Steward Health Care Carney Hospital, Department of Psychiatry, 2100 Dorchester Avenue, Dorchester, MA 02124, USA.
Issues Ment Health Nurs. 2012 Sep;33(9):583-90. doi: 10.3109/01612840.2012.704129.
The experience of individuals who happen to be transgender is one that reflects a complex constellation of powerful influences both within and outside of the health care system in the United States. Profound stigma, prejudice, misunderstanding, and hate for these individuals are just a few examples of the formidable challenges that potently shape their lives. The combination of exposed vulnerabilities in the expression of their true selves, and the often hostile environment where this transformation occurs creates the perfect storm for the onset of serious psychiatric illnesses. Oddly enough, the pathology is often not wrought in the experience of the genuine self but more so in what happens to that self in the context of a violent environment. This article explores these factors in the context of psychiatric diagnosis in the DSM-5.
在美国的医疗体系内外，存在着许多复杂的强大影响因素，而跨性别者的经历正是这些因素共同作用的结果。这些人遭遇了严重的污名化、偏见、误解和仇恨，这些只是他们生活中所面临的巨大挑战的一小部分。他们在表达真实自我时所暴露的脆弱性，以及这种转变常常发生的敌对环境，这两者的结合为严重精神疾病的发作创造了完美的风暴。奇怪的是，这种病态不是源于真实自我的体验，而是更多地源于自我在暴力环境中所经历的一切。本文将在 DSM-5 的精神病学诊断背景下探讨这些因素。
