Diagnostic and Treatment Issues for People with Gender Dysphoria in the United Kingdom
Diagnostic and Treatment Issues for People with Gender Dysphoria in the United Kingdom
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DOI：
10.1080/14681994.2013.819222
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发表时间：
2013-08-01
影响因子：
1.1
通讯作者：
Richards, Christina
中科院分区：
文献类型：
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作者：
Bouman, Walter Pierre;Richards, Christina
DSM V术语和诊断是提供临床护理的重要元素，可以提供临床和官僚的共同语言和框架，我们可以方便地为客户的利益共同努力。今年5月，美国精神病学协会推出了期待已久的第五版《精神疾病诊断与统计手册》（DSM 5-阿帕，2013）。尽管有文本修订（DSM IV-TR-阿帕，2000年），但上一个完整版已出版近20年（DSM IV-APA，1994年）。修订这一具有国际重要性和深远影响的文件所需的工作量之大，体现了修订这一文件的漫长间隔。DSM不仅决定了精神障碍在美国和其他国家的定义和诊断方式，还影响了人们如何看待自己、如何看待彼此以及社会如何看待我们。这就是争议所在，因为虽然诊断术语在美国和其他一些国家促进了临床护理和获得精神健康困难的保险，但这些术语也可能产生污名化的效果。
The DSM V Terminology and diagnosis are important elements in the provision of clinical care which can offer a mutual language and framework, both clinical and bureaucratic, within which we can expediently work together for the benefit of our clients. In May this year the American Psychiatric Association launched it’s eagerly awaited fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM 5–APA, 2013). Notwithstanding a text revision (DSM IV-TR–APA, 2000), the previous full edition was published almost two decades ago (DSM IV–APA, 1994). The long interval between editions indicates the magnitude of the undertaking inherent in revising such an internationally important and far-reaching document.The DSM not only determines how mental disorders are defined and diagnosed in the United States and beyond, it also impacts on how people see themselves; how we see each other and how society sees us. And it is here that the controversy lies, for while diagnostic terms facilitate clinical care and access to insurance coverage for mental health difficulties in the USA and some other countries, these terms can also have a stigmatising effect.