Kemp Allyson J, Zhang Mengpin, Wang You, Leontieva Luba V, Sperry Susan D
Psychiatry, State University of New York Upstate Medical University, Syracuse, USA.
Psychology, State University of New York Upstate Medical University, Syracuse, USA.
Cureus. 2023 Apr 27;15(4):e38192. doi: 10.7759/cureus.38192. eCollection 2023 Apr.
There is limited research on mental illness in intersex and transgender individuals. This case report describes psychosis in a self-identified intersex transgender individual with a past psychiatric history of schizoaffective disorder. The patient and collateral information reported colpocleisis as a newborn, was assigned and raised as a male, then transitioned to a female. When the patient discussed her experiences as a transgender person, she would become significantly more psychotic with disorganized speech and grandiose Christian delusions. A psychological assessment including a projective test was completed to better understand the patient's psychotic symptoms along with her views of self, others, and the world. This case explores how the psychotic process interacts with gender dysphoria in a predominantly cisnormative, Christian society, with discussions of psychological defenses and psychodynamic theory.
关于双性人和跨性别者精神疾病的研究有限。本病例报告描述了一名自我认同为双性人的跨性别者的精神病症状，该患者既往有分裂情感性障碍的精神病史。患者及旁证信息显示其出生时接受了阴道闭合术，被指定为男性并作为男性抚养长大，之后转变为女性。当患者谈论她作为跨性别者的经历时，她会出现明显更严重的精神病症状，表现为言语紊乱和夸大的基督教妄想。完成了包括投射测验在内的心理评估，以更好地了解患者的精神病症状以及她对自我、他人和世界的看法。本病例探讨了在一个以顺性别规范为主导的基督教社会中，精神病过程如何与性别焦虑相互作用，并讨论了心理防御和精神动力学理论。
