一名最近有自杀危机的跨性别服务人员入院后的认知治疗:性别认同护理的个案研究

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Rebecca L. Kauten, Sarah P. Carter, Max Stivers, Laura A. Novak, Margaret M. Baer, Jessica M. LaCroix, Nicholas E. Grant, Britt Sickmann, David B. Goldston, Alyssa Soumoff, Marjan Ghahramanlou-Holloway
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引用次数: 1

摘要

虽然美国军人和退伍军人自杀风险的增加导致了有针对性干预措施的发展,但跨性别和性别多样化(TGD)服务成员自杀意念和行为风险的增加要求干预措施在少数民族压力源和性别肯定护理的背景下解决自杀风险。本案例研究介绍了约旦(化名),一名跨性别军人,因性别焦虑、少数民族身份和相关压力源的困扰而自杀未遂,并接受了住院精神病治疗。Jordan完成了入院后认知治疗(PACT);考克斯·加赫拉曼洛-霍洛威;Greene, 2012),一项针对军人及其自杀危机后精神病院家属自杀风险的认知行为干预。在PACT的背景下,乔丹的治疗包括使用性别肯定的最佳做法识别和解决与少数民族压力源(外化的耻辱,内化的变性恐惧症,预期的拒绝,性别隐瞒)相关的痛苦。从基线到随访,Jordan的自我报告测量有明显的变化,以及Jordan报告的质变,表明她在完成PACT治疗并获得必要的技能以帮助预防和/或管理未来的自杀危机后,感到舒适、安全并准备出院。在性别肯定护理和普遍的少数民族压力源的背景下解决自杀风险的治疗影响和建议进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Admission Cognitive Therapy for a Transgender Service Member With a Recent Suicidal Crisis: A Case Study of Gender-Affirming Care

While elevated suicide risk in the American military and veteran population has led to the development of targeted interventions, the increased risk of suicidal ideation and behavior among transgender and gender diverse (TGD) Service members requires that interventions address suicide risk within the context of minority stressors and gender-affirming care. This case study presents Jordan (an alias), a transgender Service member who received inpatient psychiatric treatment following a suicide attempt precipitated by distress relating to gender dysphoria, minority status, and associated stressors. Jordan completed Post-Admission Cognitive Therapy (PACT; Ghahramanlou-Holloway, Cox, & Greene, 2012), a cognitive-behavioral intervention targeting suicide risk among military personnel and dependents psychiatrically hospitalized following a suicidal crisis. Within the context of PACT, Jordan’s treatment included identifying and addressing distress related to minority stressors (externalized stigma, internalized transphobia, anticipated rejection, gender concealment) using gender-affirming best practices. Marked changes in Jordan's self-report measures from baseline to follow-up, as well as qualitative changes reported by Jordan, demonstrate that she felt comfortable, safe, and ready to be discharged from the inpatient unit after completing PACT treatment and gaining exposure to the skills necessary to help prevent and/or manage future suicidal crises. Treatment implications and recommendations for addressing suicide risk within the context of gender-affirming care and prevalent minority stressors are discussed.

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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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