Department of Psychology, Milan-Bicocca State University, Milan, Italy; Italian Association for Sexuology and Applied Psychology (Associazione Italiana Sessuologia e Psicologia Applicata, AISPA), Milan, Italy; Personality Disorders Lab, Parma, Italy.
Dipartimento di Neuroscienze e Scienze Riproduttive ed Odontostomatologiche, University of Naples "Federico II", Naples, Italy.
Compr Psychiatry. 2014 May;55(4):966-71. doi: 10.1016/j.comppsych.2013.12.009. Epub 2013 Dec 18.
In spite of the potential clinical utility of defense mechanisms in the assessment of gender identity disorder patients as candidates to sex reassignment surgery, there is paucity of research in this field. The aim of the present study is therefore to ascertain whether the defensive profile of MtF and FtM transsexuals seeking sex reassignment surgery can be defined more primitive, immature and maladaptive than that of the two control groups. We compared the defensive profiles as assessed through the REM-71 (Steiner et al., 2001) of 104 MtF transsexuals, 46 FtM transsexuals and two control groups of males and females. Our results show that MtF transsexuals present an overall more primitive defensive array than that of both control groups, while FtMs show a profile not dissimilar from that of both control groups. Our results support the hypothesis that MtF transsexuals are characterized by higher proneness to psychopathology than the general population and show a more immature level of psychological functioning than FtM transsexuals.
尽管防御机制在评估性别认同障碍患者是否适合进行性别重置手术方面具有潜在的临床应用价值，但该领域的研究却很少。因此，本研究旨在确定寻求性别重置手术的 MtF 和 FtM 跨性别者的防御模式是否比两个对照组更原始、不成熟和适应不良。我们通过 REM-71（Steiner 等人，2001 年）比较了 104 名 MtF 跨性别者、46 名 FtM 跨性别者和两个男性和女性对照组的防御模式。我们的结果表明，MtF 跨性别者的整体防御模式比两个对照组更原始，而 FtM 则与两个对照组的模式相似。我们的结果支持这样一种假设，即 MtF 跨性别者比一般人群更容易出现精神病理学，并且表现出比 FtM 跨性别者更不成熟的心理功能水平。
