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跨性别青少年在与相关服务机构谈论创伤经历时是怎样的感受?

How do transgender young people experience talking about trauma with services?

作者信息

Crockford Georgia, Hawthorne Oliver, Leeuwerik Tamara

机构信息

Canterbury Christ Church University, Tunbridge Wells, UK.

Tavistock and Portman Trust, London, UK.

出版信息

Clin Child Psychol Psychiatry. 2025 Feb 26:13591045251320673. doi: 10.1177/13591045251320673.

DOI:10.1177/13591045251320673
PMID:40012094
Abstract

BACKGROUND

Transgender young people are more likely than their cisgender peers to experience trauma. Through talking about trauma, services may be able to support transgender young people to manage the impact of these events. However, research has highlighted that many trans people are concerned that disclosing trauma would be used to discredit their sense of their gender identity.

AIM

To explore how transgender young people experience having conversations about trauma with services and how they understand these conversations.

METHOD

Six semi-structured interviews were carried out with young transgender people. Interpretative phenomenological analysis was used.

RESULTS

The study found that all participants were aware of discourses linking experiences of trauma with transgender identities. All participants recognised these conversations as significant. Some experienced conversations to be supportive and transformative. Others found them deeply distressing, reminiscent of trauma experiences. Relationships with professionals seemed to influence these experiences, as did transphobia and relationships with other services.

DISCUSSION

A trauma-informed approach should be used and professionals are encouraged to consider the potential for harm that can arise from these conversations, as well as the therapeutic element. Clinical implications and future research directions are discussed, in particular considering the recently published Cass Review (2024).

摘要

背景

与顺性别同龄人相比,跨性别青少年更有可能经历创伤。通过谈论创伤,服务机构或许能够支持跨性别青少年应对这些事件的影响。然而,研究强调,许多跨性别者担心披露创伤会被用来质疑他们的性别认同。

目的

探讨跨性别青少年与服务机构谈论创伤时的经历,以及他们如何理解这些对话。

方法

对六名跨性别青少年进行了半结构化访谈。采用了解释现象学分析方法。

结果

研究发现,所有参与者都意识到将创伤经历与跨性别身份联系起来的话语。所有参与者都认为这些对话很重要。一些人认为这些对话具有支持性和变革性。另一些人则觉得它们令人深感痛苦,让人想起创伤经历。与专业人员的关系似乎会影响这些经历,恐跨症以及与其他服务机构的关系也是如此。

讨论

应采用创伤知情方法,并鼓励专业人员考虑这些对话可能产生的危害以及治疗因素。讨论了临床意义和未来的研究方向,尤其考虑到最近发表的卡斯报告(2024年)。

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本文引用的文献

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How is trauma-focused therapy experienced by adults with PTSD? A systematic review of qualitative studies.创伤聚焦疗法在 PTSD 成年患者中的体验如何?一项定性研究的系统综述。
BMC Psychol. 2024 Mar 9;12(1):135. doi: 10.1186/s40359-024-01588-x.
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Higher Prevalence of Adverse Childhood Experiences in Transgender Than in Cisgender Individuals: Results from a Single-Center Observational Study.跨性别者中不良童年经历的患病率高于顺性别者:一项单中心观察性研究的结果。
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接受医学和/或手术性别重置治疗后随后转变性别的个体:100 名转变后退缩者的调查。
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Child Abuse Negl. 2020 Sep;107:104623. doi: 10.1016/j.chiabu.2020.104623. Epub 2020 Jul 16.
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Clin Child Psychol Psychiatry. 2019 Apr;24(2):223-236. doi: 10.1177/1359104519836462.
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