Cohen Y
Adolescence. 1991 Spring;26(101):19-29.
One of the motivational factors for suicide in adolescents is examined in light of gender identity issues and conflicts. It is proposed that difficulties in the formation of a cohesive gender identity are related to the adolescent's motivation to attempt suicide. This paper makes use of Fast's (1984) distinction between "event-centered" and "self-centered" experiences in order to explore problems in the formation of gender identity with reference to regression to earlier stages of psychosexual development. Physiological changes and regressive pull may lead the adolescent to the "event-centered" mode of experience. Thus one minor event may become the focus of the adolescent's gender and self identities. The adolescent may then have regressive omnipotent fantasies of being able to change gender identity through suicidal acts.
从性别认同问题和冲突的角度审视了青少年自杀的一个动机因素。研究表明，形成连贯的性别认同存在困难与青少年企图自杀的动机有关。本文利用法斯特（1984年）对“以事件为中心”和“以自我为中心”体验的区分，参照性心理发展早期阶段的退行来探讨性别认同形成中的问题。生理变化和退行拉力可能会使青少年进入“以事件为中心”的体验模式。这样一来，一个小事件可能就会成为青少年性别认同和自我认同的焦点。然后，青少年可能会有通过自杀行为改变性别认同的退行性全能幻想。
