ABSTRACT

Gender diverse people experience significantly high levels of mental health difficulties, face significant barriers accessing mental healthcare, and often report negative experiences with mental health professionals. At the same time, healthcare professionals describe feeling deskilled when providing care for gender diverse adults. This paper aims to systematically review research into mental health professionals’ experiences of providing care for gender diverse individuals, and the kind of research methods employed in these investigations. PubMed, SCOPUS, psycARTICLES, and psychINFO were searched, as well citation and reference lists of relevant articles. From 268 search results, 12 articles were deemed relevant to be included in the review. The studies used quantitative, qualitative and mixed methods approaches. Each article was evaluated against established quality guidelines. All studies were likely to have been affected by social desirability bias, and had limited exploration of participants’ contexts, or social discourse. The quality of the articles varied. Clinicians reported having minimal training about gender diversity, and they tended to be less competent working with gender diverse clients compared to LGB clients. Participants described uncertainty working with gender diverse clients, and all the studies identified the need for improved training for mental health professionals working with gender diverse adults.

摘要

性别多样化的人经历了非常严重的心理健康困难，在获得心理保健方面面临重大障碍，并且经常报告与心理健康专业人员的负面经历。同时，医疗保健专业人士描述了在为不同性别的成年人提供护理时感到不熟练。本文旨在系统地回顾对心理健康专业人员为不同性别的个体提供护理的经验的研究，以及这些调查中采用的研究方法。搜索了 PubMed、SCOPUS、psycARTICLES 和 psychINFO，以及相关文章的引用和参考列表。从 268 条搜索结果中，有 12 篇文章被认为与该评论相关。这些研究使用了定量、定性和混合方法。每篇文章都根据既定的质量指南进行了评估。所有研究都可能受到社会期望偏差的影响，并且对参与者的背景或社会话语的探索有限。文章质量参差不齐。临床医生报告说，他们对性别多样性的培训很少，与 LGB 客户相比，他们与性别多元化客户合作的能力往往较低。参与者描述了与性别多样化的客户合作的不确定性，所有研究都确定了需要改进与性别多样化的成年人合作的心理健康专业人员的培训。临床医生报告说，他们对性别多样性的培训很少，与 LGB 客户相比，他们与性别多元化客户合作的能力往往较低。参与者描述了与性别多样化的客户合作的不确定性，所有研究都确定了需要改进与性别多样化的成年人合作的心理健康专业人员的培训。临床医生报告说，他们对性别多样性的培训很少，与 LGB 客户相比，他们与性别多元化客户合作的能力往往较低。参与者描述了与性别多样化的客户合作的不确定性，所有研究都确定了需要改进与性别多样化的成年人合作的心理健康专业人员的培训。