Abstract Although mental health disparities for transgender individuals are well documented, a number of obstacles exist for receiving affirming therapy. To provide an understanding of transgender peoples’ help-seeking experiences, the present study aimed to investigate their positive experiences of identity microaffirmations within a therapeutic relationship. Sixty-four transgender participants answered an open-ended question online regarding their experience of gender identity–based affirmations in therapy. Using thematic analysis, responses were evaluated and four main themes were identified: (1) absence of microaggressions, (2) acknowledging cisnormativity, (3) disrupting cisnormativity, and (4) seeing authentic gender. Implications for therapeutic work with transgender clients are discussed.

中文翻译：

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从没有微侵略到看到真实的性别：跨性别客户在治疗中的微肯定经验

摘要 虽然跨性别者的心理健康差异有据可查，但接受肯定疗法仍存在许多障碍。为了理解跨性别者的求助经历，本研究旨在调查他们在治疗关系中对身份微肯定的积极经历。64 名跨性别参与者在线回答了一个关于他们在治疗中基于性别认同的肯定经历的开放式问题。使用主题分析，对反应进行了评估并确定了四个主要主题：(1) 没有微攻击，(2) 承认顺从性，(3) 破坏顺从性，以及 (4) 看到真实的性别。讨论了对跨性别客户的治疗工作的影响。