心理学家在美国退伍军人跨性别者特定护理中的角色。

The psychologist's role in transgender-specific care with U.S. veterans.

作者信息

Johnson Laura, Shipherd Jillian, Walton Heather M

机构信息

Psychology Service, Edith Nourse Rogers Memorial Veterans Hospital.

Women's Health Sciences Division, National Center for PTSD.

出版信息

Psychol Serv. 2016 Feb;13(1):69-76. doi: 10.1037/ser0000030. Epub 2015 May 11.

Abstract

Psychologists are integral to the care of transgender individuals. This article details the many roles for psychologists in transgender-specific care, including diagnosing and treating gender dysphoria; providing treatment for comorbid conditions; referring to medical services such as gender confirmation surgeries, voice modification, and cross-sex hormone therapies; serving as consultants within health care systems; and advocating for addressing barriers in systems in which transgender individuals live and work. Transgender veterans have unique experiences and vulnerabilities related to their military service that are detailed from a review of the literature, and we make the case that Veterans Health Administration (VHA) and community psychologists are well-positioned to provide care to transgender veterans (trans-vets). In this article, the authors describe the experiences that many trans-vets have faced, identify the importance of treatment for gender dysphoria (and draw the distinction between gender identity disorder and gender dysphoria) as well as psychologists' roles, and clarify which transgender-related services are available to eligible veterans though VHA per policy and how VHA providers have access to training to provide that care. In addition, we describe how veterans can connect to the VHA, even if they have (and want to continue working with) non-VHA psychologists or other community providers.

摘要

心理学家在跨性别者的护理中不可或缺。本文详细介绍了心理学家在跨性别者特定护理中的诸多角色,包括诊断和治疗性别焦虑症;治疗合并症;推荐诸如性别确认手术、嗓音调整和跨性别激素疗法等医疗服务;在医疗保健系统中担任顾问;以及倡导消除跨性别者生活和工作环境中的障碍。通过对文献的回顾,详细阐述了跨性别退伍军人与其军事服役相关的独特经历和脆弱性,我们认为退伍军人健康管理局(VHA)和社区心理学家有能力为跨性别退伍军人(跨性别老兵)提供护理。在本文中,作者描述了许多跨性别老兵所面临的经历,确定了治疗性别焦虑症的重要性(并区分了性别认同障碍和性别焦虑症)以及心理学家的角色,阐明了根据政策符合条件的退伍军人可通过VHA获得哪些与跨性别相关的服务,以及VHA提供者如何获得培训以提供此类护理。此外,我们还描述了退伍军人如何与VHA建立联系,即使他们已经有(并且希望继续与)非VHA心理学家或其他社区提供者合作。

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