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The depathologization of trans* lives in the ICD\u201011 finally enables trans* people to access psychotherapeutic services more freely, as the compulsory therapy that has thus far been required for access to transition\u2010related treatments, as well as the so\u2010called \u201cdiagnosis\u201d and \u201ctreatment\u201d of \u201ctranssexuality\u201d, have been removed. Trans* people will nevertheless be interested in qualified psychotherapeutic treatment options. Due to the decades\u2010long discrimination and treatment in the health system that has disregarded the human rights of trans* people, a trans*\u2010affirmative approach is necessary, one that takes into account the context of the treatment and critically reflects upon one's own position as a health professional. This affirmative and self\u2010reflective approach provides the basis upon which therapeutic concerns and topics related to a life lived in accordance with a self\u2010determined (gender) identity, related needs, and the fulfillment of those needs, can be discussed. The consequences of experiences of discrimination, violence and exclusion are, moreover, important elements of therapy that require a structural and social contextualization in order to address internalized trans*\u2010negativity and to empower trans* people in their self\u2010assertion.<\/jats:p>","DOI":"10.1002\/bsl.2683","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T06:54:07Z","timestamp":1718952847000},"page":"607-619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Depathologization of trans* experience in ICD\u201011: Suggestions for context\u2010sensitive psychotherapeutic work"],"prefix":"10.1002","volume":"42","author":[{"given":"Kirsten","family":"Teren","sequence":"first","affiliation":[{"name":"Praxis f\u00fcr Psychotherapie  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Regelungs\u2010und Reformbedarf f\u00fcr transgeschlechtliche Menschen. 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