What do therapists perceive are the enablers and barriers to working with transgender clients?

Abstract

This research aimed to explore what therapists perceive are the enablers and barriers which can arise when working with transgender clients. Some research studies have previously been carried out exploring the client’s experiences of the therapeutic process, with a large proportion finding the counselling profession to be wanting. However, there is a dearth of literature exploring the reasons behind this from a clinical perspective, including potential ways of addressing the issues raised. This qualitative study explored the perspectives of five experienced clinicians, from varying backgrounds who work therapeutically with transgender clients. The participants recognised that while there is positive work occurring within the field, there remains room for growth and improvement across all services including medical, social, psychological and legal. Due to the role and impact of individuation, personal beliefs and experiences, background and therapeutic approach, a Thematic Analysis as carried out on the data gathered from semi-structured interviews. The resulting themes highlighted the role of self-disclosure, training, the theoretical approach utilised and the use of language were all considered to be key elements; which can have a significant impact on the therapeutic relationship and subsequent outcomes. These themes were considered with reference to the implications both as an enabling and barrier on therapeutic outcomes and for Counselling Psychology practice.