Brighton.
J Anal Psychol. 2020 Nov;65(5):865-889. doi: 10.1111/1468-5922.12641.
In this paper the author argues that trans-identification and its associated medical treatment can constitute an attempt to evade experiences of psychological distress. This occurs on three levels. Firstly, the trans person themselves may seek to evade dysregulated affects associated with such experiences as attachment trauma, childhood abuse, and ego-alien sexual feelings. Secondly, therapists may attempt to evade feelings, such as fear and hatred, evoked by engaging with these dysregulated affects. Thirdly, we, as a society, may wish to evade acknowledging the reality of such trauma, abuse and sexual distress by hypothesizing that trans-identification is a biological issue, best treated medically. The author argues that the quality of evidence supporting the biomedical approach is extremely poor. This puts young trans people at risk of receiving potentially damaging medical treatment they may later seek to reverse or come to regret, while their underlying psychological issues remain unaddressed.
本文作者认为，跨性别认同及其相关的治疗方法可能构成对心理困扰体验的逃避。这种逃避发生在三个层面上。首先，跨性别者本人可能试图逃避与依恋创伤、儿童虐待和自我异化的性感觉等经历相关的失调情绪。其次，治疗师可能试图逃避与这些失调情绪相关的情绪，如恐惧和仇恨。第三，我们作为一个社会，可能希望通过假设跨性别认同是一个生物学问题，最好通过医学手段来治疗，从而回避承认这种创伤、虐待和性困扰的现实。作者认为，支持生物医学方法的证据质量极差。这使年轻的跨性别者面临接受潜在有害的治疗的风险，他们以后可能会试图逆转或后悔这种治疗，而他们潜在的心理问题仍未得到解决。
