Information is distributed that the WHO excluded from the international classification of diseases of the 11th review such a diagnosis as pedophilia. We decided to check if this is really so.

Many media reported such a decision of the organization: REGNUM (“Transsexualism* and pedophilia is no longer a pathology? New norms of psychiatry”), TV channel “Tsargrad" (“The Kostroma lesson does not teach anything: WHO wants to legalize pedophilia in Russia?”), “Necessary.ru" ("WHO is going to legalize pedophilia"). Journalists argue that the organization "is going to legalize pedophilia and other forms of sexual perversions as" norms of sexual behavior "." The article “Constantinople”, for example, also provides the opinion of certain “smart psychiatrists” without specifying their surnames and professional achievements: “The approach to all forms of deviant sexual attraction, in fact, repeats the path traveled by homosexuality* in 1968–1973, when the aggressive pressure of LGBT activists ended with voting, which lasted for several years, ended with voting, excluding homosexuality from the list of mental disorders. According to ICD-11, such forms of deviation as pedophilia or zoophilia are at the stage of normalization, more or less corresponding to the 1973 stage for homosexuality. ” The news also excited the Internet community-Tsargrad reports a petition against the adoption of a new version of the ICD in Russia (the petition itself is already unavailable, it has been preserved Archive Version) that was Addressed Minister of Health Mikhail Murashko. This appeal was posted on the Citizengo portal (our colleagues from Kazakhstan earlier They wroteHow this site works).

International statistical classification of diseases and health problems is the leading statistical warp In healthcare, which is periodically reviewed under the guidance of WHO experts. ICD-10 was adopted in 1990. In 2007, work began on its review, and in 2019 the 11th edition was approved.

Check if pedophilia was really in the ICD-10, but is not in the ICD-11 is extremely simple. It is enough to open a classification section on the site. In the ICD-10, the corresponding diagnosis There is, it is encoded as F65.4, that is, is located in section F - “mental disorders and behavior disorders”, in subsection 60–69 “personality disorders and behavior in adulthood”. A group of diseases under the F65 code is called "disorders of sexual preference." The description states that this group also includes paraffilia (sexual arousal from atypical objects, situations, and/or excitation objects). Further, the classification lists ten pathological conditions denoting various disorders. The clarifying code “.4” describes the pedophilia. There is also a definition of what is understood by this diagnosis: "Sexual craving for children (boys, girls or one and the other), usually a prepubertite or early puberty."

Now we will study the ICB-11. The classifier of diseases in it is arranged in a slightly different way: by introducing into the search for Paedophilia, we fall on a page called 6D32 Pedophilic Disorder. The number 6 encodes the section “Mental and behavioral disorders” (cf. “Mental disorders and behavior disorders” in the ICD-10). The subsection of “Paraffilia” (in the last version of the paraffilia were included in the subgroup, and now the entire group of diseases is called) describes codes from 6D30 at 6D3Z, only eight pathological conditions, including “pedophilical disorder”.

What actually changed in the section? Fetishism and fetishist transvestism have ceased to be classified as a separate disorder, at the same time such a term appeared as “paraaphyal disorder, including solitary behavior or consent of persons”. Exhibitionism and voyeurism remained, sadomasochism is now called "forced sexual sadistic disorder." With a fugitive comparison of the ICD-10 and ICD-11, it can also be decided that in the 11th revision, diagnoses such as zoophilia and necrophilia disappeared, but in fact these disorders fell into the group “Another paraffinal disorder with the participation of disagreed persons”.

Also, ICD-11, unlike the ICD-10, gives a more expanded description for each disease. We read carefully that experts write about pedophilic disorder. They really note that for the diagnosis of disorder, three points must be performed:

- a sustainable, focused and intensive model of sexual arousal, manifested in constant sexual thoughts, fantasies, motives or behavior, with the participation of children of pre -Pububertic age;

- A person must act in accordance with these thoughts, fantasies or motives or to be noticeably upset by them;

- The diagnosis does not apply to sexual excitement and related behavior between children before or after puberty.

Separately, the ICD-11 is described when it is worth making a line between the presence of a pedophilic disorder and its absence. In particular, without constant sexual thoughts and fantasies, the cause of the episode of pedophile behavior can be a state of intoxication or the use of psychoactive substances. Also, “sexual behavior with the participation of children, which does not reflect the main, constant model of pedophile sexual arousal, can occur in the context of some mental disorders, such as bipolar type I disorder during manic or mixed episodes or dementia.” Dementia in this context interpreted More widely than senile dementia, and includes all types of the decay of mental functions that occur as a result of the disease or damage to the brain after the completion of its maturation (including as a concomitant pathology for aqueous disease, Down syndrome, alcoholism). It is also indicated that "the diagnosis of pedophilic disorder should not be prescribed on the basis of sexual behavior of children before or after puberty or adolescents with peers, close in age."

Separately, experts stipulated a number of cultural features. In particular, “the scale of physical development, including primary and secondary sexual characteristics throughout life, can provide a more objective basis than the age at which the definition can be based”, as well as “in some crops for parents, to normatively kiss their children on the lips in attachment. Cultural and norming behavior should not be incorrectly attributed to inappropriate sexual activity. ”

As we see, nowhere in the description of any normalization of pedophilia is not discussed. Moreover, WHO does not possess legal opportunity to legalize any things. In addition, in different countries, a different age of consent or marriage has been legally established. He is the lowest in Yemen, Qatar and Oman. He is there It is Only nine years old. Thus, an adult man who took a nine -year -old girl in one of these states and entered into a sexual connection with her, by law will not be considered a pedophile. However, if at the appointment of a doctor guided by the ICD-11, he will inform that for many years he had fantasies about such an interaction with the child, then the doctor will have reason to suspect a pedophilic disorder from him.

In addition to the replacement of pedophilia with pedophile disorder, many other important changes have been made to the ICD-11. Firstly, the section “Mental and behavioral disorders” was replenished by a number of new diagnoses-a separate code appeared in Depending on the video game, pathological accumulation, prolonged reaction of grief. The classification also takes into account many genetic diseases that are open and actively diagnosed in recent years. At the same time, transsexualism was really removed from the reference book. WHO expert, Dr. Leil Say Motivated This is the fact that there are no signs of disorder in this condition. So that transgender people can receive medical care, another code is provided for them - Gender discrepancy.

Thus, journalists misinformed the audience-the ICD-11 in no case legalizes pedophilia (and there is no such authority). Sexual attraction to children was not recognized as normal and not removed from the list of mental illness, it was called a different term and clarified the criteria for making a diagnosis. Law enforcement practice under Article 134 of the Criminal Code of the Russian Federation “Sexual intercourse and other sexual actions with a person who has not reached the age of sixteen” Recommendations regarding the classification of pathological conditions will not affect.

*To transmit the context, we used literal quotes, including with incorrect and outdated words of the original source. “Verified” does not support linguistic discrimination in materials where the editorial position is expressed, uses neutral expressions recommended by the reference "We don't say that", in particular, “transgender” and “homosexuality”.

Image on the cover: Public Domain Pictures