世界衛生組織曾認爲成爲變性人是一種心理疾病

In a major step forward, the World Health Organization is no longer categorizing transgender people as having a mental illness. Gender incongruence-also known as gender dysphoria-is now consideRed a sexual health condition instead.

世界衛生組織向前邁進了一大步，不再將變性人歸類爲精神疾病患者。性別不一致--也被稱作性別識別障礙--現已被視作一種性健康狀況。

The change can be found in the WHO's new International Classification of Disease (ICD-11), released this week. Not all transgender people suffer from gender dysphoria or incongruence, and advocates have expressed concern that the terms medicalize the feelings of the folks who do.

本週新發布的世界衛生組織國際死因疾病分類（ICD-11）可找出這一變化。並非所有的變性人都患有性別識別障礙或性別不一致，倡導者對這些術語表達了擔憂，因爲這些術語用醫學方法表達了這些人的感受。

"We had better understanding that this wasn't actually a mental health condition and leaving it there was causing stigma," Lale Say, MD, coordinator of the adolescents and at-risk populations team at the WHO, said of a step forward moving gender incongruence from a mental health chapter of the ICD to the newly created sexual health chapter. "In order to reduce the stigma while also insuring access to necessary health interventions, this was placed to a different chapter," Dr. Say continued in a video statement.

"我們更好的認識到，實際上這並不是一種精神健康狀態，對其採取不作爲的方法會帶給變性人羞恥感，"世界衛生組織青少年和高危人羣協調員Lale Say醫學博士說道，國際死因疾病分類將性別不一致從精神健康一類轉移到性健康一類是一項重大舉措。"爲了減少人們的羞恥感，同時確保獲得必要的健康干預措施，性別不一致被重新歸類，"Say博士在一份視頻聲明中說道。

The ICD is a database of unique codes for diseases and other health concerns used by everyone from doctors and nurses to researchers, insurance agencies to patient organizations. For that reason, keeping gender incongruence in the ICD-11-but moving it to a different chapter-maintains access to health care like hormones or surgery that some trans people may be seeking.

國際死因疾病分類是疾病和人們（醫生、護士、研究員、保險機構、患者組織等）擔心的其它健康問題的唯一代碼數據庫。爲此，在ICD-11中保留性別不一致--但將其重新歸類--仍可保證變性人獲得醫療保健，比如激素或手術。

The WHO hopes this change can help foster acceptance of trans people-and improve their health. "Removing gender incongruence from [the] mental health chapter is expected to reduce stigma and will help better social acceptance of individuals living with gender incongruence," Dr. Say said in the statement. Reduced stigma can even lead individuals to feel more comfortable seeking health care in the first place, she added.

世界衛生組織希望這一變化可幫助人們進一步接受變性人--同時增強他們的身體健康。"將性別不一致從精神疾病一類刪除有望減少變性人的羞恥感，幫助社會更好的接受性別不一致的人，"Say博士在那份聲明中說道。減少羞恥感甚至會使個人更願意尋求醫療保健，不會感到尷尬，她補充道。

Homosexuality, which had also been categorized as a mental health condition in earlier versions of the ICD, is now completely gone from the newest edition, Dr. Say said, "based on scientific understanding that there was no clear evidence that this issue needs to be medicalized."

同性戀在早期的國際死因疾病分類中也被歸類爲精神健康狀況，現在最新版本已完全刪除這一概念，Say博士說道，"基於科學理解，並沒有明確的證據表明需要對這一問題醫療化。"