Evidence map›Paper›PMID 40019470›Full record

ArticleResearch in psychotherapy (Milano)2025

Trans in treatment: a mixed-method systematic review on the psychotherapeutic experiences of transgender and gender diverse people.

Selene Mezzalira, Nicola Carone, Vincenzo Bochicchio, Sofia Villani, Gianluca Cruciani, Maria Quintigliano, Cristiano Scandurra

Abstract read
In one paragraph

Article in Research in psychotherapy (Milano), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Selene MezzaliraDepartment of Humanities, University of Naples Federico II.ORCID 0000-0003-2110-440X
Nicola CaroneDepartment of Systems Medicine, University of Rome Tor Vergata.ORCID 0000-0003-3696-9641
Vincenzo BochicchioDepartment of Humanities, University of Calabria, Rende, Cosenza.ORCID 0000-0003-2788-1381
Sofia VillaniDepartment of Humanities, University of Naples Federico II.
Gianluca CrucianiDepartment of Systems Medicine, University of Rome Tor Vergata.ORCID 0000-0002-4953-5634
Maria QuintiglianoDepartment of Systems Medicine, University of Rome Tor Vergata.ORCID 0000-0003-3231-5114
Cristiano ScandurraDepartment of Humanities, University of Naples Federico II.ORCID 0000-0003-1790-3997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transgender and/or non-binary (TNB) individuals encounter a variety of attitudes from mental healthcare professionals in therapeutic contexts, ranging from micro-affirmations to the reinforcement of cis- and heteronormative stereotypes and even overtly invalidating behaviors or communications. Given the scarcity of literature addressing the therapeutic experiences of TNB individuals, the current mixed-method systematic review aimed at better understanding the factors that promote or adversely impact the therapeutic experiences of TNB individuals in clinical contexts. A comprehensive search for relevant records published before August 1, 2024, was conducted across four databases (i.e., Scopus, Web of Science, PubMed, PsycInfo), following PRISMA guidelines. The inclusion criteria specified that only peer-reviewed, indexed, English-language articles addressing the therapeutic experiences of TNB individuals would be selected. A total of 20 studies (both quantitative and qualitative) met these criteria. A meta-synthesis of the selected studies identified three main themes: (1) factors influencing therapist selection and reasons for seeking psychotherapy (e.g., quality of life, gender-specific concerns); (2) factors contributing to a positive therapeutic relationship (a nurturing therapeutic alliance that, e.g., acknowledges authentic gender and addresses intersectional stigma); and (3) factors contributing to negative encounters with mental healthcare providers (e.g., micro- and/or macro-aggressions, inadequate trans-specific knowledge, pathologization of TNB identities). Recommendations for future research and clinical practice addressing the needs of TNB individuals in psychotherapy are provided.

Identifiers

PMID40019470
PMCPMC12203887

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.