Abstract
This article presents a review of current concepts of gender identity under normal and pathological conditions. To analyse the impact of the medical and social paradigm shift for clinical practice. The modern academic literature devoted to gender identity disorders is characterized by a variety of terminology, a shift in emphasis from clinical judgement to a socially beneficial normocentric approach and a relatively few advanced, evidence-based research. There is also a lack of evidence for the gender theory underlying the new approach, which raises serious doubts about the validity of the medical and social paradigm revision. In the same time, the position of Russian psychiatrists remains to be more clinically oriented. Patients who declare the desire to reassign their gender have to be assessed by psychiatrists for differential diagnosis to exclude a mental disorder. In such cases, the destigmatization of mental disorders is more critical than the depathologization of gender identity disorders.
Highlights
This article presents a review of current concepts of gender identity under normal and pathological conditions
The purposes of the present study are to provide a review of current concepts of gender identity under normal and at pathological conditions, and to analyse the impact of the medical and social paradigm shift for clinical practice
The exclusion ‘transsexualism’ from the new editions of the international medical classifications is arguably justifiable since this phenomenon is not related to ‘states related to sexual health’ and is not a true mental disorder due to the absence of psychopathology
Summary
This article presents a review of current concepts of gender identity under normal and pathological conditions. The vision of gender-role deviations in human behaviour as a diverse group of mental disorders was formed These included both congenital and persistent anomalies, and clinically similar but aetiologically variable courses and prognoses of medical conditions.[1,2] the revision of the scientific paradigm, the contradictions that have arisen in the medical community and the unprecedented increase in the number of requests for gender reassignment in many countries,[3,4,5] mean that further research is needed in this field. The purposes of the present study are to provide a review of current concepts of gender identity under normal and at pathological conditions, and to analyse the impact of the medical and social paradigm shift for clinical practice.
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