加拿大跨性别和非二元性别成年人获得系统治疗服务的障碍。
Barriers to Systemic Therapy Services Among Transgender and Nonbinary Adults in Canada.
作者信息
Lin Chichun, Fuks Nate, Maitland Lukas, Kang Haeon
机构信息
Master of Marriage and Family Therapy Program, Faculty of Education, The University of Winnipeg, Winnipeg, Manitoba, Canada.
Yorkville University, Fredericton, New Brunswick, Canada.
出版信息
J Marital Fam Ther. 2025 Oct;51(4):e70064. doi: 10.1111/jmft.70064.
Systemic therapies, including relational, couple, marriage, and family therapy services, play a key role in supporting transgender and nonbinary people who experience mental health and relational challenges. However, limited research studies have examined this population's barriers to accessing these therapy services. This study aimed to explore these barriers to enhance the cultural competence of relational and family therapists. This study involved 12 TNB adult participants in Canada. Regarding methodology, the semi-structured interviews were conducted via Zoom and recorded, and the interpretative phenomenological analysis was applied. The results included the following: (1) Challenges in finding competent and affirming therapists; (2) Geographic limitations; (3) Financial concerns; and (4) Systemic and institutional barriers to accessing RCMFT services. The results can be shared in teaching, supervision, workshops, and conference presentations to improve cultural competence and reduce the barriers.
包括关系治疗、伴侣治疗、婚姻治疗和家庭治疗服务在内的系统治疗，在支持经历心理健康和关系挑战的跨性别者和非二元性别者方面发挥着关键作用。然而，仅有有限的研究探讨了这一群体在获得这些治疗服务时所面临的障碍。本研究旨在探索这些障碍，以提高关系治疗师和家庭治疗师的文化能力。本研究涉及加拿大的12名跨性别和非二元性别成年参与者。在研究方法方面，通过Zoom进行半结构化访谈并录音，采用解释现象学分析方法。研究结果如下：（1）寻找有能力且持肯定态度的治疗师存在挑战；（2）地理限制；（3）经济担忧；（4）获得关系、伴侣、婚姻和家庭治疗服务的系统和制度障碍。研究结果可在教学、督导、工作坊和会议报告中分享，以提高文化能力并减少障碍。
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