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1.
Prax Kinderpsychol Kinderpsychiatr ; 71(7): 576-596, 2022 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-36382743

RESUMO

The number of adolescents who present themselves to the healthcare system due to the aspect of trans* is rising internationally as well as nationally. Studies, especially from the international area, point next to appropriate treatment situations increasingly to aversively experienced situations.These are characterized by lack of knowledge of the professionals, incorrect naming and pronoun naming as well as inappropriate questions and comments. In order to shed light on the situation in Germany, semi-structured interviews were conducted with ten adolescents and evaluated using qualitative content analysis. Overall, a balanced ratio of positive, appropriate and negative, aversive experiences emerged. Themes were gender-sensitive language, ways of interacting, support/networking and knowledge. The adolescents named parental support and connection to self-help groups as supportive instances in dealing with the healthcare system, but also mentioned structural hurdles such as long waiting times. Overall, the adolescents had a positive outlook on the future and would like to see a sensitization of healthcare workers. Educationalmeasures and further training should be implemented in order to meet these wishes and to ensure needs-based care for trans* adolescents.


Assuntos
Atenção à Saúde , Pessoal de Saúde , Adulto Jovem , Adolescente , Humanos , Pesquisa Qualitativa , Instalações de Saúde , Identidade de Gênero
2.
Prax Kinderpsychol Kinderpsychiatr ; 71(7): 620-639, 2022 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-36382744

RESUMO

In general, little is known about the experiences of parents of a transgender child or adolescent when seeking health care services. In addition, there is little research on how parents interact with their child in the health care system. International studies show high vulnerability and psychological distress among those children and adolescents who assign themselves to a gender other than the one assigned at birth. Parental support represents a protective factor related to mental health. The aim of this study is to investigate parental interaction processes in medical-psychological treatment settings. For this purpose, guided qualitative interviews were conducted throughout Germany with twelve fathers and mothers of transgender children/adolescents. Most parents faced a number of challenges and barriers to their children's health care. A lack of knowledge and insecurities on the part of the health care practitioners up to psychopathologization of identity were ascertainable. At the same time, accepting, affectionate and supportive encounters were evident from the reports. Furthermore, it was found that the parents took an essential protective and supportive stance towards their children in the treatments. For improved health care, sensitization and education regarding gender variance in childhood and adolescence is necessary for health care practitioners in the health care system. The study can contribute to expanding the scientific discourse on life biographies of young trans* people and their parents.


Assuntos
Disforia de Gênero , Pessoas Transgênero , Criança , Feminino , Recém-Nascido , Adolescente , Humanos , Disforia de Gênero/diagnóstico , Disforia de Gênero/terapia , Disforia de Gênero/psicologia , Pais/psicologia , Pessoas Transgênero/psicologia , Identidade de Gênero , Atenção à Saúde , Mães
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