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首页> 美国卫生研究院文献>Transgender Health >Exploring the Needs Expectations and Realities of Mental Healthcare for Transgender Adults: A Grounded Theory Study on Experiences in Sweden
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Exploring the Needs Expectations and Realities of Mental Healthcare for Transgender Adults: A Grounded Theory Study on Experiences in Sweden

机译：探索跨性别成年人心理保健的需求期望和现实：基于瑞典经验的扎根理论研究

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>Purpose: Transgender persons experience a disproportionate representation in adverse mental health conditions globally. In Sweden, there are tangible efforts to improve mental healthcare overall, but transgender persons still struggle with meeting their mental healthcare needs and there is an absence of understanding the role of mental healthcare for this population and how services are being utilized. Thus, the aim of this study was to gain knowledge from transgender individuals in Sweden concerning their mental healthcare, their needs, expectations, and realities, regardless of transition status.>Methods: Eleven in-depth interviews were conducted with persons who identified as transgender, older than 18 years, at some stage of transition in Sweden. Data were collected, analyzed, and interpreted using constructivist ground theory.>Results: Three categories emerged from the analysis, Feeling Objectification Rather than Subjectivity, Constructing the Narrative, and Reflecting on Aspects of Care that illustrate the dual tensions at play in transgender visibility, communication with mental healthcare professionals, and expectations of care. Six subcategories further delineate the specific forces at work that construct the mental healthcare experiences for trans persons.>Conclusion: Increased knowledge and visibility of transgender persons are needed to adequately serve the mental healthcare needs for this population. Currently, there are barriers that inhibit transgender persons from getting the mental healthcare assistance desired and needed, as they do not view the healthcare system as safe space. As steps are being taken to depathologize transgender identities, momentum should be continued to create space for trans persons that enables unencumbered mental health assistance.
机译：>目的：跨性别者在全球不利的心理健康状况中所占比例过高。在瑞典，人们为改善整体精神保健做出了切实的努力，但跨性别者仍在努力满足其精神保健需求，并且缺乏对这一人群的精神保健作用以及如何利用其服务的了解。因此，本研究旨在从瑞典跨性别者那里获得有关其心理保健，他们的需求，期望和现实状况的知识，而不论其过渡状态如何。>方法：进行了11次深入访谈在瑞典的某个过渡阶段与年龄超过18岁的被确认为变性人的人在一起。使用建构主义地面理论收集，分析和解释数据。>结果：分析得出了三类：感觉是客观化而不是主观性，叙事方式的构建以及对护理各方面的反思，它们说明了双重张力。在跨性别可见性，与精神保健专业人员的沟通以及对护理的期望方面发挥作用。六个子类别进一步描述了在工作中构成跨性别者心理保健体验的具体力量。>结论：需要增强跨性别者的知识和知名度才能充分满足该人群的心理保健需求。当前，由于跨性别者并不将医疗保健系统视为安全的空间，因此存在阻碍跨性别者获得所需和所需的精神保健援助的障碍。在采取措施消除变性人身份的僵化之际，应继续保持势头，为跨性别者创造空间，以提供无障碍的精神卫生援助。

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