International Journal of Transgender Health最新文献

Background: Gender assessments are often required to access gender-affirming medical interventions. These assessments are typically defended as a way of preventing regret, offering a compromise between the interests of trans and detrans people. Whether they do is integral to ongoing debates about models of care in transgender health.

Methods: Building on previous work demonstrating the inefficacy of gender assessments, this article explores the impact of gender assessments and argues that they are detrimental to detrans people.

Results: Assessments appear to be detrimental to detrans people because they disincentivize honesty and authenticity, inhibit gender exploration, increase shame and anger associated with detransition, foster transnormativity, hinder the development of a strong therapeutic alliance, and diminish the quality of informational disclosure.

Conclusion: Given the detrimental consequences of gender assessments, clinicians should reconsider gatekeeping practices in favor of supporting patient decision-making and offering better care to people who detransition.

Background: Many people who have experienced gender incongruence decide to go through the process of transitioning. A small number of people who transition will decide to stop or reverse some or all aspects of their transition process and detransition.

Aims: To bridge the gap in the psychology literature and the emerging yet poorly understood phenomenon of gender detransition, the aim of the current study was to explore the lived experiences of this unique population.

Method: Thirteen adults who detransitioned participated in semi-structured interviews regarding the external and internal stressors that contributed to their decision to detransition. The authors used Meyer's minority stress model as a theoretical framework and consensual qualitative research methods to conceptualize and analyze the data.

Results: Results of the interview data highlighted that the factors contributing to a person's decision to transition and detransition are multifaceted and unique. Participants' decision to transition were influenced by others who suggested or encouraged them to transition, gender dysphoria, body image concerns, and poor mental health. Participants reported several external (e.g. negative experiences with health service providers) and internal (e.g. regret regarding insufficient exploration) stressors with being transgender. Outcomes of detransitioning were explored and included relational change, increased self-acceptance, improved well-being, and loss of trans community.

Conclusions: Study limitations, implications for counseling, and future research are discussed.

[This corrects the article DOI: 10.1080/26895269.2024.2324100.].

Introduction: The existing literature on gender transition interruptions for transgender/nonbinary (TNB) people (what is frequently termed "detransitioning") lacks conceptual clarity and precision, resulting in conflictual findings, misinterpretations, and the weaponization of the literature to support harmful policies aimed at limiting TNB individuals' access to gender-affirming care.

Aims: We conducted a review of the existing literature on gender transition interruptions and propose a conceptual framework to address the current weaknesses in the extant scholarship, provide better conceptual clarity, and offer suggestions for improving future research.

Methods: The paper uses a conceptual review and critique of the extant research including scholarship on transition-related desistence, regret, and gender transition interruptions (i.e. "detransitions").

Main outcome measures: The lay understanding and, at times, the scholarly understanding of gender transition interruptions from the existing literature is most frequently collapsed under the idea of "detransitioning." This is true even though few studies actually examine the experiences of individuals who transition from TNB to the gender associated with the sex they were assigned at birth. There is significant conflation of findings about different types of transition interruption experiences with transition interruption experiences that encapsulate a true identity shift from transgender to cisgender. This conceptual slippage and misinterpretation is used politically to weaponize the existing scholarship.

Results: The paper proposes a conceptual framework of gender transition interruptions that outlines the conceptual nuances including identification of desistance, (6) subcategories of transition-related regret, (2) subcategories of adaptive gender transition interruptions, gender recalibration, embodiment goal attainment, other transition interruption, and gender identity recission.

Conclusion: The proposed conceptual framework details the nuances in the various types of gender transition interruptions suggested, and utilizes the extant scholarship to justify the proposed framework.

Introduction: Transgender and nonbinary (TNB) persons' healthcare experiences and related transition decisions have received increasing attention in recent years. Growing literature indicates gender non-affirming practices, such as gender identity conversion efforts (GICE), are harmful for the wellbeing of TNB persons. Yet, how exposure to GICE is linked to transition related decisions among TNB persons remains unexplored. This study examines links between GICE and TNB persons' transition decisions and identity exploration, using a conceptual framework that distinguishes adaptive transition decisions (e.g. transition interruptions due to interpersonal coercion) from identity-related transition decisions.

Methods: This study is a secondary data analysis of the 2015 U.S. Transgender Survey (N = 27,630). Multinomial logistic regression was conducted to examine the relationship between GICE and transition decisions among TNB persons while controlling for demographic covariates.

Results: Overall, 13.5% of TNB participants experienced GICE. Participants interrupted their transition due to interpersonal coercion (4.9%), structural factors (2.0%), and identity-related factors (0.4%). Participants with GICE exposure were more likely to report interrupting their transition due to interpersonal coercion than not interrupting their transition. However, GICE-exposed participants did not have a higher chance of identity-related transition interruptions than no interruptions.

Conclusions: These findings point to a potentially harmful role GICE may play in the transition decisions of TNB persons. Our analysis adds to evidence indicating the need for banning GICE and calls for a more nuanced understanding, recognition, and respect for TNB persons' non-linear transitioning trajectories. Otherwise, we risk vilifying gender-affirming practices and pathologizing adaptive transitioning decisions of TNB persons.