San Francisco Department of Public Health Behavioral Health Services and Primary Care Behavioral Health, 3850 17th Street, San Francisco, CA 94114, USA; University of California, San Francisco Department of Psychiatry and Behavioral Sciences, Box 3134, 675 18th Street, San Francisco, CA 94107, USA.
University of California, San Francisco School of Medicine, Program in Medical Education - Urban Underserved, 513 Parnassus Avenue, Suite S221, San Francisco, CA 94143, USA.
Child Adolesc Psychiatr Clin N Am. 2023 Oct;32(4):683-705. doi: 10.1016/j.chc.2023.04.002. Epub 2023 Jun 15.
This article explores how race, sex, and gender are better thought of as a continuum rather than binary categories. Starting with a discussion of intersectionality, we examine the importance of ethnic-racial identity and explore unique cultural considerations for working with Black, Latinx, and AAPI transgender and nonbinary youth. We then examine intersex youth and variations of sex development, as well as specific challenges they face. Finally, we explore nonbinary gender identities and the importance of individually tailoring affirming interventions. For all sections, we highlight the strengths and resilience of the youth and offer clinical recommendations for child and adolescent providers.
这篇文章探讨了种族、性别如何更好地被视为连续体而不是二元类别。从交叉性的讨论开始,我们考察了民族种族认同的重要性,并探讨了与跨性别和非二元的黑人、拉丁裔和亚裔美国青少年合作的独特文化考虑因素。然后,我们研究了间性青少年和性别发育的变化,以及他们面临的具体挑战。最后,我们探讨了非二元性别认同以及个性化定制肯定干预措施的重要性。对于所有章节,我们都强调了青少年的优势和适应力,并为儿童和青少年提供者提供了临床建议。