Department of Psychiatry, Case Western Reserve University, 23425 Commerce Park, #104, Beachwood, OH, 44122, USA.
Arch Sex Behav. 2021 Nov;50(8):3527-3536. doi: 10.1007/s10508-021-02142-1. Epub 2021 Sep 15.
The fact that modern patterns of the treatment of trans individuals are not based on controlled or long-term comprehensive follow-up studies has allowed many ethical tensions to persist. These have been intensifying as the numbers of adolescent girls declare themselves to be trans, have gender dysphoria, or are "boys." This essay aims to assist clinicians in their initial approach to trans patients of any age. Gender identity is only one aspect of an individual's multifaceted identity. The contributions to the passionate positions in the trans culture debate are discussed along with the controversy over the official, not falsifiable, position that all gender identities are inherently normal. The essay posits that it is relevant and ethical to investigate the forces that may have propelled an individual to create and announce a new identity. Some of these biological, social, and psychological forces are enumerated. Using the adolescent patient as an example, a model for a comprehensive evaluation process and its goals are provided. The essay is framed within a developmental perspective.
现代跨性别者治疗模式并非基于对照或长期全面随访研究这一事实，使得许多伦理问题仍然存在。随着越来越多的少女宣称自己是跨性别者，出现性别焦虑，或者是“男孩”，这些问题愈演愈烈。本文旨在帮助临床医生初步接触任何年龄段的跨性别患者。性别认同只是个人多方面身份的一个方面。本文讨论了跨性别文化辩论中激烈立场的贡献，以及官方提出的所有性别认同本质上都是正常的这一不可证伪立场所引发的争议。本文认为，调查可能促使个人创造和宣布新身份的力量是相关且合乎伦理的。列举了一些生物学、社会和心理因素。本文以青少年患者为例，提供了全面评估过程及其目标的模型。本文从发展的角度构建。
