Homosexuality and The Church of Jesus Christ of Latter-day Saints a cure and ... become normal again." The pamphlet taught that church leaders may assist gay members by reciting scripture; appealing to their reason; encouraging them to abandon gay lovers and associates; praying with them; and encouraging them to replace any sexual expression of their homosexual feelings with heterosexual expressions like opposite-sex dating. The pamphlet emphasized that "[h]omosexuality CAN be cured." In 1973 the American Psychiatric Association’s removed homosexuality from the Diagnostic and Statistical Manual of Mental Disorders and in 1990 the World Health Organization removed homosexuality from the list of disorders classified in the tenth edition of the International
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