City Research Online

Abstract

There has been an increased interest in the study of transgender identity development, management, and affirmation processes in the last decade from a medical, sociological, and psychological perspective. Specifically, much of the research has highlighted the importance of medical transition and examined gender dysphoria from a pathological perspective. However, there has been little to no exploration of the motivation and experiences of transgender people who do not wish to pursue medical gender affirming care beyond recording the reasons behind this. This study explores the complex process of trans identity development and management that contributes to the decision not to physically transition, exploring the individual and social process underneath this choice.

The study used semi structured interviews to obtain data from 6 self-identified MTF transgender people aged between 60-70 years old who had chosen not to pursue medical gender affirming care. The data was analysed according to principles of Constructivist Grounded Theory methodology.

The findings of this study generated new theory exploring the process of how trans people make the decision not to pursue medical gender affirming care. It identified the process is mediated by two factors: external influences and internal process. Within the external influences, the impact of cisnormative and transnormative narratives contributed to identity development. The internal process entailed a series of reflections on personal costs, relevant needs, and negotiating identity, as a way to manage and affirm gender identity.

The study makes suggestions for future practice for mental health and healthcare professionals’ practice, education, and training to better address the needs of a hugely diverse population. Further, it expands on existing theoretical literature and gives voice to an underrepresented and marginalized part of the trans community.

Publication Type:	Thesis (Doctoral)
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Departments:	School of Health & Psychological Sciences > Psychology School of Health & Psychological Sciences > School of Health & Psychological Sciences Doctoral Theses Doctoral Theses

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