”I don’t want to say the wrong thing”: mental health professionals’ narratives of feeling inadequately skilled when working with gender diverse adults

References

• Alonso, A. (2000). On being skilled and deskilled as a psychotherapy supervisor. The Journal of Psychotherapy Practice and Research, 9(1), 55. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330583/
   PubMedGoogle Scholar
• Billings, J., Biggs, C., Ching, B. C. F., Gkofa, V., Singleton, D., Bloomfield, M., & Greene, T. (2021). Experiences of mental health professionals supporting front-line health and social care workers during COVID-19: Qualitative study. BJPsych Open, 7(2), 5-8. https://doi.org/10.1192/bjo.2021.29
   PubMed Web of Science ®Google Scholar
• British Psychological Society. (2018). Code of ethics and conduct. [PDF]. https://www.bps.org.uk/sites/www.bps.org.uk/files/Policy/Policy%20-%20Files/BPS%20Code%20of%20Ethics%20and%20Conduct%20%28Updated%20July%202018%29.pdf
   Google Scholar
• Brunskell-Evans, H., & Moore, M. (Eds.). (2019). Inventing transgender children and young people. Cambridge Scholars Publishing.
   Google Scholar
• Burnham, J. (2018). Developments in Social GRRRAAACCEEESSS: Visible–invisible and voiced–unvoiced 1. In Inga-Britt Krause (ed.), Culture and reflexivity in systemic psychotherapy (pp. 139–160). Routledge.
   Google Scholar
• Canvin, L. (2020). Narratives of mental health professionals supporting trans, gender diverse and gender questioning adults. [Doctoral dissertation]. University of Hertfordshire.
   Google Scholar
• Canvin, L., Twist, J., & Solomons, W. (2021). How do mental health professionals describe their experiences of providing care for gender diverse adults? A systematic literature review. Psychology & Sexuality, 13(3), 717–741 doi:10.1080/19419899.2021.1916987
   Web of Science ®Google Scholar
• Carabez, R. M., Eliason, M. J., & Martinson, M. (2016). Nurses’ knowledge about transgender patient care. Advances in Nursing Science, 39(3), 257–271. https://doi.org/10.1097/ANS.0000000000000128
   PubMed Web of Science ®Google Scholar
• Edwards, D., & Potter, J. (1992). Discursive psychology (Vol. 8). Sage.
   Google Scholar
• Eliason, M. J., & Schope, R. (2007). Shifting sands or solid foundation? Lesbian, gay, bisexual, and transgender identity formation. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities (pp. 3–26). Springer.
   Google Scholar
• Ellis, S. J., Bailey, L., & McNeil, J. (2015). Trans people’s experiences of mental health and gender identity services: A UK study. Journal of Gay & Lesbian Mental Health, 19(1), 4–20. https://doi.org/10.1080/19359705.2014.960990
   Web of Science ®Google Scholar
• Esin, C., Fathi, M., & Squire, C. (2014). Narrative analysis: The constructionist approach. In U. Flick (Ed.), The Sage handbook of qualitative data analysis (pp. 203–216). Sage.
   Google Scholar
• Harre, R., & van Langenhove, L. (Eds.). (1999). Positioning theory: Moral contexts of intentional action. Blackwell Publishers.
   Google Scholar
• Israel, T., Gorcheva, R., Walther, W. A., Sulzner, J. M., & Cohen, J. (2008). Therapists’ helpful and unhelpful situations with LGBT clients: An exploratory study. Professional Psychology: Research and Practice, 39(3), 361. https://doi.org/10.1037/0735-7028.39.3.361
   Web of Science ®Google Scholar
• Johnson, L., & Federman, E. J. (2014). Training, experience, and attitudes of VA psychologists regarding LGBT issues: Relation to practice and competence. Psychology of Sexual Orientation and Gender Diversity, 1(1), 10. https://doi.org/10.1037/sgd0000019
   Google Scholar
• Jovchelovitch, S., & Bauer, M. W. (2000). Narrative interviewing. In M. W. Bauer & G. Gaskell (Eds.), Qualitative researching with text, image and sound: A practical handbook for social research (pp. 57–74). Sage.
   Google Scholar
• Kanamori, Y., & Cornelius-White, J. H. (2017). Counselors’ and counseling students’ attitudes toward transgender persons. Journal of LGBT Issues in Counseling, 11(1), 36–51. https://doi.org/10.1080/15538605.2017.1273163
   Web of Science ®Google Scholar
• Kawano, T., Cruz, R. F., & Tan, X. (2018). Dance/movement therapists’ attitudes and actions regarding LGBTQI and gender nonconforming communities. American Journal of Dance Therapy, 40(2), 202–223. https://doi.org/10.1007/s10465-018-9283-7
   Web of Science ®Google Scholar
• Keo-Meier, C. E., & Ehrensaft, D. E. (2018). The gender affirmative model: An interdisciplinary approach to supporting transgender and gender expansive children. American Psychological Association.
   Google Scholar
• King, N., & Horrocks, C. (2010). Interviews in qualitative research. Sage.
   Google Scholar
• Koch-Rein, A., Haschemi Yekani, E., & Verlinden, J. J. (2020). Representing trans: Visibility and its discontents. European Journal of English Studies, 24(1), 1-12. doi: 10.1080/13825577.2020.1730040.
   Google Scholar
• Labov, W. (2010). Oral narratives of personal experience. In P. C. Hogan (Ed.), Cambridge encyclopedia of the language sciences (pp. 546–548). Cambridge University Press.
   Google Scholar
• Lo Iacono, V., Symonds, P., & Brown, D. H. (2016). Skype as a tool for qualitative research interviews. Sociological Research Online, 21(2), 1–15. https://doi.org/10.5153/sro.3952
   Web of Science ®Google Scholar
• Lutz, J. C. (2013). Assessing clinical competency among clinicians who work with transgender clients. [Doctoral dissertation]. The Chicago School of Professional Psychology.
   Google Scholar
• McNeil, J., Bailey, L., Ellis, S., Morton, J., & Regan, M. (2012). Trans mental health study [PDF]. Scottish Transgender Alliance. http://worldaa1.miniserver.com/~gires/assets/Medpro-Assets/trans_mh_study.pdf
   Google Scholar
• Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38–56. https://doi.org/10.2307/2137286
   PubMed Web of Science ®Google Scholar
• Mizock, L., & Hopwood, R. (2018). Economic challenges associated with transphobia and implications for practice with transgender and gender diverse individuals. Professional Psychology: Research and Practice, 49(1), 65–74. https://doi.org/10.1037/pro0000161
   Web of Science ®Google Scholar
• NHS Digital. (2020). NHS Hospital & Community Health Service (HCHS) workforce statistics. https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/february-2020
   Google Scholar
• Nolte, L. (2007). White is a colour too: Engaging actively with the risks, challenges and rewards of cross‐cultural family therapy training and practice. Journal of Family Therapy, 29(4), 378–388. https://doi.org/10.1111/j.1467-6427.2007.00406.x
   Web of Science ®Google Scholar
• O’Hara, C., Dispenza, F., Brack, G., & Blood, R. A. (2013). The preparedness of counselors in training to work with transgender clients: A mixed methods investigation. Journal of LGBT Issues in Counseling, 7(3), 236–256. https://doi.org/10.1080/15538605.2013.812929
   Google Scholar
• Pearce, R. (2018). Understanding trans health. Policy Press.
   Google Scholar
• Poteat, T., German, D., & Kerrigan, D. (2013). Managing uncertainty: A grounded theory of stigma in transgender health care encounters. Social Science & Medicine, 84, 22–29. https://doi.org/10.1016/j.socscimed.2013.02.019
   PubMed Web of Science ®Google Scholar
• Powys Maurice, E. (2020, October 14). Hate crimes soar to terrifying new high with police investigating hundreds of transphobic offences every month. PinkNews. https://www.pinknews.co.uk/2020/10/14/hate-crime-england-wales-police-record-transphobia-homophobia-lgbt-home-office/
   Google Scholar
• Reisner, S. L., Poteat, T., Keatley, J., Cabral, M., Mothopeng, T., Dunham, E., … Baral, S. D. (2016). Global health burden and needs of transgender populations: A review. The Lancet, 388(10042), 412–436. https://doi.org/10.1016/S0140-6736(16)00684-X
   PubMed Web of Science ®Google Scholar
• Richards, C., Barker, M., Lenihan, P., & Iantaffi, A. (2014). Who watches the watchmen? A critical perspective on the theorization of trans people and clinicians. Feminism & Psychology, 24(2), 248–258. https://doi.org/10.1177/0959353514526220
   Web of Science ®Google Scholar
• Riessman, C. K. (2008). Narrative methods for the human sciences. Sage.
   Google Scholar
• Riggs, D. W., & Bartholomaeus, C. (2016a). Australian mental health professionals’ competencies for working with trans clients: A comparative study. Psychology & Sexuality, 7(3), 225–238. https://doi.org/10.1080/19419899.2016.1189452
   Web of Science ®Google Scholar
• Riggs, D. W., & Bartholomaeus, C. (2016b). Australian mental health nurses and transgender clients: Attitudes and knowledge. Journal of Research in Nursing, 21(3), 212–222. https://doi.org/10.1177/1744987115624483
   Web of Science ®Google Scholar
• Riggs, D. W., Coleman, K., & Due, C. (2014). Healthcare experiences of gender diverse Australians: A mixed-methods, self-report survey. BMC Public Health, 14, 230–236. https://doi.org/10.1186/1471-2458-14-230
   PubMed Web of Science ®Google Scholar
• Rutter, P. A., Leech, N. N., Anderson, M., & Saunders, D. (2010). Couples counseling for a transgender-lesbian couple: Student counselors’ comfort and discomfort with sexuality counseling topics. Journal of GLBT Family Studies, 6(1), 68–79. https://doi.org/10.1080/15504280903472816
   Google Scholar
• Salpietro, L., Ausloos, C., & Clark, M. (2019). Cisgender professional counselors’ experiences with trans* clients. Journal of LGBT Issues in Counseling, 13(3), 198–215. https://doi.org/10.1080/15538605.2019.1627975
   Web of Science ®Google Scholar
• Serano, J. (2007). Whipping girl: A transsexual woman on sexism and the scapegoating of femininity. Seal Press.
   Google Scholar
• Snelgrove, J. W., Jasudavisius, A. M., Rowe, B. W., Head, E. M., & Bauer, G. R. (2012). “Completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Services Research, 12(1), 110. https://doi.org/10.1186/1472-6963-12-110
   PubMed Web of Science ®Google Scholar
• Tracy, S. J. (2010). Qualitative quality: Eight “big-tent” criteria for excellent qualitative research. Qualitative Inquiry, 16(10), 837–851. https://doi.org/10.1177/1077800410383121
   Web of Science ®Google Scholar
• Transgender Europe. (2020, November 20). Trans day of remembrance. https://tdor.tgeu.org/
   Google Scholar
• Wells, K. (2011). Narrative Inquiry. Oxford University Press.
   Google Scholar
• World Professional Association for Transgender Health. (2012). Standards of care for the health of transsexual, transgender, and gender-Nonconforming people. [PDF]. https://www.wpath.org/media/cms/Documents/SOC%20v7/Standards%20of%20Care_V7%20Full%20Book_English.pdf
   Google Scholar