Arch Sex Behav (2017) 46:2513–2514 https://doi.org/10.1007/s10508-016-0935-8 COMMENTARY ON WINTER ET AL. (2016) Heino F. L. Meyer-Bahlburg Received: 21 December 2016 / Accepted: 28 December 2016 / Published online: 9 January 2017 Springer Science+Business Media New York 2017 The controversy regarding the appropriate categorization of indicated. (5) As in the categorization of non-psychiatric psy- gender variants in ICD-11 (Winter,DeCuypere,Green,Kane,& chological traits such as temperament and of psychiatric condi- Knudson,2016)continuestherespectiveDSM-5debates(Zucker tionssuchasdepression,categoriesthatapplytobothchildrenand etal.,2013),withmostoftheargumentsproandconremovalfrom adolescents/adults should have the same name and related place- nosological diagnostic systems still in circulation. Also in my ment in the overall categorization scheme, even if some of the opinion, ICD-11 ought to include a diagnostic category (and not criteria need an adjustment to developmental stage. This applies just a Z Code) for gender-variant individuals, to increase the particularly when having the condition in childhood has some likelihood of insurance coverage and of pertinent training of predictive power for its persistence through later stages of devel- health-careservicesprovidersbytheirprofessionalorganizations. opment or its later recurrence, as is the case for gender-variant In regard to the prepubertal age group in particular, gender children. clinicians working with children usually agree on several key In this context, several aspects of the proposed ICD-11 deﬁ- issues.
Archives of Sexual Behavior – Springer Journals
Published: Jan 9, 2017
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