This is your opportunity to comment on transgenderism (“gender incongruence”) in the 11th revision of the draft International Classification of Diseases (ICD-11).
The ICD system (currently ICD-10), developed and published by the World Health Organization (WHO), is the international standard diagnostic tool for epidemiology, health management and clinical purposes. It is used worldwide for morbidity and mortality statistics, reimbursement systems, and automated decision support in health care.
In developing its draft definitions for transgenderist conditions, WHO consulted with “researchers” and activists from the crooked and non-evidence-based “World Professional Association for Transgender Health” (WPATH). In February 2013, WHO and WPATH convened a “consensus meeting” to decide which conditions and definitions hurt trans-folks’ feelings too much, and should thus be thrown out or at least defined as vaguely as possible.
Not surprisingly, WPATH wanted to have it both ways, so that transgenderist conditions were simultaneously de-pathologized and made eligible for health care insurance coverage.
Anyway, the process is pretty far along by now, but it is not too late for people to weigh in on the draft definitions. In fact, WHO is HOPING that people will weigh in. You can do it online, in the draft “beta” version of ICD-11. So far, only one other person besides myself has provided input in this way.
We have until late 2015 to make comments. [edit May 2017: comments still accepted; opportunity will likely end soon.] ICD-11 will be released in
2017 2018. It is crucial that WHO receive comments from people who are critical of “gender,” to counter the self-serving definitions written by transgender activists, as well as to refute their foolish comments.
Please go here, register and make comments on the definitions. The web site is a bit “pokey” and confusing, but I’m sure you can figure it out.
After you register, look to the left panel: “Conditions related to sexual health”
Within that framework are the “gender incongruence” definitions. Open those, so you can comment separately on the ones for adults and children.
Look for a little flag where it says “Definition.” Click on that, and you can make comments. In addition to making comments, please “Agree” with posts made by gender-critical folks.
You can also propose drastic changes or even make whole new proposals.
You won’t be able to see other people’s comments until you register.
Of note: In an effort to pretend autogynephilia doesn’t exist, the WPATH/WHO consensus meeting voted to delete the whole category of “fetishistic transvestism.”
Also, “gender” is not defined anywhere. It is naturalized, just sort of “understood” that transgenderist cravings to mimic stereotypes of the other sex have some biological basis. This “lack” of definition conflicts with WHO’s own definition of gender, elsewhere on their site.
Here is the report of what the transgenderist lobby decided: From a document called “WPATH Consensus Process regarding transgender and transsexual-related diagnoses in the ICD-11”:
The Working Group’s initial recommendations, which were reviewed at the meeting, include the following:
- A reconceptualization of ICD-10 category F64.0 Transsexualism as ‘Gender Incongruence of Adolescence and Adulthood’, characterized by ‘a marked and persistent incongruence between an individual’s experienced gender and the assigned sex’.
- A reconceptualization of ICD-10 category F64.2 Gender Identity Disorder of Childhood as ‘Gender Incongruence of Childhood’ characterized by ‘a marked incongruence between an individual’s experienced/expressed gender and the assigned sex in pre-pubertal children’.
- Deletion of the ICD-10 category of F64.1 Dual Role Transvestism.
- Moving the Gender Incongruence categories out of the ICD-11 chapter on Mental and Behavioural Disorders. There are various options for the placement of this category; the option with the broadest support across the ICD revision is to create a new chapter on conditions related to sexuality, of which Gender Incongruence would be a part.
- Elimination of many existing F65 categories, specifically those that involve consensual or solitary activity that is not distressing to the individual, including F65.1 Fetishistic Transvestism.
- Elimination of all existing categories under “Psychological and Behavioural Disorders associated with Sexual Development and Orientation” (F66), including F66.0 Sexual Maturation Disorder; F66.1 Egodystonic Sexual Orientation, and F66.2 Sexual Relationship Disorder. ICD-10 indicates that all of these categories may be assigned based on sexual orientation or gender identity.
FIELD TESTING OF THE PROPOSALS
As a next step, WHO will subject the Working Group’s initial recommendations to field testing in a variety of relevant health care settings in different WHO regions, particularly in low- and middle-income countries. The purpose of field testing is to assess:
- The acceptability of the proposals to health professionals and to the affected communities;
- The reliability and the coherence of the constructs;
- The global clinical utility of the proposed categories, definitions, and diagnostic guidelines;
- The validity of the categories as predictors of health care needs; and
- The usefulness of the categories in accessing health care services.
Based on the peer review process and comments received so far from professional groups and civil society, WHO has indicated that the greatest question about the above proposals concerns the need for a category of Gender Incongruence of Childhood. There appear to be different, valid perspectives on this issue. Therefore, the clinical utility and need for this category, as well as the potential consequences of its use, will be a particular focus of field testing. If such a category is retained in ICD-11, it will be placed in the same chapter as ‘Gender Incongruence of Adolescence and Adulthood’.
The field tests will involve internet-based methodologies to assess acceptability and feasibility, and subsequently clinic-based methodologies to assess the use of the classification by health professionals and clients in real-life settings. Country based field tests will be conducted within a multi-stakeholder process including the involvement of academic institutions, government ministries with special attention to the ministry of health, civil society, professional associations and other relevant actors.
The field study process will also include review and analysis of legal and policy issues that affect the utilization of health services by the affected populations. WHO has invited WPATH to collaborate actively in the field testing process.