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題名 | 男性精神分裂症合併扮異性行為:一例報告=Schizophrenic Male with Cross-dressing Behaviors: A Case Report |
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作者 | 林進嘉; 李添誠; 殷建智; Lin, Jin-jia; Lee, Tein-cheng; Yin, Chien-chih; |
期刊 | 臺灣精神醫學 |
出版日期 | 19991200 |
卷期 | 13:4 1999.12[民88.12] |
頁次 | 頁82-86 |
分類號 | 415.983 |
語文 | chi |
關鍵詞 | 精神分裂症; 扮異性; 扮異性戀物症; 變性症; Schizophrenia; Cross-dressing; Transvestism; Fetishism; Transsexualism; |
中文摘要 | 目的:報告一例精神分裂男性合併扮異性行為,並討論扮異性者複雜的性心理、 性別認同問題、病例報告:一位41歲單身男性,自21歲起即有幻聽、被害忘想、自語,偶 有暴力傾向。近三年來均以女裝出現且曾使用女性賀爾蒙達一年半。因暴力威脅家人而入 院。經兩個多月的治療,精神病症狀緩解,惟仍堅持女裝。結論:過去報告扮異性或變性 症合併精神分裂症者,都是續發於精神症狀,本個案顯然不是。扮異性是單純扮異性、扮 異性戀物症、變性症之共同行為。由其性異常、性別認同、性取向等相關問題之討論可得 知扮異性者是一群異質性很大的群體。 |
英文摘要 | Objective; We report the case of a schizophrenic male patient with the co-morbidity of cross-dressing behaviors and discuss the underlying psychosexual and gender identity problem. Case report: This 41-year-old single male had experienced psychotic symptoms including vague auditory hallucinations and persecutory delusions since the age of 21 years old. voice discussion, self talking, irritable mood, and frequent verbal threatening had developed gradually over the course of the 21-year illness. In the three years prior to examination, he had presented himself in womens clothes all day, and even used female hormones for one and a half years. He was admitted to the psychiatric ward due to violent threatening. Two months after admission, his psychotic symptoms gradually subsided under rsiperdone 6 mg per day. However, he still presented himself as a female. Conclusion: There have been previous reports of schizophrenic patients with the co-morbid of transvestism or transsexualism. However, these conditions were aparently secondary to the psychotic symptoms. However, this seemed not to be the condition in the present case. Cross-dressing behaviors are common features of transvestism, transvestic fetishism, and transsexualism. Transvestites are a heterogenous group in terms of their characteristic psychosexual problems, sexual orientations, and gender identity. (Full Text in Chinese) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。