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題名 | 合併憂鬱症之變性症患者的心理治療=Psychotherapy for Transsexual Patients with Depressive Disorder |
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作者 | 潘建志; 沈武典; 蘇冠賓; | 書刊名 | 臺灣精神醫學 |
卷期 | 16:3 2002.09[民91.09] |
頁次 | 頁237-242 |
分類號 | 415.8751 |
關鍵詞 | 憂鬱症; 變性慾; 心理治療; 個案報告; Depressive disorder; Transsexualism; Psychotherapy; Case report; |
語文 | 中文(Chinese) |
中文摘要 | 目的:本文報告三例合併出現憂鬱症之變性慾患者的心性發展史,及門診中接受治療之經過。並回顧文獻,討論變性慾患者治療原則及精神科醫師如何參與協同治療。 病例報告:個案一,16歲男向女 (male to female) 變性慾患者,因憂鬱症狀,拒絕求學而前來求診。個案二:21歲男向女 (male to female) 變性慾患者,亦因重鬱症及自殺意念求診。個案三:25歲女向男 (female to male) 變性慾患者,已接受變性手術,結果良好,但四年後出現憂鬱症狀及自殺意念。三個案之憂鬱症狀及適應情況在藥物合併心理治療後,均有顯著改善。 結論:對變性慾患者的術前評估,精神科醫師除了決定接受手術的適當性,必需注意合併的精神症狀並加以治療,例如憂鬱症等等,我們同時也強調對此症患者變性手術後的追蹤。 |
英文摘要 | Objective: We report psychotherapeutic outcome for three transsexual patients with depressive disorder, and review the literature in the context of therapeutic strategies. Case Reports: A 16 year-old male-to-female transsexual patient (Case A) sought psychiatric help due to depressive mood and truancy. Case B was a 21 year-old male-to-female transsexual patient who visited our out-patient department to seek treatment for depressive mood and suicidal ideation. A 25 year-old female-to-male transsexual patient (Case C) developed suicidal ideation and dysphoric mood after four years of successful sex-reassignment surgery. All of these patients improved significantly after receiving a combination of pharmacotherapy and psychotherapy. The surgical conversion been completed for only one patient, Case C. Conclusion: Psychiatric assessment for transsexual patients should be an ongoing process which not only determines their suitability before the sex-reassignment surgery, but also detects and treats concomitant psychiatric symptoms after the operation. |
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