Gaslighting in the context of clinical interactions with parents of transgender children
Gaslighting in the context of clinical interactions with parents of transgender children
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DOI：
10.1080/14681994.2018.1444274
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发表时间：
2018-01-01
影响因子：
1.1
通讯作者：
Bartholomaeus, Clare
中科院分区：
文献类型：
--
作者：
Riggs, Damien W.;Bartholomaeus, Clare
煤气灯被理解为一种与身份有关的虐待，是一种操纵的形式，犯罪者试图让别人相信他们的想法、观念或信仰是错误的。在临床环境中，煤气灯通常被视为成年人之间更广泛的虐待和暴力行为的一部分。然而，它也可能以更微妙的方式发生，并且可能以难以察觉的方式出现。本文探讨了在涉及跨性别儿童父母的临床互动中可能发生煤气灯的情况。根据第一作者的临床工作，提出了三个虚构的案例研究，并展示了煤气灯的三种主要形式：(1)延迟行动，(2)故意遗忘，(3)给孩子施加情感负担。在介绍了这三个案例之后，论文最后讨论了临床医生如何识别和应对煤气灯，强调(1)与儿童自己交谈，(2)代表儿童与父母交谈，(3)向父母树立宣传榜样，(4)纠正临床环境中的性别错误，以及(5)使用同伴监督来讨论案例。总之，这篇论文认为，虽然临床医生不应该急于诊断煤气灯，但临床医生也不应该忽视它对变性年轻人的强大影响。
Understood as a type of identity-related abuse, gaslighting is a form of manipulation where the perpetrator attempts to convince someone that their thoughts, perceptions, or beliefs are mistaken. In the clinical context, gaslighting is often seen as part of a broader constellation of abuse and violence between adults. However, it can also happen in more subtle ways, and can present in ways that are difficult to detect. This paper explores instances where gaslighting may potentially occur in clinical interactions involving parents of transgender children. Three fictionalised case studies are presented drawing on the first author's clinical work, and demonstrate three overarching forms of gaslighting: (1) deferred action, (2) intentional forgetting, and (3) placing an emotional burden on the child. Having presented the three cases, the paper concludes by discussing how clinicians might identify and respond to gaslighting, emphasising (1) speaking with children on their own, (2) speaking on behalf of children to parents, (3) modelling advocacy to parents, (4) correcting misgendering in the clinical context, and (5) using peer supervision to discuss cases. In sum, the paper argues that whilst clinicians should not rush to diagnose gaslighting, clinicians should also not overlook its powerful effects upon transgender young people.