Berlin Fred S
Dr. Berlin is Associate Professor, Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Director, The Johns Hopkins Sexual Behaviors Consultation Unit, and Director, National Institute for the Study, Prevention and Treatment of Sexual Trauma, Baltimore, MD.
J Am Acad Psychiatry Law. 2016 Jun;44(2):246-52.
Gender Dysphoria is a distressed state of mind that is of interest to psychiatrists, including forensic psychiatrists. Forensic matters can be best addressed only after one has a good appreciation of relevant psychiatric knowledge and concepts. In this commentary I review the nature of Gender Dysphoria, its relationship to cross-dressing and erotic arousal, and the question of whether it should be thought of as a psychiatric disorder. I also review the complexity of sex and gender; alternative conceptualizations of Gender Dysphoria, its etiology, its multicultural history, and its typical course over time in a given individual. Finally, I summarize treatment options, treatment outcomes, and difficulties of treating Gender Dysphoria within an inmate population.
性别焦虑是一种令精神科医生（包括法医精神科医生）感兴趣的苦恼心理状态。只有在充分了解相关精神病学知识和概念之后，才能最好地处理法医问题。在这篇评论中，我回顾了性别焦虑的本质、它与异装癖和性唤起的关系，以及它是否应被视为一种精神障碍的问题。我还回顾了性与性别的复杂性；性别焦虑的替代概念、其病因、多元文化历史，以及在特定个体中随时间推移的典型病程。最后，我总结了在囚犯群体中治疗性别焦虑的治疗选择、治疗结果和困难。
