http://www.medscape.com/viewarticle/703312?src=mpnews&spon=12&uac=89474MT
Dr. Narrow said that the APA has been receiving feedback from the transgender community since the work groups for the DSM-V were announced at last year's annual meeting. "There's a lot of concern about the treatment that gender-identity disorder entails and also concern about the disorder itself," Dr. Narrow said. "Is it actually a mental disorder vs a physical disorder, or is it a normal variation of human behavior?"
And some of the disputes:
http://www.feministing.com/archives/015254.html
The first concern here is the term "phenotypically normal" (meaning "normal" with regards to observable anatomical or behavioral traits). Thus, according to this definition, attraction to any person deemed by sex researchers to be "abnormal" or "atypical" could conceivably be diagnosed as paraphilic. So, do you happen to be attracted to, or in a relationship with, someone who is differently-abled or differently-sized? Or someone who is gender-variant in some way? Well congratulations, you may now be diagnosed with a paraphilia!