Psychiatrist Chris Aiken and Psychiatric Mental Health Nurse Practitioner Kellie Newsome discuss the removal of homosexuality from the DSM, controversy surrounding its criteria, stigma for patients with gender dysphoria, and the harmful effects of conversion therapy.
The podcast explores the historical removal and revision of the diagnostic code for homosexuality in the DSM, highlighting the APA's decision-making process and the ongoing debates surrounding homosexuality and psychiatry.
The podcast draws parallels between the history of homosexuality in the DSM and the APA's handling of gender dysphoria, discussing the compromise made in changing the criteria and designation in DSM-5 to reduce stigma while ensuring access to necessary care for individuals with gender dysphoria.
Deep dives
The Evolution of the Diagnostic Code: Homosexuality in the DSM
The podcast explores the historical removal and revision of the diagnostic code for homosexuality in the DSM. It discusses how Robert Spitzer drafted the position paper in 1973 and the compromise made to rename the code to 'sexual orientation disturbance.' It also delves into the APA's decision-making process, including the vote by its members. The summary highlights the ongoing debates around homosexuality and the role of psychiatry in defining mental disorders.
Gender Dysphoria: A Similar Quagmire
The podcast draws parallels between the history of homosexuality in the DSM and the APA's handling of gender dysphoria. It explains the compromise made in changing the criteria and designation from 'gender identity disorder' to 'gender dysphoria' in DSM-5. It explores the challenge of reducing stigma while ensuring access to necessary care for individuals with gender dysphoria.
The Controversial Study on Conversion Therapy
The podcast discusses Robert Spitzer's controversial study on conversion therapy, which aimed to test the effectiveness of changing sexual orientation. It highlights the issues with the study's methodology and the ethical implications of such research. The summary concludes with the negative impact of conversion therapy, its association with higher rates of suicide, depression, and psychological distress among LGBTQ individuals.
Chris Aiken, MD, and Kellie Newsome, PMHNP have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
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