Introduction. This article presents a review of current concepts of gender identity under normal and pathological conditions.
Aim. To analyse the impact of the medical and social paradigm shift for clinical practice.
Results and discussion. The modern academic literature devoted to gender identity disorders is characterized by a variety of terminology, a shift in emphasis from clinical judgement to a socially beneficial normocentric approach and a relatively few advanced, evidence-based research. There is also a lack of evidence for the gender theory underlying the new approach, which raises serious doubts about the validity of the medical and social paradigm revision. In the same time, the position of Russian psychiatrists remains to be more clinically oriented.
Conclusion. Patients who declare the desire to reassign their gender have to be assessed by psychiatrists for differential diagnosis to exclude a mental disorder. In such cases, the destigmatization of mental disorders is more critical than the depathologization of gender identity disorders.
Синдром хронической тазовой боли (СХТБ) является распространенным хроническим заболевани-ем, этиология и патогенез которого на сегодняшний день мало изучены. Также на сегодняшний день не разработано единых стандартов его терапии. Для изучения проблемы СХТБ считается оптимальным мультимодальный подход, для чего применяется междисциплинарная система UPOINT, включающая социально-психологический домен. Тем не менее, роль психологических и психопатологических фак-торов, влияющих на СХТБ, изучается относительно недавно. В настоящем литературном обзоре иссле-довалась взаимосвязь личностных особенностей, психических заболеваний с клиническими особенно-стями СХТБ у больных. Целью было обобщить имеющиеся научные данные и обозначить направления для дальнейшего изучения этой проблемы.Ключевые слова: синдром хронической тазовой боли, психические расстройства, депрессия, тре-вога, психопатология.
CHRONIC PELVIC PAIN SYNDROME: A PSYCHOPATHOLOGICAL ASPECTS M.N. Kryuchkova, V. A. Soldatkin
Rostov State Medical University of the Ministry Health of the Russian Federation; Rostov-on-Don, Russian FederationChronic pelvic pain syndrome (CPPS) is a chronic pain disease with high prevalence rates. The etiology and pathogenesis of this problem remains poorly understood. No uniform solitary treatment is known for CPPS. As a result, a multimodal approach is most likely to demonstrate benefit for this disease. An interdisciplinary classification system is commonly used (UPOINT) which includes psychosocial domain. Nevertheless, psychosocial and psychopathological influences on CPPS only recently became a research focus. This literature review investigated the association of personality traits, mental disorders with the baseline clinical characteristics of patients with CPPS. We aimed to synthesize the existing data and to identify further research topics.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.