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Trans depathologisation and gender identity disorder in Japan

A critical discourse analysis of medical literature, 2010-2022

Bibliographic Data

ID4597838
AuthorsYuumi Konishi (0000-0002-5144-5427, Japan Society for the Promotion of Science, corresponding author)
Year2024
Volume353
Pages117039
Publication date2024-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.117039
PMID38971112
OpenAlexW4399456248
LanguageEN
Citations received2
References cited33

Since the depathologisation movement in 2007 to challenge the pathologisation of trans identities in Western psychiatry, significant developments have occurred, including revisions to Standards of Care and diagnostic criteria such as ICD-11's gender incongruence and DSM-5's gender dysphoria, acknowledging gender diversity as an expected part of human development. This paper argues that Japanese medical models reflect global issues but also have unique aspects shaped by cultural and linguistic nuances. Using critical discourse analysis, this paper examines how depathologisation discourses are perceived in the Japanese medical community, focusing on the term seidouitsusei-syōgai (gender identity disorder), presenting three ways in which seidouitsusei-syōgai is used: psychiatric disorder, syōgai/sikkan (impairment/disability/disorder), and diagnostic category. These uses are influenced by legal and social reforms, healthcare access and alignment with international classifications, while the medical profession's authority remains unexamined. Reflecting the structural challenges of diagnostic models in trans medicine, the interpretation of seidouitsusei-syōgai differs from the English phrase 'gender identity disorder' due to the specific connotations of syōgai in the Japanese context. By examining Japan's approach to depathologisation and medicalisation, this paper enriches the understanding of trans medicine and the impact of depathologisation discourse in Japan

Context (archaeology · Critical discourse analysis · Discourse analysis · Diversity (politics · Gender dysphoria · Gender identity · Gender Identity Disorder · Identity (music · Interpretation (philosophy · Linguistics · Political science · Politics · Psychiatry · Sociology · Anthropology · Feminism, Gender, and Sexuality Studies · Gender Studies · History · Law · LGBTQ Health, Identity, and Policy · Psychology · Sexuality, Behavior, and Technology

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Unique citing works2
Citations per year2
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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