Orders, decorations, and medals of the Holy See of the Catholic Church by his authority as head of the Holy See and sovereign of the Vatican City State. Historically, membership in these orders was either conferred by Papal bulls not signed by the Pope or by apostolic letters signed by the Pope himself. Since the reforms of these orders in the beginning of the 20th century, the diplomas have been signed by the Cardinal Secretary of State. In general, "Papal orders of knighthood" refers to the five equestrian orders of the Holy See awarded directly by the Supreme Pontiff as head of the Catholic Church, Holy See and
Multilateral foreign policy of the Holy See on the biological sexual identity. On these bases, in 2008, the Holy See opposed the adoption of a proposed declaration on sexual orientation and gender identity by the United Nations General Assembly. At the same time, the Holy See has condemned all forms of violence against homosexual persons and has called for the elimination of criminal penalties against them. The Holy See condemned "irresponsible sexual behavior", which, in its view, victimizes mostly women and children, and which is fostered by today’s “attitudes of sexual permissiveness, which focus above all on personal pleasure and gratification.” It has further argued that traditional