Importance of the DSM 5 The DSM is the classifying of American psychiatric Association, used worldwide by psychiatric, governments, pharmaceutical companies or NGOs to define their medical treatments and social policies on mental disorders.
Evolution of the DSM 5
Version 5 of the DSM has followed a long evolution over several decades which has seen the declassification of the homosexuality from the psychiatric diseases under pressure from influential networks. It is therefore not only a scientific tool, but an illustration of the power relationships that exist between patients and society.
Today, homosexuals no longer have sexual troubles, contrariwise pedophiles are still classified as sick. However, the DSM follows a disturbing trend. When, for political issues, the classification is not accepted, this one is less and less based on behaviors that might be objectively disrupting the natural or the social functionning of an individual, but on personal suffering. To illustrate the deviance of this kind of thinking, imagine that in the worst case scenario, a serial killer who wouldn’t have any personal suffering and who would kill people whose society doesn’t want no more, wouldn’t be defined as a patient (this fantasy is included in the Dexter series, or in other television series very known when the serial killer is a good guy). This deviant’s reasoning, in May 2013, is continuing by the intensification in the DSM 5 of gender theory for children. Thus, the DSM no longer defines the child as a little boy or a little girl who should follow an harmonious development in relation to his own natural sex, but as an asexual being who would have the ability to choose its gender.
The sections about disorders related to the definition of sexual identity in the DSM 5 :
Voyeurism, Exhibitionism, Frotteurism, Sexual Masochism, Sexual Sadism, Pedophilia, Fetishism, Transvestism, Other Specified or unspecified Paraphilic Disorders.
Gender dysphoria: recognized, other specific instability, undetermined.
Sexual Disorders :
Delayed Ejaculation Erectile Disorder, Female Orgasmic Disorder, Female Sexual Interest/Arousal Disorder, Genito-Pelvic Pain/Penetration Disorder, Male Hypoactive Sexual Desire Disorder, Premature (Early) Ejaculation, Substance/Medication-Induced Sexual Dysfunction, Other Specified Sexual Dysfunction
You will notice that between the DSM 4 and 5, the notion of “gender trouble” has been replaced by the term “instability” in order not to stigmatize those affected (2). Similarly the term “paraphilia” (disorder in accepted sexual practices), has finally replaced the term “deviance” considered too pejorative for “concerned persons” (which are perhaps no more “sick”).
A political classification that no longer belongs to the disease and less and less to the behavior but, increasingly, to the craving.
“Sexual disorders” are defined only from observation of physical consequences. “Sexuality”, “gender” and “sex” form impervious categories relative to each other. THE DSM 5, based more and more on observable behaviors, evacuates more and more the reasons or the mechanisms for such behavior. Let us try to strip away this observation that exceeds my field of study and skills but that really refers to a society that wants to avoid to any questioning about the human being, claiming to understand him objectively, and for this, that tends to develop these kind of categories. This just to remind that the behavior becomes the basis of the analysis, and that this behavior is less and less involved in social functioning of the individual, but in a personal functioning that could be defined in relation to itself, which let open the door of the tolerance to many behaviors, negative indirectly for the patient and the society, but which are not directly identified as such, for example because of social power relations, as stated a little earlier. DSM 5 is a perfect illustration of a science that attempts to define itself without morality and therefore without religion, and that is starting to fail under our noses. Defining itself by itself, it lost his footing gradually, legitimizing a bunch of behaviors that it considered previously deviant but which are only called now “instability” or “disorders” and others “paraphilia”, terms that soon be drown in an undifferentiated soup. Here, as elsewhere, the science is getting poorer under the combined effect of distortion of language related to the holy profane ideology. Except for the sections concerned by the gender theory that are politically protected, this process leads to an infinite multiplication of behaviors deemed “undesirable”, to the undifferentiation growing up to the individualization of the benchmarks and the destruction of the boundary between illness and sanity( 4), each one finding that there are too many diseases, and others, not enough. Personally, I’m afraid that this is a problem that goes far beyond any financial or behaviorist interest, as the researchers explain it in the New York Daily News, but turning to the main with the explanations given by the APA (American Psychiatry Association) on “instabilities” due to the gender in the DSM 5 :
In the upcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), people whose gender at birth is contrary to the one they identify with will be diagnosed with gender dysphoria. This diagnosis is a revision of DSM-IV’s criteria for gender identity disorder and is intended to better characterize the experiences of affected children, adolescents, and adults.
Respecting the Patient, Ensuring Access to Care
DSM not only determines how mental disorders are defined and diagnosed, it also impacts how people see themselves and how we see each other. While diagnostic terms facilitate clinical care and access to insurance coverage that supports mental health, these terms can also have a stigmatizing effect.
DSM-5 aims to avoid stigma and ensure clinical care for individuals who see and feel themselves to be a different gender than their assigned gender. It replaces the diagnostic name “gender identity disorder” with “gender dysphoria,” as well as makes other important clarifications in the criteria. It is important to note that gender nonconformity is not in itself a mental disorder. The critical element of gender dysphoria is the presence of clinically significant distress associated with the condition.
Characteristics of the Condition
For a person to be diagnosed with gender dysphoria, there must be a marked difference between the individual’s expressed/experienced gender and the gender others would assign him or her, and it must continue for at least six months. In children, the desire to be of the other gender must be present and verbalized. This condition causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Gender dysphoria is manifested in a variety of ways, including strong desires to be treated as the other gender or to be rid of one’s sex characteristics, or a strong conviction that one has feelings and reactions typical of the other gender.
The DSM-5 diagnosis adds a post-transition specifier for people who are living full-time as the desired gender (with or without legal sanction of the gender change). This ensures treatment access for individuals who continue to undergo hormone therapy, related surgery, or psychotherapy or counseling to support their gender transition.
Gender dysphoria will have its own chapter in DSM-5 and will be separated from Sexual Dysfunctions and Paraphilic Disorders.
Need for Change
Persons experiencing gender dysphoria need a diagnostic term that protects their access to care and won’t be used against them in social, occupational, or legal areas.
When it comes to access to care, many of the treatment options for this condition include counseling, cross-sex hormones, gender reassignment surgery, and social and legal transition to the desired gender. To get insurance coverage for the medical treatments, individuals need a diagnosis.
The Sexual and Gender Identity Disorders Work Group was concerned that removing the condition as a psychiatric diagnosis—as some had suggested—would jeopardize access to care.
Part of removing stigma is about choosing the right words. Replacing “disorder” with “dysphoria” in the diagnostic label is not only more appropriate and consistent with familiar clinical sexology terminology, it also removes the connotation that the patient is “disordered.”
Ultimately, the changes regarding gender dysphoria in DSM-5 respect the individuals identified by offering a diagnostic name that is more appropriate to the symptoms and behaviors they experience with out jeopardizing their access to effective treatment options.
DSM is the manual used by clinicians and researchers to diagnose and classify mental disorders. The American Psychiatric
Association (APA) will publish DSM-5 in 2013, culminating a 14-year revision process. For more information, go to www.DSM5.org
APA is a national medical specialty society whose more than 36,000 physician members specialize in the diagnosis, treatment, prevention and research of mental illnesses, including substance use disorders. Visit the APA at www.psychiatry.org
and www.healthyminds.org For more information, please contact Eve Herold at 703-907-8640 or email@example.com © 2013 American Psychiatric Association.
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A willingness disturbed by the right-thoughtnes
It would be difficult to do more cutesy and two-faced.
The persons mentioned are no longer sick but must be taken in charge by social security.This is repeated several times, emphatically. The decommissioning of homosexuality from the DSM has led us to a political victory against an objective scientific reality, and today this political victory is accompanied by a social and an economic care for more groups, suffering of a troubled identity but that have not to been identified as such.
The fear of being judged for stigmatization of minorities.
The term of “prevent the stigmatisation” is constantly repeated in this document. This confirms the will which the psychiatric community feels himself invested, to assume a social role in the acceptance of gendered disorders. Where does this desire to reassure and to play a positive role in society comes from, otherwise because some Marxist authors such as M Foucault have made them feel much guilty concerning their practices. What would think this poor author of this association of words and this will to hide a scientific reality to make way for hegemonic claims of a minority?
In truth the medical profession has never acted to strengthen the power of a few oppressors through the definition of THE insanity, but instead it always wanted to show its willingness to do well in society, and more widely, to treat pain of our society (4). Hence his pride, hence the failure of yesterday and of forever, because when you want to preach at somebody, you have to engage yourself body and soul to the bitter end, without aping the religion which you’re stemming.*
The term “care” detached from this one of “disease”.
In this paper, psychiatrists choose not to treat the disease, but to support the wish of a patient. Nobody questions the validity, legitimacy, or the consequences of these desires. The individual desire is king. Not following it, is a source of disease. The patient in this context defines his own illness (which is no longer one). Indeed, we provided him with “medical care” because immature. He does not accept the social frustration of his desire and of his objective natural condition. Efficient or not, and this is in doubt, this process endorse so the “Brave new world” where each individual, locked in his own psyche will be all the more unable to assume natural constraints. Needless to say, the person who suffers from severe hormonal disorders is no longer sick, certainly, and it does not change much for him, but this one that suffers from mixed marked identity problems, has not everything to gain at it, the society either. Beyond that, it is disturbing to see this notion of disease disappearing from entire sections of our medical dictionaries. This sounds like a denial of reality that can be matched with this denial of natural and objective constraints in people troubled in their identity as mentioned a little bit higher. As if the homosexual way of thinking was enough widespread in the medical and scientific field, to impose itself as a form of immaturity that would define some of our social norms.
Children in the viewfinder of the gender theory network.
Again, this immaturity is not stayed locked to the psyche of a few individuals. It was important that children be the victims of it. Them, who are in full identity construction, might define themselves and might choose their gender, as if they could not undergo the pathological influence of adults around them ? This encouraging to the perversion finds his apotheosis in the mediatic case of this little boy educated in the middle of two lesbians and who has finished to want to identify himself with his “mothers” to become a little girl who was operated for this purpose ( 3). What could be more natural ? In their logic, these lesbians see nothing to complain about it. On the contrary, the deep desire of the child has been followed, which must correspond for them to the highest level of tolerance. They forget their responsibility as educators even more easily that their immature behavior has been judged acceptable in the social norm. Thus, they voluntarily show themselves in newspapers to carry claims that they consider, healthy. As all society has told them that they were not sick, that they could have children, they no longer understand the consequences of their actions. The denial of reality is total. You will tell me that it would be difficult to judge through this personal case. But this case illustrates the rule rather than to create it. No need for that to see how the homosexual claim in our society (DSM or not) moved from a form of personal and social recognition to a right on children (against the children’s rights), and how this claim is itself a deep denial of the child’s reality, of its needs and of our nature as human beings. Similarly, not need of this special case to find that the classification of psychiatric diseases has been gradually upset to allow children to change sex. But what is the real consent of a child? Does his desire can be treated as this one of an adult ? We see here that the assimilation of the desire of the child to this one of an adult results of an immaturity described above, which inevitably leads to a pedophile reasoning. Adults that are becoming crazy, suggest to the child his gender and his identification. They unconsciously convinced him or because of the situation, that he must follow their desires, and they lock him in a bigger confinement than their.
Before his sex change, Thomas was really ill at ease (and we understand him. Look at the two women who surround)
Hopefully that she does not end up like David Reimer, the first guinea pig of the gender theory who ended up his life in committing suicide because of her/his change of sex :
The APA has become an organ of collaboration of the LGBT lobby (and maybe not only), perverted.
Get out of the differentiation.
In the coming years, it would be time that Catholics are addressing this scientific issue and define categories with respect to moral criteria, to the good and the bad that are expected in a society, without obliterating the objective scientific evidence of a serious work. A social science can not guide herself alone and define immanent criteria for social life. In all cases, it fails to do it, becoming a mere balance of power between political categories. In this game, the powerful prevails and requires that all other adopts his way of thinking or his behaviours, whether deviant or not. The Catholic religion will have to prevent this deviance by weighting the right of the strongest by the worry of truth, the human experience in the light of our particular and profound culture.
1 DSM 5, summarize of the APA, may 2013.
2 The explanation on the DSM 5 for the association itself.