Impairment could apply if a person has obsessive thoughts of gender transition that interfere with their daily life, but again, that isn't automatically the case. You can be unimpaired and free of distress while still identifying as transgender
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I think I may have missed something, to not sure what. Don't know what point you're making here, and I think it's because I'm reading posts out of order or something, rather than being your fault.
At bottom is the fact that the second screenshot JS posted confirmed the first, while he seems to have thought it disproved it in some way. Whether we agree on that or disagree, I'm no longer sure.
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The point is that there's a lot of nuance and this shouldn't be read in a legalistic way. It's difficult to do psychiatry without enforcing arbitrary social norms in the guise of science. This is a discussion of the underlying theoretical considerations in what is "dysfunction".
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In the first half of the 20th century, psychiatry was responsible for 50,000 lobotomies, many on patients that had nothing fundamentally "wrong" with them, so what you have is an attempt at a set of guidelines that avoid pathologizing differences in behavior, while recognizing...
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