LAUSR

TheWorld Health Organization (WHO) publishes the International Classification of Diseases and Related Health Problems (ICD),whichcurrentlyisbeingrevised.TheICD-11isscheduled forcompletionin2018andthecurrentBetadraftversion isposted on the Internet to elicit commentary (WHO, 2016). Winter, De Cuypere, Green, Kane, and Knudson (2016) discuss whether to include a diagnosis of gender incongruence of childhood in ICD-11 because these children‘‘do not require ‘medical’ treatment’’(Zucker, 2016, p. 1877). Strictly speaking, adults with gender incongruence do not always requiremedical treatment either. Some adults manage their gender dysphoria with dress, living in the desired role, and sheer force of will. Iwill get to thequestionof the childhooddiagnosis shortly, but first I want to contrast the terms used in the DSM-5 (American Psychiatric Association [APA], 2013) and the ICD-11. Cohen-Kettenis and Pfäfflin (2010) recommended theDSM-5 diagnostic label be changed fromgender identity disorder to gender dysphoria. They contended that the new termwould: