مقایسه خودآسیب رسانی و مکانیسم های دفاعی در افراد با اختلال هویت جنسی قبل و بعد از عمل جراحی تغییر جنسیت

نوع مقاله: مقاله پژوهشی

نویسندگان

1 استادیار، گروه مطالعات روانشناسی موسسه تحقیقات تربیتی روان شناختی و اجتماعی دانشگاه خوارزمی، تهران، ایران

2 کارشناس ارشد روان شناسی بالینی مرکز مداخله در بحران اداره بهزیستی قزوین، قزوین، ایران

3 گروه تحقیق و پژوهش اداره آموزش و پرورش قزوین، قزوین، ایران

چکیده

مقدمه: افراد با اختلال هویت جنسی قبل و بعد از عمل مشکلات زیادی در زمینه سازگاری با محیط اجتماعی دارند. هدف این پژوهش مقایسه میزان رفتارهای خود آسیب­رسانی و مکانیسم­های دفاعی در دوره قبل و بعد از عمل تغییر جنسیت است.
روش­: با روش علی مقایسه ای ۳۰ فرد با اختلال هویت جنسی قبل از عمل، ۳۰ نفر بعد از عمل و ۳۰ نفر افراد عادی با هم مقایسه شدند
یافته­ ها: نتایج حاصل از تجزیه و تحلیل داده‌ها با آزمون تحلیل واریانس چند متغیره نشان داد پس از عمل میزان خودآسیب­رسانی مستقیم کاهش می­یابد؛ اما تفاوتی در خودآسیب­رسانی غیر مستقیم به وجود نمی­آید. میزان استفاده از مکانیسم­های دفاعی رشد نیافته در افراد عمل کرده به صورت معنی­داری کمتر از گروه عمل نکرده است. تفاوتی به لحاظ مکانیسم­های دفاعی رشد یافته و روان رنجور بین افراد عمل کرده و عمل نکرده وجود ندارد.
 نتیجه­ گیری: به نظر می­رسد عمل تغییر جنسیت در کاهش رفتار­های خود آسیب رسانی مستقیم و کاهش میزان استفاده از مکانیسم­های دفاعی رشد نیافته مؤثر است اما عمل تغییر جنسیت در کاهش رفتارهای خودآسیب رسانی غیرمستقیم و تغییر مکانیسم­های دفاعی روان رنجور و رشد یافته مؤثر نیست. می‌توان نتیجه‌گیری کرد که رفتارهای خود آسیب‌رسانی غیر مستقیم پس از عمل باقی می‌مانند که غلبه بر آنها احتمالاً به مداخله‌های روانی و اجتماعی نیاز دارد و تغییر مکانیسم‌های دفاعی رشد نیافته می‌تواند شاخصی معتبر در سنجش اثر بخشی مداخلات زیستی و روانی به حساب آید.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Comparison of self-harm and defense mechanisms in individuals with Gender Identity Disorder before and after sex reassignment surgery

نویسندگان [English]

  • H., Khanipour, 1
  • M Nemati, 2
  • Ali Mohammadi 3
2 Clinical psychology, Islamic Azad University, Zanjan Branch
3 Research and education Unite, Qazvin office of education
چکیده [English]

Introduction:Individuals with gender identity disorder (GID) experienceseries of adjustment problems in society before and after sex reassignment surgery. The aim of this study was to compare self-harm and defense mechanisms before and after sex reassignment surgery in these persons.
Method: We used a case- control design, in quantitative stage 30 people with GID before surgery and 30 people with GID after surgery and normal people were investigated.
Results:Data analysis by a Multivariate analysis of variance were showndecreasedtrend of directly self-harm behaviors after surgery, whereas there were not any differences in indirect self-harm behaviors  before and after surgery. No differences was found in neurotic and mature defense mechanisms between groups.
Conclusion: It seemthat the sex reassignment surgery could effectivelydecreasethe directly self-harm and immature defense mechanisms, while it has no effect in changing indirect self-harm, neurotic and mature defense mechanisms. It could be concluded that indirect self-harm sustains even after sex reassignment surgery that need to be targeted with psychological and social interventions. Changing in the immature defense mechanisms could be considered as a valid indicator of physical and psychological treatments.

کلیدواژه‌ها [English]

  • Gender identity disorder
  • Sex reassignment surgery
  • Self-harm
  • Defense mechanism

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