Tattaunawa da Irving Bieber da Robert Spitzer

15 Disamba 1973 Kwamitin Amintattu na Psyungiyar Hauka na Amurka, yana ba da gudummawa ga ci gaba da matsa lamba na ƙungiyoyin liwadi masu gwagwarmaya, sun amince da canji a cikin jagororin jagororin cuta na rashin hankalin. '' Yan luwadi irin wannan, '' amintattun sun zabi zaben, bai kamata a sake ganinsu a matsayin "matsalar tabin hankali ba"; maimakon, ya kamata a bayyana shi azaman "cin zarafin jima'i". 

Robert Spitzer, MD, mataimakin farfesa a likitan kwantar da hankali a jami’ar Columbia kuma memba a kwamitin tantance sunayen APA, da Irving Bieber, MD, farfesa a likitan kwakwalwa a Kwalejin Magunguna ta New York kuma shugaban kwamitin binciken kan luwadi da madigo, sun tattauna kan shawarar APA. Abinda ya biyo baya shine taƙaitaccen sigar tattaunawar tasu.

Matsayin ra'ayi a halin yanzu an yarda da shi a cikin ƙasashe masu masana'antu dangane da abin da liwadi bai dace da ƙididdigar asibiti ba sharadi ne kuma rashin cancantar sahihanci ne na kimiyya, tunda yana nuna daidaitaccen tsarin siyasa ne kawai, kuma ba ƙudurin kimiyya ba.