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07-SEPTEMBER-2008 03:17:44 - Ego-dystonic sexual orientation Ego-dystonic sexual orientation Classification and external resources ICD-10 F66.1 ICD-9 302.0 Egodystonic sexual orientation is an egodystonic condition. The World Health Organization lists egodystonic sexual orientation in the ICD-10, under Psychological and behavioural disorders associated with sexual development and orientation. The WHO describes it thus: The gender identity or sexual preference heterosexual, homosexual, bisexual, or prepubertal is not in doubt, but the individual wishes it were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it. F66.1 The WHO applies the following note to the entirety of part F66: Sexual orientation by itself is not to be regarded as a disorder.1 The diagnostic category of ego-dystonic homosexuality was removed from the American Psychiatric Association's DSM in 1987 with the publication of the DSM-III-R, but still potentially remains in the DSM-IV under the category of sexual disorder not otherwise specified including persistent and marked distress about one's sexual orientation. The Medical Council of India uses the WHO classification of ego-dystonic sexual orientation.2 The Chinese Classification and Diagnostic Criteria of Mental Disorders includes ego-dystonic homosexuality, but does not include ego-dystonic heterosexuality, bisexuality, or prepubertal sexuality.3 The American Psychological Association has officially opposed the category of ego-dystonic homosexuality since 1987.4 Treatments There are many ways a person may go about receiving therapy for ego-dystonic homosexual orientation. There is no known therapy for other types of egodystonic sexual orientations. Therapy can be aimed at changing sexual orientation, sexual behavior, or helping a client become more comfortable with their sexual orientation and behaviors. Human right groups have accused some countries of performing these treatments on egosyntonic homosexuals.5 One survey suggested that viewing the same-sex activities as compulsive facilitated commitment to a mixed-orientation marriage and to monogamy.6 In addition, some people seek non-professional methods, such as religious counseling or attendance in an ex-gay group. Aversion therapy uses associate negative stimuli with homoerotic pictures and positive stimuli with heteroerotic pictures. A series of 1966 experiments showed promise, and the practice became popular, but it fell out of practice after the reports where shown to be flawed.7 Since 1994, the American Psychological Association has declared that aversion therapy is a dangerous practice that does not work, but it is still in use in some countries.5 Conversion therapy uses psychotherapy to turn people's sexual orientation from homosexual to heterosexual. It may be harmful if the client is egosyntonic and does not with to change their sexual orientation.8 American medical associations recommend practitioners avoid the practice.9 Gay affirmative psychotherapy uses psychotherapy to make the client more comfortable with pursuing same-sex relationships. This approach may not be indicated for some, and especially religious clients can be harmed from gay-affirmative practitioners who overtly or subtly devalue their conservative religious identities.10 Data suggest that clients generally judge therapists who do not respect religiously-based identity outcomes to be unhelpful.11 Sexual Identity Therapy helps the client determine their own direction, and assists them to accomplish those goals, whether they wish to pursue same-sex relationships, opposite-sex relationships, or celibacy. Group psychotherapy uses group sessions lead by a single psychologist and focuses on conflict surrounding homosexual expression.12 References ^ ICD-10: See part F66. ^ Human rights violations against sexuality minorities in India. People's Union for Civil Liberties February 2001. ^ CSSSM ^ Use of Diagnoses Homosexuality Ego-Dystonic Homosexuality August 27 30, 1987 ^ a b Chandran, Vinay February 2006. Prayer, punishment or therapy? Being a homosexual in India. InfoChange News Features. Retrieved on 2007-08-28. While social attitudes are slowly changing in India and the anti-sodomy law is being challenged, mental health professionals in many places still offer therapy to homosexuals. ^ Marital satisfaction during recovery from self-identified sexual addiction among bisexual men and their wives. ^ Seligman, p. 156 ^ Nicolosi, Joseph; Byrd, A. Dean; Potts, Richard W. June 2000. Retrospective self-reports of changes in homosexual orientation: A consumer survey of conversion therapy clients 86: 1071-1088. Psychological Reports. ^ Position Statement on Therapies Focused on Attempts to Change Sexual Orientation Reparative or Conversion Therapies. American Psychiatric Association May 2000. Retrieved on 2007-08-28. ^ Haldeman, Douglas 2004. When Sexual and Religious Orientation Collide:Considerations in Working with Conflicted Same-Sex Attracted Male Clients. The Counseling Psychologist 32: 691. The Counseling Psychologist. doi:10.1177/0011000004267560. ^ Throckmorton, Warren Winter 2005. Counseling practices as they relate to ratings of helpfulness by consumers of sexual reorientation therapy 24: 332-342. Journal of Psychology and Christianity. ^ Group psychotherapy for bisexual men and their wives. v d e WHO ICD-10 mental and behavioral disorders F · 290-319 Neurological/symptomatic Dementia Alzheimer's disease, multi-infarct dementia, Pick's disease, Creutzfeldt-Jakob disease, Huntington's disease, Parkinson's disease, AIDS dementia complex, Frontotemporal dementia, Elopement, Sundowning, Wandering · Delirium · Post-concussion syndrome · Organic brain syndrome Psychoactive substance alcohol drunkenness, alcohol dependence, alcoholic hallucinosis, Alcohol withdrawal, delirium tremens, Korsakoff's syndrome, alcohol abuse · opioids opioid dependency · sedative/hypnotic benzodiazepine withdrawal · cocaine cocaine dependence · general Intoxication, Drug abuse, Physical dependence, Withdrawal Psychotic disorder Schizophrenia disorganized schizophrenia · Schizophreniform disorder · Schizotypal personality disorder · Delusional disorder · Folie à deux · Schizoaffective disorder Mood affective Mania · Bipolar disorder · Clinical depression · Cyclothymia · Dysthymia Neurotic, stress-related and somatoform Anxiety disorder Agoraphobia, Panic disorder, Panic attack, Generalized anxiety disorder, Social anxiety, Social phobia · OCD · Acute stress reaction · PTSD · Adjustment disorder · Conversion disorder Ganser syndrome · Somatoform disorder Somatization disorder, Body dysmorphic disorder, Hypochondriasis, Nosophobia, Da Costa's syndrome, Psychalgia · Neurasthenia Physiological/physical behavioral Eating disorder: Anorexia nervosa · Bulimia nervosa Sleep disorder: Dyssomnia Hypersomnia, Insomnia · Parasomnia REM behavior disorder, Night terror · Nightmare Sexual dysfunction: Erectile dysfunction · Premature ejaculation · Vaginismus · Dyspareunia · Hypersexuality · Female sexual arousal disorder Postpartum depression · Postnatal psychosis Adult personality and behavior Personality disorder · Passive-aggressive behavior · Kleptomania · Trichotillomania · Voyeurism · Factitious disorder · Munchausen syndrome · Ego-dystonic sexual orientation · Fetishism Mental retardation Mental retardation Psychological development developmental disorder Specific: speech and language expressive language disorder, aphasia, expressive aphasia, receptive aphasia, Landau-Kleffner syndrome, lisp · Scholastic skills dyslexia, dysgraphia, Gerstmann syndrome · Motor function developmental dyspraxia Pervasive: Autism · Rett syndrome · Asperger syndrome Behavioral and emotional, childhood and adolescence onset ADHD · Conduct disorder · Oppositional defiant disorder · Separation anxiety disorder · Selective mutism · Reactive attachment disorder · Tic disorder · Tourette syndrome · Speech stuttering · cluttering This psychology-related article is a stub. Retrieved from http://en..org/wiki/Ego-dystonic_sexual_orientation Categories: Mental illness diagnosis by DSM and ICD | Sexual orientation and medicine | Psychology stubs Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Deutsch This page was last modified on 20 August 2008, at 02:19

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