Spitzer R L
Am J Psychiatry. 1981 Feb;138(2):210-5. doi: 10.1176/ajp.138.2.210.
In 1973 homosexuality per se was removed from the DSM-II classification of mental disorders and replaced by the category Sexual Orientation Disturbance. This represented a compromise between the view that preferential homosexuality is invariably a mental disorder and the view that it is merely a normal sexual variant. While the 1973 DSM-II controversy was highly public, more recently a related but less public controversy involved what became the DSM-III category of Ego-dystonic Homosexuality. The author presents the DSM-III controversy and a reformulation of the issues involved in the diagnostic status of homosexuality. He argues that what is at issue is a value judgment about heterosexuality, rather than a factual dispute about homosexuality.
1973年，同性恋本身从《精神疾病诊断与统计手册》第二版（DSM-II）的精神障碍分类中被移除，取而代之的是“性取向障碍”类别。这代表了两种观点之间的妥协：一种观点认为偏好同性恋始终是一种精神障碍，另一种观点则认为它仅仅是一种正常的性变异。虽然1973年DSM-II引发的争议广为人知，但最近一场相关但较少公开的争议涉及后来成为DSM-III中“自我不协调同性恋”类别的内容。作者介绍了DSM-III引发的争议以及对同性恋诊断地位所涉问题的重新阐述。他认为，争议的焦点是关于异性恋的价值判断，而非关于同性恋的事实争议。
