AUCTORES
Globalize your Research
Review ariticle
*Corresponding Author: Saeed Shoja Shafti, Universidad UMECIT Panama, Carrera Degree in Systems and Programming.
Citation: Saeed Shoja Shafti, (2024), Environments and Gender Dysphoria: A Case-Based Appraisal, Psychology and Mental Health Care, 8(4): DOI:10.31579/2637-8892/262
Copyright: © 2024, Saeed Shoja Shafti. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 19 March 2024 | Accepted: 16 April 2024 | Published: 25 April 2024
Keywords: gender dysphoria; gender identity disorder; transgender; transgenderism; transsexual
While gender dysphoria, as a general descriptive term, refers to an individual's affective or cognitive discontent with the assigned gender, its dysphoric compartment denotes the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender. On the other hand, people with gender dysphoria may have coexisting mental health problems, most commonly anxiety and depressive disorders. Anyway, disregarding current debates about associated taxonomy, distinctiveness, social complications, or therapeutic concerns, many gender dysphoric patients who are living in traditional societies may believe that their settings have an ominous prognostic impression on their personal and social lives, which supposedly could be corrected by moving to a more developed society. So, they may perceive their problem as, essentially, an environmental condition rather than a psychopathological disorder. Hence, in the present article, based on the history of some reported cases, the said conception, or misconception, regarding the existence of a substantial relationship between environments and the prognosis of patients with gender dysphoria has been probed again to check the validity or helpfulness of such a claim.
No doubt, gender dysphoria (GD), according to DSM-5 [1], or gender identity disorder, consistent with early terminology, is an important condition that may demand more attention and study with respect to related nomenclature, classification, core psychopathology, and potential managements, particularly when there are some inclinations that wish to detach it from psychiatry [2] and introduce it as a new identity that is based on innovative concepts. Perhaps therapeutic disappointments, social frustrations, and taxonomical anarchy, too, have expedited such a struggle. On the other hand, it is not deniable that uncertainty of identity may constantly hinder the actualization of personality or the development of a subject’s social participation [3]. Also, many patients with GD who are living in traditional societies may believe that their settings have an ominous influence on their ultimate personal and social lives, which supposedly could be corrected by moving to an industrialized society. So, they perceive their problem more as an interactional or environmental complication than a psychopathological condition. So, in the present article, the said conception or misconception has been probed again to check its validity or helpfulness.
While gender dysphoria, as a general descriptive term, refers to an individual's affective or cognitive discontent with the assigned gender, transgender refers to the broad spectrum of people who persistently or transiently identify with a gender different from their natal gender. Likewise, transsexual denotes an individual who seeks, or has undergone, a social transition from female to male or male to female, which in many, but not all, cases also involves a somatic transition by cross-sex hormone treatment and genital surgery [sex reassignment surgery (SRS)]. Hence, the said dysphoria is due to a marked incongruence between the gender they have been assigned to (usually at birth, referred to as the natal gender) and their experienced or expressed gender. Therefore, in adults with GD, the incongruity between experienced gender and physical sex characteristics is frequently, but not at all times, accompanied by a craving to be rid of primary and/or secondary sex characteristics and/or a strong aspiration to acquire some primary and/or secondary sex characteristics of the other gender. As a result, adults with GD may adopt the manners and gestures of the experienced gender because they feel uncomfortable being regarded by others as members of their assigned gender [1].
Although gender is used to denote the public role of a person as boy or girl, man or woman, biological factors are seen as contributing, in interaction with social and psychological factors, to gender development. So, while gender assignment refers to the initial assignment as male or female, gender-atypical or gender-nonconforming refers to somatic features or behaviors that are not typical of individuals with the same assigned gender in a given society and historical era. In general, gender identity is a category of social identity and refers to an individual's identification as male, female, or, occasionally, some category other than male or female [1]. Lexically, while in DSM-IV-TR this condition was classified as gender identity disorder, defined as ‘accentuated incongruence between the gender assigned at birth of the individual and the gender with which he/she/they identify, the DSM-5 modified this nomenclature to ‘gender dysphoria’, emphasizing that the diagnosis is characterized by the suffering related to this incongruence [1]. Similarly, while the ICD-10 defined ‘transsexualism’ as ‘the desire to live and be accepted as a person of the opposite sex, in the ICD-11, the term was reclassified into conditions related to sexual health, such as ‘gender incongruence,’ which is ‘characterized by a marked and persistent incongruence between an individual's experienced gender and the assigned sex.’ [4]
c) Transgenderism:
Out of psychiatry and behavioral sciences and in line with social activists in the sphere of gender and sexuality, transgender ideology,or transgenderism, declares that everybody has a 'gender identity' that may or may not line up with their biological sex and that this identity is as imperative as natal sex. Such an ideology is based on the impression that feelings determine reality, and it demands that society play in conjunction with such subjective reality because they exist and shouldn't be discriminated against. As said by gender activists, the term gender is commonly used to refer to the psychological, cultural, and social characteristics that distinguish the sexes. From the idea of gender, such notions as gender bias and stereotyping have developed. Thus, stereotypes have led society to believe that only a male or a female should appear, act, or exist. But sex and gender aren’t the same. Gender identity is more of an inner sense of being male, female, or somewhere in between, regardless of physical anatomy. It may be influenced by genetics and other factors, but it’s more about the brain than the sexual organs. As a result, according to gender activists, transgender is not a mental disorder but simply “a normal developmental variation.” As said by the activists, people have five different characteristics, each of which falls along a spectrum. First, there’s “gender identity,” which is “how you, in your head, define your gender, based on how much you align (or don’t align) with what you understand to be the options for gender,” and which may include "woman-ness,” “man-ness,” “two-spirit,” or “genderqueer.” The second characteristic is “gender expression,” which is “the way you present gender through your actions, dress, and demeanor,” which may include "feminine, “masculine,” “butch,” “femme,” “androgynous,” or “gender neutral.” Third is “biological sex,” defined as “the physical sex characteristics you’re born with and develop, including genitalia, body shape, voice pitch, body hair, hormones, chromosomes, etc.” The final two characteristics concern sexual orientation: “sexually attracted to” and “romantically attracted to,” which may include "women/females/femininity” and "men/males/masculinity,” and which seems rather binary. Also, they try to localize these five characteristics on the body: gender identity in the brain, sexual and romantic attraction in the heart, biological sex in the pelvis, and gender expression everywhere [5, 6, and 7].
D) GD and the Risk of Psychiatric Comorbidities:
While in children with GD, elevated levels of anxiety, depression, disruption, and impulse control are evident, in older children, gender-variant behavior often leads to peer ostracism, which may lead to more behavioral complications. Also, autism spectrum disorder (ASD) is more prevalent in this group of children in comparison with the general population [1]. Adolescents with GD, as well, appear to have comorbid mental disorders, especially anxiety and depressive disorders. ASD, too, is more prevalent in adolescents with GD than in the general population. Similarly, adults with GD may have coexisting mental health problems, most commonly anxiety and depressive disorders. On the other hand, preoccupation with cross-gender wishes may interfere with daily activities. In older children, failure to develop age-typical same-sex peer relationships and skills may lead to isolation from peer groups and distress. Some children may refuse to attend school because of harassment, teasing, or pressure to dress in attire associated with their assigned sex. In adults and adolescents, too, preoccupation with cross-gender desires often interferes with regular deeds. Relationship difficulties, including sexual relationship problems, are common, and functioning at school or at work may be impaired [1]. Gender dysphoria, along with atypical gender expression, is usually associated with high levels of stigmatization, discrimination, or victimization, as well as negative self-concept, school dropout, and economic marginalization, including unemployment, especially in individuals from resource-poor family backgrounds [1]. In general, while some studies showed that in patients with GD, the rate of psychiatric comorbidity is low [8, 9, and 10], other comparable studies have demonstrated that, in patients with GD, in addition to anxiety and depression, other psychiatric disorders, like bipolar disorder, trauma- and stressor-related disorders, personality disorders, substance-related disorders, psychotic disorders, dissociative disorders, somatoform disorders, suicidal ideation, child abuse, and neglect, are more prevalent than the general public [11]. In the same way, additional studies have revealed that maladjusted behaviors such as self-mutilation, suicidal attempts, or school refusal are evident in around 30% of this group of patients [12]. Moreover, it has been reported that, while the said patients may experience subtle behavioral symptoms or emotional problems, they may not have any definite psychiatric ailment [13]. In Table 1, the prevalence [(current, 12-month, or lifetime), according to available data, which is prepared in line with extreme values] of psychiatric comorbidities among patients with GD and homosexual individuals has been compared, roughly, with that of the general public.
| Psychiatric Comorbidities | Gender Dysphoria 8 - 25 | Homosexuality 26 - 27 | General Population 1, 28-30 |
| Depression | 17.4% - 77% | 10.5 % – 34.5% | 7% - 9.6% |
| Dysthymic disorder | 4.7% - 7.2% | 1.9% - 5.7% | 0.5% |
| Bipolar mood disorder | 2.3% - 2.4% | 0.6% | |
| Anxiety disorders | 18.6% - 36.1% | 15% - 40% | 12.9% |
| Obsessive-compulsive disorder | 6% - 14% | 1.2% | |
| Panic disorder | 12.5% | 1% – 5.9% | 2% -3% |
| Specific phobia | 20.5% | 8.3% - 25% | 7% - 9% |
| Social phobia | 2.4% - 8.8% | 7% | |
| Generalized anxiety disorder | 6% | 0.9% - 13.5% | 2.9% |
| Agoraphobia | 0.4% – 7% | 1.7% | |
| Post-traumatic stress disorder | 1.3% – 20.9% | 0.5% - 8.7% | |
| Adjustment disorder | 15.7% | 5% - 20% | |
| Substance abuse | 8.4% - 45.2%; | 19.5% - 20% | 10.7% |
| Eating disorders | 1.1% - 10.3% | 0.4% - 1.5% | |
| Attention Deficit Hyperactivity Disorder | 16.6% - 18.9% | 2.5% - 5% | |
| Personality disorders | 15% - 80% | 7.8% | |
| Suicide | suicidal thoughts: 40% suicidal attempts: 32% - 50% | suicidal thoughts: 1.9% - 13.9 suicidal attempts: 0.6% - 1.5% | suicidal thoughts: 4.9% suicidal attempts: 0.7% |
| Total | 52.6% - 71% | 29.2% |
Table 1: Prevalence of Psychiatric Complications among Persons with Gender Dysphoria or Homosexuality in Comparison with the General Population.
While some researchers may consider GD a subgroup of borderline personality disorder due to higher levels of aggression, self-injury, suicidal ideation or attempts, and boundary confusion among them [31], symptoms like anxiety, depression, low self-confidence, social isolation, unstable self-image, relational problems, identity confusion, and suicidal ideation, too, may overlap with traits of personality disorders [4]. On the other hand, though minority stress and social exclusion may predispose them to experience more negative emotions such as anxiety and depression, attitudes toward such patients differ from society to society [17]. Likewise, while some investigators consider GD in the psychotic spectrum, it does not seem that psychotic disorders are more frequent in patients with GD [32]. Anyhow, while many patients with GD, transgender people, or transsexual individuals, especially in developing countries, may believe that society and its values have an influential role in their problems and prognosis, by interfering with their favorite activities, orientations, or objectives, there are tangible events or proofs, too, which contradict such an influence as a determining dynamic. For example, a girl with GD, from her early childhood epoch, was fond of dressing like boys before announcing a few years later that she liked to be a boy and hated to behave like a girl, and had stated, during her teenage years, that she preferred to take a girlfriend and female spouse instead of a boyfriend or male mate; a series of proclaims that never waned or vanished in spite of huge familial stresses and social difficulties, on the one hand, and psychiatric or psychological management or consultations, on the other hand. Since she was living in a traditional society and her hopes for finding an ideal life were not attainable there, she immigrated, during her young adulthood, to a developed society, which, based on its sociocultural ideals, could be acknowledged by some as a paradise for transgender or homosexual people with respect to the availability of favorable social acceptance, de-stigmatization, marriage of homosexual individuals, and possible adoption of kids through same-sex parenting. Hence, after migration and primary stabilization, she received the necessary hormone therapy and sex reassignment surgery (SRS), and after that, she (or he) married another transsexual person, who was initially a man, and a decade ago, by means of SRS, had turned into a woman. Nonetheless, the marriage was not stable enough and, after a while, ended in separation. Eventually, in spite of her fairly established financial and social situation, and during her middle adulthood, she committed suicide and terminated her life by hanging. In another example, a young man in a traditional community who had declared during his early teenage years that he wished to be a woman and, by wearing erotic and womanly clothes and having promiscuous homosexual relationships, had experienced a lot of familial, social, and legal conflicts in his own old-style community, decided to leave his out-of-date hometown and relocate to another developed country for the achievement of his idealistic dignity, equality, and freedom. He believed that this is the society that should change its attitude regarding transgender and homosexual persons, not him or individuals like him, because they are a group of people who have been created, unintentionally, in this form, and they have the right to live freely and enjoy their lives. Anyhow, after migrating to a developed society as a refugee and finding his desiring social network, in spite of receiving some management, due to a number of reasons, he could not undertake SRS, and while he remained, biologically, a man, he was introducing himself as a lady and was behaving womanly, along with his beloved boyfriends and homosexual relationships. Eventually, a few years after his moving to his ideal utopia, though he was one of the prominent protagonists of transgenderism and homosexuality, at least in his own community, he committed suicide, aggressively, by self-mutilation and cutting off his penis, resulting in hemorrhage, because he did not want to die as a man, on the word of his explanatory letter, which was found a few days later along with his corpse in his apartment. Similarly, there was a young woman who wished to be a guy from her childhood and had never worn female outfits or behaved femininely. In this regard, she always carried different kinds of blades for bullying others or, according to her, as a defending strategy for defending against her foes. So people were usually trying to avoid confronting, criticizing, or mocking her, though her community was relatively rural and traditional and could not tolerate such a demeanor easily. In addition, she was involved in a series of homosexual relationships with a number of her classmates and had chosen one of them as her topmost belle. Similar to previous cases, due to social concerns, problems, stigma, and limitations, she decided to move to a developed country, turn into a real man, and start a new life. Though she could eventually migrate, she could not successfully attain the supposed objectives, and after a while, she returned to her native country. After her arrival, she wanted to meet her aforementioned sweetheart again. But, during rendezvous, the said sweetie informed her that she is going to marry one of her wooers in the near future, and, therefore, they cannot continue their earlier romantic relationship more than this; an alertness that infuriated the present case so harshly that she killed her former honey mercilessly by stabbing, which caused her, too, a serious sentence. Anyway, though the said case histories are too scarce for a comprehensive formulation and generalization of consequences due to a lack of data regarding confounding variables, like comorbid psychiatric problems or social complications, all of them, except the last one, have occurred after their settlement in new areas, which, hypothetically, were not as rejecting as traditional societies with respect to transgenderism or homosexuality. Accordingly, it seemed that relocation and a new milieu could not substantially change or mitigate the inner tensions of people who were suffering from gender dysphoria. This may show that either the said developed regions are not supportive enough with respect to said sexual aberrancies or gender dysphoria is not essentially dependent on surroundings. Indeed, it may expose that, though developed societies may not be as unconcerned as what is liked to be acknowledged, supposedly, by transgender people in developing countries, gender dysphoria is mainly influenced by psychopathologic modules rather than environmental interactions, though the impact of surroundings is not deniable. Also, while transgenderism and homosexuality may sometimes try, forensically or socially, to overlay each other, they are basically unalike. For example, though homosexuality is an aberration in the sphere of sexual orientation and sex objects, gender dysphoria is a problem in the sphere of identity and self. So, in spite of some overlaps, gender dysphoria seems to involve a deeper amount of psychopathology than homosexuality, which looks to be a circumscribed aberrancy. On the other hand, in psychopathological classifications, gender identity disorder (GID), or gender dysphoria (GD), has been generally acknowledged as an over-valued idea [an unreasonable and sustained belief that is maintained with less than delusional intensity (i.e., the person is able to acknowledge the possibility that the belief may or may not be true)], and the belief is not one that is ordinarily accepted by other members of the person’s culture or sub-culture [33]. Also, its diverse presentations may represent some similarity with obsessive-compulsive disorder or body dysmorphic disorder regarding insight, particularly with respect to individuals who may recognize undoubtedly themselves as a gender who has borne wrongly in an incorrect physique. Therefore, patients with GD, too, may be specified as ‘with good or fair insight’ (the individual recognizes that his or her idiosyncratic beliefs are just about wishes or ideals), 'with poor insight’ (the individual thinks his or her idiosyncratic beliefs are probably factual), or ‘with absent insight or delusional beliefs’ (the individual is completely convinced that his or her idiosyncratic beliefs are true). As a result, the said specification may not be devoid of therapeutic amendments during the psychological or pharmacological management of such patients after a thorough psychiatric examination and interview. Then again, perhaps earlier classification of GD or GID as an over-valued idea (33), due to its specific physiognomies, has prevented its accurate biological and psychopharmacologic evaluation so far, while its compulsive or developmental aspects may demand more comprehensive and methodical exploration, whether psycho-pathologically or therapeutically. Likewise, since gender identity may be accounted for as one of the most important foundations of identity or self (3), any deliberate doubt or harm to it may be accounted for, symbolically, as psychological self-harm or sub-intentional suicide, which may be comparable a bit with physical self-mutilation or masochistic inclinations. The said profile is slightly similar to that of borderline personality disorder, too, which is not rare in people with GD. Even from a psychopathologic standpoint, it may be accounted for, figuratively or approximately, as an extended or generalized variant of body dysmorphic disorder, an idea that certainly demands more methodical evaluation or contemplation.
Based on available data, observations, and comorbidities, it seems that surroundings may not have any influential impression on the prognosis of GD, and the related psychopathology looks to be, in essence, an innate, continual, and bothersome mental conflict rather than a peripheral, passing, or characterological phenomenon.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
