Blumenthal E
Boston Psychoanalytic Society and Institute, USA.
Psychoanal Study Child. 1998;53:181-98. doi: 10.1080/00797308.1998.11822482.
This essay reviews current theories of gender identity disorders, with particular reference to the etiology of the problem in girls. The analysis of a latency-age girl with a serious cross-gender identity disorder is presented in detail. The case material illustrates the complex relationships among this girl's fantasies about her adoption, her ambivalent attachments to her adoptive parents and brother, her pet rats, and about herself as a boy. In the analytic work, the real and transferential connections to the analysts were explored, which enabled the patient to reenact the traumatic derailments in her early attachments, to begin to mourn her losses, and to move to a more feminine identification.
本文回顾了当前关于性别认同障碍的理论，尤其提及了女孩中该问题的病因。详细介绍了对一名患有严重跨性别认同障碍的潜伏期女童的分析。案例材料展示了该女孩关于自己被收养的幻想、她对养父母和哥哥的矛盾情感、她的宠物鼠以及她作为男孩的自我认知之间的复杂关系。在分析工作中，探索了与分析师的现实及移情联系，这使患者能够重演早期依恋关系中的创伤性偏离，开始哀悼她的损失，并转向更具女性特质的认同。
