Trans-Danmarks besvarelse den 5. november 2008 af sp√łrgeskema fra TGEU om DSM klassifikationerne.

Vist 66 gange.
I forbindelse med den igangv√¶rende forberedelse af DSM-5 har TGEU bedt sine medlemsorganisationer om at besvare et sp√łrgeskema om deres holdning til, om GIDk√łnsidentitetsforstyrrelse – skal forblive i fortegnelsen eller ej.
Trans-Danmark har i sin besvarelse af skemaet anf√łrt, at foreningen √łnsker GIDk√łnsidentitetsforstyrrelse – forbliver p√• listen.
Supplerende til afkrydsningerne i sp√łrgeskemaet og som begrundelse for, at foreningen ikke √łnsker GIDk√łnsidentitetsforstyrrelse – fjernet fra listen anf√łrer foreningen:

Vi √łnsker, at myndighederne skal give tilladelse til en k√łnsskifteoperation. Derfor vigtigt, at der er s√• klare definitioner p√• transk√łnnethed, som muligt. Det giver b√•de myndigheder og enkeltpersoner f√¶lles grundlag at vurdere ud fra.
Det er en politisk beslutning, om behandling vil blive d√¶kket af det offentlige, men det m√• formodes, at nogle politikere vil fors√łge at f√• √¶ndret lovgivningen, s√• det offentlige ikke skal betale.
En GID-diagnose er n√łdvendig for tilladelse til k√łnsskifte, og da lov om v√¶rnepligt og enkelte diskriminationslove indeholder bestemmelser, der er forskellige for m√¶nd og kvinder, har en GID-diagnose v√¶sentlig betydning.

DSM er en amerikansk fortegnelse. Det m√• imidlertid forventes, at den kan f√• afsmittende virkning p√• ICD-10, WHO‘s tilsvarende fortegnelse, som de europ√¶iske lande, herunder ogs√• Danmark anvender.

Introduction

As you probably know, the American Psychiatric Association (APA) has recently appointed the members of the committees that will review the DSM-IV criteria. The task of the committees is to make recommendations to the APA on changes, which will be based on new scientific evidence and insights.

The subcommittee on Gender Identity Disorders is currently reviewing the literature for this purpose. The committee believes, however, that it is also important to be aware of the opinions of the community on a number of issues, and of the financial and legal impact a DSM diagnosis may have for individuals. This may greatly differ between countries. It should be noted, however, that the questions do not imply that any decisions or changes have been made.

A number of organisations, primarily based in the US, have already voiced their opinions. Also, some individuals have written about the DSM diagnosis and criteria. In order to have an idea how representative the already expressed opinions are for the international community as a whole, we ask organisations from all continents to participate in this short survey.

The committee will also solicit the input of the transgender community in later phases of the process. This is just a first step.

Please return your response by November 5th as a Word format to DSM5@VUmc.nl

Given our limited resources, we can only process one survey respondent per organization, who ideally is an officially designated spokesperson for the organization.

Please note that the opinions expressed in response to this survey will not be released to the public, except in anonymous aggregated summaries.

Questions
1. Name of Organization.
  Trans-Danmark, Danish National Association of Transvestites and Transsexuals.
2. Country.
  Denmark.
3. Name of Person Completing Form.
  Karin Astrup.
3a. Role in Organization.
  President.
4. Does your organisation believe GID should stay in the DSM?
  X Yes.
    No.
    Uncertain.
  Arguments for keeping GID in the DSM (use this space only).
  We want the authorities to give permission for sex reassignment surgery. Therefore is it important to have clear definitions on transgenderism as possible. It provides both the authorities and individuals a common base to evaluate from.
5. If GID was taken out of the DSM, would mental health care be reimbursed in your country?
    Yes.
    No.
  X Uncertain.
  It will be a political decision if the cost for treatment would be covered by the public health care system, but we fear that some politicians will try to change the legislation so that there will be no reimbursement.
6. If GID was taken out the DSM, would physical health care be reimbursed in your country?
    Yes.
    No.
  X Uncertain.
  It will be a political decision if the cost for treatment would be covered by the public health care system, but we fear that some politicians will try to change the legislation so that there will be no reimbursement.
7. In your country, is a DSM diagnosis of GID used for official or legal purposes? (examples: anti-discrimination laws; marriage; military service).
    Yes.
    No.
  X Uncertain.
  If yes, how is the diagnosis used in these situations in your country?
  A GID diagnosis is necessary for permission to undergo SRS, and the law on Marriage, the law on mandatory military service and some laws on discrimination are different for male and female, the GID diagnosis has a substantial importance.
8. If GID remains a disorder listed in the DSM, would you prefer to change the name?
    Yes.
  X No.
    Uncertain.
  If yes, what name would you favour?
9. If criteria for GID for children did not contain cross-gender behaviors per se, would you favour keeping it in the DSM?
  X Yes.
    No.
    Uncertain.
10. How many registered members does your organization have?
  ( Number:) 52 members.
11. Did your responses to this survey reflect the official, written position of your organization?
  X Yes.
    There is no official, written position of this organization, but I have consulted with (number:) members of the society.
    No, I gave my personal opinion.
12. We have had difficulty identifying representative transgender organizations in several parts of the world, such as Eastern Europe, Africa, Latin America and the Caribbean, the Middle East, and Asia.
If you know of organizations in these regions, please list them below, with as much contact information as possible, so that we may solicit their feedback with this survey.