Mental health practitioners' attitudes towards transgender people: A systematic review of the literature

Q1 Social Sciences

International Journal of Transgenderism Pub Date : 2018-01-02 DOI:10.1080/15532739.2017.1374227

Suzanne Brown, Jo Kucharska, M. Marczak

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引用次数: 33

Abstract

ABSTRACT Background: A systematic review was conducted to critically evaluate and synthesize literature investigating mental health practitioners' attitudes towards transgender people. Objective: Three primary objectives were outlined; first, establish whether overall attitudes are positive or negative. Second, explore whether training, education or experience influences attitudes and finally, examine participant demographics in relation to attitude trends. Method: A systematic electronic search was carried out in March 2017 using Medline, PsycINFO, PsycArticles, CINAHL, ASSIA, and Web of Science electronic databases. Manual citation and ancestral searches were conducted on identified papers. Qualitative, quantitative and mixed method studies were eligible for inclusion. A total of 13 papers of mixed quality were identified. Results: Existing literature is limited to cross-sectional, quantitative data and fails to investigate differences between implicit and explicit attitudes. Small to moderate convenience samples reduce the generalizability of data. Overall attitudes were positive although negative attitudes were more frequent in male, Caucasian, heterosexual, religious, conservative mental health professionals. Conclusions: Refined scales are needed to address the unique heterogeneity within transgender populations. Future research should focus on how attitudes impact care provided and employ longitudinal designs to explore the sustainability of targeted attitudinal training.

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心理健康从业者对跨性别者的态度:文献系统回顾

摘要背景:本研究对调查心理健康从业者对跨性别者态度的文献进行了系统评价和综合。目标:概述了三个主要目标;首先，确定总体态度是积极的还是消极的。其次，探讨培训、教育或经验是否会影响态度，最后，检查参与者的人口统计数据与态度趋势的关系。方法:于2017年3月对Medline、PsycINFO、PsycArticles、CINAHL、ASSIA、Web of Science等电子数据库进行系统电子检索。人工引文和祖先检索进行了鉴定论文。定性、定量和混合方法研究均符合纳入条件。共鉴定出13篇质量参差不齐的论文。结果:现有文献仅局限于横截面的定量数据，未能研究内隐态度和外显态度的差异。小到中等的便利样本降低了数据的泛化性。总体态度是积极的，但消极态度在男性、白种人、异性恋、宗教、保守的心理健康专业人员中更为常见。结论:需要改进量表来解决跨性别人群中独特的异质性。未来的研究应关注态度如何影响所提供的护理，并采用纵向设计来探索针对性态度训练的可持续性。

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来源期刊

International Journal of Transgenderism Social Sciences-Gender Studies

CiteScore

5.10

自引率

0.00%

发文量

期刊介绍： International Journal of Transgenderism, together with its partner organization the World Professional Association for Transgender Health (WPATH), offers an international, multidisciplinary scholarly forum for publication in the field of transgender health in its broadest sense for academics, practitioners, policy makers, and the general population. The journal welcomes contributions from a range of disciplines, such as: Endocrinology Surgery Obstetrics and Gynaecology Psychiatry Psychology Speech and language therapy Sexual medicine Sexology Family therapy Public health Sociology Counselling Law Medical ethics.