The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Slow Fade: Homosexuality and the DSM Part 2

Jul 3, 2023
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.
19:38

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Quick takeaways

  • 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.

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