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How Inclusive Is the Transgender Persons Act? Evidence From the Ground 《跨性别者法案》的包容性如何?来自地面的证据
Pub Date : 2021-12-11 DOI: 10.1177/26318318211064132
Deeksha Pandey, M. Sivakami
The transgender community of India faces numerous challenges and is struggling hard for their survival. They generally beg at signals, impart blessings at religious ceremonies, and engage in sex work for their livelihood. A majority of the individuals of this community belong to low or lower-middle socioeconomic strata. For older adults, survival becomes very hard as they do not have any biological filial relationships or access to formal, steady employment like most of the heteronormative population. It is difficult for the younger transgender women within a gharana (adoptive family) to nourish the elderly and care for all financial needs. Despite the Transgender Persons (Protection of Rights) Act, 2019, hardly any research focuses on the needs of older adults. The authors have attempted to bring the attention of academic researchers and policymakers to one of the most vulnerable communities using a case study of an elderly transgender.
印度的跨性别群体面临着许多挑战,正在为生存而苦苦挣扎。他们通常在信号中乞讨,在宗教仪式上传递祝福,并从事性工作谋生。这个社区的大多数人属于中低社会经济阶层。对于老年人来说,生存变得非常困难,因为他们没有任何生理上的孝顺关系,也没有像大多数非规范人群那样获得正式、稳定的工作。在gharana(收养家庭)中,年轻的跨性别女性很难滋养老年人并照顾所有的经济需求。尽管2019年颁布了《跨性别者(权利保护)法》,但几乎没有任何研究关注老年人的需求。作者试图通过对一名老年变性人的案例研究,将学术研究人员和政策制定者的注意力吸引到最脆弱的社区之一。
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引用次数: 0
It’s Time to Consider LGBTQ-Affirmative Psychology in Malaysia 是时候考虑马来西亚的lgbtq -肯定心理学了
Pub Date : 2021-12-01 DOI: 10.1177/26318318211060484
K. Tan
International studies have revealed stark mental health inequities affecting lesbian, gay, bisexual, transgender, and queer (LGBTQ) people. While there is increasing awareness of higher prevalence of mental health difficulties among LGBTQ people in Malaysia, this issue has often been viewed through a cisheterosexist (cisgenderism and heterosexism) lens that criminalizes, pathologizes, marginalizes, and/or delegitimizes noncisgender and nonheterosexual forms of identities. Informed by LGBTQ-affirmative psychology, this viewpoint aims to scrutinize the common misconceptions surrounding the living experiences of Malaysian LGBTQ people; these include poor mental health among LGBTQ people, victim-blaming narrative of sexual violence, LGBTQ is a mental illness, and LGBTQ is a Western influence. This viewpoint draws on empirical and theoretical research, as well as international guidelines, to debunk these misconceptions. Recommendations are also provided for psychology practitioners and researchers to embark on the journey to supporting Malaysian LGBTQ people in a culturally safe manner.
国际研究表明,严重的心理健康不平等影响着女同性恋、男同性恋、双性恋、变性人和酷儿(LGBTQ)人群。虽然越来越多的人意识到马来西亚LGBTQ人群的心理健康问题更为普遍,但这个问题往往是通过异性恋者(顺性别主义和异性恋主义)的视角来看待的,这种视角将非顺性别和非异性恋的身份形式定为犯罪、病态、边缘化和/或非法化。以LGBTQ-肯定心理学为背景,本观点旨在审视围绕马来西亚LGBTQ人群生活经历的常见误解;其中包括LGBTQ人群的心理健康状况不佳,性暴力的受害者指责叙事,LGBTQ是一种精神疾病,LGBTQ是西方的影响。这一观点借鉴了实证和理论研究,以及国际准则,以揭穿这些误解。建议心理学从业者和研究人员以一种文化上安全的方式开始支持马来西亚LGBTQ人群。
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引用次数: 4
Sexual and Reproductive Rights: Time to Ring the Bell? 性与生殖权利:敲响警钟的时候到了?
Pub Date : 2021-10-01 DOI: 10.1177/26318318211053900
D. Banerjee, T. Rao
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引用次数: 1
Online Training Program on Sexual Disorders for Primary Care Physicians 初级保健医生性障碍在线培训计划
Pub Date : 2021-10-01 DOI: 10.1177/26318318211053894
R. Elfeqi
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引用次数: 0
The Cyber Avatar of Sexual Harassment at the Workplace: Media Analysis of Reports During COVID-19 职场性骚扰的网络化身:新冠疫情期间媒体报道分析
Pub Date : 2021-10-01 DOI: 10.1177/26318318211047832
Kanika K. Ahuja, Priyanka Padhy
Background: Whether working at physical workplaces or from the seeming safety of home, women employees continue to be hounded by sexual harassment. During COVID-19, sexual harassment has taken on a cyber avatar and continues to enjoy the protections afforded by ambiguity and inept implementation. Objectives: The study explores how media reported cyber sexual harassment (CSH) during a 1-year period after COVID-19 in India. It explores the dominant discourses evident in such media reports, such as the ways in which CSH is manifested, psychosocial factors behind the same, action taken (if any), and organizational practices. Method: The present study involved content analysis of electronic print media content (newspapers and magazines) published in India, in the English language, between the period March 2020 and February 2021. A final pool of 24 articles was purposively arrived at through an Internet-based search, which was classified as news story, editorial, opinion piece, interview, column, and other. Content analysis of the articles was carried out to uncover the main themes. Within these themes, the researchers carried out open coding to identify subthemes. Results: Six broad themes emerged from the articles: manifestations of CSH, causes of CSH, outcomes of CSH, action taken by the victim, organizational practices, and barriers in seeking redressal. Manifestations included inappropriate behavior by boss/colleagues during meeting (30.6%), social media harassment (22.6%), video calls/meeting/work at odd hours (17.7%), inappropriate attire (14.5%), sexist behavior and comments (8.1%), and inappropriate jokes (6.2%). Some of the causes reported for CSH were blurring of personal and professional boundaries, lack of guidelines regarding virtual workplaces, job uncertainty, and notions of patriarchy. Only 29.2% articles highlighted any action(s) taken by the victim. Some of the barriers in seeking redressal were reported to be lack of awareness and/or clear guidelines, fear about the repercussions, difficulty in proving CSH, daunting appellate process, lack of privacy with family members around, and patriarchal culture. Conclusion: The study reiterates the need for clear and consistent communication on CSH, both in organizations and through the media. It is imperative not only to revive and modify the existing policies on CSH but also to implement them effectively. In the “new normal,” organizations need to formulate responses that are multilevel, swift, and coordinated across stakeholders, policymakers, technology specialists, and social scientists.
背景:无论是在有形的工作场所工作,还是在看似安全的家中工作,女性员工都继续受到性骚扰的困扰。在2019冠状病毒病疫情期间,性骚扰已成为网络化身,并继续受到模棱两可和执行不力所提供的保护。目的:本研究探讨了媒体在印度COVID-19后的一年内如何报道网络性骚扰(CSH)。它探讨了这些媒体报道中明显的主导话语,例如CSH的表现方式,背后的社会心理因素,所采取的行动(如果有的话)和组织实践。方法:本研究涉及对2020年3月至2021年2月期间在印度以英语出版的电子印刷媒体内容(报纸和杂志)进行内容分析。最后的24篇文章是通过互联网搜索得到的,这些文章被分类为新闻故事、社论、评论、采访、专栏和其他。对文章进行内容分析,揭示文章的主旋律。在这些主题中,研究人员进行了开放编码来识别子主题。结果:从文章中出现了六大主题:慢性心力衰竭的表现,慢性心力衰竭的原因,慢性心力衰竭的结果,受害者采取的行动,组织实践和寻求补救的障碍。表现形式包括老板/同事在会议期间的不当行为(30.6%)、社交媒体骚扰(22.6%)、视频电话/会议/非工作时间(17.7%)、不得体的着装(14.5%)、性别歧视行为和评论(8.1%)、不得体的笑话(6.2%)。据报道,CSH的一些原因是个人和职业界限模糊,缺乏关于虚拟工作场所的指导方针,工作不确定性和父权制观念。只有29.2%的文章强调了受害者采取的任何行动。据报道,寻求补救的一些障碍是缺乏认识和/或明确的指导方针、担心后果、难以证明儿童暴力、令人畏惧的上诉程序、缺乏与家庭成员在一起的隐私以及男权文化。结论:该研究重申需要在组织内和通过媒体就卫生保健问题进行明确和一致的沟通。不仅要恢复和修改现有的卫生保健政策,而且要有效地实施这些政策。在“新常态”下,组织需要在利益相关者、政策制定者、技术专家和社会科学家之间制定多层次、快速和协调的应对措施。
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引用次数: 2
The Legend of Ahalya: A Midnight Imposter at the Hermitage 阿哈利亚的传说:冬宫的午夜骗子
Pub Date : 2021-10-01 DOI: 10.1177/26318318211040475
Somasundaram Ottilingam, T. Suresh, V. Raghavan
Ideally, domestic life in ancient India is presented as agam in Tamil and samsaran in Sanskrit. Pride of place is given to the women and her marital fidelity is placed on a high level and is considered absolutory non-negotiable. Adultery in the male or female and sexual gratification from the prostitute are condemned. The legend of Ahalya is from the epic Ramayana by Valmiki in Sanskrit and modified by the Tamil poet, Kambar, as Ramavataram in 12th century CE. The seduction by Indra and passive acceptance by Ahalya are mentioned. Male and female marital fidelity should be observed in the family for its mental health and proper child rearing.
理想情况下,古印度的家庭生活在泰米尔语中表现为agam,在梵语中表现为samsaran。女性享有至高无上的地位,她们对婚姻的忠诚被置于很高的地位,被认为是绝对不可妥协的。男性或女性的通奸和妓女的性满足都是被谴责的。阿哈利亚的传说来自瓦尔米基用梵文写的史诗《罗摩衍那》,并在公元12世纪被泰米尔诗人坎巴尔修改为罗摩瓦塔拉姆。书中提到了因陀罗的引诱和阿哈利亚的被动接受。为了家庭的精神健康和适当的子女抚养,应在家庭中遵守男女婚姻忠诚。
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引用次数: 0
Psychosexual Problem in Remitted Psychiatric Patients 精神病缓解期患者的性心理问题
Pub Date : 2021-10-01 DOI: 10.1177/26318318211044078
Dhana Ratna Shakya, T. Dhali, S. Bhattarai, N. Sapkota, A. Pandey
Background: Many patients and health literature, in general, allege that psychotropic agents cause sexual side effects. Objective: We intended to investigate this issue in a Nepalese clinical setting by estimating the prevalence of psychosexual problems among remitted psychiatric outpatients (on psychotropic medication) and by comparing it with that of a nonpsychiatric patient group (on nonpsychotropic medication). Methodology: In this hospital-based cross-sectional comparison study with purposive sampling, we collected the responses to a self-response questionnaire called “Arizona Sexual Experience Scale” from a total of 400 subjects: 100 male and 100 female consecutive consenting remitted psychiatric and dermatological outpatients, each with sex and marital status matching. We recorded pertinent information in the proforma and screened psychosexual problems with the Arizona Sexual Experience Scale after informed written consent. The problems in psychiatric and dermatological groups were compared. Results: We have more subjects of reproductive ages in both the psychiatric and dermatological groups. Depression, anxiety, and bipolar affective disorder were the most common diagnoses in the psychiatric patients, whereas eczema, fungal, immunologic, and allergic skin lesions/diseases were common in the dermatological patients. Both groups had comparable sexual dysfunction rates, both by overall and the criteria of ≥3 items with scores ≥4, whereas dermatological patients had more problems with criteria of ≥1 item with a score ≥5. Conclusions: Psychosexual dysfunction was more or less similar in frequency among both the psychiatric patients on psychotropic medication and dermatological patients on topical agents.
背景:一般来说,许多患者和健康文献都声称精神药物会引起性副作用。目的:我们打算在尼泊尔的临床环境中调查这一问题,方法是估计缓解的精神病门诊患者(服用精神药物)中性心理问题的患病率,并将其与非精神病患者组(服用非精神药物)的患病率进行比较。方法:在这项基于医院的横断面比较研究中,我们有目的地抽样,从总共400名受试者中收集了一份名为“亚利桑那州性体验量表”的自我反应问卷的回答:100名男性和100名女性连续同意出院的精神病和皮肤病门诊患者,每个人的性别和婚姻状况匹配。我们在形式表中记录了相关信息,并在知情书面同意后使用亚利桑那性经验量表筛查性心理问题。比较了精神科和皮肤科的问题。结果:我们在精神科和皮肤科都有更多的育龄受试者。抑郁症、焦虑症和双相情感障碍是精神病患者最常见的诊断,而湿疹、真菌、免疫性和过敏性皮肤病变/疾病在皮肤科患者中很常见。两组的性功能障碍发生率在总体和≥3项评分≥4的标准方面具有可比性,而皮肤科患者在≥1项评分≥5的标准方面存在更多问题。结论:在服用精神药物的精神病患者和外用药物的皮肤病患者中,性精神功能障碍的发生频率或多或少相似。
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引用次数: 0
Hearts and Mirrors 心与镜
Pub Date : 2021-10-01 DOI: 10.1177/26318318211053890
Varsha Tan
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引用次数: 0
Distress Due to Nonpathological Vaginal Discharge: A New Face of Dhat Syndrome in Females 非病理性阴道分泌物引起的痛苦:女性Dhat综合征的新面孔
Pub Date : 2021-10-01 DOI: 10.1177/26318318211049547
A. Tripathi, Deblina Roy, Sujita Kumar Kar
Female Dhat syndrome (FDS) is not yet an established clinical entity, but nonpathological vaginal discharge has been discussed in the scientific literature for quite a long time. Various studies have reported the existence of the phenomenon of nonpathological vaginal discharge. All the existing literature on Dhat syndrome was reviewed. Studies have reported that nonpathological vaginal discharge has a high prevalence among the rural and urban populations of Indian women (around 30%). The symptom of vaginal discharge has been an area of concern for a sizable proportion of women in the community, and anxiety related to this has been a frequent reason to seek medical attention. The ideas associated with vaginal discharge are similar to Dhat syndrome in males. The variations of associated symptomatology, course of illness, and somatization of the complaint make it challenging to diagnose and treat. The diagnostic criterion needs careful evaluation; management needs an appropriate multidisciplinary approach by various health team members, including psychological interventions and adjunct pharmacotherapy in effectively managing the FDS. Dhat syndrome in females has similar phenomenology to that in males. Unfortunately, this is under-researched and hence, underdiagnosed.
女性Dhat综合征(Female Dhat syndrome, FDS)尚未成为一个确定的临床实体,但非病理性阴道分泌物在科学文献中已经讨论了相当长的时间。各种研究报告了非病理性阴道分泌物现象的存在。复习了所有关于Dhat综合征的文献。研究报告称,非病理性阴道分泌物在印度农村和城市人口中发病率很高(约30%)。阴道分泌物的症状一直是社区中相当大比例妇女关注的一个领域,与此相关的焦虑一直是寻求医疗照顾的一个常见原因。与阴道分泌物有关的想法与男性的哈特综合症相似。相关症状、病程和躯体化的变化使得诊断和治疗具有挑战性。诊断标准需要仔细评估;管理需要由不同的卫生团队成员采取适当的多学科方法,包括心理干预和辅助药物治疗,以有效地管理FDS。女性的这种综合征与男性有相似的现象。不幸的是,这方面的研究不足,因此诊断不足。
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引用次数: 1
Quality of Marital Relationship and Sexual Interaction in Couples With Sexual Dysfunction: An Exploratory Study From India 性功能障碍夫妇的婚姻关系质量和性行为:来自印度的探索性研究
Pub Date : 2021-10-01 DOI: 10.1177/26318318211047547
Manjula V., Manjula Munivenkatappa, J. Navaneetham, M. Philip
Background: Sexual dysfunction and marital intimacy and quality are found to have a reciprocal relationship. Examining this relationship in couples seeking help for sexual dysfunctions in the cultural context of India is worthwhile. Aim: This study aims to explore the nature of sexual functioning, sexual interaction, sexual communication, and marital intimacy and quality in couples with sexual dysfunction. Further, relationship between the above variables is also examined. Methods: A cross-sectional, single-group exploratory design was adopted. A sample of 155 married heterosexual individuals, with a clinical diagnosis of sexual dysfunction in either of the spouses, was included in the study. The tools used included MINI neuropsychiatric interview, Marital Quality Scale, Marital Intimacy Questionnaire, Dyadic Sexual Communication Scale, and Sexual Interaction Inventory. Results: Erectile dysfunction and premature ejaculation in men and hypoactive sexual desire disorder in women were the most common sexual dysfunctions. Majority of the sample were young adults. About 82% of the sample had moderate-to-severe levels of marital distress. Mood disorder was the most common psychiatric disorder reported in the sample. High levels of intimacy problems were seen with no significant gender differences in the overall marital quality or intimacy. Difficulty in the overall sexual interactions was found; however, higher levels of dissatisfaction with the frequency of sex and lower self-acceptance was reported by men compared to women. Significant interrelationships were found between marital quality and intimacy, sexual interaction, and sexual communication. Conclusions: Sexual dysfunctions and marital distress are closely related. Sexual interaction and sexual communication play a significant role in marital quality and intimacy.
背景:性功能障碍与婚姻亲密度和质量之间存在相互关系。在印度的文化背景下,研究寻求性功能障碍帮助的夫妇之间的这种关系是值得的。目的:本研究旨在探讨性功能障碍夫妇的性功能、性互动、性沟通、婚姻亲密度和质量的本质。此外,还考察了上述变量之间的关系。方法:采用横断面单组探索性设计。该研究包括了155名已婚异性恋者的样本,他们的配偶中的任何一方都被临床诊断为性功能障碍。所使用的工具包括MINI神经精神访谈、婚姻质量量表、婚姻亲密度问卷、Dyadic性沟通量表和性互动量表。结果:男性勃起功能障碍、早泄和女性性欲减退是最常见的性功能障碍。大多数样本是年轻人。大约82%的样本有中度到重度的婚姻困扰。情绪障碍是样本中报告的最常见的精神障碍。在总体婚姻质量或亲密关系方面,没有显著的性别差异,但存在高度的亲密关系问题。发现整体性互动存在困难;然而,与女性相比,男性对性生活频率的不满程度更高,自我接纳程度更低。婚姻质量与亲密关系、性互动和性交流之间存在显著的相互关系。结论:性功能障碍与婚姻困境密切相关。性互动和性交流对婚姻质量和亲密关系起着重要作用。
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引用次数: 8
期刊
Journal of Psychosexual Health
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