Sexual maturation disorder

Specialty| Psychiatry, Psychology

Sexual maturation disorder was listed in the tenth edition of the World Health Organization's (WHO) International Classification of Diseases, the ICD-10, the most widely used diagnostic manual by psychiatrists and psychologists worldwide.[1] It was described as a disorder of anxiety or depression related to an uncertainty about one's gender identity or sexual orientation.[2] In 2014, it was determined that there was no justification for the existence of this mental disorder category, and the diagnosis was not included in the ICD-11, which went into effect in January 2022.[3]

## Contents

* 1 History
* 2 Removal from ICD
* 3 See also
* 4 References
* 5 External links

## History

Sexual maturation disorder, along with ego-dystonic sexual orientation and sexual relationship disorder, was introduced to the ICD in 1990, replacing the ICD-9 diagnosis of homosexuality.[4] The following note was applied to the entirety of part F66, the section in which these three diagnoses appeared: "Sexual orientation by itself is not to be regarded as a disorder."[2]

## Removal from ICD

As part of the development of the ICD-11, the WHO appointed a Working Group on the Classification of Sexual Disorders and Sexual Health to make recommendations on the disease categories related to sexual orientation (part F66). The working group recommended the entire part F66 be deleted due to a lack of clinical utility, a lack of usefulness in public health data, and the potential for negative consequences, including the risk that these categories might lend support to "ineffective and unethical treatment" such as conversion therapy.[5][6] It noted that there is no evidence that non-heterosexual sexual orientation is itself a cause of distress; instead, there is robust empirical evidence that psychological symptoms in non-heterosexual people are the product of discrimination, social rejection, and stigma.[3][1]

In reference to sexual maturation disorder specifically, the working group noted the possibility that this diagnostic category conflated normal developmental patterns with pathological processes, and also noted that people with a non-heterosexual sexual orientation or who are gender nonconforming may experience social stress due to stigma, but such distress is not indicative of a disorder.[5][6]

Accordingly, the ICD-11 does not include any diagnostic categories that can be applied to people on the basis of sexual orientation, bringing the ICD in line with the DSM-5.[3][5]

## See also

* Homosexuality and psychology
* Questioning (sexuality and gender)
* Homosexuality in the DSM

## References

1. ↑ 1.0 1.1 Robles, Rebeca; Real, Tania; Reed, Geoffrey M. (2021). "Depathologizing Sexual Orientation and Transgender Identities in Psychiatric Classifications" (in en). Consortium Psychiatricum 2 (2): 45–53. doi:10.17816/CP61. ISSN 2713-2919. https://doi.org/10.17816/CP61.
2. ↑ 2.0 2.1 ICD-10, F66.0
3. ↑ 3.0 3.1 3.2 Reed, Geoffrey M.; Drescher, Jack; Krueger, Richard B.; Atalla, Elham; Cochran, Susan D.; First, Michael B.; Cohen-Kettenis, Peggy T.; Arango-de Montis, Iván et al. (October 2016). "Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations". World Psychiatry 15 (3): 205–221. doi:10.1002/wps.20354. PMID 27717275.
4. ↑ Drescher, Jack (4 August 2015). "Queer diagnoses revisited: The past and future of homosexuality and gender diagnoses in DSM and ICD". International Review of Psychiatry 27 (5): 386–395. doi:10.3109/09540261.2015.1053847. PMID 26242413.
5. ↑ 5.0 5.1 5.2 Cochran, Susan D; Drescher, Jack; Kismödi, Eszter; Giami, Alain; García-Moreno, Claudia; Atalla, Elham; Marais, Adele; Vieira, Elisabeth Meloni et al. (1 September 2014). "Proposed declassification of disease categories related to sexual orientation in the (ICD-11)". Bulletin of the World Health Organization 92 (9): 672–679. doi:10.2471/BLT.14.135541. PMID 25378758.
6. ↑ 6.0 6.1 Cochran, Susan D.; Drescher, Jack; Kismödi, Eszter; Giami, Alain; García-Moreno, Claudia; Atalla, Elham; Marais, Adele; Meloni Vieira, Elisabeth et al. (2020). "Proposed Declassification of Disease Categories Related to Sexual Orientation in the International Statistical Classification of Diseases and Related Health Problems (ICD-11)". FOCUS 18 (3): 351–357. doi:10.1176/appi.focus.18303. ISSN 1541-4094. PMID 33343245.

## External links

Classification|

* ICD-10: F66.0

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* v
* t
* e

Mental and behavioral disorders (F00–F99 & 290–319)

Adult personality and behavior

| Gender dysphoria|

* Ego-dystonic sexual orientation
* Paraphilia
* Fetishism
* Voyeurism
* Sexual maturation disorder
* Sexual relationship disorder

|

Other|

* Factitious disorder
* Munchausen syndrome
* Impulse control disorder
* Dermatillomania
* Kleptomania
* Pyromania
* Trichotillomania
* Personality disorder

Childhood and learning

| Emotional and behavioral|

* ADHD
* Conduct disorder
* ODD
* Emotional and behavioral disorders
* Separation anxiety disorder
* Movement disorders
* Stereotypic
* Social functioning
* DAD
* RAD
* Selective mutism
* Speech
* Stuttering
* Cluttering
* Tic disorder
* Tourette syndrome

|

Intellectual disability|

* X-linked intellectual disability
* Lujan–Fryns syndrome

Psychological development
(developmental disabilities)|

* Pervasive
* Specific

Mood (affective)

* Bipolar
* Bipolar I
* Bipolar II
* Bipolar NOS
* Cyclothymia
* Depression
* Atypical depression
* Dysthymia
* Major depressive disorder
* Melancholic depression
* Seasonal affective disorder
* Mania

Neurological and symptomatic

| Autism spectrum|

* Autism
* Asperger syndrome
* High-functioning autism
* PDD-NOS
* Savant syndrome

|

Dementia|

* AIDS dementia complex
* Alzheimer's disease
* Creutzfeldt–Jakob disease
* Frontotemporal dementia
* Huntington's disease
* Mild cognitive impairment
* Parkinson's disease
* Pick's disease
* Sundowning
* Vascular dementia
* Wandering

Other|

* Delirium
* Organic brain syndrome
* Post-concussion syndrome

Neurotic, stress-related and somatoform

| Adjustment|

* Adjustment disorder with depressed mood

|

Anxiety|

| Phobia|

* Agoraphobia
* Social anxiety
* Social phobia
* Anthropophobia
* Specific social phobia
* Specific phobia
* Claustrophobia

|

Other|

* Generalized anxiety disorder
* OCD
* Panic attack
* Panic disorder
* Stress
* Acute stress reaction
* PTSD

Dissociative|

* Depersonalization disorder
* Dissociative identity disorder
* Fugue state
* Psychogenic amnesia

Somatic symptom|

* Body dysmorphic disorder
* Conversion disorder
* Ganser syndrome
* Globus pharyngis
* Da Costa's syndrome
* Hypochondriasis
* Mass psychogenic illness
* Neurasthenia
* Nosophobia
* Psychalgia
* Somatization disorder

Physiological and physical behavior

| Eating|

* Anorexia nervosa
* Bulimia nervosa
* Rumination syndrome
* Other specified feeding or eating disorder

|

Nonorganic
sleep|

* Hypersomnia
* Insomnia
* Parasomnia
* Night terror
* Nightmare
* REM sleep behavior disorder

Postnatal|

* Postpartum depression
* Postpartum psychosis

Sexual dysfunction|

| Arousal|

* Erectile dysfunction
* Female sexual arousal disorder

|

Desire|

* Hypersexuality
* Hypoactive sexual desire disorder

Orgasm|

* Anorgasmia
* Delayed ejaculation
* Premature ejaculation
* Sexual anhedonia

Pain|

* Nonorganic dyspareunia
* Nonorganic vaginismus

Psychoactive substances, substance abuse and substance-related

* Drug overdose
* Intoxication
* Physical dependence
* Rebound effect
* Stimulant psychosis
* Substance dependence
* Withdrawal

Schizophrenia, schizotypal and delusional

| Delusional|

* Delusional disorder
* Folie à deux

|

Psychosis and
schizophrenia-like|

* Brief reactive psychosis
* Schizoaffective disorder
* Schizophreniform disorder

Schizophrenia|

* Childhood schizophrenia
* Disorganized (hebephrenic) schizophrenia
* Paranoid schizophrenia
* Pseudoneurotic schizophrenia
* Simple-type schizophrenia

Symptoms and uncategorized

* Catatonia
* False pregnancy
* Intermittent explosive disorder
* Klüver–Bucy syndrome
* Psychogenic non-epileptic seizures
* Psychomotor agitation
* Stereotypy

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