功能性发作,分离和性别障碍症之间的关系:一个案例报告和审查
Brendan Coyne1, Mariam Elghazzawy1, Bo Ram Yoo2
1Psychiatry, George Washington University School of Medicine and Health Sciences, Washington, USA.
Cureus
|April 9, 2025
概括
精神性非发作 (PNES) 可能是由镜子凝视在经历性别失调的跨性别和非二进制个体触发的. 一个案例研究表明,这种痛苦可以诱导PNES发作,突出显示功能性的潜在新触发因素.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 性别研究是性别研究.
背景情况:
- 精神性非发作 (PNES) 模仿,但缺乏EEG异常.
- PNES和功能神经系统障碍在性别失调的跨性别和非二进制个体中更为普遍.
- 严重的痛苦是众所周知的PNES触发因素,而对镜子的凝视可以在患有性别障碍症的人中引起痛苦.
研究的目的:
- 审查PNES的病理生理学.
- 介绍一个案例研究的PNES潜在的诱导镜子凝视在一个非二进制患者的性别障碍症.
- 探索性别失调症,凝视镜子和PNES之间的联系.
主要方法:
- 关于PNES病理生理学的文献综述.
- 一个16岁的非二元患者的病例报告,患有性别失调症和PNES.
- 分析症状触发因素,并通过环境修改解决问题.
主要成果:
- 患者在进入浴室时完全经历了PNES发作.
- 限制浴室访问和用床边洗手间监督已经停止了PNES事件.
- 没有其他触发因素被确定,支持镜子凝视假设.
结论:
- 凝视镜子可能是性别失调症患者PNES的新触发因素.
- 这一案例突出了心理困扰,身份和功能神经障碍之间的复杂相互作用.
- 需要进一步的研究,以了解这一现象在弱势群体.
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