Duffy Mary E, Henkel Kristin E, Earnshaw Valerie A
Department of Psychology, University of Saint Joseph, West Hartford, Connecticut, USA.
Division of General Pediatrics, Department of Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
J LGBT Issues Couns. 2016;10(3):136-149. doi: 10.1080/15538605.2016.1177806. Epub 2016 May 16.
This study examined the treatment experiences of transgender individuals with eating disorders (EDs). Despite this population's elevated risk for EDs, clinicians may be ill equipped to treat these clients. Eighty-four transgender individuals with EDs completed an online questionnaire about their experiences with ED treatment. Inductive thematic analysis produced three themes: role of the body in treatment, negative experiences with clinicians, and recommendations for treatment centers and providers. Participants reported deficits in clinicians'gender competence, resulting in beliefs that ED treatment was ineffective, sometimes harmful. Further attention to this population's needs is crucial, as inadequate care is potentially life threatening.
本研究调查了患有饮食失调症(EDs)的跨性别者的治疗经历。尽管该群体患饮食失调症的风险较高,但临床医生可能没有足够的能力来治疗这些患者。84名患有饮食失调症的跨性别者完成了一份关于他们饮食失调治疗经历的在线问卷。归纳主题分析产生了三个主题:身体在治疗中的作用、与临床医生的负面经历以及对治疗中心和提供者的建议。参与者报告称临床医生在性别能力方面存在不足,导致他们认为饮食失调治疗无效,有时甚至有害。进一步关注这一群体的需求至关重要,因为护理不足可能会危及生命。