Political abuse of psychiatry in the Soviet Union gay parades and the use of veiled schemes to lay off openly lesbian and gay persons from schools, child care centers, and other public institutions. The chief psychiatrist of Russia Zurab Kekelidze in his 2013 interview to Dozhd says that a part of the cases of homosexuality is a mental disorder, he counters the remark that the World Health Organization removed homosexuality from the list of mental disorders by stating that it is not true. Homosexuality, which is a mental disorder, was continuously defined as such by the Independent Psychiatric Association of Russia in 2005 when its president Savenko expressed
Diagnostic and Statistical Manual of Mental Disorders mild, moderate or severe forms of a disorder. For nearly half the disorders, symptoms must be sufficient to cause "clinically significant distress or impairment in social, occupational, or other important areas of functioning", although DSM-IV-TR removed the distress criterion from tic disorders and several of the paraphilias due to their egosyntonic nature. Each category of disorder has a numeric code taken from the ICD coding system, used for health service (including insurance) administrative purposes. With the advent of the DSM-5 in 2013, the APA eliminated the longstanding multiaxial system for mental disorders. Previously, the DSM-IV organized each psychiatric diagnosis into