van Schalkwyk Gerrit I, Klingensmith Katherine, Volkmar Fred R
Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
Yale Child Study Center, Yale School of Medicine, New Haven, Connecticut.
Yale J Biol Med. 2015 Mar 4;88(1):81-3. eCollection 2015 Mar.
In this review, we briefly summarize much of the existing literature on gender-related concerns and autism spectrum disorders (ASD), drawing attention to critical shortcomings in our current understanding and potential clinical implications. Some authors have concluded that gender identity disorder (GID), or gender dysphoria (GD), is more common in individuals with ASD, providing a range of potential explanations. However, existing literature is quantitatively limited, and our capacity to draw conclusions is further complicated by conceptual challenges regarding how gender identity is best understood. Discourses that emphasize gender as a component of identity formation are gaining prominence and seem particularly salient when applied to ASD. Individuals with ASD should enjoy equal rights with regard to treatment for gender dysphoria. Clinicians may be able to assist individuals in understanding this aspect of their identity by broadening the social frame and facilitating an exploration of gender roles.
在本综述中,我们简要总结了关于性别相关问题与自闭症谱系障碍(ASD)的诸多现有文献,提请注意我们当前理解中的关键不足以及潜在的临床意义。一些作者得出结论,性别认同障碍(GID)或性别焦虑症(GD)在患有ASD的个体中更为常见,并给出了一系列潜在解释。然而,现有文献在数量上有限,而且由于在如何最佳理解性别认同方面存在概念挑战,我们得出结论的能力进一步复杂化。强调性别作为身份形成组成部分的论述正日益突出,并且在应用于ASD时似乎尤为显著。患有ASD的个体在性别焦虑症治疗方面应享有平等权利。临床医生或许能够通过拓宽社会框架并促进对性别角色的探索,来帮助个体理解其身份的这一方面。