针对跨性别和性别多样化青少年及青年实施叙事暴露疗法（NET）。
The Implementation of Narrative Exposure Therapy (NET) for Transgender and Gender Diverse Adolescents and Young Adults.
作者信息
Julian Jamie M, Held Jordan I, Hixson Karen, Conn Bridgid M
机构信息
Los Angeles, CA USA Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles.
Portland, OR Portland, USA.
出版信息
J Child Adolesc Trauma. 2023 Mar 13;16(3):1-10. doi: 10.1007/s40653-023-00530-4.
PURPOSE
There is limited information available regarding the use of trauma modalities within the transgender and gender diverse community (TGD) to address gender-based trauma, including discrimination and invalidation, particularly for adolescents and young adults (AYA). The purpose of this paper is to describe a novel treatment approach to addressing post-traumatic stress disorder (PTSD) symptoms within TGD AYA, inclusive of gender-based trauma.
METHODS
Narrative Exposure Therapy (NET) was implemented as a brief intervention for TGD AYA who had a positive screening for PTSD symptomatology. Measures were used to assess PTSD symptoms, as well as changes in self-perceived resilience and positive well-being. Two case vignettes are provided to demonstrate the adaptations made to be responsive to the unique needs of TGD AYA for trauma processing.
RESULTS
Preliminary outcomes from two case studies indicate the strength of NET when working with TGD AYA who face multiple traumatic events and continue to experience invalidation.
CONCLUSION
NET shows promise as an effective brief intervention to reduce PTSD symptomology and increase resiliency in TGD AYA.
目的
关于跨性别和性别多样化群体（TGD）中使用创伤治疗方法来应对基于性别的创伤（包括歧视和不被认可）的信息有限，尤其是针对青少年和青年（AYA）。本文的目的是描述一种新颖的治疗方法，用于解决TGD AYA中的创伤后应激障碍（PTSD）症状，包括基于性别的创伤。
方法
叙事暴露疗法（NET）被用作对PTSD症状筛查呈阳性的TGD AYA的简短干预措施。使用相关测量方法来评估PTSD症状，以及自我感知的恢复力和积极幸福感的变化。提供了两个案例 vignettes，以展示为满足TGD AYA在创伤处理方面的独特需求而做出的调整。
结果
两项案例研究的初步结果表明，NET在与面临多种创伤事件且持续经历不被认可的TGD AYA合作时具有优势。
结论
NET有望成为一种有效的简短干预措施，以减少TGD AYA的PTSD症状并增强其恢复力。
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