Snow Annie, Cerel Julie, Loeffler Diane N, Flaherty Chris
Constance Wilson Professorship in Mental Health, College of Social Work, University of Kentucky.
Health Soc Work. 2019 Aug 2;44(3):149-155. doi: 10.1093/hsw/hlz016.
Contemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous literature review identified eight relevant studies: six qualitative designs and two quantitative designs. Thematic synthesis revealed three major barriers to care and five corresponding subthemes: (1) personal concerns, involving fear of being pathologized or stereotyped and an objection to common therapeutic practices; (2) incompetent mental health professionals, including those who are unknowledgeable, unnuanced, and unsupportive; and (3) affordability factors. Results indicate an acute need for practitioner training to ensure the psychological well-being of TGNC clients.
当代研究表明，跨性别和性别不一致（TGNC）的成年人在获得医疗保健方面面临巨大障碍，包括获得高质量治疗干预措施。这项系统评价是最早专门探讨TGNC心理健康护理障碍的研究之一。一项严格的文献综述确定了八项相关研究：六项定性设计和两项定量设计。主题综合揭示了护理的三大障碍和五个相应的子主题：（1）个人担忧，包括害怕被病态化或刻板化以及反对常见的治疗方法；（2）心理健康专业人员能力不足，包括那些知识欠缺、缺乏细微差别和不支持的人员；（3）可负担性因素。结果表明迫切需要对从业者进行培训，以确保TGNC客户的心理健康。
