Department of Psychology, University of Sheffield, Cathedral Court, Sheffield, S1 2LT, UK.
Child Development Psychology Team, Chesterfield Royal Hospital NHS Foundation Trust, Calow, S44 5BL, UK.
J Autism Dev Disord. 2020 Aug;50(8):2643-2657. doi: 10.1007/s10803-019-04296-3.
An emergent evidence base indicates a higher prevalence of autism exists amongst people attending gender identity clinics. This qualitative study explored adults' with autism experiences of coming to understand and address their gender dysphoria (GD). Data were collected and analysed using Grounded Theory. Ten adults with autism and GD undertook semi-structured interviews. A tentative theoretical framework of common processes involved in understanding and addressing GD for individuals with autism was developed. The experience is captured in the core category-Conflict versus Congruence. A key finding was the impact of autism as a barrier but sometimes a protective factor in participants' understanding and addressing GD. Participants appeared to achieve greater personal congruence and wellbeing upon transition. Nevertheless, conflicts remained as they navigated the social world with a continuing fear of hostility and sense of difference due to having two stigmatised identities.
越来越多的证据表明，在性别认同诊所就诊的人群中，自闭症的发病率更高。本研究采用定性研究方法，探索了自闭症成年人对自身性别焦虑的理解和处理。使用扎根理论收集和分析数据。十名患有自闭症和性别焦虑的成年人接受了半结构化访谈。制定了一个关于自闭症个体理解和处理性别焦虑的常见过程的暂定理论框架。该经验包含在核心类别“冲突与一致”中。一个关键发现是，自闭症作为一种障碍，但有时也是参与者理解和处理 GD 的保护因素。参与者在过渡后似乎获得了更大的个人一致性和幸福感。然而，当他们在社会中穿梭时，由于有两种被污名化的身份，他们仍然会感到恐惧和与众不同，这导致冲突依然存在。
