Assessment and treatment of a gender-dysphoric person with a traumatic history

IF 0.4 Q4 PSYCHOLOGY, CLINICAL JOURNAL OF CHILD PSYCHOTHERAPY Pub Date : 2023-01-02 DOI:10.1080/0075417X.2023.2172741
M. Evans
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引用次数: 2

Abstract

ABSTRACT This paper presents a composite case based on a group of female-to-male transitioners with a history of trauma due to early separation or family illness. These early traumas may interfere with the process of integrating the mind and body. Symptoms of gender dysphoria often arise from, or increase in response to, subsequent separations later in life, as individuals transition from childhood to adulthood. Increased referrals to gender clinics are noted at puberty or the point of separation from the family, as individuals face the prospect of leaving home to go to university. Affected by anxieties associated with the onset of puberty or separation anxieties, these individuals sometimes seek a medical transition to gain control over their bodies. Exploring underlying psychoanalytic issues can help clinicians assess various conscious and unconscious influences, and help patients make more informed decisions on whether to pursue a medical transition. A focus on defence mechanisms and forms of thinking can help clinicians find ways of working with individuals who may be highly defensive and concrete in their thinking and feel threatened by the functioning of their minds.
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一名有创伤史的性别焦虑症患者的评估和治疗
摘要:本文提出了一个复合的情况下,基于一组女向男变性者的创伤史,由于早期分离或家庭疾病。这些早期的创伤可能会干扰身心整合的过程。性别焦虑的症状通常是在个体从童年过渡到成年的过程中,由于随后的分离而产生或加重的。人们注意到,越来越多的人在青春期或与家庭分离的时候去性别诊所就诊,因为个人面临着离开家去上大学的前景。受与青春期开始或分离焦虑相关的焦虑的影响,这些人有时会寻求医学转变,以获得对自己身体的控制。探索潜在的精神分析问题可以帮助临床医生评估各种有意识和无意识的影响,并帮助患者做出更明智的决定,是否追求医疗过渡。对防御机制和思维形式的关注可以帮助临床医生找到与那些可能在思维上高度防御和具体的个体一起工作的方法,这些个体可能会因其思维功能而感到威胁。
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来源期刊
JOURNAL OF CHILD PSYCHOTHERAPY
JOURNAL OF CHILD PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
0.70
自引率
50.00%
发文量
46
期刊介绍: The Journal of Child Psychotherapy is the official journal of the Association of Child Psychotherapists, first published in 1963. It is an essential publication for all those with an interest in the theory and practice of psychoanalytic psychotherapy and work with infants, children, adolescents and their parents where there are emotional and psychological problems. The journal also deals with the applications of such theory and practice in other settings or fields The Journal is concerned with a wide spectrum of emotional and behavioural disorders. These range from the more severe conditions of autism, anorexia, depression and the traumas of emotional, physical and sexual abuse to problems such as bed wetting and soiling, eating difficulties and sleep disturbance.
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