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About this paragraph in the introduction, does this correctly describe the stances of the referenced sources? | About this paragraph in the introduction, does this correctly describe the stances of the referenced sources? | ||
{{blockquote|Some researchers and transgender people argue for the <b>declassification of the condition</b> because they say the diagnosis <b>pathologizes gender variance and reinforces the binary model of gender</b>. However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.}} | {{blockquote|Some researchers and transgender people argue for the <b>declassification of the condition</b> because they say the diagnosis <b>pathologizes gender variance and reinforces the binary model of gender</b>.<ref name="Karl Bryant">{{cite encyclopedia |title=Gender Dysphoria |encyclopedia=] |url=https://www.britannica.com/science/gender-dysphoria |access-date=August 16, 2018 |date=2018 |archive-url=https://web.archive.org/web/20200418213857/https://www.britannica.com/science/gender-dysphoria |archive-date=April 18, 2020 |vauthors=Bryant K |url-status=live}}</ref> However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.<ref name="Zack Ford">{{cite web |title=APA Revises Manual: Being Transgender is No Longer a Mental Disorder |url=http://thinkprogress.org/lgbt/2012/12/03/1271431/apa-revises-manual-being-transgender-is-no-longer-a-mental-disorder/?mobile=nc |url-status=dead |archive-url=https://web.archive.org/web/20130202082602/http://thinkprogress.org/lgbt/2012/12/03/1271431/apa-revises-manual-being-transgender-is-no-longer-a-mental-disorder/?mobile=nc |archive-date=February 2, 2013 |access-date=April 7, 2013 |website=] |vauthors=Ford Z}}</ref>}} | ||
Are they really calling for the declassification of <b>gender dysphoria</b> or the declassification of free self identification? As gender dysphoria has lots of severe ] right? So it is unclear to me how anyone can argue that symptoms should be declassified? Is enough context given here? Are they maybe arguing this out of questioning whether the symptoms are caused by the dysphoria or by environmental factors (discrimination)? I can only really think of possible arguments to declassify gender dysphoria that would indeed lead to "implications" stated in the second sentence, that it would deemed cosmetic. | Are they really calling for the declassification of <b>gender dysphoria</b> or the declassification of free self identification? As gender dysphoria has lots of severe ] right? So it is unclear to me how anyone can argue that symptoms should be declassified? Is enough context given here? Are they maybe arguing this out of questioning whether the symptoms are caused by the dysphoria or by environmental factors (discrimination)? I can only really think of possible arguments to declassify gender dysphoria that would indeed lead to "implications" stated in the second sentence, that it would deemed cosmetic. |
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Ideal sources for Misplaced Pages's health content are defined in the guideline Misplaced Pages:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Gender dysphoria.
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The following references may be useful when improving this article in the future:
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Bachmann et al.
This source (Bachmann et al. 2024) has been used to support the following claim:
A recent study in Germany found that more than half of young people aged 5-24 across every age subgroup diagnosed with "gender identity disorder" no longer had the diagnosis after five years. Specifically, the persistence rate was 27.3% in 15- to 19-year-old females and 49.7% in 20- to 24-year-old males.
The source is a "Kurzmitteilung" (a short summary as opposed to a full research article) of a study on insurance data from the German Bundesländer, published only a few days ago.
The relevant parts of the source are, from the Ergebnisse section:
In der Längsschnittkohorte (n = 7 885, 47,1 % 20- bis 24-jährig, 37,7 % männlich) wiesen nach fünf Jahren insgesamt nur noch 36,4 % eine gesicherte F64-Diagnose auf, eine Diagnosepersistenz < 50 % zeigte sich in allen Altersgruppen (27,3 % bis 49,7 % ).
and from the Diskussion section:
Die diagnostische Persistenz von unter 50 % in allen Altersgruppen im 5-Jahres-Follow-up entspricht der Literatur und spiegelt vermutlich die Fluidität des Konzepts „Geschlechtsidentität“ im Kindes- und Jugendalter wider (5), kann aber auch als Hinweis auf die Notwendigkeit eines umfassenden, standardisierten diagnostischen Vorgehens interpretiert werden (www.cass.independent-review.uk/publications/final-report).
The authors stress the fact that they have not (for obvious reasons) investigated whether the diagnoses were "valid", and their conclusion is that more work needs to be done to investigate whether the reaults from their initial study hold true, and what the reasons may be for the low persistence of diagnoses. They also conclude that offering various treatment options for gender identity disorder is crucial.
I strongly believe that the source can't be used for the sweeping claim it was used to support, and I am curious why that particular bit of the study was used, and not the bit where the authors show that there is a robust increasing trend in gender dysphoria diagnoses, or the conclusion that it is important to offer a range of gender affirming treatments. But above all, I don't think a primary source consisting of a short summary of research on which insurance codes are used in German health care data is useful as a source. --bonadea contributions talk 09:35, 15 June 2024 (UTC)
- Just FYI, it’s very likely the data in this paper isnt particularly meaningful. It is about diagnostic persistence in the German medical system which requires associated billing events over time. I.e. somebody who is diagnosed with GD but parents don’t let them transition (and as such, there is no ongoing billing events occurring) are counted as desistors in this paper. As are people who delay their transition. Insurance billing events are not a good way of measuring persistence of GD or transgender identity. Zenomonoz (talk) 01:37, 16 June 2024 (UTC)
Guillamon et.al (source 23)
The information under “symptoms” for this source comes from the intro/abstract of this paper and references Blanchard’s typology, which has been discredited. The information also contradicts the previous paragraph which states sexual orientation does not impact GD. Wren Armstrong (talk) 18:27, 17 October 2024 (UTC)
Is this correct?
About this paragraph in the introduction, does this correctly describe the stances of the referenced sources?
Some researchers and transgender people argue for the declassification of the condition because they say the diagnosis pathologizes gender variance and reinforces the binary model of gender. However, this declassification could carry implications for healthcare accessibility, as HRT and gender-affirming surgery could be deemed cosmetic by insurance providers, as opposed to medically necessary treatment, thereby affecting coverage.
Are they really calling for the declassification of gender dysphoria or the declassification of free self identification? As gender dysphoria has lots of severe symptoms right? So it is unclear to me how anyone can argue that symptoms should be declassified? Is enough context given here? Are they maybe arguing this out of questioning whether the symptoms are caused by the dysphoria or by environmental factors (discrimination)? I can only really think of possible arguments to declassify gender dysphoria that would indeed lead to "implications" stated in the second sentence, that it would deemed cosmetic.
So to wrap up a bit, it is not clear to me what exactly the first sentence here means with "declassification", is it an emotional argument out of activism, or is there some solid logic here? If there is solid logic, I don't see it. Wallby (talk) 15:55, 27 October 2024 (UTC)
- Bryant K (2018). "Gender Dysphoria". Encyclopædia Britannica Online. Archived from the original on April 18, 2020. Retrieved August 16, 2018.
- Ford Z. "APA Revises Manual: Being Transgender is No Longer a Mental Disorder". ThinkProgress. Archived from the original on February 2, 2013. Retrieved April 7, 2013.
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