性同一性障害について  [in Japanese] Gender identity disorder  [in Japanese]

Abstract

この10年間に,日本の性同一性障害を取り巻く環境は大きく変化した.1997年に日本精神神経学会が性同一性障害(GID)の診断と治療のためのガイドラインを策定し,1998年には日本最初の公に認められた性別適合手術が行われた.そして,2003年に新たな法律が制定され,性別適合手術(SRS)が終了しており,一定の条件が整っていれば戸籍の性別変更が可能となった.この結果,それまで自己判断でホルモン療法や外科的手術を受けていた人達も,性別を変更する目的で,そのために必要な精神科医2名からの診断書を得るため受診するようになった.この当事者達のニードの激しい増加を受けて,各地の大学病院などでも対応の準備が始まっているが,その数はまだまだ十分な状況とは言えない.ここでは,約1500例のGIDの自験例を基に,まずGIDに関する基本的概念を述べる.つまり,primary GIDとsecondary GIDの違い,同性愛とGIDの概念の相違,および今後の問題などについて.そして,実地医家がGIDの診断と治療を進めて行くうえでの留意点について述べたいと思う.・Diamondら日く,「GIDは自分で診断でき,治療法を選択できる唯一の疾患である」と.・GIDと同性愛は,概念が異なる.・MTFが男性を好きになるのはあたりまえの<指向>であり,<嗜好>でもなければ<志向>でもない.・『ガイドライン』への不一致例も,それまでの治療を再評価し,再構築することができる.・特例法の成立により,条件が整えば戸籍の性別が変更できる.

In the past ten years, situations relating to Gender Identity Disorder (GID) have changed greatly in Japan. In 1997, the Japanese Society of Psychiatry and Neurology established guidelines for GID Diagnosis and Treatment, and a publicly acknowledged Sex Reassignment Surgery (SRS) was held for the first time in Japanese history in 1988. Furthermore, in 2003, the GID law was enacted to enable people with GID to change their gender on their Koseki (Family Census Register) when they meet certain conditions established under this law. Now there is a new trend among those who were self-diagnosed with GID and opted to receive hormone treatment and surgical procedures. They now seek an official diagnosis with letters of support from two independent psychiatrists in order to be eligible for their Koseki gender change. University hospitals in different regions are making efforts to meet the large and increasing number of patients but their facilities are stretched. In this paper, the basic concept of GID based on my experience with approximately 1,500 cases will be presented with a focus on the differences between primary GID and secondary GID, the differences between homosexuality and GID, and some important issues for the future. In addition to this, the key topics and issues that general praetitioners should be aware of when they engage in the diagnosis and treatment of GID will be presented.

Journal

Juntendo medical journal   [List of Volumes]

Juntendo medical journal 52(1), 55-61, 2006-03-31  [Table of Contents]

Juntendo University

References:  7

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Codes

  • NII Article ID (NAID) :
    110005858378
  • NII NACSIS-CAT ID (NCID) :
    AN00113194
  • Text Lang :
    JPN
  • Article Type :
    REV
  • Journal Type :
    大学紀要
  • ISSN :
    00226769
  • NDL Article ID :
    7915998
  • NDL Source Classification :
    ZS7(科学技術--医学)
  • NDL Call No. :
    Z19-432
  • Databases :
    CJP  NDL  NII-ELS 

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