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Chapter 38. Treatment of Lesbian, Gay, Bisexual, and Transgender Patients

Jack Drescher, M.D.; Benjamin H. McCommon, M.D.; Billy E. Jones, M.D., M.S.
DOI: 10.1176/appi.books.9781585623402.316781

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This chapter focuses on some issues raised in the psychiatric treatment of lesbian, gay, bisexual, and transgender (LGBT) patients. Before the 1970s, the psychiatric focus on LGBT patients often aimed to 1) "cure"—that is, change an individual's homosexual orientation to a heterosexual one—or 2) assist those with gender atypical behavior to conform to gender stereotypes. This emphasis began to change in 1973, when the American Psychiatric Association removed homosexuality from the seventh printing of DSM-II (American Psychiatric Association 1968).

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Sample questions:
1.
Three significant events in the psychiatric diagnostic nomenclature were the removal of homosexuality as a mental disorder and the subsequent temporary inclusions of the categories "sexual orientation disturbance" and "ego-dystonic homosexuality." Which of the following correctly pairs a change with the DSM edition in which it first took effect?
2.
Which of the following statements regarding the prevalence and psychiatric comorbidity of homosexuality is true?
3.
Which of the following statements regarding sexual orientation as addressed in DSM-IV-TR is true?
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