著者

山田 幸樹 金野 倫子 内山 真

出版者

日本大学医学会

雑誌

日大医学雑誌 (ISSN:00290424)

巻号頁・発行日

vol.72, no.3, pp.137-141, 2013-06-01 (Released:2014-12-20)

参考文献数

13

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Gender identity disorder (GID) is defined as a sexual disorder characterized by strong self-identification with the opposite gender, followed by unpleasant feelings due to the birth-given gender. This paper examines the current diagnostic criteria and treatment for GID. While the etiology of GID remains unknown, several hypotheses have been proposed. We describe the evolution of the hypotheses on the etiology of GID. The possible biological pathogenesis of GID is also discussed mainly from the viewpoint of brain science. Similar to animal studies, it has been reported that fetal or neonatal gonadal steroids are responsible for sexual differentiation of the human brain, which might be related to gender identity and sexual orientation. Based upon the findings of investigations into the biological basis of GID, valuable insights into GID are suggested.

著者

山田 幸樹 金野 倫子 内山 真

出版者

NIHON UNIVERSITY MEDICAL ASSOCIATION

雑誌

日大醫學雜誌 (ISSN:00290424)

巻号頁・発行日

vol.72, no.3, pp.137-141, 2013-06-01

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Gender identity disorder (GID) is defined as a sexual disorder characterized by strong self-identification with the opposite gender, followed by unpleasant feelings due to the birth-given gender. This paper examines the current diagnostic criteria and treatment for GID. While the etiology of GID remains unknown, several hypotheses have been proposed. We describe the evolution of the hypotheses on the etiology of GID. The possible biological pathogenesis of GID is also discussed mainly from the viewpoint of brain science. Similar to animal studies, it has been reported that fetal or neonatal gonadal steroids are responsible for sexual differentiation of the human brain, which might be related to gender identity and sexual orientation. Based upon the findings of investigations into the biological basis of GID, valuable insights into GID are suggested.

著者

山田 幸樹 金野 倫子 内山 真

出版者

NIHON UNIVERSITY MEDICAL ASSOCIATION

雑誌

日大醫學雜誌 (ISSN:00290424)

巻号頁・発行日

vol.72, no.3, pp.137-141, 2013-06-01

参考文献数

13

---

Gender identity disorder (GID) is defined as a sexual disorder characterized by strong self-identification with the opposite gender, followed by unpleasant feelings due to the birth-given gender. This paper examines the current diagnostic criteria and treatment for GID. While the etiology of GID remains unknown, several hypotheses have been proposed. We describe the evolution of the hypotheses on the etiology of GID. The possible biological pathogenesis of GID is also discussed mainly from the viewpoint of brain science. Similar to animal studies, it has been reported that fetal or neonatal gonadal steroids are responsible for sexual differentiation of the human brain, which might be related to gender identity and sexual orientation. Based upon the findings of investigations into the biological basis of GID, valuable insights into GID are suggested.

著者

牛山 実保子 加藤 実 坂田 和佳子 山田 幸樹

出版者

一般社団法人 日本ペインクリニック学会

雑誌

日本ペインクリニック学会誌 (ISSN:13404903)

巻号頁・発行日

vol.27, no.4, pp.318-322, 2020-10-25 (Released:2020-10-28)

参考文献数

8

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30歳代女性,主婦.10年間持続する右胸痛を主訴に,集学的多職種診察を行っている当院緩和ケア・痛みセンター内痛みセンター外来に紹介された.生活・家族背景などについて看護師診察の丁寧な聴取で,完璧主義で真面目な性格,母や夫に見捨てられないよう気を使っていること,40カ所の医療機関で見出せなかったトラウマ体験が明らかになり,かつ痛みで自分は死ぬというとらわれにつながっていたことが判明した.看護師は母とも面談を行い,学童期の通学中に同級生の死体遭遇体験,数々の傷つき体験,不安・恐怖感が強く周囲を気にかけての生育歴が判明した.身体的要因とトラウマ体験に伴う強い不安と恐怖感の情動要因の両者に対応した結果,初診から2カ月後に弱オピオイドの減量,痛みの軽減と日常生活の改善が得られた.身体的要因のみに焦点を当てた痛み治療で改善しない症例において,集学的多職種診察チームの看護師診察による本人や家族への介入で,本人の強い不安と関連する重要なトラウマ体験が明らかになり,独特な認知行動特性への多職種の対応が可能となり,集学的診療の効率をあげ有用であった.