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癫痫持续状态“治愈”性别焦虑症。

Gender dysphoria "cured" by status epilepticus.

作者信息

Parkinson John

机构信息

Psychiatrist in private practice (retired) Wollongong, NSW, Australia

出版信息

Australas Psychiatry. 2015 Apr;23(2):166-8. doi: 10.1177/1039856214568223. Epub 2015 Feb 4.

DOI:10.1177/1039856214568223
PMID:25653301
Abstract

OBJECTIVE

A case is described pointing to the biological factors in gender identity and personality structure.

METHODS

The history is presented of a transsexual patient who experienced a change of gender identity and personality following an episode of status epilepticus.

RESULTS

The patient presented as convincingly feminine and with features of Borderline Personality Disorder. She had an old brain injury. After a prolonged epileptic episode the Borderline features disappeared and the patient expressed a clearly male identity.

CONCLUSIONS

The findings are equivocal: they may be seen both as reflecting a change in a neurologically structured identity and as a resetting of psychosocially acquired characteristics.

摘要

目的

描述一个指向性别认同和人格结构中生物学因素的病例。

方法

介绍一名变性患者的病史,该患者在癫痫持续状态发作后经历了性别认同和人格的改变。

结果

该患者表现出令人信服的女性特征以及边缘型人格障碍的特征。她有陈旧性脑损伤。在长时间的癫痫发作后,边缘型人格特征消失,患者明确表达了男性身份。

结论

研究结果不明确:它们既可以被视为反映了神经结构身份的变化,也可以被视为社会心理获得特征的重置。

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