Gender nonconformity as a problem of mentalization

K. S. Vinogradova
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Abstract

Objective — to study and analyze the current trends among Western scientists and mental health professionals regarding issues of gender identity; to study the data of foreign and domestic studies concerning the problems of gender incongruence, gender dysphoria and their comorbidity with mental disorders, personality disorders, especially with schizophrenia and autism spectrum disorders; to identify promising areas of scientific research in this direction. Source search in electronic databases was carried out mainly for the past 5 years among foreign and russian publications, including Web of science, Researchgate.net, Google Scholar, Elibrary, Cyberleninka systems, using phrases such as gender identity disorder, gender identity disorder comorbidity, gender identity disorder schizophrenia, gender identity disorder autism, gender nonconformity, mentalization personality disorder. The article presents the data of modern publications and studies, showing, on the one hand, the tendency of Western experts to depathologize gender incongruence, promote gender transition, on the other hand, an active study of the relationship between this phenomenon with autism and schizophrenia spectrum disorders, personality disorders. According to the presented studies, the influence of mentalization features on the presence of mental disorders and gender incongruence is revealed.
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性别不一致作为心理化问题
目的——研究和分析西方科学家和心理健康专业人员关于性别认同问题的当前趋势;研究国内外关于性别不一致、性别不安及其与精神障碍、人格障碍,特别是与精神分裂症、自闭症谱系障碍共病的研究资料;确定这方面有前景的科学研究领域。本文主要对近5年来国内外出版物的电子数据库进行检索,检索对象包括Web of science、Researchgate.net、谷歌Scholar、library、Cyberleninka等系统,检索词包括性别认同障碍、性别认同障碍共病、性别认同障碍精神分裂症、性别认同障碍自闭症、性别不一致、心智化人格障碍等。文章列举了现代出版物和研究的数据,一方面表明西方专家倾向于将性别不一致去病态化,促进性别转换,另一方面,积极研究这一现象与自闭症、精神分裂症谱系障碍、人格障碍之间的关系。根据这些研究,揭示了心理化特征对精神障碍和性别不一致存在的影响。
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