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題 名 | Treatment of a Transvestic Fetishist with Cognitive-Behavioral Therapy and Supportive Psychotherapy: Case Report=扮異性症之認知行為及支持性心理治療:個案報告 |
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作 者 | 江原麟; 葉頌壽; 蕭正誠; 呂少鈞; | 書刊名 | 長庚醫學 |
卷 期 | 22:2 1999.06[民88.06] |
頁 次 | 頁299-312 |
分類號 | 415.8754 |
關鍵詞 | 異常性偏好; 異裝癖; 扮異性症; 強迫性疾患; 心理治療; Paraphilia; Transvestitism; Transvestic fetishism; Obsessive-compulsive spectrum disorder; Psychotherapy; |
語 文 | 英文(English) |
中文摘要 | 扮異性症(transvestic fetishisim)是屬於異常性偏好(paraphilia)的一種疾患 ,它出現於男性的異性戀者,主要的特徵包括重複地出現強烈與性有關的幻想、性衝動、或 做異性裝扮的行為。有關於這個疾病病因,雖然有不同的解釋,但尚未有一致的結論。雖然 有各種不同的治療被嘗試運用,但是一般結果仍然令人失望。這一群個案運用扮異性裝扮的 行為來平衡其精神內在的失衡狀態,很少見到他們主動就醫,在臺灣極少有相關的研究報告 。本質性個案研究,報告一位在臺北市某精神科專科醫院接受心理治療的青少年個案。該個 案在經過一年的諮商輔導之後,仍然重複出現扮異性症的行為,並出現了較諮商前更嚴重的 道德焦慮 (moral anxiety), 於是轉介接受心理治療。 本篇報告中, 作者綜合認知行為 (cognitive-behavioral) 與精神動力學 (psychodynamic) 理論,運用在於個案的分析與治 療;希望結合理論與臨床,探討此一個案的疾病成因,與臨床治療技術如何運用。 經過 18 次,4 個多月的短期心理治療後,達成初步的治療效果,個案停止了扮異性行為,並幾乎停 止了相關的性幻想。一般認為扮異性症預後不佳,復發比率高,有些治療師則認為,青少年 患者治療成功率較高。此一個案報告顯示改變該行為的可能性,但是治療的長期效果如何, 則需要進一步的追�j。 |
英文摘要 | Transvestic fetishism is a paraphilia marked by recurrent, intense sexually arousing fantasies, sexual urges, or behavior involving cross-dressing, in a heterosexual male. There are many explanations of the pathogenesis, but none are conclusive. Different treatments have been appled, but they generally remain obscure and disappointing. Transvestic fetishists rarely seek psychotherapy, because of their dynamic balance between perversion and intrapsychic disintegration. There are few studies, either qualitative or quantitative, associated with transvestic fetishism in Taiwan. This case report describes an adolescent transvestic fetishist who underwent a brief course of psychotherapy in the outpatient department of a psychiatric center in Taipei, After consultation for one year, he still maintained his deviant sexual behavior but also developed more severe moral anxiety. He was then referred for psychotherapy. Cognitivebehavioral and psychodynamic theories associated with transvestic fetishism were reviewed and applied in both understanding and treating this client. Some temporal effectiveness was achieved with combined cognitive-behavioral and dynamic-oriented supportive psychotherapy. After 18 sessions of psychotherapy over more than 4 months, the client was able to stop his perverse behavior and have fewer sexually arousing fantasies. The prognosis of tansvestic fetishism is generally supposed to be pessimistic and have a high rate of recurrence. Some propose that adolescents have a better outcome after treatment. This case report reveals the possibility of change for a transvestic fetishist. However, the long-term effects of the brief course of psychotherapy require further evaluation in the future. |
本系統中英文摘要資訊取自各篇刊載內容。