病例报告：对跨性别身份的疑虑与困扰：质疑自身性别认同还是强迫症病例？
Case Report: Doubts and Pre-occupations About Being Transgender: Questioning One's Gender Identity or a Case of Obsessive-Compulsive Disorder?
作者信息
Aboujaoude Elias, Starcevic Vladan
机构信息
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, United States.
Faculty of Medicine and Health, Sydney Medical School, Nepean Clinical School, University of Sydney, Sydney, NSW, Australia.
出版信息
Front Psychiatry. 2021 Mar 30;12:644114. doi: 10.3389/fpsyt.2021.644114. eCollection 2021.
We report the case of a biological female with gender identity-related doubts that were misconstrued as suggesting obsessive-compulsive disorder (OCD). The patient's parent seemed to favor an OCD explanation for the gender-based self-questioning over acceptance of possible transgender identity. We discuss what OCD is and what it is not in the context of gender identity-based doubt; analogy with the better studied sexual orientation-related OCD; cultural flashpoints around sex and gender that can become the object of OCD; how confusion about biological sex, assigned gender and gender identity can lead to clinical harm; and the role of mental health professionals in fighting the stigma faced by gender minorities.
我们报告了一例生物学意义上的女性病例，其与性别认同相关的疑虑被误解为提示强迫症（OCD）。患者的父母似乎更倾向于用强迫症来解释基于性别的自我质疑，而不是接受可能的跨性别身份。我们讨论了在基于性别认同的疑虑背景下，什么是强迫症以及什么不是强迫症；与研究得更充分的与性取向相关的强迫症进行类比；性与性别方面可能成为强迫症对象的文化热点问题；对生理性别、指定性别和性别认同的困惑如何导致临床伤害；以及心理健康专业人员在消除性别少数群体所面临的耻辱方面的作用。
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