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“揭开盒子的盖子”:对存在性别认同障碍的青少年进行扩展临床评估的价值

'Taking the lid off the box': The value of extended clinical assessment for adolescents presenting with gender identity difficulties.

作者信息

Churcher Clarke Anna, Spiliadis Anastassis

机构信息

The Tavistock and Portman NHS Foundation Trust, UK.

出版信息

Clin Child Psychol Psychiatry. 2019 Apr;24(2):338-352. doi: 10.1177/1359104518825288. Epub 2019 Feb 6.

DOI:10.1177/1359104518825288
PMID:30722669
Abstract

As the number of young people referred to specialist gender identity clinics in the western world increases, there is a need to examine ways of making sense of the range and diversity of their developmental pathways and outcomes. This article presents a joint case review of the authors caseloads over an 18-month period, to identify and describe those young people who presented to the Gender Identity Development Service (GIDS) with gender dysphoria (GD) emerging in adolescence, and who, during the course of assessment, ceased wishing to pursue medical (hormonal) interventions and/or who arrived at a different understanding of their embodied distress. From the 12 cases identified, 2 case vignettes are presented. Implications for the development of clinical practice, service delivery and research are considered.

摘要

随着西方世界被转介到专业性别认同诊所的年轻人数量增加,有必要研究如何理解他们发展路径和结果的范围及多样性。本文对作者在18个月期间的病例进行了联合回顾,以识别和描述那些在青春期出现性别焦虑(GD)并向性别认同发展服务(GIDS)就诊的年轻人,他们在评估过程中不再希望寻求医学(激素)干预,和/或对自己身体上的困扰有了不同的理解。从所识别出的12个病例中,呈现了2个病例 vignettes。还考虑了对临床实践、服务提供和研究发展的影响。

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