同政治︰香港 ~ 同性戀唔再係 "心理病"

最近喺網上特然好多人傳緊一份由 "香港精神科醫學院" 喺舊年 11 月發嘅 "Position Statement"，內容係話學院唔再認為同性戀係一種心理病，亦無科學同臨床証據支持用任何方法去嘗試改變性取向會帶嚟好處，最後仲加句話一位精神科醫生喺提供 "護理" (care) 嗰陣要尊重受護人嘅 "特殊背境"；呢單料好似先喺 Fridae 有個報告，不過鵬佬好快咁上去學院個網站睇下，都揾唔到呢份公告，亦無喺其他傳媒見到有相關報導，所以小心起見，今朝都先發咗個 email 去學院個諮詢信箱問下，依家仲等緊佢地回覆 (追加，下午有回信，証實有喺 11 月發過聲明)。

如果呢單料係真，確實係香港一個進步，雖然比起歐美都慢咗成 40 年，就算係大陸都喺 10 年前將同性戀 declassified 咗；其實係唔係要繼續界定同性戀係一種 "病症" (disorder)，住住係出於政治考慮多過科學証據，同時又觸動到啲所謂社會道德倫理，睇翻好似世衛 (WHO)，都要等到 1992 年先將同性戀喺精神病名冊中除落嚟，原因係一直受到好多受宗教影響力比較大嘅國家反對。

不過大家唔好以為咁樣就表示喺香港唔再可以提供 "變直治療" 同輔導，亦唔表示所有精神科醫生都要贊成學院呢個決定，就算喺美國，大家都知仲有好多醫生同組織 (當然全部都有宗教背境) 仍然向一班無論係自願或者被迫要改變性向嘅人提供啲所謂 "reparative" 治療，其實都不外乎係用辦法將同性性衝動壓抑，好似一面迫你睇鹹相一面要你用橡筋箍打手，或一諗起同同性做愛就去沖凍水涼之類。

呢啲 "治療" 一啲效用都無已經喺醫學界係一個共識，而且為害可以好大，輕者有短期抑鬱，重者搞到一生有情緒病同自殺，早排都寫過；咁依家 "香港精神科醫學院" 發咗呢個聲明，係唔係表示佢地會更進一步公開發言反駁好似 "鳴肛社" 咁啲繼續話同性戀係病態，或公開譴責 "康貴華" 嗰班耶教恐同份子提供緊嘅治療同輔導，其實先至係重點。咁到底係點，就真係要放長雙眼等下，不過呢個 statement 肯定係打咗呢班耶教偽道德一把，亦係一個最少喺專業界入面一個進步。

下面係引 Fridae 登出嚟嘅學院聲明全文：

"Position Statement of The Hong Kong College of Psychiatrists on Sexual Orientation

The Hong Kong College of Psychiatrists opines that homosexuality is not a psychiatric disorder.

The American Psychiatric Association removed homosexuality from the diagnostic glossary of mental disorder (DSM) in 1973. The International Classification of Disease of the World Health Organization followed the same decision in 1992.

The Hong Kong College of Psychiatrists adheres firmly to the practice of scientifically proven and evidence-based treatment. Psychiatric treatments have to be provided according to well established principles and practice available at the time. There is, at present, no sound scientific and clinical evidence supporting the benefits of attempts to alter sexual orientation.

A psychiatrist should provide care with no discrimination and maintain a high level of sensitivity to the needs of people from diverse backgrounds."