Department of Psychiatry, T.N.M.C and B.Y.L.Nair Charitable Hospital, Mumbai Central, Mumbai - 400 008, India, India.
Indian J Psychiatry. 2010 Jan;52(Suppl 1):S264-8. doi: 10.4103/0019-5545.69244.
Sexual variation has been reported across cultures for millennia. Sexual variation deals with those facets of sexual behavior which are not necessarily pathological. It is any given culture that defines what is abnormal and what is deviant. In scriptures, literature and poetry in India same sex love has been described and explained in a number of ways. In this paper we highlight homosexual behavior and the role of hijras in the Indian society, among other variations. These are not mental illnesses and these individuals are not mentally ill. Hence the role of psychiatry and psychiatrists has to be re-evaluated. Attitudes of the society and the individual clinicians may stigmatize these individuals and their behavior patterns. Indian psychiatry in recent times has made some progress in this field in challenging attitudes, but more needs to be done in the 21(st) century. We review the evidence and the existing literature.
性变异在不同文化中已经存在了几千年。性变异涉及到性行为的某些方面,这些方面不一定是病态的。是特定的文化定义了什么是异常,什么是偏差。在印度的经文、文学和诗歌中,以多种方式描述和解释了同性之爱。在本文中,我们重点介绍了印度社会中的同性恋行为和海吉拉斯的角色,以及其他一些变异。这些不是精神疾病,这些个体也没有精神疾病。因此,精神病学和精神科医生的角色必须重新评估。社会和个体临床医生的态度可能会使这些个体及其行为模式受到污名化。最近,印度精神病学在挑战态度方面在这一领域取得了一些进展,但在 21 世纪还需要做更多的工作。我们回顾了证据和现有文献。