Jack Drescher (born 1951) is an American psychiatrist and psychoanalyst known for his work on sexual orientation and gender identity. [1]
Drescher earned a B.A. in biology from Brooklyn College in 1972 and a M.D. from University of Michigan Medical School in 1980. He completed an internship in psychiatry at St. Vincent’s Hospital & Medical Center and a residency at SUNY Downstate Medical Center. Drescher trained in psychoanalysis at the William Alanson White Institute, where he is a training and supervising analyst. He is a faculty member and senior psychoanalytic consultant at the Columbia University Center for Psychoanalytic Training and Research, clinical professor of psychiatry at Columbia University College of Physicians and Surgeons and an adjunct professor at New York University postdoctoral program in psychotherapy and psychoanalysis. [2]
Drescher is a Distinguished Life Fellow of the American Psychiatric Association. He is a member of the American College of Psychiatrists and the International Academy of Sex Research. He is a past president of the Group for the Advancement of Psychiatry and a past president of the New York County Psychiatric Society. [3] He is emeritus editor of the Journal of Gay & Lesbian Mental Health .
Drescher was an early professional critic of the ex-gay movement and conversion therapy, calling it "questionable in its efficacy" and citing potential harms of therapy to suppress or change sexual orientation. [4] In addition to writing about the ethical concerns, [2] Drescher has likened attempts to suggest there is a professional debate about this to creationism: "You create the impression to the public as if there was a debate in the profession, which there is not." [1] Drescher was one those who spoke out after Robert Spitzer in 2003 published his findings that some gay people can alter their orientation. [5] Spitzer in 2012 repudiated the 2003 study's conclusions. [6]
Drescher was a member of the American Psychiatric Association DSM-5 Workgroup on Sexual and Gender Identity Disorders. His subworkgroup was responsible for revising the DSM-IV-TR diagnosis of Gender Identity Disorder to the DSM-5 diagnosis of Gender Dysphoria. He was section editor of the chapter on Gender Dysphoria in the 2022 text revision of the DSM-5 or DSM-5-TR.
He was also a member of the World Health Organization Working Group on the Classification of Sexual Disorders and Sexual Health which revised the sex and gender diagnoses in WHO's International Classification of Diseases (ICD-11). That working group's recommendation was to rename the diagnoses "Gender Incongruence" and to move the GI diagnoses out of the mental disorders section of ICD into a new chapter called "Conditions Related to Sexual Health". [7]
The Diagnostic and Statistical Manual of Mental Disorders is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria. It is an internationally accepted manual on the diagnosis and treatment of mental disorders, though it may be used in conjunction with other documents. Other commonly used principal guides of psychiatry include the International Classification of Diseases (ICD), Chinese Classification of Mental Disorders (CCMD), and the Psychodynamic Diagnostic Manual. However, not all providers rely on the DSM-5 as a guide, since the ICD's mental disorder diagnoses are used around the world, and scientific studies often measure changes in symptom scale scores rather than changes in DSM-5 criteria to determine the real-world effects of mental health interventions.
A paraphilia is an experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner. Paraphilias are contrasted with normophilic ("normal") sexual interests, though the definition of what makes a sexual interest normal or atypical remains controversial.
Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have been used to this end include forms of brain surgery, surgical or hormonal castration, aversive treatments such as electric shocks, nausea-inducing drugs, hypnosis, counseling, spiritual interventions, visualization, psychoanalysis, and arousal reconditioning.
Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identity—their personal sense of their own gender—and their sex assigned at birth. The term replaced the previous diagnostic label of gender identity disorder (GID) in 2013 with the release of the diagnostic manual DSM-5. The condition was renamed to remove the stigma associated with the term disorder.
Transvestism is the practice of dressing in a manner traditionally or stereotypically associated with a different gender.
The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the DSM-I in 1952 as a "sociopathic personality disturbance," but that classification came under scrutiny in research funded by the National Institute of Mental Health. That research and subsequent studies consistently failed to produce any empirical or scientific basis for regarding homosexuality as anything other than a natural and normal sexual orientation that is a healthy and positive expression of human sexuality. As a result of this scientific research, the American Psychiatric Association removed homosexuality from the DSM-II in 1973. Upon a thorough review of the scientific data, the American Psychological Association followed in 1975 and also called on all mental health professionals to take the lead in "removing the stigma of mental illness that has long been associated" with homosexuality. In 1993, the National Association of Social Workers adopted the same position as the American Psychiatric Association and the American Psychological Association, in recognition of scientific evidence. The World Health Organization, which listed homosexuality in the ICD-9 in 1977, removed homosexuality from the ICD-10 which was endorsed by the 43rd World Health Assembly on 17 May 1990.
Richard A. Isay was an American psychiatrist, psychoanalyst, author and gay activist. He was a professor of psychiatry at Weill Cornell Medical College and a faculty member of the Columbia University Center for Psychoanalytic Training and Research. Isay is considered a pioneer who changed the way that psychoanalysts view homosexuality.
Robert Leopold Spitzer was a psychiatrist and professor of psychiatry at Columbia University in New York City. He was a major force in the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Richard Green was an American-British sexologist, psychiatrist, lawyer, and author known for his research on homosexuality and transsexualism, specifically gender identity disorder in children. He is known for his behaviorism experiment in which he attempted to prevent male homosexuality and transsexuality by extinguishing feminine behavior in young boys. He later came to favor biological explanations for male homosexuality.
Ego-dystonic sexual orientation is a highly controversial mental health diagnosis that was included in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM) from 1980 to 1987 and in the World Health Organization's (WHO) International Classification of Diseases (ICD) from 1990 to 2019. Individuals could be diagnosed with ego-dystonic sexual orientation if their sexual orientation or attractions were at odds with their idealized self-image, causing anxiety and a desire to change their orientation or become more comfortable with it. It describes not innate sexual orientation itself, but a conflict between the sexual orientation a person wishes to have and their actual sexual orientation.
The classification of mental disorders, also known as psychiatric nosology or psychiatric taxonomy, is central to the practice of psychiatry and other mental health professions.
Brief psychotic disorder—according to the classifications of mental disorders DSM-IV-TR and DSM-5—is a psychotic condition involving the sudden onset of at least one psychotic symptom lasting 1 day to 1 month, often accompanied by emotional turmoil. Remission of all symptoms is complete with patients returning to the previous level of functioning. It may follow a period of extreme stress including the loss of a loved one. Most patients with this condition under DSM-5 would be classified as having acute and transient psychotic disorders under ICD-10. Prior to DSM-IV, this condition was called "brief reactive psychosis." This condition may or may not be recurrent, and it should not be caused by another condition.
Kenneth J. Zucker is an American-Canadian psychologist and sexologist. He was named editor-in-chief of Archives of Sexual Behavior in 2001. He was psychologist-in-chief at Toronto's Centre for Addiction and Mental Health (CAMH) and head of its Gender Identity Service until December 2015. Zucker is a professor in the departments of psychiatry and psychology at the University of Toronto.
Judd Marmor was an American psychoanalyst and psychiatrist known for his role in removing homosexuality from the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders.
Richard C. Friedman was an academic psychiatrist, the Clinical Professor of Psychiatry at Weill Cornell Medical College, and a faculty member at Columbia University. He has conducted research in the endocrinology and the psychodynamics of homosexuality, especially within the context of psychoanalysis. Friedman was born in The Bronx, New York.
Sexual relationship disorder was listed in the tenth edition of the World Health Organization's (WHO) International Classification of Diseases, the ICD-10, the most widely used diagnostic manual by psychiatrists and psychologists worldwide. It was described as a disorder where a person has difficulties forming or maintaining a sexual relationship because of their gender identity or sexual orientation. In 2014, it was determined that there was no justification for the existence of this mental disorder category, and the diagnosis was not included in the ICD-11, which went into effect in January 2022.
Sexual maturation disorder was listed in the tenth edition of the World Health Organization's (WHO) International Classification of Diseases, the ICD-10, the most widely used diagnostic manual by psychiatrists and psychologists worldwide. It was described as a disorder of anxiety or depression related to an uncertainty about one's gender identity or sexual orientation. In 2014, it was determined that there was no justification for the existence of this mental disorder category, and the diagnosis was not included in the ICD-11, which went into effect in January 2022.
Homosexuality was classified as a mental disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM) beginning with the first edition, published in 1952 by the American Psychiatric Association (APA). This classification was challenged by gay rights activists during the gay liberation following the 1969 Stonewall riots, and in December 1973, the APA board of trustees voted to declassify homosexuality as a mental disorder. In 1974, the DSM was updated and homosexuality was replaced with a new diagnostic code for individuals distressed by their homosexuality, termed ego-dystonic sexual orientation. Distress over one's sexual orientation remained in the manual, under different names, until the DSM-5 in 2013.
Lawrence Hartmann is a child and adult psychiatrist, social-psychiatric activist, clinician, professor, and former President of the American Psychiatric Association (APA). Hartmann played a central role in the APA's 1973 decision to remove homosexuality as a diagnosis of mental illness from its Diagnostic and Statistical Manual. This change decisively changed the modern era of LGBTQ rights by providing support for the overturning of laws and prejudices against homosexuals and by advancing gay civil rights, including the right to immigrate, to adopt, to buy a home, to teach, to marry, and to be left alone.
The history of conversion therapy can be divided broadly into three periods: an early Freudian period; a period of mainstream approval of conversion therapy, when the mental health establishment became the "primary superintendent" of sexuality; and a post-Stonewall period where the mainstream medical profession disavowed conversion therapy.