Kumar Kuldip, Gupta Manushree
Department of Psychiatry, Vardhaman Mahavir Medical College and Safdarjang Hospital, New Delhi, India.
Indian J Psychol Med. 2012 Apr;34(2):190-2. doi: 10.4103/0253-7176.101792.
Gender identity disorder is one of the most controversial diagnoses of DSM-IV and almost incomparable in the complexity of its social, ethical and political considerations to any other diagnosis. We present a case of 30 year-old male who presented with complaints of suggestive of depressive disorder with a recent suicidal attempt. Careful history taking reveals underlying conflicts with prominent gender dysphoria and social complexities. The patient is managed primarily by pharmacotherapy and harm reduction model. Our case reflects a unique coping strategy against the present sociocultural values and ambiguity of law in this part of the world.
性别认同障碍是《精神疾病诊断与统计手册》第四版（DSM-IV）中最具争议的诊断之一，在社会、伦理和政治考量的复杂性方面几乎无法与其他任何诊断相提并论。我们报告一例30岁男性病例，该患者主诉提示患有抑郁症且近期有自杀未遂行为。详细的病史采集发现其存在潜在冲突，伴有明显的性别焦虑和社会复杂性。该患者主要通过药物治疗和减少伤害模式进行管理。我们的病例反映了针对世界这一地区当前社会文化价值观和法律模糊性的一种独特应对策略。
