Kirkpatrick M, Freidmann C T
Am J Psychiatry. 1976 Oct;133(10):1194-6. doi: 10.1176/ajp.133.10.1194.
The authors describe two patients whose requests for sex-change surgery represented crises in sexual identity and anxiety-masking symptoms. Brief psychotherapy enabled these patients to relinquish their belief in a surgical "cure". In evaluating such request, the psychiatrist should consider the patient's total personality rather than focusing on the genuineness of the perceived gender disorder. Whatever the final decision, the opportunity for continued psychotherapy should be provided.
作者描述了两名患者，他们要求进行变性手术，这代表了性身份认同危机和焦虑掩盖症状。简短的心理治疗使这些患者放弃了通过手术“治愈”的信念。在评估此类请求时，精神科医生应考虑患者的整体人格，而不是专注于所感知的性别障碍的真实性。无论最终决定如何，都应提供继续进行心理治疗的机会。
