "text": "Is the question about the clinical concept, identity, care or policy?", "kind": "boundary" } ] } ] }, { "id": "presentations", "name": "Presentations", "description": "Presentations.", "findings": [ { "id": "presentations-finding", "name": "Presentations", "description": "Presentations.", "questions": [ { "text": "How do presentations in children, adolescents and adults differ, and what do early-onset and late-onset mean in the literature, with findings attributed?", "kind": "definition" }, { "text": "Which entry fits the specific presentation?", "kind": "action" } ] } ] } ] }, { "id": "care", "name": "Care", "description": "Care and guidelines.", "rationale": "Attribution.", "layers": [ { "id": "options", "name": "Options", "description": "Care options.", "findings": [ { "id": "options-finding", "name": "Options", "description": "Options.", "questions": [ { "text": "What care options exist, from psychological support and social transition to medical treatment for eligible people, as guidelines describe?", "kind": "provenance" }, { "text": "Which references are standard?", "kind": "provenance" } ] } ] }, { "id": "guidelines", "name": "Guidelines", "description": "Guidelines and evidence.", "findings": [ { "id": "guidelines-finding", "name": "Guidelines", "description": "Guidelines.", "questions": [ { "text": "How do WPATH and national guidelines differ, and what does the evidence base show, with positions attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral and attributed?", "kind": "boundary" } ] } ] } ] }, { "id": "context", "name": "Context", "description": "Debates and history.", "rationale": "Context.", "layers": [ { "id": "debates", "name": "Debates", "description": "Debates.", "findings": [ { "id": "debates-finding", "name": "Debates", "description": "Debates.", "questions": [ { "text": "What debates surround care for minors, legal recognition and classification, with positions attributed?", "kind": "provenance" }, { "text": "Is the presentation neutral?", "kind": "boundary" } ] } ] }, { "id": "history", "name": "History", "description": "History of classification.", "findings": [ { "id": "history-finding", "name": "History", "description": "History.", "questions": [ { "text": "How did classification move from gender identity disorder and ICD-10 categories to gender dysphoria and gender incongruence?", "kind": "provenance" }, { "text": "Which entry fits the history of transgender health care?", "kind": "action" } ] } ] } ] } ] }, "openQuestions": [ "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?" ], "statistics": { "bundles": 4, "layers": 8, "findings": 8, "questions": 16 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "abstract concept", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a gender dysphoria, record what state it is in, and decide what may be done with it.", "whatItIs": "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.", "characteristics": { "substance": "abstract", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "observed and measured" ], "distinguishingFeatures": [ "Names folded into this entry, which a task may need to split apart again: dual-role transvestism, late-onset gender dysphoria, early-onset gender dysphoria, gender identity disorder in adolescent or adult, sexual maturation disorder, gender dysphoria in children, ego-dystonic sexual orientation.", "7 finer distinctions are held as aliases rather than separate entries, because telling them apart needs a task that asks for it.", "Described in 54 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a gender dysphoria, and on what evidence are they told apart?" ], "whatItIsMadeOf": "an abstraction with no physical instance", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "observe it, measure it, record its state" ], "howItIsRecognised": [ "Nothing to see. What is recognised is an instance of it, and which instances count is exactly what is argued about." ], "relatedModels": [ { "relation": "covers", "note": "Finer kinds folded into this entry because telling them apart needs a task that asks for it. Each is a model waiting to be split out when one does.", "targets": [ "dual-role transvestism", "late-onset gender dysphoria", "early-onset gender dysphoria", "gender identity disorder in adolescent or adult", "sexual maturation disorder", "gender dysphoria in children", "ego-dystonic sexual orientation" ] } ], "standing": "Described in 54 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is. 7 finer distinctions are held inside this entry as names rather than as separate models.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one gender dysphoria from another, and a gender dysphoria from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a gender dysphoria sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a gender dysphoria from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a gender dysphoria passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a gender dysphoria between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a gender dysphoria, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a gender dysphoria is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "definitions-in-contest", "name": "Definitions and who holds them", "description": "What gender dysphoria is taken to mean, and by whom.", "rationale": "When a field disagrees about a concept, the disagreement is the content. A model that picks one definition silently destroys the information.", "layers": [ { "id": "competing-definitions", "name": "Competing definitions", "description": "The main readings and the traditions behind them.", "findings": [ { "id": "definition-map", "name": "Definitions and their holders", "description": "Each definition with the school or body that holds it.", "questions": [ { "id": "definition-map-q01", "text": "Which definitions of gender dysphoria are in use, and which tradition or body holds each?", "kind": "definition" }, { "id": "definition-map-q02", "text": "What turns on the difference between them in practice?", "kind": "boundary" } ] } ] }, { "id": "operationalisation", "name": "Operationalisation", "description": "How it is measured or applied when it has to be.", "findings": [ { "id": "operational-record", "name": "Measures and proxies", "description": "Instruments and indicators used to stand in for it.", "questions": [ { "id": "operational-record-q01", "text": "How is gender dysphoria operationalised or measured in practice, and by what instrument?", "kind": "measurement" }, { "id": "operational-record-q02", "text": "What does that operationalisation leave out, and when does that matter?", "kind": "boundary" } ] } ] } ] }, { "id": "instances-and-use", "name": "Instances, use and consequence", "description": "What counts as an instance of gender dysphoria and what follows from calling something that.", "rationale": "Applying a concept is an act with consequences, so a model must say what the label licenses and what it does not.", "layers": [ { "id": "instances", "name": "What counts as an instance", "description": "Clear cases, borderline cases and non-cases.", "findings": [ { "id": "instance-tests", "name": "Tests for an instance", "description": "What would settle whether something falls under it.", "questions": [ { "id": "instance-tests-q01", "text": "What would settle whether something is an instance of gender dysphoria?", "kind": "boundary" }, { "id": "instance-tests-q02", "text": "Which borderline cases are argued about, and on what grounds?", "kind": "definition" } ] } ] }, { "id": "consequence", "name": "Consequence of application", "description": "Rights, duties or decisions that follow from the label.", "findings": [ { "id": "consequence-record", "name": "What the label licenses", "description": "What an agent may do once something is classified this way.", "questions": [ { "id": "consequence-record-q01", "text": "What follows practically once something is treated as gender dysphoria?", "kind": "action" }, { "id": "consequence-record-q02", "text": "What must an agent not infer from the label alone?", "kind": "action" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a gender dysphoria came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a gender dysphoria and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a gender dysphoria is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a gender dysphoria, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a gender dysphoria, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a gender dysphoria is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 5, "layers": 10, "findings": 12, "questions": 32 } } } }