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性别肯定治疗中的医源性性别焦虑与伤害循环

Iatrogenic Gender Dysphoria and Harm Cycle in Gender Affirming Care.

作者信息

Bayraktar Zeki

机构信息

Department of Urology, Sancaktepe Sehit Prof Dr. Ilhan Varank Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

J Sex Marital Ther. 2025;51(4):364-382. doi: 10.1080/0092623X.2025.2480648. Epub 2025 Mar 27.

Abstract

In recent years, there has been a significant increase in cases of gender dysphoria among children and adolescents. Iatrogenesis, as a result of early social and medical transitions in the gender-affirming care model, has contributed to this rise, leading to a group of cases that could be described as 'iatrogenic gender dysphoria.' Iatrogenesis also causes potential harm in the medical and surgical treatments of these cases. Thus, gender dysphoria cases are effectively encircled by an iatrogenic harm cycle, from development to treatment. Pressures that restrict academic freedom in the field of gender medicine, political influences, issues of 'spin' in publications related to the gender-affirming care model, and misleading or exaggerated statements made by some clinicians to the public also contribute to this harm cycle. This article discusses the role of iatrogenesis in the increase of gender dysphoria cases and its effects within the harmful cycle surrounding these cases.

摘要

近年来,儿童和青少年性别焦虑症的病例显著增加。在性别肯定护理模式下,由于早期社会和医学过渡导致的医源性因素促成了这一增长,引发了一批可被描述为“医源性性别焦虑症”的病例。医源性因素在这些病例的医学和手术治疗中也造成了潜在危害。因此,从发病到治疗,性别焦虑症病例实际上被一个医源性伤害循环所包围。限制性别医学领域学术自由的压力、政治影响、与性别肯定护理模式相关出版物中的“误导性表述”问题,以及一些临床医生向公众做出的误导性或夸大性陈述,也促成了这个伤害循环。本文讨论了医源性因素在性别焦虑症病例增加中的作用及其在围绕这些病例的有害循环中的影响。

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