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“酷儿”疗法:为接受过“性偏差”治疗的前患者发声。

'Queer' treatments: giving a voice to former patients who received treatments for their 'sexual deviations'.

机构信息

School of Health, The University of Central Lancashire, Preston, Lancashire, UK.

出版信息

J Clin Nurs. 2012 May;21(9-10):1345-54. doi: 10.1111/j.1365-2702.2011.03965.x. Epub 2012 Feb 21.

Abstract

AIMS AND OBJECTIVES

The study aimed to examine the experiences of patients and meanings attached to 'treatments' of sexual deviations, which included homosexuality and transvestism, in the UK (1949-1992), exploring reasons for such treatments, experiences and how individual lives were affected.

BACKGROUND

Male homosexuality remained illegal in England until 1967 and, along with transvestism, was considered an antisocial sexual deviation that could be cured. Homosexuality remained classifiable as a mental illness until 1992. Nurses were involved in administering treatments to cure these individuals; however, there is a paucity of information about this now-discredited mental health nursing practice.

DESIGN

A nationwide study based on oral history interviews.

METHODS

Purposeful and snowball sampling was utilised when selecting participants for the study. Participants were recruited via adverts in gay establishments/media. All participants gave signed informed consent. Face-to-face oral history interviews were conducted and transcribed for historical interpretation.

RESULTS

Seven former male patients made contact, aged 65-97 years at interview. All reported that the treatments had been unsuccessful in altering their sexual desires or behaviour. Most sought treatment owing to unsupportive and negative attitudes from friends, family and wider society. Others selected treatments instead of imprisonment. Most eventually found happiness in same-sex relationships. However, all were left feeling emotionally troubled by the treatments they received.

CONCLUSION

Defining homosexuality and transvestism as mental illnesses and implementing what could be argued to be inefficient treatments to eradicate them appears to have had a lasting negative impact on the patients who received them.

RELEVANCE TO CLINICAL PRACTICE

Nurses who care for older gay, lesbian, bisexual and transgender patients need to be mindful of their potential past treatment by healthcare services and ensure that they are non-judgmental and accepting of their sexual orientation and current gender.

摘要

目的和目标

本研究旨在考察英国(1949-1992 年)患者对同性恋和易装癖等性偏离“治疗”的体验和赋予的意义,探讨这些治疗的原因、体验以及个人生活受到的影响。

背景

在 1967 年之前,男性同性恋在英格兰仍然是非法的,并且与易装癖一起被认为是一种可以治愈的反社会的性偏离。直到 1992 年,同性恋仍然被归类为精神疾病。护士参与实施这些治疗以治愈这些个体;然而,现在有关这种已被摒弃的精神健康护理实践的信息很少。

设计

一项基于口述历史访谈的全国性研究。

方法

在选择研究参与者时,采用了有目的和滚雪球抽样。通过在同性恋场所/媒体上发布广告来招募参与者。所有参与者都签署了知情同意书。进行了面对面的口述历史访谈,并进行了转录以供历史解释。

结果

有 7 名前男性患者联系,接受访谈时年龄为 65-97 岁。所有人都报告说,这些治疗并没有成功改变他们的性欲望或行为。大多数人因朋友、家人和更广泛的社会的不支持和负面态度而寻求治疗。其他人则选择治疗而不是监禁。大多数人最终在同性关系中找到了幸福。然而,所有人都因所接受的治疗而感到情绪困扰。

结论

将同性恋和易装癖定义为精神疾病,并实施可以说是低效的治疗方法来消除这些疾病,这似乎对接受这些治疗的患者产生了持久的负面影响。

临床相关性

照顾老年同性恋、双性恋、变性和跨性别患者的护士需要注意他们可能曾经接受过的医疗服务的治疗,并确保他们对患者的性取向和当前性别保持非评判和接受的态度。

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