On the Proposed Sexual and Gender Identity Diagnoses for DSM-5: History and Controversies

In February, 2010, the American Psychiatric Association unveiled its proposed revisions to the Sexual and Gender Identity Disorders for the fifth edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The proposals have reinvigorated historical controversies about whether sexual and gender diagnoses may stigmatize and medicalize behaviors that are now considered nonpathological. This article traces the recent past of these controversies, beginning with early discourse about the future DSM-5. It addresses the content of the DSM-5's proposed changes to Gender Identity Disorder (GID) and the paraphilias, outlining responses to them in mental health and activist communities. Points of contention surrounding the recent proposals are assessed within the context of historical concerns. Additionally, my opinion regarding the potential of the DSM-5 proposals to assuage versus exacerbate longstanding controversies is presented.