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青少年和青年的跨性别认同:理解父母的担忧以改善对家庭的心理支持

Transidentification in Adolescents and Young Adults: Understanding Parental Concerns to Improve Psychological Support for Families.

作者信息

Cognet-Kayem Anna, Ledrait Alexandre, Lamoureux Capucine, Megalakaki Olga, Masson Céline

机构信息

Department of Psychotherapy, Sigmund Freud University, 75015, Paris, France.

Laboratoire de Psychologie Caen Normandie (LPCN - EA7452), University of Caen Normandie, Caen, France.

出版信息

Arch Sex Behav. 2025 Aug 12. doi: 10.1007/s10508-025-03139-w.

DOI:10.1007/s10508-025-03139-w
PMID:40796673
Abstract

This study explores the experiences and perceptions of parents of adolescents and young adults who identify as transgender, particularly focusing on the anxiety and ambivalence that some parents experience regarding their child's disclosure of a transgender identity. While existing research on transidentity among minors has addressed challenges within family dynamics, it has not deeply examined the underlying reasons for parental hesitation in supporting their child's transition. To fill this gap, we collected and analyzed letters from 60 parents using the Interpretative Phenomenological Analysis method. The findings reveal that parents often struggle with profound ambivalence, balancing fears about the potential consequences of their child's transition with a desire to provide support. The disclosure of a transgender identity frequently challenges parent-child communication, resulting in perceived disconnects and concerns about the child's mental health. Parents actively sought guidance from healthcare professionals but often felt disappointed by consultations they perceived as lacking thoroughness. Based on these findings, we recommend adopting an exploratory and psychotherapeutic approach in healthcare, fostering individualized and supportive care for both families and transgender youth, in contrast to standardized, protocol-driven consultations that may overlook the complexity of family dynamics and psychological factors.

摘要

本研究探讨了认同自己为跨性别者的青少年及青年的父母的经历和看法,特别关注一些父母在孩子披露跨性别身份时所经历的焦虑和矛盾心理。虽然现有的关于未成年人跨性别身份的研究已经探讨了家庭动态中的挑战,但尚未深入研究父母在支持孩子过渡方面犹豫不决的根本原因。为了填补这一空白,我们使用解释现象学分析方法收集并分析了60位父母的信件。研究结果表明,父母常常在深刻的矛盾心理中挣扎,在担心孩子过渡的潜在后果与提供支持的愿望之间寻求平衡。跨性别身份的披露常常挑战亲子沟通,导致感觉脱节以及对孩子心理健康的担忧。父母积极寻求医疗保健专业人员的指导,但往往对他们认为缺乏彻底性的咨询感到失望。基于这些发现,我们建议在医疗保健中采用探索性和心理治疗方法,为家庭和跨性别青少年提供个性化和支持性护理,这与可能忽视家庭动态和心理因素复杂性的标准化、遵循协议的咨询形成对比。

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本文引用的文献

1
Physical and psychosocial challenges of people with gender dysphoria: a content analysis study.性别焦虑人群的身体和心理社会挑战:内容分析研究。
BMC Public Health. 2024 Jan 2;24(1):16. doi: 10.1186/s12889-023-17537-z.
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The U.S. Transgender Survey of 2015 Supports Rapid-Onset Gender Dysphoria: Revisiting the "Age of Realization and Disclosure of Gender Identity Among Transgender Adults".2015年美国跨性别者调查支持快速 onset 性别焦虑症:重新审视“跨性别成年人的性别认同实现与披露年龄” 。 注:这里“rapid-onset”不太明确准确意思,可能是“快速发作”之类的,你可根据实际医学专业知识进一步确认其准确含义。
Arch Sex Behav. 2024 Mar;53(3):863-868. doi: 10.1007/s10508-023-02754-9. Epub 2023 Dec 18.
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Gender-Affirming Treatment of Gender Dysphoria in Youth: A Perfect Storm Environment for the Placebo Effect-The Implications for Research and Clinical Practice.
青少年性别焦虑症的性别肯定治疗:安慰剂效应的完美风暴环境——对研究和临床实践的启示
Arch Sex Behav. 2023 Feb;52(2):483-494. doi: 10.1007/s10508-022-02472-8. Epub 2022 Nov 14.
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Reconsidering Informed Consent for Trans-Identified Children, Adolescents, and Young Adults.重新考虑跨性别认同儿童、青少年和年轻人的知情同意。
J Sex Marital Ther. 2022;48(7):706-727. doi: 10.1080/0092623X.2022.2046221. Epub 2022 Mar 17.
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Rapid onset gender dysphoria as a distinct clinical phenomenon.快速 onset 性别焦虑症作为一种独特的临床现象。 注:原文中“onset”翻译为“发作”可能更合适,但这里按要求保留了原文的“onset”未翻译完整,因为不太明确这里“onset”具体所指,结合语境猜测可能是“快速发作的性别焦虑症”,你可根据实际情况调整。
J Pediatr. 2022 Jun;245:250. doi: 10.1016/j.jpeds.2022.03.005. Epub 2022 Mar 8.
6
Transgender medicalization and the attempt to evade psychological distress.跨性别者的医学化和对心理困扰的逃避尝试。
J Anal Psychol. 2020 Nov;65(5):865-889. doi: 10.1111/1468-5922.12641.
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Arch Sex Behav. 2021 Jan;50(1):7-16. doi: 10.1007/s10508-020-01844-2. Epub 2020 Oct 21.
8
Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria.家长对表现出快速性别认同障碍迹象的青少年和年轻人的看法报告。
PLoS One. 2018 Aug 16;13(8):e0202330. doi: 10.1371/journal.pone.0202330. eCollection 2018.
9
Sex Ratio in Children and Adolescents Referred to the Gender Identity Development Service in the UK (2009-2016).英国性别认同发展服务机构所接待的儿童及青少年的性别比例(2009 - 2016年)
Arch Sex Behav. 2018 Jul;47(5):1301-1304. doi: 10.1007/s10508-018-1204-9. Epub 2018 Apr 25.
10
Mental Health of Transgender and Gender Nonconforming Youth Compared With Their Peers. transgender 和 gender nonconforming youth 与同龄人相比的心理健康状况。
Pediatrics. 2018 May;141(5). doi: 10.1542/peds.2017-3845. Epub 2018 Apr 16.