Расстройства, связанные с сексуальностью и половой принадлежностью в мкб-11: пересмотр классификации мкб-10, основанный на последних научных доказательствах, клиническом опыте и правовых соображениях
Всемирная психиатрия. №3 2016
Расстройства, связанные с сексуальностью и половой принадлежностью в мкб-11: пересмотр классификации мкб-10, основанный на последних научных доказательствах, клиническом опыте и правовых соображениях
Geoffrey M. Reed1,2, Jack Drescher3, Richard B. Krueger4, Elham Atalla5, Susan D. Cochran6, Michael B. First4, Peggy T. Cohen-Kettenis7, Ivan Arango-de Montis8, Sharon J. Parish9, Sara Cottler10, Peer Briken11, Shekhar Saxena1
1 Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland (Швейцария) 2 School of Psychology, Universidad NacionalAutonoma de Mexico, Mexico City, Mexico (Мексика) 3 Department of Psychiatry, New York Medical College, New York, NY, USA (США) 4 Department of Psychiatry, Columbia University, College of Physicians and Surgeons, New York State Psychiatric Institute and New York Presbyterian Hospital, New York, NY, USA (США) 5 Primary Care and Public Health Directorate, Ministry of Health, Manama, Bahrain; 6 Fielding School of Public Health, University of California, Los Angeles, CA, USA (США) 7 Department of Medical Psychology, VU University Medical Centre, and Center of Expertise on Gender Dysphoria, Amsterdam, The Netherlands (Нидерланды) 8 InstitutoNacional de Psiquiatria Ramon de la Fuente Muniz, Mexico City, Mexico (Мексика) 9 Departments of Medicine and Psychiatry, Weill Cornell Medical College and New York Presbyterian Hospital/Westchester Division, White Plains, NY, USA (США) 10 Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland (Швейцария) 11 Institute for Sex Research and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany (Германия)
Стр. 205-219
5571 просмотров
Опубликовано: 1 октября 2016
Аннотация / Abstract
a:2:{s:4:"TEXT";s:65530:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:106398:"К грядущему одиннадцатому пересмотру международной классификации болезней и проблем, связанных со здоровьем, ВОЗ предложила существенные поправки в классификацию психических расстройств и расстройств поведения. Этот класс включает в себя в том числе: F52 "Сексуальные дисфункции, не обусловленные органическими нарушениями или болезнями"; F64 "Расстройства половой идентификации"; F65 "Расстройства сексуального предпочтения" и F66 "Психологические и поведенческие расстройства, связанные с половым развитием и ориентацией". Эти поправки были предложены в связи с прогрессом в исследованиях и клинической практике, и, в большей степени, на основании крупных изменений в социальной сфере, релевантной политике, законах и правах человека. В данной статье описаны основные рекомендуемые изменения, подкрепленные доводами и доказательствами, а также важные различия с DSM-5. Для "Положений о сексуальном здоровье" была предложена интегрированная классификация сексуальных дисфункций, не разделяющая понятия "разум" и "тело", что присутствовало в МКБ-10. Категория "Расстройства половой идентификации" была переосмыслена и названа"Половое несоответствие", а также было предложено вывести эту категорию в отдельный блок. Предложенная классификации парафилий различает состояния, имеющие отношение к психопатологии и медицине, и состояния, характеризующие только лишь поведенческие особенности. Категории МКБ-10, имеющие отношения к половому развитию и ориентации, были рекомендованы к удалению из МКБ-11.
Ключевые слова: международная классификация болезней, МКБ-11, сексуальное здоровье, сексуальные расстройства, транссексуализм, половые расстройства, половое несоответствие, парафилии, сексуальная ориентация, DSM-5
(World Psychiatry 2016; 15: 205-209)
В настоящий момент ВОЗ осуществляет одиннадцатый пересмотр международной классификации болезней и проблем, связанных со здоровьем (МКБ-11). Ож...
К грядущему одиннадцатому пересмотру международной классификации болезней и проблем, связанных со здоровьем, ВОЗ предложила существенные поправки в классификацию психических расстройств и расстройств поведения. Этот класс включает в себя в том числе: F52 "Сексуальные дисфункции, не обусловленные органическими нарушениями или болезнями"; F64 "Расстройства половой идентификации"; F65 "Расстройства сексуального предпочтения" и F66 "Психологические и поведенческие расстройства, связанные с половым развитием и ориентацией". Эти поправки были предложены в связи с прогрессом в исследованиях и клинической практике, и, в большей степени, на основании крупных изменений в социальной сфере, релевантной политике, законах и правах человека. В данной статье описаны основные рекомендуемые изменения, подкрепленные доводами...
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