Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7
Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7
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DOI：
10.1080/15532739.2011.700873
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发表时间：
2012-01-01
影响因子：
--
通讯作者：
Zucker, K.
中科院分区：
文献类型：
--
作者：
Coleman, E.;Bockting, W.;Zucker, K.
《变性人、跨性别者和性别不合格者健康护理标准 (SOC)》是世界跨性别健康专业协会 (WPATH) 的出版物。 SOC 的总体目标是为卫生专业人员提供临床指导，帮助变性人、跨性别者和性别不合格者通过安全有效的途径实现性别自我的持久个人舒适，从而最大限度地提高他们的整体健康、心理健康和自我实现。这种援助可能包括初级保健、妇科和泌尿科护理、生殖选择、声音和沟通治疗、心理健康服务（例如评估、咨询、心理治疗）以及激素和手术治疗。 SOC 基于现有的最佳科学和专家专业共识。由于该领域的大部分研究和经验都来自北美和西欧的视角，因此有必要将 SOC 适应世界其他地区。 SOC 阐明了护理标准，同时承认做出明智选择的作用和减少伤害方法的价值。此外，此版本的 SOC 认识到，对性别不安的治疗，即因个人性别认同与出生时指定性别（以及相关的性别角色和/或主要和次要性别特征）之间的差异而引起的不适或痛苦，已经变得更加个性化。一些前来寻求护理的人将在性别角色改变或有关其性别认同或性别焦虑的其他解决方案方面取得重大的自我导向进展。其他人将需要更密集的服务。卫生专业人员可以使用 SOC 帮助患者根据其临床需求和性别表达目标考虑向他们开放的全方位卫生服务。
The Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People is a publication of the World Professional Association for Transgender Health (WPATH). The overall goal of the SOC is to provide clinical guidance for health professionals to assist transsexual, transgender, and gender nonconforming people with safe and effective pathways to achieving lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment. This assistance may include primary care, gynecologic and urologic care, reproductive options, voice and communication therapy, mental health services (e.g., assessment, counseling, psychotherapy), and hormonal and surgical treatments. The SOC are based on the best available science and expert professional consensus. Because most of the research and experience in this field comes from a North American and Western European perspective, adaptations of the SOC to other parts of the world are necessary. The SOC articulate standards of care while acknowledging the role of making informed choices and the value of harm reduction approaches. In addition, this version of the SOC recognizes that treatment for gender dysphoria i.e., discomfort or distress that is caused by a discrepancy between persons gender identity and that persons sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) has become more individualized. Some individuals who present for care will have made significant self-directed progress towards gender role changes or other resolutions regarding their gender identity or gender dysphoria. Other individuals will require more intensive services. Health professionals can use the SOC to help patients consider the full range of health services open to them, in accordance with their clinical needs and goals for gender expression.