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性别焦虑症:穆斯林年轻人面临的医学与伦理难题,有别于现实和理性方法。

Gender Dysphoria: A Medical and Ethical Perplexity as Distinct from Reality and the Rational Approach for Muslim Young People.

机构信息

Department of Pharmacology, College of Clinical Pharmacy, Imam Abdulrahman bin Faisal University Dammam, PO box 1982, 31442, Saudi Arabia,

出版信息

Psychiatr Danub. 2021 Winter;33(4):475-484. doi: 10.24869/psyd.2021.475.

Abstract

Gender dysphoria (GD), a conflict between one's self-perceived gender identity and the biological sex has been a wholly enigma and a source of contention between experts of various disciplines since long. This is a narrative review of the medical literature utilizing PubMed, Scopus, and Web of science databases, on the social status of GD patients, their therapeutic options, as well as the medical and ethical debate on GD that are of especial interest to the Muslim readers. Gender dysphoric patients or transgender people have a long history of social discrimination, marginalization, abuse, and neglect all around the world. Currently, large scale social developments supporting of transgender rights are rapidly underway in the west. Clinical evidence-based guidelines have also been published and are available for the management of GD, albeit with some medical and ethical concerns. On the other hand, the transgender community is continued to suffer profoundly in the developing and majority of Muslim nations, due to generalized unawareness, neglect, cultural and religious boundaries on this issue. Currently, Muslim youth or young adults are showing passionate interest in GD and are actively seeking information to comprehend its complexities, but they face more dilemma on this matter than the people in the West. This article addresses and discusses key transgender issues and controversies and provides a logical explanation that demonstrates that GD is real medical condition needing attention and that its treatment guidelines are justified. We hope this article will stimulate a new and broader perspective in minds of young Muslims and will urge them to take pragmatic steps in alleviating the travails of long-suffering and neglected transgender community.

摘要

性别焦虑症(GD)是一种自我感知的性别认同与生物性别之间的冲突,长期以来一直是各个学科专家之间的一个谜和争议来源。这是一篇利用 PubMed、Scopus 和 Web of science 数据库对 GD 患者的社会地位、治疗选择以及 GD 的医学和伦理辩论进行医学文献综述的叙述性评论,这些内容特别引起穆斯林读者的关注。GD 患者或跨性别者在全世界都经历了长期的社会歧视、边缘化、虐待和忽视。目前,西方正在大规模开展支持跨性别者权利的社会发展。虽然存在一些医学和伦理问题,但也已经为 GD 的管理发布了基于临床证据的指南。另一方面,由于普遍缺乏认识、忽视、文化和宗教对这一问题的限制,跨性别者在发展中国家和大多数穆斯林国家仍深受其害。目前,穆斯林青年或年轻人对 GD 表现出极大的兴趣,并积极寻求信息来理解其复杂性,但他们在这个问题上面临的困境比西方的人更多。本文讨论并探讨了关键的跨性别问题和争议,并提供了一个合乎逻辑的解释,表明 GD 是一种真实的医疗状况,需要关注,其治疗指南是合理的。我们希望这篇文章能在年轻穆斯林的心中激发一种新的、更广泛的视角,并促使他们采取切实可行的步骤,缓解长期受苦和被忽视的跨性别群体的困境。

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