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

خانی پور, حمید; نعمتی, مهسا; محمدی, علی

doi:10.22075/jcp.2018.11263.1116

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

10.22075/jcp.2018.11263.1116

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

تخصصی

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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