性别认同障碍:当前的医学和社会范式以及ICD-11的创新
Consortium psychiatricum
|July 29, 2024
概括
本综述探讨了性别认同概念和临床实践中的范式转变. 它强调需要精神病学评估来排除精神障碍,强调脱而非脱病理化.
科学领域:
- 精神病学是一个精神病学.
- 性别研究是性别研究.
- 医学社会学 医学社会学
背景情况:
- 目前关于性别认同障碍的文献具有多样化的术语和向规范中心方法的转变.
- 最近的性别认同范式转变缺乏基于证据的研究和理论依据.
- 俄罗斯的精神病学观点保持了更强大的临床导向.
研究的目的:
- 在正常和病态背景下审查当前的性别认同概念.
- 分析医学和社会范式转变对临床实践的影响.
- 批判性地评估对性别认同的修订方法的证据基础.
主要方法:
- 关于性别认同的学术和临床出版物的文献综述.
- 分析性别认同研究中的概念框架和术语.
- 临床与规范中心方法的比较评估.
主要成果:
- 现代文学显示出一种趋势,远离临床判断,转向性别认同中社会定义的规范.
- 支持基层性别理论进行范式修订的证据有限,引发了有效性问题.
- 精神病医生的临床评估对于在寻求性别调整的个体中对精神障碍的差异诊断至关重要.
结论:
- 由于证据不足,对性别认同的修订后的医学和社会范式的有效性是可疑的.
- 精神病学评估对于将性别认同问题与精神障碍区分开来至关重要.
- 消除心理障碍的耻辱化比消除性别认同的病理化更为关键.
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