Psychologic Approach to Psychosexual Misidentity with Elective Mutism
Psychologic Approach to Psychosexual Misidentity with Elective Mutism
复制标题
选择性沉默症性心理错误认同的心理学方法
DOI：
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发表时间：
1968
期刊：
影响因子：
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通讯作者：
J. Money
中科院分区：
文献类型：
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作者：
J. Money
两例肾上腺皮质亢进的男性雌雄同体表明，精神病性同一性可以独立于遗传、性腺、激素和形态性别，也可以独立于生理性别。一个孩子，原本是男孩，在12岁时被选为女孩。另一个孩子，原本是女孩，在11岁时被选为男孩。有可能克服他们选择性缄默症的心理障碍，特别是最初通过使用绘画、写作和建模。这些案例说明了一般规则，即在作出支持或反对性别重新分配的决定是有效的之前，必须适当重视性心理差异和性别认同感。如果能解决性别认同和指定性别之间的不一致，或者性别认同是矛盾的、不确定的，变性手术就能成功进行。否则是禁忌的。
Two cases of hyperadrenocortical fe male hermaphroditism illustrate that psy chosexual identity may differentiate inde pendently of genetic, gonadal, hormonal and morphologic sex, and also of assigned sex. One child, assigned as a boy, elected by age 12 to be reassigned as a girl. The other child, assigned as a girl, elected by age 11 to be reassigned as a boy. It was possible to overcome the psychologic handicap of their elective mutism, espe cially by the use, initially, of drawing, writing and modeling. These cases illustrate the general rule that proper weighting must be given to psychosexual differentiation and the sense of gender identity before a decision for or against sex reassignment can be valid. A sex reassignment can be success fully undertaken if it resolves incongruity between gender identity and assigned sex, or if the gender identity is ambivalently noncommittal. Otherwise sex reassign ment is contraindicated.