Negotiating psychiatric cisgenderism-ableism in the transgender- autism nexus

Most of the literature on autism and gender is rooted in a medical deficiency model. This study aimed to critically examine the discursive position of mainstream clinicians-researchers and to explore how their position affects, and may be affected by, autistic transgender individuals. We analyzed nine psychiatric case studies depicting autistic transgender individuals, and five texts written by transgender Aspie (i.e. having Asperger’s syndrome) individuals in online blogs and forums. The critical discourse analysis revealed that within the case studies’ cisgenderist-ableist lens, co-occurring autism and transgender were considered co-morbidities. Aspie transgender individuals reported difficulties in receiving social recognition of their gender. We discussed their ambivalence toward the cisgenderist-ableist discourse in light of recent cultural negotiations over the normativity of transgenderism and autism which start broadening the intelligibility of neuroqueer positions.

Pattern-based formulation: clinical case 5

Objective: To demonstrate how the Pattern-based Formulation can be used to integrate biological, psychological and sociocultural factors in constructing the case formulation in a patient who developed schizophrenia and post-psychotic depression. Conclusions: Three new patterns are introduced and used to construct a comprehensive case formulation. This expands the suite of patterns in the pattern-based method of psychiatric case formulation, and further demonstrates its broad utility as an educational resource in psychiatry training.

Case formulation using pattern-based formulation methodology: clinical case 3

Objective: The objective of this study is to determine if pattern-based formulation (PBF) can accurately contribute to case formulation. Conclusions: The application of three PBFs accurately contributed to the development of this patient’s case formulation. The case formulation demonstrated here, and the patterns introduced in this paper, will serve as educational materials for teaching psychiatric case formulation.