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The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis

Cooper, K; Russell, A; Mandy, W; Butler, C; (2020) The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis. Clinical Psychology Review , 80 , Article 101875. 10.1016/j.cpr.2020.101875. (In press). Green open access

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Abstract

Gender dysphoria is distress due to a discrepancy between one's assigned gender and gender identity. Adults whowish 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 toundergo physical gender transition. This systematic review aimed to identify and synthesize all existing quali-tative research literature about the lived experience of gender dysphoria in adults. A pre-planned systematicsearch identified 1491 papers, with 20 of those meeting full inclusion criteria, and a quality assessment of eachpaper was conducted. Data pertaining to the lived experience of gender dysphoria were extracted from eachpaper and a meta-ethnographic synthesis was conducted. Four overarching concepts were identified; distress dueto 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 thereciprocal relationship between an individual's feelings about their gender and societal responses to transgenderpeople. Other subthemes contributing to distress were misgendering, mismatch between gender identity andsocietal expectations, and hypervigilance for transphobia.

Type: Article
Title: The phenomenology of gender dysphoria in adults: A systematic review and meta-synthesis
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.cpr.2020.101875
Publisher version: https://doi.org/10.1016/j.cpr.2020.101875
Language: English
Additional information: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
Keywords: Gender diversity, Gender dysphoria, Mental health, Psychological distress, Transgender
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10104907
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