ABSTRACT

Transgender and gender non-conforming (TGNC) people may experience minority stress and internalised transnegativity, leading to increased psychological distress. Self-compassion has been suggested as a protective factor which can buffer against the impact of minority stress and stigma. This service evaluation study examined the outcomes of a novel compassion-focused therapy group intervention delivered online in a Gender Service. Twenty-one TGNC adults participated in the group and completed pre-group and post-group measures of psychological distress, internalised transnegativity, and compassion to self, to others, and from others. Participants had high levels of psychological distress and low levels of self-compassion pre-group. At the group level, there was a significant increase in levels of compassion to self and from others, and a significant decrease in pride (reverse scored) and alienation internalised transnegativity subscales. At an individual level, compassion to self and compassion from others were the most frequent areas where significant change was observed post-group. The compassion-focused therapy group appears to be effective in increasing levels of self-compassion and reducing aspects of internalised transnegativity, but without clear impact on psychological distress. This is preliminary evidence in support of the use of compassion-focused therapy groups within gender services, but further research is warranted and encouraged.

摘要

跨性别者和性别不合格者 (TGNC) 可能会经历少数群体压力和内在的跨性别性，导致心理困扰增加。自我同情被认为是一种保护因素，可以缓冲少数群体压力和耻辱的影响。这项服务评估研究检查了性别服务中心在线提供的一种新颖的以同情心为中心的治疗小组干预的结果。21 名 TGNC 成年人参加了该小组，并完成了小组前和小组后的心理困扰、内化跨否定性以及对自我、他人和他人的同情心的测量。参与者在入组前有较高的心理困扰和较低的自我慈悲水平。在群体层面上，对自己和他人的同情心显着增加，自豪感（反向评分）和疏离内化跨消极性分量表显着下降。在个人层面上，对自我的同情心和来自他人的同情心是团体后观察到显着变化的最常见领域。以同情为中心的治疗组似乎可以有效提高自我同情水平并减少内在跨消极性，但对心理困扰没有明显影响。这是支持在性别服务中使用以同情为中心的治疗小组的初步证据，但有必要并鼓励进一步的研究。对自我的同情心和来自他人的同情心是团体后观察到显着变化的最常见领域。以同情为中心的治疗组似乎可以有效提高自我同情水平并减少内在跨消极性，但对心理困扰没有明显影响。这是支持在性别服务中使用以同情为中心的治疗小组的初步证据，但有必要并鼓励进一步的研究。对自我的同情心和来自他人的同情心是团体后观察到显着变化的最常见领域。以同情为中心的治疗组似乎可以有效提高自我同情水平并减少内在跨消极性，但对心理困扰没有明显影响。这是支持在性别服务中使用以同情为中心的治疗小组的初步证据，但有必要并鼓励进一步的研究。