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是否为自闭症?对性别焦虑和自闭症谱系障碍共病现象的批判性评论。

Is It Autism? A Critical Commentary on the Co-Occurrence of Gender Dysphoria and Autism Spectrum Disorder.

机构信息

Department of Dynamic and Clinical Psychology, and Health Studies, "Sapienza," University of Rome, Italy.

Department of Psychology, University of Campania, "Luigi Vanvitelli," University of Caserta, Italy.

出版信息

J Homosex. 2022 Jun 7;69(7):1204-1221. doi: 10.1080/00918369.2021.1905385. Epub 2021 Apr 14.

DOI:10.1080/00918369.2021.1905385
PMID:33852376
Abstract

An increasing amount of literature revealed a link between GD and ASD. Both GD and ASD are complex and heterogeneous conditions characterized by a large variety of presentations. Studies have reported that individuals with GD tend to have higher prevalence rates of autistic traits in comparison to the general population. The purpose of this commentary is to provide, through the description of a clinical case, our reading and a possible interpretation of the correlation of these two conditions in light of the several methodological limitations found in literature. We hypothesize that the traits often classified as autistic could be more accurately related to the distress and discomfort evoked by GD. The autistic traits of individuals with GD as forms of psychological defenses and coping mechanisms aimed at dealing with socio-relational and identity problems are discussed.

摘要

越来越多的文献揭示了 GD 和 ASD 之间的联系。GD 和 ASD 都是复杂且异质的病症,表现形式多种多样。研究报告称,与普通人群相比,患有 GD 的个体往往具有更高的自闭症特征患病率。本文的目的是通过描述一个临床案例,提供我们对这两种情况相关性的解读和可能的解释,同时考虑到文献中发现的多种方法学限制。我们假设,通常被归类为自闭症的特征可能与 GD 引起的痛苦和不适更相关。我们还讨论了 GD 患者的自闭症特征,认为它们是应对社会关系和身份问题的心理防御和应对机制。

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