It’s my safe space: The life-saving role of the internet in the lives of transgender and gender diverse youth

Abstract

Background: Public awareness of Transgender and Gender Diverse (TGD) identities has grown significantly; however, acceptance and support remain elusive for many TGD youth. Resultant experiences of marginalization and stigmatization contribute to elevated rates of psychological distress and suicidality among TGD youth. Emergent evidence suggests that the internet may offer TGD youth safety, support, and community previously unavailable.

Aim: The primary aim of this qualitative inquiry is to engage in an in-depth exploration of the online experiences and processes which help protect against psychological distress and promote well-being among TGD youth.

Methods: Data were culled from a mixed-methods, online study of sexual and gender minority youth from across the United States and Canada which followed Institutional Review Board approved protocols. Participants for this study represent a sample (n?=?260) of TGD participants aged 14–22 (x? = 17.30). Data were analyzed using Charmaz’ grounded theory strategies.

Results: Data revealed that the internet offers TGD youth affirming spaces that, for the most part, do not exist in their offline lives. Online, TGD youth were able to engage meaningfully with others as their authentic selves, often for the first time. These experiences fostered well-being, healing, and growth through five processes: 1. Finding an escape from stigma and violence, 2. Experiencing belonging, 3. Building confidence, 4. Feeling hope, and 5. Giving back.

Discussion: The unique and innovative ways in which participants use online spaces to foster resilience offer important insights to inform affirmative practices with TGD young people.     

大学生上网行为、态度和人格特征的研究

本研究使用自编大学生上网成瘾诊断问卷、自编上网行为和态度问卷以及三个人格量表,对上海市6所高校370名大学生的上网情况进行了调查。结果表明：(1)上网成瘾的大学生在上网的行为和态度上明显不同于非成瘾的大学生,他们表现出高开放性、社交性、胜任能力和匿名性,并且更认可网络交流的便利性。(2)上网成瘾的大学生比非成瘾的大学生明显表现出孤独、抑郁和焦虑的人格特质。(3)逐步回归分析的结果表明,“社交性”、“交流便利”、“焦虑量表分数”、“开放性”、“胜任能力”对大学生陷人网络的程度有显著的预测作用。     

Parental Awareness and Monitoring of Adolescent Internet Use

This study focused on four aspects of parental monitoring of Internet use by their children: parental supervision, communication and tracking, and adolescent disclosure. Data were obtained from a SAFT (Safety Awareness for Teens Project) national survey of Singapore youths and parents regarding Internet safety at home. Study 1 examined 1,124 adolescents and 1,002 parents; Study 2 examined a subsample of 169 dyads of adolescents and their parents. Frequency of use and engagement in risky Internet behaviors such as visiting inappropriate websites were analysed. The results indicated that parents tend to underestimate adolescents’ engagement in risky Internet behaviors and overestimate the amount of parental monitoring regarding Internet safety that occurs at home. The study suggested that mothers have a better awareness of their adolescents’ Internet use than fathers. The findings were explained in the context of parental monitoring. The results suggest that parental monitoring needs to be reconceptualized and that parents need to improve the communication with their adolescents regarding Internet use.     

网络医疗的发展和思考

随着科学技术、网络技术迅猛的发展,许多互联网业务如网上求医、网上购药、网上保健也日渐火热,成为人们防治疾病的又一手段。网络医疗是网络科技与医疗技术结合的产物,在信息高速发展的今天,它已成为医学交流中一道亮丽的风景线,各国都在不遗余力发展自己的远程医疗系统,这无疑将推动医学模式的进步。然而作为一种新的医疗手段,网络医疗目前仍存在着诸多的弊端和问题,这些问题反过来又可制约网络医疗的发展,因此必须在技术、政策、法律各方面予以完善,使之更好地服务于人类。     

病理性互联网使用的认知--行为模式述评

病理性互联网使用即互联网成瘾,是指由于过度使用或者滥用互联网而导致的一种新的心理疾病。本文介绍了病理性互联网使用的一种新理论模式———认知—行为模式,并对该模式进行了客观的评价。     

大一新生网络心理问题调查研究

采用自编网络心理问卷研究了669名大一新生在情绪反应、动机冲突、现实疏离、躯体症状四个维度上的性别、家庭来源、家庭气氛、父母教养方式上的差异。结果表明．大一新生网络使用的负性心理总体上不严重;在情绪反应和现实疏离上存在极其显著的家庭气氛主效应;在动机冲突和躯体症状上存在极显著的家庭气氛与父母教养方式交互作用。     

青少年外向/宜人性人格、互联网服务偏好与"网络成瘾"的关系

该研究采用问卷法,以481名中学生为被试,通过无约束结构方程模型分析方法探讨了外向性、宜人性人格特征与互联网服务偏好的交互作用对网络成瘾的影响。研究发现在对网络成瘾的影响上,青少年宜人性人格特征与互联网社交服务偏好存在显著的交互作用,但与互联网娱乐、信息和交易服务偏好的交互作用不显著。外向性人格特征与互联服务偏好不存在显著的交互作用。(1)从平均影响来看,外向性、宜人性、互联网社交、娱乐和交易使用偏好能够正向预测网络成瘾,互联网信息使用偏好对网络成瘾没有显著的预测效果;(2)在宜人性高分组中,互联网社交服务偏好与PIU的正向关系要强于宜人性低分组。斜率检验表明对于低宜人性人格的青少年来说,互联网社交服务偏好不易导致其成瘾,而对高宜人性人格的青少年而言,互联网社交服务偏好反而容易导致其成瘾。     

Experiences and engagement with the design features and strategies of an internet-delivered treatment programme for generalised anxiety disorder: a service-based evaluation

Background: Outcome research has highlighted the efficacy of internet-based cognitive behavioural therapy (iCBT). Some process research has examined users experiences of iCBT. Understanding the user experience provides valuable feedback to developers of internet-delivered interventions.

Aim: The present study aimed to evaluate user's experiences and engagement with the design features of an internet-delivered treatment programme for anxiety.

Methods: Semi-structured interviews were conducted with 7 participant users of the Space from Anxiety programme. A thematic analysis framework was employed to analyse the data collected.

Results: Identified themes related to participants engagement and adherence with the programme material, participant's experience of personal development through interaction with the programme content and participants experience of the social features employed in the programme. Another theme investigated the various attributes or conditions necessary for internet-delivered therapy to be helpful to an individual.

Conclusion: Considering the experiences of users of online interventions provides insight into what works for whom both in terms of technological features and the various skills and strategies that may compose the treatment intervention. Knowing more about what design features and strategies/components of the intervention are attractive and keep users involved can only enhance the delivery of effective internet-delivered interventions for anxiety disorders.