The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis.
Gender diversity
Gender dysphoria
Mental health
Psychological distress
Transgender
Journal
Clinical psychology review
ISSN: 1873-7811
Titre abrégé: Clin Psychol Rev
Pays: United States
ID NLM: 8111117
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
04
11
2019
revised:
29
03
2020
accepted:
31
05
2020
pubmed:
7
7
2020
medline:
31
8
2021
entrez:
7
7
2020
Statut:
ppublish
Résumé
Gender dysphoria is distress due to a discrepancy between one's assigned gender and gender identity. Adults who wish to access gender clinics are assessed to ensure they meet the diagnostic criteria for gender dysphoria. Therefore, the definition of gender dysphoria has a significant impact on the lives of individuals who wish to undergo physical gender transition. This systematic review aimed to identify and synthesize all existing qualitative research literature about the lived experience of gender dysphoria in adults. A pre-planned systematic search identified 1491 papers, with 20 of those meeting full inclusion criteria, and a quality assessment of each paper was conducted. Data pertaining to the lived experience of gender dysphoria were extracted from each paper and a meta-ethnographic synthesis was conducted. Four overarching concepts were identified; distress due to dissonance of assigned and experienced gender; interface of assigned gender, gender identity and society; social consequences of gender identity; internal processing of rejection, and transphobia. A key finding was the reciprocal relationship between an individual's feelings about their gender and societal responses to transgender people. Other subthemes contributing to distress were misgendering, mismatch between gender identity and societal expectations, and hypervigilance for transphobia.
Identifiants
pubmed: 32629301
pii: S0272-7358(20)30063-5
doi: 10.1016/j.cpr.2020.101875
pmc: PMC7441311
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
101875Subventions
Organisme : Department of Health
ID : ICA-CDRF-2018-04-ST2-047
Pays : United Kingdom
Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.
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