Paediatric clinical psychology literature provides applicable evidence for use in specialist health care settings and services. The general approach of psychological care of children and families with paediatric conditions is recognisable as preventative and de-stigmatising, aimed to maximise personal agency with shared responsibility for achieving best outcomes via multi-professional teamwork. Recent commentaries regarding healthcare for children with different sex development (DSD), have noted service-level pitfalls including poor teamwork and underuse of early and integrated psychological intervention. Psychological research regarding the variously termed DSD, Variations in Sex Development (VSD, Variation in Sex Characteristics (VSC), or intersex, has historically centred around the assessment of sex differences, gender identity and the impact of including hormone influences on brain and behaviour. Psychological research in this specialist area has not focussed on the evaluation of specific clinical interventions or psychotherapeutic models but has investigated psychological aspects of multi-professional healthcare provision. There are new goals for psychological care of children with variation or difference in sex development. These require a framework of good communication to enable those receiving care to come to know and articulate their own hopes for treatment and support. Paediatric psychological intervention studies involving larger clinical groups such as diabetes, provide evidence applicable to DSD populations. A risk of stigma is recognised as inherent to some physical interventions within routine paediatric care of people with variations or differences in sex development. Psychological care and intervention should be aimed at minimising these risks via questioning and examining their assumed need. Psychological approaches can provide a foundation for ethical and rights-based multi-professional care of children with variation or difference in sex development.


中文翻译：

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性发育存在差异或差异的儿童和家庭的心理护理

儿科临床心理学文献提供了适用于专业医疗机构和服务的证据。对患有儿科疾病的儿童和家庭进行心理护理的一般方法被认为是预防性和消除污名化，旨在最大限度地发挥个人能动性，共同承担责任，通过多专业团队合作实现最佳结果。最近关于不同性别发育 (DSD) 儿童医疗保健的评论指出了服务水平的缺陷，包括团队合作不力以及早期和综合心理干预的使用不足。关于 DSD、性发育变异（VSD、性别特征变异 (VSC) 或双性人）的心理学研究在历史上一直围绕着对性别差异的评估，性别认同以及激素对大脑和行为的影响。该专业领域的心理学研究并未侧重于评估特定的临床干预或心理治疗模型，而是调查了多专业医疗保健服务的心理方面。对性发育变异或差异儿童的心理护理有了新的目标。这些都需要一个良好的沟通框架，以使接受护理的人能够了解并表达自己对治疗和支持的希望。涉及较大临床群体（如糖尿病）的儿科心理干预研究提供了适用于 DSD 人群的证据。性别发育存在差异或差异的人的常规儿科护理中的某些身体干预措施固有的耻辱风险被认为是固有的。心理护理和干预的目的应该是通过询问和检查他们的假设需求来最大限度地减少这些风险。心理学方法可以为具有性别发育差异或差异的儿童提供基于道德和权利的多专业护理基础。