
Re: Psychiatric abuse of transgender people: a case of Russi
Отличная статья. Спасибо Яне Ситниковой за это. По поводу вот этого вопроса:
Цитата:
The treatment of transgender patients was previously described in the Decree of the Ministry of Health N311 "Models of diagnostics and treatment of mental and behavior illnesses", enacted in 1999. The negative impacts of this Decree on the psychiatric practice will be discussed later on several occasions in this article. In 2012 the Decree was repealed, and in 2013 in its place the "Standard of primary medical care in the case of sexual identity disorders" was introduced (the exact reason for this change is not known to me, but it definitely is not connected to pressure from human rights activists). The new document requires examinations by a psychotherapist, psychiatrist, sexologist, endocrinologist and medical psychologist for individuals who wish to obtain the diagnosis "Transsexualism". It's too early to judge whether these amendments will result in any change in psychiatric practice. The new Standard is very short and mentions only the specialists which a trans* person must visit and average number of appointments with each of them. It also mentions the drugs that can be used for hormone replacement therapy (only four drugs are in the list, that may close the access to other drugs in future) and their average doses. Unlike the Decree N311, it doesn't go further and explain the criteria and recommended treatment. Thereby, the old Decree may be retained as unofficial guide for psychiatrists, as it is replaced by nothing.
А я знаю точную причину этого. Начиная с 2012 года Минздравсоцразвития начал разрабатывать и утверждать точно такие же стандарты оказания медицинской помощи по всем без исключения заболеваниям.
См. официальный сайт Министерства здравоохранения и социального развития Российской Федерации:
http://www.rosminzdrav.ru/documents