Lorenzo Soldati - Academia.edu (original) (raw)
Papers by Lorenzo Soldati
Revue médicale suisse, 2010
Revue médicale suisse, 2014
Sexual Medicine, Mar 1, 2023
Introduction: Gender incongruence (GI) is characterized by a marked and persistent incongruence b... more Introduction: Gender incongruence (GI) is characterized by a marked and persistent incongruence between an individual's experienced gender and assigned sex, which often leads to a desire to "transition" and a demand for medical treatments. Dissociative identity disorder and partial dissociative identity disorder (PDID) are poorly known mental disorders whose clinical presentation can be confused with GI. Aims: To provide a case report of a patient with PDID and GI who required treatment for GI. Methods: A case report and follow-up were described. Results: The case report describes a person suffering from PDID and GI and asked for hormonal treatment for GI. In view of the complexity of the case, it was decided to start a follow-up to investigate the gender experience of the different personalities. After 4 months of follow-up, the symptomatology changed, and the patient waived treatment for GI and continued psychotherapeutic treatment for PDID. Conclusion: Our case report shows the complexity of providing treatment for patient with PDID and GI.
European Psychiatry, Oct 1, 2014
There is a growing body of evidence pointing to higher prevalences and risk of mood disorders, an... more There is a growing body of evidence pointing to higher prevalences and risk of mood disorders, anxiety disorders, and suicidality among sexual minorities when compared to heterosexuals in the general population [25,40]. The discrepancy is especially pronounced among men. Meta-analyses of psychiatric epidemiological surveys among the general population yield odds ratios (OR) of 2.5-3.0 for lifetime major depression, 12-month major depression, and 12-month suicide attempt and OR = 4.3-5.0 for lifetime suicide attempt among gay/bisexual men. Youth health studies have shown that the increased risk of suicidality and depression symptoms among sexual minorities is already evident during adolescence [30,35]. Surveys in gay community samples have indicated that both homosexual developmental milestones-e.g., coming out-and psychiatric disorders/suicidality debut across childhood, adolescence, and young adulthood for most gay men [54,55], lending support to the timing hypothesis that the circumstances surrounding the former may provoke the latter in some people [41,61]. Since adolescent health surveys tend to assess symptomology rather than actual psychiatric disorders, actual evidence of different risk by sexual orientation for the latter remains limited. Comprehensive reviews of the scientific literature in depression [10] and suicidality [18] list various socio-demographic, family/ peer, and adverse life event factors, which account for greater risk among sexual minorities. However, the potential role of personality and personality disorders is not mentioned. Among the general population, the scientific literature has pointed to links between personality traits and personality disorders [11,44,51] on the one hand and between both of them and Axis I clinical disorders and suicidality [20,28,29,46,59] on the other. Studies have quantified the relative influence of genetic and environmental factors in both personality traits and psychiatric disorders [6]. Recently, twin studies have suggested common genetic factors
![Research paper thumbnail of Erratum to “Psychiatric disorders, suicidality, and personality among young men by sexual orientation” [Eur. Psych. 29 (2014) 514–22]](https://attachments.academia-assets.com/108080802/thumbnails/1.jpg)
](European Psychiatry, 2015
Several passages in the published article were printed incorrectly. The corrected layout is prese... more Several passages in the published article were printed incorrectly. The corrected layout is presented below. The publisher regrets the error. At the end of the Introduction: This paper addresses three psychiatric disorders in three different classes and suicide attempt as well as broad personality traits by sexual orientation. In addition to presenting: updated prevalences of major depression, suicide attempt, and ADHD by sexual orientation; it contributes novel findings to the scientific literature by presenting:
Schweizerische Ärztezeitung =, Jan 25, 2023
Bulletin des Médecins Suisses
L 'abus sexuel d' enfants fait partie des délits les plus graves et ayant le plus de conséquences... more L 'abus sexuel d' enfants fait partie des délits les plus graves et ayant le plus de conséquences pour les victimes. Des méta-analyses suggèrent qu' environ 13,4% à 19,7% des filles et environ 5,7% à 8,8% des garçons sont victimes d'abus sexuels dans le monde [1, 2]. Selon une enquête menée auprès d' écoliers et écolières suisses (N=7000), 22% des filles et 8% des garçons ont déclaré avoir déjà été victimes d'agression sexuelle avec contact physique (autrement dit, avoir être touchés ou embrassés de manière non consentie dans une intention sexuelle) [3]. 40% des filles et 20% des garçons ont également décrit des agressions sans contact physique (exhibitionnisme, harcèlement via les médias électroniques). Ces taux de victimisation élevés ne se reflètent guère dans la statistique policière de la criminalité. Ainsi, au cours des dix dernières années, entre environ 1 100 et 1 300 cas d'abus sexuels sur des enfants ont été signalés chaque année en Suisse. [4]. La statistique policière 2020 donne pour la première fois des chiffres sur les cyber-délits sexuels (pornographie interdite, pédopiégeage, live streaming d'actes d'abus); en 2020, 2 612 cyber-délits sexuels ont été enregistrés et 283 victimes ont été identi
The Journal of Sexual Medicine
Scientific literature shows that sexual dysfunction is more common in patients suffering from psy... more Scientific literature shows that sexual dysfunction is more common in patients suffering from psychiatric illness as opposed to the general population. It also shows that the prevalence of sexual dysfunction is underestimated by professionals, partly because patients rarely talk spontaneously about their dysfunctions. However, sexual dysfunction has an impact on patients' mental health. Furthermore, some psychotropic medication, antidepressants and antipsychotics in particular, can hinder sexual functioning and induce sexual dysfunction. These harmful effects can, in turn, reduce patients' compliance with their medical treatments. It is therefore important that practitioners take into account their patients' sexual experience
Revue Médicale Suisse, 2020
This article is the result of the joint work of psychiatrists-psychotherapists working with patie... more This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested
Revue médicale suisse, 2020
Revue medicale suisse, 2020
This article is the result of the joint work of psychiatrists-psychotherapists working with patie... more This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested.
Although there is a substantial literature concerning the sexuality of people suffering from a ps... more Although there is a substantial literature concerning the sexuality of people suffering from a psychiatric disorder, such as depression, anxiety disorder, schizophrenia, eating disorders or personality disorders, few studies have investigated the sexuality of attention deficit/hyperactivity disorder (ADHD) patients. The purpose of this article is therefore to show current knowledge about sexuality in people suffering from ADHD. The latter seem to have less sexual satisfaction, more sexual desire, more sexual dysfunction and more risky sexual behavior than the general population.
The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams... more The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams, dating). While moderate use of cybersex could have a positive effect on sexual life, a small fraction of these cyber-users could have difficulties to control their consumption with negative consequences. This phenomenon, whose understanding of the mechanisms still raises debates, seems to be influenced by various psychological factors, including avoidant attachment (avoidance of close emotional relationship) and depressed mood. Sexual desire, different types of motivations for using cybersex, and impulsivity could contribute, to some extent, to this phenomenon. Despite of their preliminary character, current available data lead us to recommend an integrated approach of the treatment of the persons facing these difficulties.
Revue medicale suisse, Jan 16, 2016
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender i... more Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines. The professionals in this network aim to improve the quality of care for patients with gender dysphoria and to create a leading care network in French-speaking Switzerland.
Revue Médicale Suisse, 2019
Le terme de « cybersexe » fait référence à l'utilisation d'internet pour des motifs sexuels (porn... more Le terme de « cybersexe » fait référence à l'utilisation d'internet pour des motifs sexuels (pornographie, webcams, rencontres). Alors qu'un usage modéré du cybersexe pourrait avoir des effets positifs sur la vie sexuelle, une petite fraction de ses utilisateurs pourrait en avoir une consommation peu contrôlée avec des conséquences négatives. Ce phénomène dont la compréhension est encore sujette à débats semble influencé par différents facteurs psychologiques, notamment l'attachement évitant (fuite des relations trop intimes) et l'humeur dépressive. Le désir sexuel, le type de motivations à l'usage du cybersexe et l'impulsivité pourraient dans une certaine mesure y contribuer. Malgré leur caractère préliminaire, les données disponibles à ce jour invitent à une approche intégrée du traitement des personnes confrontées à ces difficultés. About possible contributors and new perspectives to addictive use of cybersex The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams, dating). While moderate use of cybersex could have a positive effect on sexual life, a small fraction of these cyber-users could have difficulties to control their consumption with negative consequences. This phenomenon, whose understanding of the mechanisms still raises debates, seems to be influenced by various psychological factors, including avoidant attachment (avoidance of close emotional relationship) and depressed mood. Sexual desire, different types of motivations for using cybersex, and impulsivity could contribute, to some extent, to this phenomenon. Despite of their preliminary character, current available data lead us to recommend an integrated approach of the treatment of the persons facing these difficulties.
The Journal of Sexual Medicine
Revue medicale suisse, Jan 21, 2016
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender i... more Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines. The professionals in this network aim to improve the quality of care for patients with gender dysphoria and to create a leading care network in French-speaking Switzerland.
Revue médicale suisse, 2010
Revue médicale suisse, 2014
Sexual Medicine, Mar 1, 2023
Introduction: Gender incongruence (GI) is characterized by a marked and persistent incongruence b... more Introduction: Gender incongruence (GI) is characterized by a marked and persistent incongruence between an individual's experienced gender and assigned sex, which often leads to a desire to "transition" and a demand for medical treatments. Dissociative identity disorder and partial dissociative identity disorder (PDID) are poorly known mental disorders whose clinical presentation can be confused with GI. Aims: To provide a case report of a patient with PDID and GI who required treatment for GI. Methods: A case report and follow-up were described. Results: The case report describes a person suffering from PDID and GI and asked for hormonal treatment for GI. In view of the complexity of the case, it was decided to start a follow-up to investigate the gender experience of the different personalities. After 4 months of follow-up, the symptomatology changed, and the patient waived treatment for GI and continued psychotherapeutic treatment for PDID. Conclusion: Our case report shows the complexity of providing treatment for patient with PDID and GI.
European Psychiatry, Oct 1, 2014
There is a growing body of evidence pointing to higher prevalences and risk of mood disorders, an... more There is a growing body of evidence pointing to higher prevalences and risk of mood disorders, anxiety disorders, and suicidality among sexual minorities when compared to heterosexuals in the general population [25,40]. The discrepancy is especially pronounced among men. Meta-analyses of psychiatric epidemiological surveys among the general population yield odds ratios (OR) of 2.5-3.0 for lifetime major depression, 12-month major depression, and 12-month suicide attempt and OR = 4.3-5.0 for lifetime suicide attempt among gay/bisexual men. Youth health studies have shown that the increased risk of suicidality and depression symptoms among sexual minorities is already evident during adolescence [30,35]. Surveys in gay community samples have indicated that both homosexual developmental milestones-e.g., coming out-and psychiatric disorders/suicidality debut across childhood, adolescence, and young adulthood for most gay men [54,55], lending support to the timing hypothesis that the circumstances surrounding the former may provoke the latter in some people [41,61]. Since adolescent health surveys tend to assess symptomology rather than actual psychiatric disorders, actual evidence of different risk by sexual orientation for the latter remains limited. Comprehensive reviews of the scientific literature in depression [10] and suicidality [18] list various socio-demographic, family/ peer, and adverse life event factors, which account for greater risk among sexual minorities. However, the potential role of personality and personality disorders is not mentioned. Among the general population, the scientific literature has pointed to links between personality traits and personality disorders [11,44,51] on the one hand and between both of them and Axis I clinical disorders and suicidality [20,28,29,46,59] on the other. Studies have quantified the relative influence of genetic and environmental factors in both personality traits and psychiatric disorders [6]. Recently, twin studies have suggested common genetic factors
European Psychiatry, 2015
Several passages in the published article were printed incorrectly. The corrected layout is prese... more Several passages in the published article were printed incorrectly. The corrected layout is presented below. The publisher regrets the error. At the end of the Introduction: This paper addresses three psychiatric disorders in three different classes and suicide attempt as well as broad personality traits by sexual orientation. In addition to presenting: updated prevalences of major depression, suicide attempt, and ADHD by sexual orientation; it contributes novel findings to the scientific literature by presenting:
Schweizerische Ärztezeitung =, Jan 25, 2023
Bulletin des Médecins Suisses
L 'abus sexuel d' enfants fait partie des délits les plus graves et ayant le plus de conséquences... more L 'abus sexuel d' enfants fait partie des délits les plus graves et ayant le plus de conséquences pour les victimes. Des méta-analyses suggèrent qu' environ 13,4% à 19,7% des filles et environ 5,7% à 8,8% des garçons sont victimes d'abus sexuels dans le monde [1, 2]. Selon une enquête menée auprès d' écoliers et écolières suisses (N=7000), 22% des filles et 8% des garçons ont déclaré avoir déjà été victimes d'agression sexuelle avec contact physique (autrement dit, avoir être touchés ou embrassés de manière non consentie dans une intention sexuelle) [3]. 40% des filles et 20% des garçons ont également décrit des agressions sans contact physique (exhibitionnisme, harcèlement via les médias électroniques). Ces taux de victimisation élevés ne se reflètent guère dans la statistique policière de la criminalité. Ainsi, au cours des dix dernières années, entre environ 1 100 et 1 300 cas d'abus sexuels sur des enfants ont été signalés chaque année en Suisse. [4]. La statistique policière 2020 donne pour la première fois des chiffres sur les cyber-délits sexuels (pornographie interdite, pédopiégeage, live streaming d'actes d'abus); en 2020, 2 612 cyber-délits sexuels ont été enregistrés et 283 victimes ont été identi
The Journal of Sexual Medicine
Scientific literature shows that sexual dysfunction is more common in patients suffering from psy... more Scientific literature shows that sexual dysfunction is more common in patients suffering from psychiatric illness as opposed to the general population. It also shows that the prevalence of sexual dysfunction is underestimated by professionals, partly because patients rarely talk spontaneously about their dysfunctions. However, sexual dysfunction has an impact on patients' mental health. Furthermore, some psychotropic medication, antidepressants and antipsychotics in particular, can hinder sexual functioning and induce sexual dysfunction. These harmful effects can, in turn, reduce patients' compliance with their medical treatments. It is therefore important that practitioners take into account their patients' sexual experience
Revue Médicale Suisse, 2020
This article is the result of the joint work of psychiatrists-psychotherapists working with patie... more This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested
Revue médicale suisse, 2020
Revue medicale suisse, 2020
This article is the result of the joint work of psychiatrists-psychotherapists working with patie... more This article is the result of the joint work of psychiatrists-psychotherapists working with patients with gender dysphoria (children, adolescents and adults) in Lausanne and Geneva university hospitals. It emphasizes the importance of their clinical interventions when hormone therapy and sex reassignment surgery are requested.
Although there is a substantial literature concerning the sexuality of people suffering from a ps... more Although there is a substantial literature concerning the sexuality of people suffering from a psychiatric disorder, such as depression, anxiety disorder, schizophrenia, eating disorders or personality disorders, few studies have investigated the sexuality of attention deficit/hyperactivity disorder (ADHD) patients. The purpose of this article is therefore to show current knowledge about sexuality in people suffering from ADHD. The latter seem to have less sexual satisfaction, more sexual desire, more sexual dysfunction and more risky sexual behavior than the general population.
The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams... more The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams, dating). While moderate use of cybersex could have a positive effect on sexual life, a small fraction of these cyber-users could have difficulties to control their consumption with negative consequences. This phenomenon, whose understanding of the mechanisms still raises debates, seems to be influenced by various psychological factors, including avoidant attachment (avoidance of close emotional relationship) and depressed mood. Sexual desire, different types of motivations for using cybersex, and impulsivity could contribute, to some extent, to this phenomenon. Despite of their preliminary character, current available data lead us to recommend an integrated approach of the treatment of the persons facing these difficulties.
Revue medicale suisse, Jan 16, 2016
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender i... more Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines. The professionals in this network aim to improve the quality of care for patients with gender dysphoria and to create a leading care network in French-speaking Switzerland.
Revue Médicale Suisse, 2019
Le terme de « cybersexe » fait référence à l'utilisation d'internet pour des motifs sexuels (porn... more Le terme de « cybersexe » fait référence à l'utilisation d'internet pour des motifs sexuels (pornographie, webcams, rencontres). Alors qu'un usage modéré du cybersexe pourrait avoir des effets positifs sur la vie sexuelle, une petite fraction de ses utilisateurs pourrait en avoir une consommation peu contrôlée avec des conséquences négatives. Ce phénomène dont la compréhension est encore sujette à débats semble influencé par différents facteurs psychologiques, notamment l'attachement évitant (fuite des relations trop intimes) et l'humeur dépressive. Le désir sexuel, le type de motivations à l'usage du cybersexe et l'impulsivité pourraient dans une certaine mesure y contribuer. Malgré leur caractère préliminaire, les données disponibles à ce jour invitent à une approche intégrée du traitement des personnes confrontées à ces difficultés. About possible contributors and new perspectives to addictive use of cybersex The term « cybersex » refers to the use of the Internet for sexual purposes (pornography, webcams, dating). While moderate use of cybersex could have a positive effect on sexual life, a small fraction of these cyber-users could have difficulties to control their consumption with negative consequences. This phenomenon, whose understanding of the mechanisms still raises debates, seems to be influenced by various psychological factors, including avoidant attachment (avoidance of close emotional relationship) and depressed mood. Sexual desire, different types of motivations for using cybersex, and impulsivity could contribute, to some extent, to this phenomenon. Despite of their preliminary character, current available data lead us to recommend an integrated approach of the treatment of the persons facing these difficulties.
The Journal of Sexual Medicine
Revue medicale suisse, Jan 21, 2016
Gender dysphoria refers to the distress caused by the discrepancy between a person's gender i... more Gender dysphoria refers to the distress caused by the discrepancy between a person's gender identity and his or her sex assignment at birth. It can be alleviated by specialized multidisciplinary care, which is summarized in this article.Unfortunately, this disorder is still not widely known in the medical world and this can cause a discriminatory attitude on the part of caregivers and can lead to detrimental patient care.Faced with this finding and the complaints of some patients, we have decided to create a care network which includes healthcare professionals from various disciplines. The professionals in this network aim to improve the quality of care for patients with gender dysphoria and to create a leading care network in French-speaking Switzerland.