关于分离经验的定性元总结及心理支持建议

IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Pablo Expósito-Campos , José Ignacio Pérez-Fernández , Karmele Salaberria
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引用次数: 0

摘要

本文的主要目的是在信息和资源匮乏的情况下,确定针对脱离性别转变者(即停止或逆转性别转变者)的心理治疗工作领域。方法我们对截至 2023 年 4 月发表的定性数据进行了系统性回顾和元总结。结果数据库搜索共获得 845 条记录,其中 15 条记录包含 2689 名停止性别转换者。共提取了 582 项研究结果,得出 34 项频率≥ 15 % 的元发现。确定了两个主要专题领域和若干副主题。性别转换 "主题包括 "观点 "和 "情感"。性别分离 "主题包括 "驱动因素"、"挑战"(a. 社交和情感困难,b. 缺乏支持和理解,c. 消极的医疗保健经历,d. 性别分离恐惧症,e. 对身份的担忧)、"需求"、"成长和演变 "以及 "身份和未来"。基于这些元发现,我们提出了广泛的建议,以支持离院人员的各种情感、社交和身份需求。结论离院人员的经历和观点多种多样,他们面临着巨大的挑战。以个人优势和意义为重点的情感确认、并发心理问题的治疗、社交网络的发展以及对身份探索的支持,是针对这类人群的心理治疗工作的关键方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative metasummary of detransition experiences with recommendations for psychological support

Objective

The main goal of this article is to identify areas of psychotherapeutic work with detransitioners, that is, individuals who stop or reverse a gender transition, given the scarcity of information and resources.

Methods

We conducted a systematic review and metasummary of qualitative data published until April 2023. Data were extracted, grouped, and refined to conform meta-findings.

Results

The database search yielded 845 records, of which 15 comprising 2689 people who detransitioned were included in the review. A total of 582 findings were extracted, resulting in 34 meta-findings with frequencies ≥ 15 %. Two main thematic areas with several subthemes were identified. The theme “Gender transition” included “Perspectives” and “Emotions.” The theme “Gender detransition” included “Driving factors,” “Challenges” (a. Social and emotional difficulties, b. Lack of support and understanding, c. Negative healthcare experiences, d. Detransphobia, and e. Identity concerns), “Needs,” “Growth and evolution,” and “Identity and future.” Based on these meta-findings, we advance broad recommendations for supporting detransitioners in their various emotional, social, and identity needs.

Conclusions

Detransitioners are diverse in their experiences and perspectives and face significant challenges. Emotional validation with a focus on personal strengths and meanings, treatment of concurrent psychological issues, development of social networks, and support of identity exploration are key aspects of psychotherapeutic work with this population.

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来源期刊
CiteScore
10.70
自引率
5.70%
发文量
38
审稿时长
33 days
期刊介绍: The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.
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