（表紙）

P.537-P.538

＊　Diagnotic criteria for Gender Identity Disorder

A. A strong and persistent cross-gender identification(not merely a desire
   for any perceived cultual advantages of being the other sex).

    In children, the disturbance is manifested by four(or more) of the
   following:

(1) repeatedly stated desire to be, or insistence that he or she is, the
    other sex
(2) in boys,preference for cross-dressing or simulating female attire;
    in girls,insistence on wearing only stereotypical masculine clothing
(3) strong and persistent preferences for cross-sex roles in make-believe
    play or persistent fantasies of being the other sex
(4) intense desire to participate in the stereotypical games and pastimes
    of the other sex
(5) strong preference for playmates of the other sex

 In adolescents and adults, the disturbance is manifested by symptoms such
as a stated desire to be the other sex,frequent passing as the other sex,
desire to live or be treated as the other sex,or the conviction that he or
she has the typical feelings and reactions of the other sex.

B. Persistent discomfort with his or her sex or sense of inappropriateness
   in the gender role that sex.

 In children,the disturbance is manifested by any of the following:in boys,
assertion that his penis or testes are disgusting or will disappear or
assertion that it would be better not to have a penis, or aversion toward
rough-and-tumble play and rejection of male stereotypical toys, games, and
activities;in girls,rejection of urinating in a sitting position, assertion
that she has or will grow a penis, or assertion that she does not want to 
grow breasts or menstruate, or marked aversion toward normative feminine
clothing.

 In adolescents and adults, the disturbance is manifested by symptoms such
as preoccupation with getting rid of primary and secondary sex
characteristics(e.g. ,request for hormones, surgery, or other procedures to
physically alter sexual characteristics to simulate the other sex)or belief
that he or she was born the wrong sex.

C. The disturbance is not concurrent with a physical intersex condition.

D. The disturbance causes clinically significant distress or impairment in
   social, occupational, or other important areas of functioning.

Code based on current age:
  302.6     Gender Identity Disorder in Children
  302.85    Gender Identity Disorder in Adolescents or Adults

Specify if (for sexually mature individuals):
    Sexually Attracted to Males
    Sexually Attracted to Females
　　Sexually Attracted to Both
　　Sexually Attracted to Neither