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青少年身份认同:社会历史的重要性。

Adolescent identity: The importance of the social history.

作者信息

Silverstein Laura, Zander Emily, Middleman Amy B

机构信息

The University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

出版信息

SAGE Open Med Case Rep. 2020 Aug 26;8:2050313X20952980. doi: 10.1177/2050313X20952980. eCollection 2020.

Abstract

This is a unique case of a patient with trichotillomania, depression, and anxiety for 2 years, serving as coping strategies for underlying gender dysphoria. To our knowledge, a case of a patient presenting with this unique constellation of comorbid conditions has not previously been reported. This case stresses the importance of providers obtaining a full social history consistently and repeatedly while providing a nonjudgmental environment for patients to disclose sensitive and potentially fluid information related to gender identity and sexuality.

摘要

这是一例独特的病例,患者患有拔毛癖、抑郁症和焦虑症达2年之久,这些症状是其应对潜在性别焦虑的策略。据我们所知,此前尚未有报告过呈现这种独特共病组合的病例。该病例强调了医疗服务提供者持续且反复获取完整社会史的重要性,同时要为患者提供一个无评判的环境,以便他们披露与性别认同和性取向相关的敏感且可能多变的信息。

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