Abstract

Objective: Transgender and gender diverse (TGD) people face various challenges when seeking therapy. Given this, we wanted to understand more about TGD people’s perceptions of providers and how these compare to researcher ratings of providers on metrics of affirming practice. Method: The sample included 158 TGD adults (M_age = 33.06); 57.6% were in therapy. Participants completed measures about mental health, resilience, and therapy. We systematically coded provider websites and intake forms. Results: Participants in therapy were older, had higher depression, and lower resilience than participants not in therapy. Non-binary/genderqueer participants rated providers as less knowledgeable compared to trans feminine participants. Overall, participants appeared satisfied (71.4% extremely satisfied) and viewed providers as at least moderately knowledgeable (89.1%). Provider coding revealed variation across the markers of affirmation; 66.04% identified a TGD-specialty and only 26.42% shared provider pronouns. Higher frequency of inclusivity (via coding) was related to higher ratings of provider knowledge and more of a focus on gender, however, there was not a significant association with satisfaction. Conclusions: Providers who engaged in more affirming practices were more knowledgeable compared to those who engaged in fewer affirming practices. This may influence the content of therapy and whether clients feel comfortable discussing gender.

摘要

目标：跨性别和性别多样化 (TGD) 的人在寻求治疗时面临各种挑战。鉴于此，我们想更多地了解 TGD 人对提供者的看法，以及这些看法与研究人员对提供者在确认实践指标上的评级相比如何。方法：样本包括 158 名 TGD 成人（M_年龄 = 33.06); 57.6% 的人正在接受治疗。参与者完成了关于心理健康、复原力和治疗的测量。我们系统地对供应商网站和接收表格进行了编码。结果：与未接受治疗的参与者相比，接受治疗的参与者年龄更大，抑郁程度更高，恢复力更低。与跨性别女性参与者相比，非二元/性别酷儿参与者认为提供者的知识较少。总体而言，参与者似乎很满意（71.4% 非常满意），并且认为提供者至少知识渊博 (89.1%)。提供者编码揭示了肯定标记之间的差异；66.04% 的人确定了 TGD 专业，只有 26.42% 的人共享提供者代词。更高频率的包容性（通过编码）与提供者知识的更高评级和对性别的更多关注有关，但是，与满意度没有显着关联。结论：与参与较少肯定实践的提供者相比，参与更多肯定实践的提供者知识更丰富。这可能会影响治疗的内容以及客户是否愿意讨论性别问题。