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Changes in Medical Classification Systems and Legal Recognition for Trans* People

Explore the impact of DSM-5 and ICD-11 changes on the legal recognition of trans* individuals worldwide. Analyze the democratization of diagnoses and self-determination for gender identity. Discuss the intersection of biology and social acceptance for transgender individuals.

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Changes in Medical Classification Systems and Legal Recognition for Trans* People

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  1. Dr Zowie Davy zdavy@lincoln.ac.uk Senior Lecturer, School of Health and Social Care

  2. Introduction Changes to diagnoses in the DSM-5 (published) Changes in the ICD-11 (to be published) Classifications of diseases and pathologies connected to the legal recognition of trans* people in many parts of the world. The term “medicolegal”

  3. Democratization of diagnoses? • "These are public proposals by any person or group. It is NOT done by the WHO team or WHO appointed Topic Advisory Groups. This is an OPEN process to all public. You can see the proposals and see how they are treated. We will only filter SPAM-like entries and ADVOCACY type mass mailings. All other proposals will be treated with a scientific peer review mechanism. Results of the review will be documented openly as well“ WHO Facebook, 2014)

  4. DSM-5 review process • Overly narrow • Neglects the complex combination of sexological and psychosocial • Research in other disciplines

  5. CLAIMING INTERSEXUALITY • Some activists draw on biological research • That their gender identities are a product of biological dispositions • “Many transgender people have believed for the longest time that biology had been the cause. I myself believe this as my earliest memories were that of wanting to be a girl even before I learnt to spell. Hopefully, further studies like this will prove beyond a shadow of doubt that the phenomenon is a natural occurrence, leading to social acceptance of transgender people” (SameSame, 2008).

  6. Claims to a biogentic embodiment may prove to be problematic • WHY? • Assumes intersex embodiment is binary • underpinned by two different logics • “given the choice of male, female or intersex I would unhesitatingly select intersex. But society does not give me that option” (Phillips, 2001: 41).

  7. SELF-DETERMINATION AS POLITICAL PRAXIS • “Not only […] give you the right to self-identify, but for those who want medical intervention, [it] require[s] public and private providers to cover procedures for self-actualization” (Schmall, 2012: no page number).

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