Human Rights Campaign Submits Official Comment on APA's DSM Review

by HRC Staff

Addresses issues related to transgender people in American Psychiatric Association's Review of Diagnostic and Statistical Manual.

Washington - The Human Rights Campaign, the nation's largest lesbian, gay, bisexual, and transgender civil rights organization, submitted comment yesterday on the American Psychiatric Association's (APA) proposed changes to the Diagnostic and Statistical Manual of Mental Disorders, pressing the APA to do more to eliminate the stigma transgender Americans face. The public comment phase of the review process ended April 20.

"Upon reviewing the APA's proposed revisions, it appears that they no longer consider gender identity that differs from birth sex to be a basis for psychiatric diagnosis," said HRC Associate Director of Diversity Allyson Robinson. "By focusing instead on the experience of incongruence, an often distressing conflict between a person's physical characteristics and their sense of gender identity, the APA has made an important step toward the destigmatization of transgender lives."

While affirming this shift, HRC President Joe Solmonese pressed the APA to do more. "These diagnostic categories are frequently used by opponents of equality to deny basic civil rights to transgender Americans, and in that way become a significant source of emotional distress themselves," said Solmonese. "The APA must address this heinous practice and do more to empower mental health professionals as they seek to heal the damage caused by stigma, bias, and prejudice."

HRC also called in its commentary for the complete removal of "transvestic disorder," which pathologizes male-to-female cross-dressing, from the final DSM-5 document. "The persistence of this archaic category contradicts the positive shift the APA made with gender incongruence and tacitly affirms an understanding of gender based in sexism, not science," said Solmonese.

The proposed changes are slated to go into effect in 2013.

The Human Rights Campaign is America's largest civil rights organization working to achieve lesbian, gay, bisexual and transgender equality. By inspiring and engaging all Americans, HRC strives to end discrimination against LGBT citizens and realize a nation that achieves fundamental fairness and equality for all.

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