任何名字的玫瑰:性别确认护理和严重精神疾病

IF 0.2 4区 医学 Q4 PSYCHIATRY Psychiatric Annals Pub Date : 2023-05-01 DOI:10.3928/00485713-20230404-01
Samantha Hayes, Mariella Suleiman, Elina Slobod, Suzanne K. Eschenbach
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引用次数: 0

摘要

跨性别人群在医疗环境中有更高的精神障碍和耻辱感。文献表明,在与此类患者合作时,确认性别的护理是标准。关于治疗这些严重精神疾病(SMI)患者的研究有限。本文探讨了如何治疗SMI,这种SMI会影响患者的现实,以至于他们指定的性别无法得到承认。所介绍的案例是一名变性女性,澄清她的出生性别对治疗至关重要。该患者否认自己的出生性别,认为自己有流产史。对跨性别SMI患者的治疗研究有限。确认性别的治疗是这些患者的护理标准。培训如何提出相关问题和有效沟通对于防止误诊、不必要的治疗和激动是必要的。[精神病学年鉴,2023;53(5):221–223.]
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A Rose by Any Other Name: Gender-Affirming Care and Severe Mental Illness
The transgender population has higher rates of psychiatric disorders and stigma within medical settings. Literature suggests that gender-affirming care is the standard when working with such patients. There are limited studies regarding treating these patients with severe mental illness (SMI). This article explores how to treat SMI that impacts patients' reality to the point where their assigned sex cannot be acknowledged. The case presented is that of a transgender woman, where clarification of her natal sex was crucial to treatment. The patient denied her natal sex, endorsing a history of miscarriage. Studies on treatment of transgender SMI patients are limited. Gender-affirming treatment is the standard of care for these patients. Training how to ask pertinent questions and communicate effectively is necessary to prevent misdiagnosis, unnecessary treatment, and agitation. [ Psychiatr Ann. 2023;53(5):221–223.]
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来源期刊
Psychiatric Annals
Psychiatric Annals PSYCHIATRY-
CiteScore
0.90
自引率
0.00%
发文量
77
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