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1、TheHarryBenjaminInternationalGenderDysphoriaAssociation'sStandardsOfCareForGenderIdentityDisorders,SixthVersionFebruary,2001CommitteeMembers:WalterMeyerIIIM.D.(Chairperson),WalterO.BocktingPh.D.,PeggyCohen-KettenisPh.D.,EliColemanPh.D.,DomenicoDiCeglieM.D.,HollyDevorPh.
2、D.,LouisGoorenM.D.,Ph.D.,J.JorisHageM.D.,SheilaKirkM.D.,BramKuiperPh.D.,DonaldLaubM.D.,AnneLawrenceM.D.,YvonMenardM.D.,StanMonstreyM.D.,JudePattonPA-C,LeahSchaeferEd.D.,AliceWebbD.H.S.,ConnieChristineWheelerPh.D.ThisisthesixthversionoftheStandardsofCaresincetheoriginal1
3、979document.Previousrevisionswerein1980,1981,1990,and1998.TableofContents:I.IntroductoryConcepts(p.1)II.EpidemiologicalConsiderations(p.2)III.DiagnosticNomenclature(p.3)IV.TheMentalHealthProfessional(p.6)V.AssessmentandTreatmentofChildrenandAdolescents(p.8)VI.Psychother
4、apywithAdults(p.11)VII.RequirementsforHormoneTherapyforAdults(p.13)VIII.EffectsofHormoneTherapyinAdults(p.14)IX.TheReal-lifeExperience(p.17)X.Surgery(p.18)XI.BreastSurgery(p.19)XII.GenitalSurgery(p.20)XIII.Post-TransitionFollow-up(p.22)I.IntroductoryConceptsThePurposeof
5、theStandardsofCare.ThemajorpurposeoftheStandardsofCare(SOC)istoarticulatethisinternationalorganization'sprofessionalconsensusaboutthepsychiatric,psychological,medical,andsurgicalmanagementofgenderidentitydisorders.Professionalsmayusethisdocumenttounderstandtheparameters
6、withinwhichtheymayofferassistancetothosewiththeseconditions.Personswithgenderidentitydisorders,theirfamilies,andsocialinstitutionsmayusetheSOCtounderstandthecurrentthinkingofprofessionals.Allreadersshouldbeawareofthelimitationsofknowledgeinthisareaandofthehopethatsomeof
7、theclinicaluncertaintieswillberesolvedinthefuturethroughscientificinvestigation.TheOverarchingTreatmentGoal.Thegeneralgoalofpsychotherapeutic,endocrine,orsurgicaltherapyforpersonswithgenderidentitydisordersislastingpersonalcomfortwiththegenderedselfinordertomaximizeover
8、allpsychologicalwell-beingandself-fulfillment.TheStandardsofCareAreClinicalGuidelines.TheSOCareintendedtoprovi