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Barriers to Mental Health Care for Transgender and Gender-Nonconforming Adults: A Systematic Literature Review

机译：心理健康护理的障碍和性别不合适成年人：系统文献综述

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摘要

Contemporary research suggests that transgender and gender-nonconforming (TGNC) adults encounter formidable barriers to health care, including access to quality therapeutic interventions. This systematic review is one of the first to specifically explore obstacles to TGNC mental health care. A rigorous literature review identified eight relevant studies: six qualitative designs and two quantitative designs. Thematic synthesis revealed three major barriers to care and five corresponding subthemes: (1) personal concerns, involving fear of being pathologized or stereotyped and an objection to common therapeutic practices; (2) incompetent mental health professionals, including those who are unknowledgeable, unnuanced, and unsupportive; and (3) affordability factors. Results indicate an acute need for practitioner training to ensure the psychological well-being of TGNC clients.
机译：当代研究表明，转型和性别不合适（TGNC）成年人遭遇了医疗保健的强大障碍，包括获得质量治疗干预措施。 该系统审查是第一个专门探索TGNC精神保健的障碍之一。 严谨的文献综述确定了八项相关研究：六项定性设计和两种量化设计。 主题综合揭示了关怀的三个主要障碍和五个相应的次节：（1）个人担忧，涉及担心病于病理或陈规定型和对普通治疗实践的反对; （2）无能的心理健康专业人士，包括那些在不可知，不符合的，不支持的人; （3）负担能力因素。 结果表明，对从业者培训的急性需要，以确保TGNC客户的心理福祉。

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