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The F A separate section describes the issue in more detail. The diagnoses were repealed at a national level in Sweden January 1, 6 , 7. The Dual-role transvestism and the SM diagnoses were repealed in Denmark respectively August 19, and May 1, 8. The health authorities in these two countries cited in their reasoning; health political, health promoting and human rights arguments. The Swedish board of health used the following phrases:. Private matter. The abolition gave the homosexuals self confidence because they no longer have a psychiatric stigma.

The Norwegian Directorate of Health has since as a goal to work for counteracting the stigmatizing of sexual minorities Preventative measures. In our opinion, outdated and non scientific diagnoses such as these, constitute an infringement of the human rights of the minorities that are described, and they hinder prophylactic health care efforts that are needed in these groups of people. The feeling of self value necessary for demanding or having a wish to protect oneself is influenced by societal factors, and only a few of these factors are under the control of the health authorities.

The Norwegian health authorities have taken an active interest in improving the self respect and the identity of the SM group, to increase the ability of protection against sexually transmitted diseases For many people, SM and fetishism is more than just behavior, it is part of their sexual orientation and identity In our opinion, stigmatizing minorities by considering their personal orientation as a psychiatric condition is as disrespectful as discriminating against people because of their race, ethnicity or religion.

Like the earlier diagnosis of Homosexuality that is no longer applied by the WHO, the SM and Fetish diagnoses are rarely used for therapeutic purposes. Much of the discrimination is directly or indirectly a result of the diagnoses. By repealing the diagnoses, the sexual minorities in question may breathe a bit more easily and be less afraid of private and public discrimination. Safe, sane and consensual. As opposed to dangerous perpetration, SM activities are mutually wanted and consensual activities that produce health promoting and pleasurable hormones 20 , 21 , 22 , 23 , Dead links updated November 22, Lack of homogeneity.

Chapter F65 does not represent a homogeneous totality. The diagnoses are superfluous. Any psychiatric condition that members of the group may suffer from is as for the rest of the population covered by the other, non paraphilic, diagnoses as for example depression, OCD, anxiety disorders, personality disorders or psychoses. If for example a person is preoccupied with her fetish to the extent that it becomes a problem in her daily life, she could for example become diagnosed with an obsessive compulsive disorder.

A person showing a particular behavior is not diagnosed according to that behavior, but on the basis of a set of symptoms. Sleeping diagnoses. As for the former homosexuality diagnosis, the fetish and SM diagnoses are virtually not being used by the medical profession today, at least not in Norway.

The only function of the diagnoses, in our opinion, is to stigmatize a subpopulation and to make discrimination legitimate. That contradicts the hippocratic ethics of the medical profession not to harm Science and prejudice. Psychiatry otherwise usually regards people as healthy as long as there is no evidence of psychopathology. International research shows the same tendency whether the surveys are qualitative or quantitative, whether they are performed by telephone, on the Internet or by personal interview: Sadomasochists have no more psychiatric problems or disorders than others In our opinion, diagnoses of fetishism and SM should be based on a scientific foundation, not on cultural prejudices.

Is being different an illness? Fetishists and SM-people represent a group of perhaps percent of the population and is increasingly considered a normal variation in society In earlier days several sexual practices were regarded as abnormal, for example homosexuality, masturbation, oral and anal sex. Extreme sports and religious flagellation may also be regarded as unusual. Sick without intercourse?

This stands in opposition to the ICD where lack of intercourse is one main argument for labeling fetishism as pathological.

Perhaps the World Health Organization should start looking at non penetrating sex as one of several ways to stop the HIV epidemic and the population explosion? Confusing SM with violence. ICD does not distinguish between consensual SM and harmful violence. This non distinction stands in opposition to modern research and contributes to maintaining the stigma towards that group of people. Psychological stress. The criterion does not take into account updated knowledge on stigma.

Stigmatization by society causes self stigmatization, guilt, shame and psychological distress in minority groups It is not necessarily the SM or fetish activity in and of itself that is problematic. The American DSM manual in introduced a B-criterion which states that fetishists or SM people are not ill unless the activities cause significant psychological, physical or social problems.

Stigma knowledge shows that many psychological, physical and social problems are not caused by the individual afflicted, but by taboos, prejudices, and discrimination imposed by the environment The dual-role transvestism diagnosis. Although the F It resembles the F The main difference seems to be that there is no sexual excitement involved in the F In our opinion it is just as discriminating and stigmatizing as the F65 diagnoses, so the general arguments for removing the F65 diagnoses also apply to the F Modern gender research shows that there is no longer any basis for claiming only two genders.

In later years individuals have presented with gender variations beyond woman and man, and these individuals are not confused, even though they may confuse people around them A few people, on the other hand, may suffer from gender dysphoria. These people may need medical attention and intervention, and the basis for that should be covered, if not in the other F64 categories, then certainly somewhere in the diagnostic system. In that context we would like to point out the NCSF website 29 which has references to among others Charles Moser who has written several articles about the DSM paraphilia diagnoses over the last years 35 , 36 , 37 , 23 , Reiersol O.

Kleinplatz and C.

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Moser Eds. Sadomasochism, Powerful Pleasures pp.

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Pp About the ReviseF65 project. Professional and health political work Fetish and SM diagnoses deleted in Sweden. The Local. Denmark withdraws SM from Diagnosis-list , April 1. Politiken, page A7. Dagens Nyheter. Dette er ikke perverst lenger [This is not any longer perverse]. Sweden takes sexual behaviors off their disease list. NCSF, National coalition for sexual freedom. Norwegian health authorities about healt preventive work. Ansvar og omtanke — Strategiplan for forebygging av hiv og soi [Responsibility and consideration — Norwegian national strategy plan to prevent hiv and sexually transmitted infections].

Pp 25 and Revise F Safe, sane, and consensual as a moral ethical principle and cornerstone of SM acticity.

SM versus abuse. No more psychopathology among SM-people.

Sexual Freedom NOW. Dagens Medisin [Medicine Today]. The Hippocratic Oath. World Health Organization The ICD classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. Geneva, Switzerland.

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Diagnostic criteria for research. Noyes, J. The mastery of submission: Inventions of masochism. Goffman, E. Englewood Cliffs, Prentice-Hall. American Psychiatric Association Diagnostic and statistical manual of mental disorders 4th ed. Washington DC. Transvestic fetishism: Psychopathology or iatrogenic artifact? New Jersey Psychologist, 52 2 Wright Ed. SM Classics pp. New York, Masquerade Books. What is SM? English , Seksualpolitikk , Sexual politics.

Despite new research , the views of psychiatry on the subject of SM, Fetishism and Fetishistic transvestism, have hardly changed in the last years. Leather people have been considered healthy the last ten years by most researchers, by US psychiatrists, and by the health authorities of Denmark and Sweden.