过去对诊断标签具有压迫性的时间的启示。

What the Past Suggests About When a Diagnostic Label Is Oppressive.

机构信息

Fourth-year, dual-degree medical student at Dell Medical School and the Lyndon B. Johnson School of Public Affairs at the University of Texas at Austin.

Psychotherapist in private practice in San Francisco, California.

出版信息

AMA J Ethics. 2023 Jun 1;25(6):E446-451. doi: 10.1001/amajethics.2023.446.

DOI:10.1001/amajethics.2023.446

PMID:37285299

Abstract

Terminology describing transgender and gender diverse identities has evolved over the past 80 years, becoming progressively less pathologizing and less stigmatizing. While transgender health care no longer uses terms such as or classifies gender dysphoria as a mental health condition, the term continues to be a source of oppression. An all-encompassing term, if one can be found, might be experienced by some as either empowering or abusive. This article draws on historical perspectives to suggest how clinicians might use diagnostic and intervention language that is harmful to patients.

摘要

描述跨性别和性别多样化身份的术语在过去 80 年中不断演变，变得越来越不具有病理倾向，也越来越不具有污名化。尽管跨性别者的医疗保健不再使用“性别认同障碍”或“性身份障碍”等术语，也不再将性别焦虑症归类为心理健康状况，但“性别认同障碍”一词仍然是压迫的根源。如果能找到一个包罗万象的术语，可能会被一些人认为是赋权的，也可能被一些人认为是具有伤害性的。本文通过历史视角，探讨了临床医生如何使用可能对患者造成伤害的诊断和干预语言。