Cohen L, de Ruiter C, Ringelberg H, Cohen-Kettenis P T
Department of Medical Psychology, Academisch Ziekenhuis Vrije Universiteit De Boelelaan, Amsterdam, The Netherlands.
J Clin Psychol. 1997 Feb;53(2):187-96. doi: 10.1002/(sici)1097-4679(199702)53:2<187::aid-jclp12>3.0.co;2-g.
Adolescent transsexuals were compared with adolescent psychiatric outpatients and first-year university students to determine the extent to which other psychopathology is a necessary condition for the development of transsexualism. Three areas of psychological functioning associated with fundamental psychological disturbances--perceptual inaccuracy, disorders of thought and negative self-image--were assessed by means of the Rorschach Comprehensive System. The group of adolescent transsexuals was found to be intermediate between adolescent psychiatric patients and nonpatients for extent of perceptual inaccuracy. They did not differ significantly from nonpatients with regard to thinking disturbances and negative self-image. The psychiatric patients included significantly more individuals characterized by negative self-image than the other groups. The results support the idea that major psychopathology is not required for the development of transsexualism.
将青少年易性癖者与青少年精神科门诊患者及大学一年级学生进行比较，以确定其他精神病理学在多大程度上是易性癖发展的必要条件。通过罗夏综合系统评估了与基本心理障碍相关的三个心理功能领域——感知不准确、思维障碍和消极自我形象。结果发现，青少年易性癖者组在感知不准确程度上介于青少年精神科患者和非患者之间。在思维障碍和消极自我形象方面，他们与非患者没有显著差异。与其他组相比，精神科患者中以消极自我形象为特征的个体明显更多。这些结果支持了易性癖发展不需要严重精神病理学这一观点。
