Impact of Depsychopathologization of Transgender and Gender Diverse Individuals in ICD-11 on Care Delivery
Résumé
Depsychopathologization of transgender and gender diverse (TGD) individuals in the
eleventh revision of the International Classification of Diseases (ICD-11) called for a shift in care
delivery models, based on free and informed consent. Public health policies face epistemic and
discriminatory challenges and consensus built on evidence-based data is needed. TGD communities
were consulted but did not actively participate in ICD-11 and the following public health debates.
There is a need for TGD perspective—both in research and practice. This study draws on a peer-led
participatory approach and explores TGD participants’ recommendations based on unexploited
French data from ICD-11, in which 72 TGD gave feedback on public policies. Lexicometric analyses
were conducted using the ALCESTE method and resulted in a two-step double Descending Hier-
archical Classification. Sex, gender, and health consumption were analyzed as secondary variables.
The first classification highlighted five main topics: care pathways, training of professionals, access,
literacy, and civil status change, developed into 12 targets in the second classification. While sex and
gender appeared to have little impact on discourses, recommendations varied according to received
care. This study supports the growing scientific consensus of a public health approach to face TGD
health challenges and emphasizes TGD individuals’ expertise.
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