Lemma Alessandra
Anna Freud National Centre for Children and Families, UK.
Psychoanalysis Unit, University College London, UK.
Int J Psychoanal. 2018 Oct;99(5):1089-1106. doi: 10.1080/00207578.2018.1489710.
The capacity of transgender to incorporate all gender variance and sexual preferences has become a powerful tool of activism and personal identification. Rather than being an index of marginality "trans" has become a central cultural site. In this paper, I will argue that this identity label encompasses a complex range of internal psychic positions in relation to consciously stated sexual preferences and gender identifications. My aim is to explore what can appear to be in some cases a premature embracement of the empowering potential of the transgender identification through my work with under 18-year-olds who are seeking medical intervention for gender dysphoria. This can undermine the painful psychic work required to establish what transgender means for any given young person. In an external culture where to ask "why transgender" (as opposed to "how transgender") is felt to be pathologising, working with these young people can prove difficult for the analyst. The challenge is to tread the fine line between a dialogue based on an equidistant curiosity about meaning and function that is core to an analytic approach, and a posture of implicit skepticism.
跨性别者接纳所有性别差异和性取向的能力已成为一种强大的行动主义和个人认同工具。“跨性别”不再是边缘化的指标，而是成为了一个核心文化场域。在本文中，我将论证，这个身份标签涵盖了一系列与有意识表达的性取向和性别认同相关的复杂内在心理立场。我的目的是通过与寻求性别焦虑症医学干预的18岁以下青少年合作，探讨在某些情况下，对跨性别认同赋予力量的潜力的过早接受可能带来的问题。这可能会破坏为确定跨性别对任何特定年轻人意味着什么而进行的痛苦心理工作。在外部文化中，询问“为什么是跨性别者”（而不是“如何成为跨性别者”）被认为是病态化的，与这些年轻人合作对分析师来说可能很困难。挑战在于在基于对意义和功能的等距好奇心的对话（这是分析方法的核心）与隐含怀疑的姿态之间走钢丝。
