Bans on Evidence-Based Care for Transgender and Gender Diverse People Present Risks for Clients and Dilemmas for Mental Health Providers

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2024-02-01 DOI:10.1016/j.cbpra.2023.12.003
Debra A. Hope, Jae A. Puckett
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Abstract

Despite efforts to improve the sociopolitical landscape for sexual and gender minorities, including legislation to ban sexual orientation and gender identity change efforts (SOGICE), new threats have arisen with a sharp increase in state legislatures enacting anti-TGD (transgender and gender diverse) legislation. Some of these laws and the accompanying hostile climate may prevent mental health providers from providing the best evidence-based care for their TGD clients. This paper briefly reviews the current sociopolitical climate, the impact of the climate on TGD people, and challenges faced by mental health providers serving TGD clients. We conclude with recommendations for supporting TGD clients in the current sociopolitical context and a call for advocacy to continue efforts to ban SOGICE and protect access to social, legal, and medical gender affirmation for youth and adults.

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禁止为变性人和性别多元化者提供循证护理,这给客户带来了风险,也给心理健康服务提供者带来了难题
尽管我们努力改善性取向和性别少数群体的社会政治环境,包括立法禁止改变性取向和性别认同(SOGICE)的努力,但随着各州立法机构颁布反 TGD(变性人和性别多样化)立法的数量急剧增加,新的威胁也随之出现。其中一些法律以及随之而来的敌对氛围可能会阻碍心理健康服务提供者为其变性人客户提供以证据为基础的最佳护理。本文简要回顾了当前的社会政治环境、这种环境对 TGD 人士的影响,以及为 TGD 客户提供服务的心理健康服务提供者所面临的挑战。最后,我们提出了在当前社会政治环境下为 TGD 客户提供支持的建议,并呼吁继续倡导禁止性别歧视,保护青少年和成年人获得社会、法律和医疗方面的性别肯定。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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