在精神疾病分类中消除对性取向和跨性别身份的病理化认定。
Depathologizing Sexual Orientation and Transgender Identities in Psychiatric Classifications.
作者信息
Robles Rebeca, Real Tania, Reed Geoffrey M
出版信息
Consort Psychiatr. 2021 May 25;2(2):45-53. doi: 10.17816/CP61. eCollection 2021.
INTRODUCTION
This article presents the history and rationales of conceptualization and classification of homosexuality and transgender identity in both ICD and DSM. We review the efforts that have been made (and those that remain pending) to improve psychiatric classifications with new scientific knowledge, changing social attitudes and human rights standards.
METHOD
We conducted a literature search of the classification of homosexuality and transgender identity as mental disorders.
RESULT
We provide a historical description of these concepts in ICD and DSM, including fundamental points of disagreement as well as arguments that have been effective in achieving changes in both classifications.
CONCLUSIONS
Fundamental changes have been made in the (ICD-11) in terms of the classification of sexual orientation and gender identity based on scientific evidence and the ICD's public health objectives. These changes might support the provision of accessible and high-quality healthcare services, and are responsive to the needs, experience and human rights of the populations involved.
引言
本文介绍了国际疾病分类（ICD）和精神疾病诊断与统计手册（DSM）中同性恋和跨性别身份概念化及分类的历史与基本原理。我们回顾了利用新的科学知识、不断变化的社会态度和人权标准改进精神疾病分类所做的努力（以及仍未完成的努力）。
方法
我们对将同性恋和跨性别身份归类为精神障碍进行了文献检索。
结果
我们对ICD和DSM中这些概念进行了历史描述，包括根本分歧点以及在促成这两种分类发生变化方面有效的论据。
结论
基于科学证据和ICD的公共卫生目标，国际疾病分类第11版（ICD - 11）在性取向和性别认同分类方面已发生根本性变化。这些变化可能有助于提供可及且高质量的医疗服务，并回应了相关人群的需求、经历和人权。
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