Microaggression Detection in Psychotherapy: Expanding Affirming Care for Transgender and Nonbinary Clients

The Counseling Psychologist Pub Date : 2024-05-22 DOI:10.1177/00110000241255137

Madeline J. Hunsicker, Shannon L. Stuart-Maver, Christopher Anders, D. Martin Kivlighan, Duhita Mahatmya, Jay Bettergarcia, Jesse Owen

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Abstract

Transgender and nonbinary (TGNB) people report experiencing discrimination from therapists. A step to reducing these microaggressions is for therapists to be able to identify them. Psychological trainees and psychologists ( n = 105) were randomly assigned to watch a video vignette therapy session: a session with (a) blatant therapist microaggressions (nonaffirming), (b) therapist-led transition focus (transition affirming), and (c) gender exploration focus (nonbinary affirming). There was no difference in microaggression detection between the two affirming conditions. The microaggression condition of participants had a negative effect on ratings of therapist multicultural orientation (MCO). Additionally, attitudes towards transgender people moderated the relationship between microaggression conditions and ratings of therapist’s cultural humility for the affirming conditions; participants in the nonbinary affirming condition rated the therapist more culturally humble as their positive attitudes towards TGNB people increased, and participants rated the therapist as less culturally humble as TGNB attitudes increased in the transition affirming condition.

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心理治疗中的微侵害检测：扩大对变性和非二元客户的肯定关怀

变性人和非二元性（TGNB）人士报告说，他们受到了治疗师的歧视。要减少这些微小的歧视，治疗师必须能够识别它们。心理受训者和心理学家（n = 105）被随机分配观看视频短片治疗课程：（a）治疗师明目张胆的微侵犯（非肯定），（b）治疗师引导的过渡焦点（过渡肯定），（c）性别探索焦点（非二元肯定）。两种肯定条件下的微侵犯检测结果没有差异。参与者的微侵犯状况对治疗师多元文化取向（MCO）的评分有负面影响。此外，对跨性别者的态度调节了微侵犯条件与治疗师文化谦逊度评分之间的关系；在非二元肯定条件下，随着参与者对跨性别者的积极态度的增加，他们对治疗师的文化谦逊度评分也会增加；而在过渡肯定条件下，随着对跨性别者的态度的增加，参与者对治疗师的文化谦逊度评分也会降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Counseling Psychologist

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