"It was actually my family and friends who noticed that my voice changed": An interview study on the experiences of transgender and non-binary youth and young adults three years into medical treatment.

IF 8.4 2区 医学 Q1 PSYCHOLOGY, CLINICAL
International Journal of Transgender Health Pub Date : 2025-03-15 eCollection Date: 2026-01-01 DOI:10.1080/26895269.2025.2478498
Reidar Schei Jessen, Anne Wæhre, Linda W David, Line Indrevoll Stänicke, Erik Stänicke
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Abstract

Objective: As the number of transgender and non-binary (TGN) youth and young adults referred for gender-affirming medical treatment increases, there is a need to better understand how these individuals experience the interventions. The aim of the present study is to expand our understanding of how TGN youth and young adults perceive bodily changes following medical treatment as part of gender-affirming care.

Method: Ten life-mode interviews exploring individuals' everyday experiences and the meanings they attach to them were conducted with TGN youth and young adults in Norway, assigned female at birth, aged 17-22, three years after they initiated gender-affirming medical treatment to align their bodies with their gender identities. The data were analyzed using thematic analysis.

Results: Based on the analysis of the semi-structured interviews, we developed three major themes and six sub-themes: (1) A pragmatic approach to making decisions regarding medical treatment indicates that the participants are continuously weighing the risks and benefits, together with a gradual, step-by-step introduction of medical treatment. (2) Embodying medical treatment indicates that bodily changes are tangible but, over time, anchor a sense of masculinity and a sense of self as male. (3) Grounding medical treatment in everyday life indicates that bodily changes help connect the inside with the outside, with family and friends serving as sources of support and mediators of meaning, highlighting the psychosocial aspects of gender-affirming care.

Conclusion: The psychosocial aspects related to medical treatment in gender-affirming care are important vantage points for exploring the social meaning of the body and bodily changes. We therefore suggest that psychosocial aspects of gender-affirming care should be attended to and integrated alongside medical treatment.

“实际上是我的家人和朋友注意到我的声音变了”:一项关于变性人和非二元青年和年轻人接受医疗治疗三年经历的访谈研究。
目的:随着转介接受性别确认医疗的跨性别和非二元(TGN)青年和青年成人人数的增加,有必要更好地了解这些人对干预措施的体验。本研究的目的是扩大我们对TGN青年和年轻人如何感知医学治疗后的身体变化的理解,作为性别肯定护理的一部分。方法:对挪威TGN青年和年轻人进行了10次生活模式访谈,探讨个人的日常经历及其附加的意义,这些青年和年轻人出生时被分配为女性,年龄在17-22岁,在他们开始性别确认医疗以使他们的身体与性别认同保持一致的三年后。采用专题分析法对数据进行分析。结果:基于对半结构化访谈的分析,我们开发了三个主要主题和六个副主题:(1)务实的医疗决策方法表明参与者在不断权衡风险和收益,同时循序渐进地引入医疗。(2)体现医学治疗表明,身体的变化是有形的,但随着时间的推移,锚定了一种男子气概和自我作为男性的感觉。(3)以日常生活为基础的医疗表明,身体变化有助于将内部与外部联系起来,家人和朋友是支持的来源和意义的中介,突出了性别肯定护理的社会心理方面。结论:性别肯定护理中与医疗相关的社会心理方面是探索身体和身体变化的社会意义的重要优势。因此,我们建议,应重视性别确认护理的社会心理方面,并将其与医疗结合起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.40
自引率
10.90%
发文量
27
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