Sexuality-related content

This is my response to Francis Lau's comments (originally posted in the "Sex/Gender Subtypes":

• Okay, glad you checked
• Kink, queer, and "transamorous" are not findings of sexual orientation, hence why they aren't included there. Queer is often considered a slur in some locales, and despite wide adoption in the U.S. and Canada, it has not had such a broad view elsewhere. Additionally, because it does not have a "standard" definition, it is difficult to connect to a precise clinical concept. All in all, I don't support non-queer people using the term in clinical contexts, it will inevitably lead to more harm than good. "Transamorous" and "transamory" are fetishizing concepts and are extremely offensive. I won't include them anywhere. They are ways for people to justify their attraction to trans people and are honestly part of a long-line of disgusting terms. Finally, I could add kink in a different area, I'll consider it; however, it's important to know that it does not translate well at all. I could go either way on it based on information from non-primarily-English speaking countries.
• "Sexual identity" is the identity a person declares. "Sexual orientation" is the long-term pattern of sexual activity a person displays. It is included for purposes in which an individual may not identify as a particular identity (gay, lesbian, etc.), but because of the sexual partners they have, might be in risks in that subgroup. The split between these terms goes back to at least the 1980s I believe. Sexual identity, sexual attraction, and sexual behavior are NOT subtypes of sexual orientation, but have a complex series of relationships to sexual orientation. Sexual partner may make sense to add depending on where, but it certainly should not be added to sexual orientation; as this fundamentally misunderstands the differences between identity, orientation, behavior, and partner.
•  "Anal", "Blood", and "Scat" are far too vague for SNOMED and might cause confusion. I can add as synonyms but I don't think it's worth it. The current terms I have used are based on how SNOMED is currently aligned and literature on the subjects. Basically, the solution included is more specific, less confusing in an international context, and follows how SNOMED is already laid out.
• This fundamentally misunderstands things. So you've listed a number of fetishes which are included using more specific terminology, I can add some synonyms, but in general the mechanism you've laid out doesn't clash well with SNOMED's current laying out of terms and codifies fetishization in a way that will absolutely be exploited.
• I will look at your mindmap and consider additions related to sexual partners.

Hope that helps clarify things!

I've updated some of the things I've listed in the attached document (snomed_recommendations_v6.docx, version 6.3). This includes removing all AND/OR statements, per Jim Case's comment.

Note that it does not have all hierarchies built out yet, as that will take a bit of time, but it showcases the general layout.