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МКБ-11 - это шаг к депатологизации транс людей, но необходимо больше

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Страсбург 27/05/2019
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«Исключение гендерной идентичности из списка психических заболеваний в 11-м варианте Международной классификации болезней (МКБ-11), принятом Ассамблеей государств Всемирной организации здравоохранения 25 мая 2019 года, является долгожданным и запоздалым событием для транс людей по всему миру», - сказала Комиссар Совета Европы по правам человека Дуня Миятович.

Далее на английском языке.

The pathologisation of trans people has served to justify serious violations of their human rights over the years, including attempts to “cure” them through conversion or reparative therapies; psychiatric evaluations, and sterilisation. In many countries, legal gender recognition is only possible upon medical diagnosis.

While the removal of gender identity from the list of mental illnesses is a positive step, several concerns remain with the ICD11, and I call on WHO member states to continue improving the text to promote respect of human rights.

Such concerns include the term “gender incongruence” retained in the ICD11 which may lead to interpretations suggesting abnormality, as well as the continued listing of gender incongruence in childhood in the ICD.

I particularly regret that no progress was achieved in the ICD11 toward depathologisation of intersex people, and that terms such as “sex development disorders” continue to appear in the text. Language in the ICD Foundation suggesting sex “normalising” surgeries remains, which is of major concern. The Commissioner recalled that medically unnecessary sex “normalising” surgeries on infants and children can amount to inhuman or degrading treatment. My predecessors, much like FRA, PACE, and the EP have recommended to ban such surgeries, and condition them upon the free and fully informed consent of the intersex people concerned.

Health professionals implementing the ICD at the national level have a pivotal role to play in ensuring that trans and intersex people are not stigmatised and discriminated against in the medical sector, and in fulfilling their right to health by ensuring access to quality health care. I call on states to increase capacity building and training of health professionals in matters related to LGBTI health care.