摘要
简介:性别认同障碍是一复杂的症状,目前对其认识还很匮乏。在过去的几十年内,易性症不是单独出现的症状这一认识得到广泛的讨论,而易性症研究的经验也揭示了易性症是遗传性并存疾病的可能性。伴随变性手术(SRS)的心理病理、临床症状水平和社会适应水平的变化已逐渐明确,但目前尚没有关于人格特性改变的充分证据。本研究的进行正是基于这一重要主题的科学数据的空白,目的是为增进该领域的临床护理的认识作出贡献。目标:确定受试者为确诊进行的临床评估时刻的人格档案与结构、临床心理病理症状和社会适应水平的特征,基于这些结果的分析,将其与变性手术后的相应结果进行比较,从而为术前术后人格档案水平、心理病理和社会适应水平的变化提供证据支持。材料和方法:受试者为22名确诊为性别认同障碍的个体的非随机样本。在临床评估时刻对其进行前瞻性和描述性研究,变性手术后再次进行比较性的研究。除了半结构式访谈,还应用了其他自我评估工具:症状自评量表(SCL-90),社会家庭生活问卷,Million临床多轴问卷-II(MCMI-II),明尼苏达多项人格问卷-2(MMPI-2)。数据分析通过SPSS-预测统计分析软件(PASW)18进行。结果和结论:在临床评估时刻,性别认同障碍不是单独存在的。在变性手术后,我们观察到多水平的显著变化:心理病理症状、临床和人格障碍以及社会适应(积极演变,即多维度的平衡和稳定)。变性手术后,在人格档案水平也观察到了变化。因此,和变性手术初始阶段相比,在心理病理水平之外,受试者在人格结构和基本人格模式水平也出现了显著性的变化。我们还发现当根据性别认同对个体进行评估时,个体各水平之间的平衡更好,并且与性别认同一致的性别角色表现为总体一致性。
Introduction： Gender Identity Disorder（GID） is still a complex and poorly understood condition.The perception that transsexuality doesn＇t emerge as an isolated entity has been discussed for the past few decades,and its experience remit us to an inherent co-morbidity.Following Sexual Reassignment Surgery（SRS）,changes at psychopathology clinical symptoms and social adaptation level become evident,but regarding the personality profile no solid evidence has ever been granted that could prove its modification.This gap in scientific data on this important subject led the researcher to conduct the present study,aiming that these orientations might contribute for a better acuity in this area of clinical care.Objectives： To identify the characteristics of the personality profile and structure,clinical psychopathological symptoms,and the level of social adaptation at the moment of clinical evaluation for diagnosis confirmation.Following the analysis of the former results,compare them,in a similar way,with those at a different moment,following SRS,providing evidence of changes at the personality profile level,psychopathology and social adaptation,in this group of Transsexuals,before and after SRS.Material and Methods： Initially a prospective and descriptive study of a group of transsexuals at the moment of clinical evaluation,and a posterior comparative study,with the same group of transsexuals,before and after SRS,using a non-randomized sample of twenty two individuals with the diagnosis of gender identity disorder.Besides a semi-structured interview,other self-assessment instruments were used： Symptom-Check List-90 Revised（SCL-90）,Sociofamily Life Questionnaire,Millon Clinical Multiaxial Inventory-II（MCMI-II）,Minnesota Multiphasic Personality Inventory 2（MMPI-2）.The statistical procedures were done using the Statistical Package for Social Sciences PASW 18 software.Results and Conclusions： At the moment of clinical evaluation,gender identity disorder does not emerge as an isolated clinical entity.After SRS,we＇ve observed clinically significant changes at various levels： psychopathological symptoms,clinical and personality disorders,and also in social adaptation,referring to a positive evolution,with an equilibrium and stability in various dimensions.We＇ve also found changes at the personality profile level,in GID,after SRS.Therefore,significant changes are exhibited when compared to the initial phase of the sexual reassignment process,not only at a psychopathological level,but also at the structure and basic personality pattern.Existence of a better balance,at various levels,when these individuals are envisaged,and evaluated,according to their gender identity;and,a total consistency of their gender role consistent with their gender identity.
出处
《中国性科学》
2012年第1期38-42,共5页
Chinese Journal of Human Sexuality
