Commentary: Revising the International Classification of Diseases (ICD-11) and Improving Global Sexual Health: Time for an Integrated Approach that Moves Beyond the Mind-Body Divide

Coleman, Eli; Wylie, Kevan; Coates, Rosemary; Rubio‐Aurioles, Eusebio; Hernandez-Serrano, Ruben; Wabrek, Alan; Bianco, Fernando J.; Forleo, R

doi:10.1080/19317611.2017.1311126

Cited by 10 publications

(12 citation statements)

References 6 publications

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“…Most notably, no structured clinical interview for gender dysphoria which replaced gender identity disorder in the DSM-5 (American Psychiatric Association, 2013) currently exists making rigorous assessment difficult to document across studies. Moreover, gender dysphoria is often not the primary mental health concern in this population, and is reflective of the controversy transgender-related diagnoses both in the US and internationally (Coleman et al, 2017). For example, many TGNC researchers and advocates compare the presence of gender dysphoria as a mental health condition akin to the presence of homosexuality at a mental health condition in previous versions of the DSM (removed in 1973).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States

Valentine

Shipherd

2018

Clinical Psychology Review

488

278

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Transgender and gender non-conforming (TGNC) populations, including those who do not identify with gender binary constructs (man or woman) are increasingly recognized in health care settings. Research on the health of TGNC people is growing, and disparities are often noted. In this review, we examine 77 studies published between January 1, 1997 and March 22, 2017 which reported mental health outcomes in TGNC populations to (a) characterize what is known about mental health outcomes and (b) describe what gaps persist in this literature. In general, depressive symptoms, suicidality, interpersonal trauma exposure, substance use disorders, anxiety, and general distress have been consistently elevated among TGNC adults. We also used the minority stress model as a framework for summarizing existing literature. While no studies included all elements of the Minority Stress Model, this summary gives an overview of which studies have looked at each element. Findings suggest that TGNC people are exposed to a variety of social stressors, including stigma, discrimination, and bias events that contribute to mental health problems. Social support, community connectedness, and effective coping strategies appear beneficial. We argue that routine collection of gender identity data could advance our understanding mental health risk and resilience factors among TGNC populations.

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Section: Discussionmentioning

confidence: 99%

A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States

Valentine

Shipherd

2018

Clinical Psychology Review

488

278

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“…Sexuality is a significant aspect of human life that plays an important role in one's health and well-being. According to the WHO definition, sexuality is experienced and expressed in thoughts, beliefs, attitudes, values, desires, fantasies, behaviors, practices, roles, and relationships [1]. Despite recognizing biological effects on sexuality, scientists generally believe that sexuality is a social phenomenon based on defined arrangements that provide guidelines for appropriate sexual behavior [2].…”

Section: Introductionmentioning

confidence: 99%

A qualitative inquiry of sexuality in Iranian couples using the Information-Motivation-Behavioral skills paradigm

Khoei¹,

Moeini²,

Barati³

et al. 2019

J. Egypt. Public. Health. Assoc.

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Background: Sexuality is interwoven with individuals' information, motivation, and behaviors. Objective: To explore sexually related information, motivation, and behaviors that Iranian newly married couples utilized through their marital lives. Methods: We employed in-depth face-to-face interviews with 22 couples between the ages of 21 and 35 years to collect rich qualitative data. Content analysis was used to analyze the data. Our data analysis process was guided by the Information-Motivation-Behavioral skills (IMB) model as a potential framework for understanding of the participants' sexual and marital lives. Results: IMB's conceptual bases were adequately reflected in the participants' sexual narratives. The participants highlighted information needs related to their sexual relationships and services that should be provided by the relevant programs in the educational and national health system. Fulfillment of each other's sexual needs was identified as the most important motivation of the participants. Sexual needs of husband, love, and liking were the main motivations for women's sexual submission. The main behaviors found included couples' communication skills and performing using feminine traits by women in order to fit the role of a sexually skillful wife. Conclusion: Our data analysis revealed that couples shared a proper comprehension of each other's means of sexual behaviors. A dominance of religious discourse, non-verbal, mostly physical means of communication was employed by the couples to express or initiate sexual interactions. Furthermore, our findings support the utility of IMB as a potential basis for understanding married couples' sexual lives. Our data highlight an implication to expand the motivation structure of the IMB model to incorporate an individual's sexual understandings and the sexual needs to promote mutual and pleasurable sexual life within the Iranian culture.

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“…The rubric of sexual health has provided a vehicle to address an array of medical and social problems, including sexually transmitted infections, sexual dysfunctions, sexual violence, and the pursuit of sexual and reproductive rights, and it has spurred projects that crisscross the worlds of science, medicine, governance, advocacy, consumerism, and self-optimization (Epstein, Forthcoming-a;Epstein and Mamo, 2017). Creating a chapter on sexual health within the ICD seemed, in part, like a way of bringing together, under one roof, a number of specific medical concerns that previously had been dispersed across the ICD − uniting them, but also rethinking them (Coleman et al, 2017). At the same time, given that the very definition of sexual health so clearly exceeded a biomedical remit, the door was open from the beginning for considering the sexual health chapter from the combined standpoint of medical science, politics, and ethics.…”

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confidence: 99%

Cultivated co-production: Sexual health, human rights, and the revision of the ICD

Epstein

2021

Soc Stud Sci

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STS scholars frequently have shown how science and sociopolitical arrangements are ‘co-produced’, typically tracing how scientific actors themselves keep ‘science’ and ‘politics’ far apart. Revealing co-production is therefore deemed the work of the STS analyst, who unearths linkages that the actors might be unaware of, or might ignore or deny. By contrast, the creation of a new chapter on ‘sexual health’ in the recent revision of the International Classification of Diseases (ICD) offers a case of what might be termed ‘cultivated co-production’. Neither oblivious to the linkages between science and politics nor invested in obscuring them, the designers of the sexual health chapter sought support for their work by demonstrating, transparently, how science, ethics, and human rights might properly be aligned. The intentional and visible character of co-production in this case indicates awareness of the need to manage the contested nature of gender and sexuality at a transnational level. It also reflects two changes in the organization of medical politics and medical classification: a widespread recognition of the necessity of reaching out to lay stakeholders and advocates, and the rise of an emphasis on ‘conventions’ as the backbone of transnational biomedical consensus processes.

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Commentary: Revising the International Classification of Diseases (ICD-11) and Improving Global Sexual Health: Time for an Integrated Approach that Moves Beyond the Mind-Body Divide

Cited by 10 publications

References 6 publications

A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States

A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States

A qualitative inquiry of sexuality in Iranian couples using the Information-Motivation-Behavioral skills paradigm

Cultivated co-production: Sexual health, human rights, and the revision of the ICD

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