青春期前接触到有关阉割和情感创伤的信息与男性成年后寻求生殖器切除的风险有关。
Exposures to information about castration and emotional trauma before puberty are associated with men's risk of seeking genital ablation as adults.
作者信息
Agapoff Jame A, Wassersug Richard J, Johnson Thomas W, Wibowo Erik
机构信息
Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Manoa, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813, United States.
Department of Cellular and Physiological Sciences, University of British Columbia, 2775 Laurel Street, Vancouver, BC V6T 1Z3, Canada.
出版信息
Sex Med. 2023 Apr 13;11(2):qfad011. doi: 10.1093/sexmed/qfad011. eCollection 2023 Apr.
BACKGROUND
Little is known about childhood experiences, outcomes, and self-recollections of those men who were voluntarily castrated as adults.
AIM
The study sought to determine how learning about castration before and after 13 years of age is associated with differential childhood experiences, outcomes, and self-recollections of those who were voluntarily castrated as adults.
METHODS
We designed a survey of voluntarily castrated individuals, who learned about castration before and after 13 years of age. Our survey consisted of both validated questionnaires and questions. Data were from 208 individuals. Both descriptive and quantitative statistics were performed.
OUTCOMES
Learning about castration before 13 years of age is associated with more adverse childhood experiences (ACEs) such as being threatened with castration and other forms of emotional, physical, and sexual trauma.
RESULTS
As compared with those who learned about castration after 13 years of age, those who knew about castration earlier were more likely to have self-injured their penis (χ = 5.342, < 0.05), had thoughts of performing self-castration (χ = 10.389, < 0.01), witnessed animal castration (χ = 10.023, < 0.01), been threatened with castration as a child (χ = 21.749, < 0.001), had childhood physical trauma (χ = 4.318, < 0.05), had childhood emotional trauma (χ = 3.939, < 0.05), and had childhood sexual trauma (χ = 5.862, < 0.05).
CLINICAL IMPLICATIONS
Mental health screening and support should be offered to any men seeking emasculating procedures in line with the World Professional Association of Transgender Health's Standards of Care Version 8.
STRENGTHS AND LIMITATIONS
This study had a large sample size and used a validated questionnaire to evaluate for ACEs. The average age of respondents was above 50 years of age, which may increase recall bias.
CONCLUSION
Understanding how ACEs influence the age when some eunuchs first desire, pretend, and become castrated can help clinicians develop better assessments and treatment protocols for individuals with male-to-eunuch gender dysphoria, and other conditions in which emasculating medical procedures are requested.
背景
对于那些成年后自愿接受阉割的男性的童年经历、结果及自我回忆知之甚少。
目的
本研究旨在确定13岁之前和之后了解阉割与成年后自愿接受阉割者不同的童年经历、结果及自我回忆之间的关联。
方法
我们设计了一项针对自愿接受阉割者的调查，这些人在13岁之前和之后了解了阉割情况。我们的调查包括经过验证的问卷和问题。数据来自208名个体。进行了描述性和定量统计。
结果
13岁之前了解阉割与更多不良童年经历（ACEs）相关，如受到阉割威胁以及其他形式的情感、身体和性创伤。
结果
与13岁之后了解阉割的人相比，更早了解阉割的人更有可能对自己的阴茎进行自我伤害（χ = 5.342，P < 0.05），有过自我阉割的想法（χ = 10.389，P < 0.01），目睹过动物阉割（χ = 10.023，P < 0.01），小时候受到阉割威胁（χ = 21.749，P < 0.001），有童年身体创伤（χ = 4.318，P < 0.05），有童年情感创伤（χ = 3.939，P < 0.05），以及有童年性创伤（χ = 5.862，P < 0.05）。
临床意义
应根据世界跨性别健康专业协会第8版《护理标准》，为任何寻求去势手术的男性提供心理健康筛查和支持。
优点和局限性
本研究样本量较大，并使用经过验证的问卷来评估ACEs。受访者的平均年龄超过50岁，这可能会增加回忆偏差。
结论
了解ACEs如何影响一些阉人首次渴望、假装并接受阉割的年龄，有助于临床医生为患有男性到阉人性别焦虑症以及其他要求进行去势医疗程序的患者制定更好的评估和治疗方案。
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