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意大利的性别多样化儿童和青少年:专门中心护理模式和网络的定性研究。

Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers' Model of Care and Network.

机构信息

Department of Dynamic and Clinical Psychology, Sapienza University of Rome, 00185 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2020 Dec 19;17(24):9536. doi: 10.3390/ijerph17249536.

DOI:10.3390/ijerph17249536
PMID:33352745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7766564/
Abstract

In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Professionals in these agencies were interviewed about their perspectives on their agency's functioning, networks with other services, and work with trans* youths and their families. A semi-structured interview was developed and administered to professionals in specialized centers and associations dedicated to trans * youths, and deductive thematic analysis was applied to the transcripts. Eight professionals were interviewed: six working in specialized centers and two working in associations. The qualitative analyses of transcripts revealed four main themes, pertaining to service referrals, assessment protocols and intervention models, psychological support for youths and families, and agency shortcomings. The study explored the functioning of Italian agencies specialized in caring for transgender and gender non-conforming youths, from the perspective of professionals working in these agencies. While several positive aspects of the work emerged, the study highlighted a lack of uniformity across the Italian territory and the need for better networks between agencies and other medical professionals.

摘要

近年来,意大利与许多其他国家一样,目睹了越来越多的儿童和青少年表现出性别不一致。这一趋势促使专门的中心得以发展和实施,为这些年轻人及其家庭提供护理和支持。本研究旨在调查意大利境内专门为跨性别和性别不一致的年轻人提供服务的机构的运作情况。对这些机构的专业人员进行了采访,以了解他们对机构运作、与其他服务机构的网络联系以及与跨性别年轻人及其家庭合作的看法。研究开发并采用了半结构化访谈的方式,对专门中心和致力于跨性别年轻人的协会的专业人员进行了访谈,并对转录本进行了演绎主题分析。共采访了 8 名专业人员:6 名在专门中心工作,2 名在协会工作。对转录本的定性分析揭示了四个主要主题,涉及服务转介、评估协议和干预模式、年轻人和家庭的心理支持以及机构的不足之处。本研究从在这些机构工作的专业人员的角度探讨了意大利专门为照顾跨性别和性别不一致的年轻人的机构的运作情况。虽然工作的几个积极方面得到了体现,但研究也强调了意大利境内缺乏统一性,以及机构和其他医疗专业人员之间更好的网络联系的必要性。

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本文引用的文献

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The Body I Live in. Perceptions and Meanings of Body Dissatisfaction in Young Transgender Adults: A Qualitative Study.我所生活的身体。年轻跨性别成年人身体不满的认知与意义:一项定性研究。
J Clin Med. 2020 Nov 20;9(11):3733. doi: 10.3390/jcm9113733.
2
Suicidality in clinic-referred transgender adolescents.临床转介的跨性别青少年的自杀倾向。
Eur Child Adolesc Psychiatry. 2022 Jan;31(1):67-83. doi: 10.1007/s00787-020-01663-9. Epub 2020 Nov 9.
3
Caring for gender diverse children and adolescents in Italy: A mixed-method investigation of clinicians' knowledge and approach to clinical practice.在意大利用混合方法调查临床医生对跨性别儿童和青少年的知识和临床实践方法。
Clin Child Psychol Psychiatry. 2020 Oct;25(4):1049-1067. doi: 10.1177/1359104520925526. Epub 2020 Jun 5.
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Promoting Health Equality and Nondiscrimination for Transgender and Gender-Diverse Youth.促进跨性别和性别多样化青年的健康平等和非歧视。
J Adolesc Health. 2020 Jun;66(6):761-765. doi: 10.1016/j.jadohealth.2020.03.016.
5
Mentalizing stigma: Reflective functioning as a protective factor against depression and anxiety in transgender and gender-nonconforming people.心理化污名:反思功能作为跨性别和性别非规范人群预防抑郁和焦虑的保护因素。
J Clin Psychol. 2020 Sep;76(9):1613-1630. doi: 10.1002/jclp.22951. Epub 2020 Mar 28.
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Understanding the Mental Health of Transgender and Nonbinary Youth.了解跨性别和非二元性别的青少年的心理健康。
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