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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mvjr</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский вестник Юга России</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Herald of the South of Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2219-8075</issn><issn pub-type="epub">2618-7876</issn><publisher><publisher-name>The Rostov State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21886/2219-8075-2022-13-3-36-49</article-id><article-id custom-type="elpub" pub-id-type="custom">mvjr-1558</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПСИХИАТРИЯ И НАРКОЛОГИЯ. «ДИСКУССИОННЫЕ ВОПРОСЫ ПОЛОВОЙ ИДЕНТИФИКАЦИИ»</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PSYCHIATRY AND NARCOLOGY. «CONTROVERSIAL ISSUES OF GENDER IDENTITY»</subject></subj-group></article-categories><title-group><article-title>Особенности самосознания у лиц с расстройством половой идентификации</article-title><trans-title-group xml:lang="en"><trans-title>Self-consciousness features of persons with gender identity disorder</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0269-7361</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малыгин</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Malygin</surname><given-names>V. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малыгин Владимир Леонидович – доктор медицинских наук, профессор, заведующий кафедрой психологического консультирования, психокоррекции и психотерапии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Vladimir L. Malygin - professor, Head of the Department of Psychological Counseling, Psychocorrection and Psychotherapy, A.I. Yevdokimov Moscow State University of Medicine and Dentistry.</p><p>Moscow.</p></bio><email xlink:type="simple">malyginvl@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3592-5575</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кутукова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kutukova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кутукова Екатерина Андреевна - клинический психолог.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Ekaterina A. Kutukova - clinical psychologist, N.A. Alexeev Psychiatric Hospital no. 1.</p><p>Moscow.</p></bio><email xlink:type="simple">eakutukova@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1785-9164</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Искандирова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Iskandirova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Искандирова Арина Сункаровна – кандидат медицинских наук, доцент, кафедры психологического консультирования, психокоррекции и психотерапии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Arina S. Iskandirova - assistant professor Head of the Department of Psychological Counseling, Psychocorrection and Psychotherapy, A.I. Yevdokimov Moscow State University of Medicine and Dentistry.</p><p>Moscow.</p></bio><email xlink:type="simple">iskandirovaa@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3749-9576</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пахтусова</surname><given-names>Е. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Pahtusova</surname><given-names>E. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пахтусова Елена Евгеньевна - кандидат медицинских наук, старший преподаватель кафедры психологического консультирования, психокоррекции и психотерапии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Elena E. Pahtusova - Senior Lecturer, Head of the Department of Psychological Counseling, Psychocorrection and Psychotherapy, A.I. Yevdokimov Moscow State University of Medicine and Dentistry.</p><p>Moscow.</p></bio><email xlink:type="simple">lin22@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5545-6708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Меркурьева</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Merkurieva</surname><given-names>Y. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Меркурьева Юлия Александровна - преподаватель кафедры психологического консультирования, психокоррекции и психотерапии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Ylia A. Merkurieva - Lecturer, Head of the Department of Psychological Counseling, Psychocorrection and Psychotherapy, A.I. Yevdokimov Moscow State University of Medicine and Dentistry.</p><p>Moscow.</p></bio><email xlink:type="simple">juliamerkurieva@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4633-6872</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малыгин</surname><given-names>Я. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Malygin</surname><given-names>Y. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малыгин Ярослав Владимирович – доктор медицинских наук, профессор кафедры психиатрии, наркологии и психотерапии.</p><p>Москва.</p></bio><bio xml:lang="en"><p>Yroslav V. Malygin - Professor of the Department of Psychiatry, Narcology and Psychotherapy, A.I. Yevdokimov Moscow State University of Medicine and Dentistry.</p><p>Moscow.</p></bio><email xlink:type="simple">malygin-y@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Московский государственный медико-стоматологический университет им. А.И. Евдокимова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.I. Yevdokimov Moscow State University of Medicine and Dentistry</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Психиатрическая клиническая больница № 1 им. Н.А. Алексеева Департамента здравоохранения города Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.A. Alexeev Psychiatric Hospital no. 1</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>30</day><month>09</month><year>2022</year></pub-date><volume>13</volume><issue>3</issue><fpage>36</fpage><lpage>49</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Малыгин В.Л., Кутукова Е.А., Искандирова А.С., Пахтусова Е.Е., Меркурьева Ю.А., Малыгин Я.В., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Малыгин В.Л., Кутукова Е.А., Искандирова А.С., Пахтусова Е.Е., Меркурьева Ю.А., Малыгин Я.В.</copyright-holder><copyright-holder xml:lang="en">Malygin V.L., Kutukova E.A., Iskandirova A.S., Pahtusova E.E., Merkurieva Y.A., Malygin Y.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.medicalherald.ru/jour/article/view/1558">https://www.medicalherald.ru/jour/article/view/1558</self-uri><abstract><p>Цель: изучение сформированных образов полового самосознания у лиц, обратившихся за разрешением смены пола. Материалы и методы: обследовано 80 человек, 40 из которых обратились за разрешением смены пола (20 человек мужского и 20 человек женского биологического пола). Группа сравнения — 20 мужчин и 20 женщин, чья гендерная идентичность совпадает с биологическим полом. Методики — тест BSRI (Bem Sex-Role Inventory) Сандры Бэм, опросник самоотношения Столина В.В., опросник Кустовой О.Л. Результаты: установлено, что у группы транссексуалов с женским биологическим полом четко разграничены образы мужчины и женщины, образ Я ближе к желаемому образу мужчины, в то время как образ женщины менее достижим. Группа транссексуалов мужского биологического пола ближе к образу «Идеального мужчины», чем к образу «Идеальной женщины». Выявлены ключевые черты, которые соответствуют их самоопределению себя как женщины, — пассивность, зависимость от других, компромиссность, доверчивость. Согласно представлению всех четырёх групп, «Идеальная женщина» счастливее, чем «Идеальный мужчина». У группы транссексуалов мужского биологического пола не обнаружено различий с показателями условно здоровых групп обоих полов по параметру «Любовь к детям» в отличие от группы транссексуалов женского биологического пола. Транссексуалы мужского биологического пола ищут кардинально новый способ для удовлетворения своих потребностей без осуждения со стороны социума. Выводы: показатели самоотношения в группах сравнения выше, чем у групп лиц, стремящихся к смене пола.</p></abstract><trans-abstract xml:lang="en"><p>Purpose: to study the formed images of sexual self-consciousness in persons who applied for permission to change their sex. Materials and methods: 80 people were examined, 40 of whom applied for permission to change their sex (20 people male and 20 people of the female biological sex). The comparison group — 20 men and 20 women, whose gender identity coincides with the biological sex. Methods — Sandra Bem's BSRI (Bem Sex-Role Inventory) test, V.V. Stolin's self-attitude questionnaire, O.L. Kustovoi's questionnaire. Results: it has been established that in the group of transsexuals with a female biological sex, images of a man and a woman are clearly distinguished, the self-image is closer to the desired image of a man, while the image of a woman is less achievable. The group of male transsexuals is closer to the image of the “Ideal Man” than to the image of the “Ideal Woman”. The key features that correspond to their self-determination as women are revealed: passivity, dependence on others, compromise, gullibility. According to the self-perception of all 4 groups, the “Ideal Woman” is happier than the “Ideal Man”. In the transsexuals’ group of male biological sex, were found no differences with the indicators of conditionally healthy groups of both sexes in the parameter “Love for children”, in contrast to the group of female transsexuals of the biological sex. Male transsexuals are looking for a radically new way to meet their needs without judgment from society. Summary: the indicators of self-relationship in the comparison groups are higher than in the groups of persons striving for a sex change.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>гендерная идентификация</kwd><kwd>смена пола</kwd><kwd>транссексуализм</kwd><kwd>образ «Идеальной женщины»</kwd><kwd>образ «Идеального мужчины»</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gender identification</kwd><kwd>gender reassignment</kwd><kwd>transsexualism</kwd><kwd>the image of the “Ideal Woman”</kwd><kwd>the image of the “Ideal Man”</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Cooper K, Russell A, Mandy W, Butler C. The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis. Clin Psychol Rev. 2020;80:101875. 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