| Project/Area Number |
16K04404
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical psychology
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| Research Institution | Nihon Fukushi University |
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Principal Investigator |
YOSHINO Maki 日本福祉大学, 教育・心理学部, 教授 (60548402)
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| Co-Investigator(Kenkyū-buntansha) |
織田 裕行 関西医科大学, 医学部, 非常勤講師 (90340679)
木下 利彦 関西医科大学, 医学部, 教授 (20186290)
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| Project Period (FY) |
2016-04-01 – 2024-03-31
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| Project Status |
Completed (Fiscal Year 2023)
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| Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
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| Keywords | 性同一性障害/性別違和 / ロールシャッハ・テスト / 心理的変化 / 自己実現 / 心理検査 / 半構造化面接 / 性別違和の包括医療 / 戸籍の性別変更 / 性別違和/性同一性障害 / 性別違和の包括的医療 / 性別違和 / 性の多様性 / ロールシャッハテスト / 性別変更 / 臨床心理学 / 性同一性障害 / 心理的プロセス / ナラティブ |
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| Outline of Final Research Achievements |
This study focused on the process of self-realization of patients with gender identity disorder (GID), examining psychological changes before and after GID comprehensive medical care. The results of Rorschach tests showed improvements in indicators of suicide risk (S-Con) and stress tolerance (D-score) as common features. The semi-structured interviews conducted after the GID comprehensive medical care revealed that receiving the care was a critical turning point. Stressors had changed, and their close confidants, who understood them, were of great help. Additionally, they found encouragement through connections with other patients struggling with similar problems. While the emotional burden had been reduced because they were able to live their own lives with their preferred gender, new stresses emerged. These included changes in relationships with family members, side effects from sex reassignment surgery（SRS）, and anxiety about their prognosis.
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| Academic Significance and Societal Importance of the Research Achievements |
性別違和の悩みや今後の治療への不安、望む性別での生活で直面する新たな課題等に直面する若年層に向けて、先輩当事者の多様な自己実現モデルを提示できる。医療をはじめ教育・福祉分野等の支援者にとっては、具体的な支援イメージを持ちやすくなることに加え、治療や支援は性別変更や身体的治療が済めば終わりではないことを念頭においた当事者への支援や社会の在り方について一助となることが期待される。また、調査対象の当事者への効果として、心理検査結果のフィードバックと自己実現過程の語りを通して、自身の現状や課題が把握できる機会になるとともに心の整理や癒しに繋がると考えられる。
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