跨性别者的精神病学伦理问题

A. Perekhov, M. N. Kryuchkova
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引用次数: 2

摘要

今天,由于在精神科服务工作中不遵守伦理原则,俄罗斯联邦境内对跨性别者的精神科护理很困难。这篇文章讨论了关于性别重置手术的尚未解决的伦理冲突,其中一方是“不允许,禁止”的支持者,他们的态度是精神病学家只允许“真正的”变性人进行性别重置手术,另一方是持相反的自由态度的支持者。为几乎所有申请人的性别重新分配程序。我们的文章讨论了帮助跨性别者的伦理问题。本文提出的自主、无害、行善的伦理原则,是为了帮助跨性别者。作者从伦理上写了关于在《国际疾病分类》中添加或不添加跨性别诊断的问题。本文提出了对跨性别者的利益与危害、尊重自主原则和行善原则的关注,以期为跨性别者提供优质的伦理关怀。作者探讨了精神科医师对跨性别者心理健康的伦理态度问题。作者以跨性别者为对象,探讨了精神科医师对跨性别者心理健康的态度、医疗化和医疗家长式作风等伦理问题。这篇文章提出了关于精神科医生在不同程度的心理健康受试者的性别重新分配程序中的伦理角色的考虑。作者提出了一种向变性人提供精神护理的算法,其中包括由精神科医生、心理学家、性学家进行深入检查,并就属于三合一的跨性别者的精神健康状况得出共同结论:精神健康或"有精神障碍"、"边缘性"或"精神精神障碍"。
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Psychiatric ethical issues of transgender people
Today, psychiatric care for people with transgender people in the Russian Federation is difficult due to non-compliance with ethical principles in the work of the psychiatric service. The article deals with the unresolved ethical conflict regarding gender reassignment procedures between proponents of "not allowed, forbidden" with the attitude of psychiatrists to issue permission for sex reassignment only to "real" transsexuals, and supporters of the opposite liberal attitude towards issuing permission. for gender reassignment procedures for almost all applicants. Our article discusses ethical issues to help transgender people. The ethical principles of autonomy, harmlessness and beneficence in this article are intended to help transgender people. The authors ethically write about adding and not adding a transgender diagnosis to the International Classification of Diseases. This article raises concerns about the benefits and harms, the principle of respect for autonomy and the principle of beneficence, in order to provide good quality ethical care for transgender people. The authors discuss the problem of the ethical attitude of a psychiatrist to the mental health of transgender subjects. The authors discuss the ethical problem of the psychiatrist's attitude to the mental health of transgender subjects, medicalization and medical paternalism with the help of transgender people. This article raises considerations about the ethical role of the psychiatrist in gender reassignment procedures for subjects with varying degrees of mental health. The authors propose an algorithm for providing psychiatric care to persons who have undergone gender reassignment, which includes an in-depth examination by psychiatrists, psychologists, sexologists and a collegial conclusion on the state of mental health of a transgender person in the triad: mentally healthy or "have mental disorders", "borderline" or "mental psychotic disorders".
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