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This should contribute to reduce stigmatisation while maintaining access to medical care. One argument in favor of depsychiatrisation is to demonstrate that essential features of gender identity disorders, namely psychological distress and functional impairment, are not necessarily reported by every transgender person, and may result from social rejection and violence rather than dysphoria itself. Initially confirmed in Mexico, these hypotheses were tested in a specific French medical context, where access to care does not require any prior mental health evaluation or diagnosis.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800002674_abst0010\" sec-type=\"methods\"><jats:title>Method:<\/jats:title><jats:p>In 2017, 72 transgender persons completed retrospective interviews which focused on the period when they became aware that they might be transgender and perhaps would need to do something about it.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800002674_abst0015\" sec-type=\"results\"><jats:title>Results:<\/jats:title><jats:p>Results showed that psychological distress and functional impairment were not reported by every participant, that they may result from rejection and violence, and especially from rejection and violence coming from coworkers and schoolmates. Additional data showed that the use of health services for body transformation did not depend on distress and dysfunction. Finally, participants preferred ICD 11 to employ \u201ctransgender\u201d or \u201ctransidentity\u201d rather than \u201cgender incongruence\u201d.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800002674_abst0020\" sec-type=\"conclusions\"><jats:title>Conclusion:<\/jats:title><jats:p>Results support depsychiatrisation. They are discussed in terms of medical, ethical, legal, and social, added values and implications of depsychiatrisation.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2019.03.005","type":"journal-article","created":{"date-parts":[[2019,4,11]],"date-time":"2019-04-11T11:46:29Z","timestamp":1554983189000},"page":"8-14","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Why and how to support depsychiatrisation of adult transidentity in ICD-11: A French study"],"prefix":"10.1017","volume":"59","author":[{"given":"Fran\u00e7oise","family":"Askevis-Leherpeux","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"de la Cheneli\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Baleige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Chouchane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Jeanne","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebeca","family":"Robles-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Fres\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Quach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Claire","family":"Stona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Reed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Luc","family":"Roelandt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,1,1]]},"reference":[{"key":"S0924933800002674_bib0070","unstructured":"[14] SOS Homophobie , Rapport sur l\u2019homophobie 2018. 2018."},{"key":"S0924933800002674_bib0020","first-page":"34","article-title":"Le \u00ab transsexualisme \u00bb, entre normes sociojuridiques, normes de sant\u00e9 et normes de genre","volume":"28","author":"Thomas","year":"2016","journal-title":"Nouv Prat Soc"},{"key":"S0924933800002674_bib0055","first-page":"169","article-title":"Vers la CIM-11 : cr\u00e9er un espace pour une diversit\u00e9 de perspectives","volume":"87","author":"Reed","year":"2011","journal-title":"Inf Psychiatr"},{"key":"S0924933800002674_bib0005","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.03.032"},{"key":"S0924933800002674_bib0045","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2013.1500"},{"key":"S0924933800002674_bib0105","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1995.tb09763.x"},{"key":"S0924933800002674_bib0095","unstructured":"[19] De la Cheneli\u00e8re M. 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