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思考时间、不断变化的目标和定时炸弹:在性别认同发展服务候补名单上等待的经历。

Thinking Time, Shifting Goalposts and Ticking Time Bombs: Experiences of Waiting on the Gender Identity Development Service Waiting List.

机构信息

Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, Liverpool L69 3BX, UK.

Tavistock Research Unit, Tavistock and Portman NHS Foundation Trust, London NW3 5BA, UK.

出版信息

Int J Environ Res Public Health. 2022 Oct 25;19(21):13883. doi: 10.3390/ijerph192113883.

DOI:10.3390/ijerph192113883
PMID:36360763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9657771/
Abstract

LOGiC-Q is a prospective longitudinal qualitative study that explores the experiences of children and young people, and their families, who have been referred to the Gender Identity Development Service (GIDS) in the UK. This paper describes the experiences of children and young people and their parents while they are on the waiting list to be seen. Semi-structured interviews were undertaken with 39 families who had been referred to GIDS and were waiting for their first appointment with the service. Both parent and child/young person were interviewed. Analysis of the anonymised interview transcripts was informed by both narrative and thematic approaches, and three predominant narratives around waiting were identified: 1. Positive experiences attached to waiting; 2. Feelings of distress and stuckness; 3. Suggestions for support while waiting. Findings from this study indicate variations in how waiting is experienced depending on the age of the child, and how distressed their body makes them feel. Young people and their parents offered suggestions for how the service could support families on the waiting list. These suggestions related primarily to ways of checking in and providing reassurance that they were at least still on the list as well as ideas about how to make the wait less distressing, rather than necessarily making the wait shorter, which was more spoken about in terms of an ideal rather than a realistic option.

摘要

LOGiC-Q 是一项前瞻性纵向定性研究,旨在探索英国性别认同发展服务(GIDS)转介的儿童和青少年及其家庭的经历。本文描述了儿童和青少年及其父母在等待接受服务的首次预约时的经历。对 39 个已转介至 GIDS 并正在等待与该服务预约的家庭进行了半结构化访谈。对父母和孩子/年轻人进行了访谈。对匿名访谈记录的分析既受到叙述方法的影响,也受到主题方法的影响,确定了与等待相关的三个主要叙述:1. 等待带来的积极体验;2. 痛苦和停滞的感觉;3. 等待时的支持建议。这项研究的结果表明,等待的体验因孩子的年龄以及他们的身体让他们感到的痛苦程度而异。年轻人及其父母提出了一些关于如何为等候名单上的家庭提供支持的建议。这些建议主要涉及如何进行检查并提供他们仍在名单上的保证,以及如何减少等待的痛苦,而不是缩短等待时间,这更多地是作为一种理想而非现实的选择来谈论的。

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Longitudinal Outcomes of Gender Identity in Children (LOGIC): study protocol for a retrospective analysis of the characteristics and outcomes of children referred to specialist gender services in the UK and the Netherlands.儿童性别认同的纵向结局(LOGIC):对英国和荷兰专门性别服务机构转介儿童的特征和结局进行回顾性分析的研究方案。
BMJ Open. 2021 Nov 10;11(11):e054895. doi: 10.1136/bmjopen-2021-054895.
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4
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