"Just Listen to Me. Help Me Explore it." An Interpretative Phenomenological Analysis Exploring Experiences of Gender Dysphoria, Identity And Resilience in Autistic Adolescents Assigned Female at Birth.
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| Title: | "Just Listen to Me. Help Me Explore it." An Interpretative Phenomenological Analysis Exploring Experiences of Gender Dysphoria, Identity And Resilience in Autistic Adolescents Assigned Female at Birth. |
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| Authors: | Oliver, Michelle (AUTHOR), Poysden, Zoe (AUTHOR), Crowe, Eimear (AUTHOR), Parkin, Flo (AUTHOR), Mair, Ally Pax Arcari (AUTHOR), Hendry, Neil (AUTHOR), Macey, Emma (AUTHOR), Gillespie-Smith, Karri (AUTHOR) |
| Source: | Journal of Autism & Developmental Disorders. May2026, Vol. 56 Issue 5, p1934-1951. 18p. |
| Subjects: | Psychological resilience, Trans men, Health services accessibility, Group identity, Medical personnel, Mental health, Research funding, Qualitative research, Autism, Gender affirming care, Interviewing, Health policy, Evaluation of medical care, Descriptive statistics, Attitude (Psychology), Thematic analysis, Gender dysphoria, Research methodology, Conceptual structures, Asperger's syndrome, Psychology of parents, Health promotion, Phenomenology, Self-perception, Assigned gender, Psychosocial factors, Adolescence |
| Abstract: | Much of the current autism and gender literature has been based within a medical deficiency model; where both are seen as deficiencies rather than differences. However, there is currently minimal knowledge about the experiences of being an autistic adolescent who is both assigned female at birth and has gender dysphoria (GD), whilst even less is known about their experiences of social identity, self-concept and resilience. This study aims to explore experiences of GD with a particular focus on identity and resilience to promote parent and healthcare staff understanding; particularly around gender-affirming care, to foster positive mental health outcomes. Five assigned female at birth autistic adolescents, who identify as trans men/boys, took part in one-to-one semi-structured interviews, which were analysed using an Interpretative Phenomenological Approach. Five subordinate themes arose; "Having both autism and GD", "Finding where I belong", "Being more than labels", "Trying to cope" and "Making support successful". Our findings build on current literature and theory regarding the experience of concurrent autism and GD; highlighting its legitimacy, the ways in which autism impacts upon GD and how healthcare approaches and policy can increase accessibility and suitability of gender-affirming care. Gender dysphoria (GD) is a distress people feel when the sex they were assigned at birth does not align with their experienced/expressed gender identity. Very little is known about how this is experienced by autistic individuals, particularly during their adolescent years when socialising and identity exploration are typically key milestones of development. We now know that autistic people labelled female at birth with gender dysphoria display higher levels of suicidality than the general population and non-autistic people with gender dysphoria. As such, we aimed to increase our, parents and healthcare staff's knowledge of their experiences to better understand how we can help to support these individuals. To do this we interviewed 5 individuals who were autistic, had been labelled at birth as female and had gender dysphoria. We used semi-structured interviews focusing on gender dysphoria, how people felt about their identity and their resilience. We examined the data using an Interpretative Phenomenological Analysis. Five main themes came up; "Having both autism and GD", "Finding where I belong", "Being more than labels", "Trying to cope" and "Making support successful". Our findings add to the current literature and theory regarding the experience of autism and gender dysphoria and highlight ways in which healthcare approaches and policy can increase accessibility and suitability of care. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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