Taylor Jessica, Zalewska Agnieszka, Gates Jennifer Joan, Millon Guy
The Laurels Exeter Specialist Gender Identity Clinic, Devon Partnership NHS Trust, Exeter, United Kingdom.
Int J Transgend. 2018 Apr 25;20(2-3):195-204. doi: 10.1080/15532739.2018.1445056. eCollection 2019.
: Despite an increased awareness of non-binary identity in the current social landscape, the experiences and needs of this heterogeneous community are poorly understood and represented in the research literature. Evidence indicates that social exclusion is not uncommon for individuals expressing a non-binary gender identity, with reflections in the literature that this may in turn have an impact on their psychological wellbeing. : As non-binary individuals are increasingly presenting at UK gender identity clinics and requesting medical interventions, the aim of this study was to better understand their experiences and needs. : Two focus groups were run consisting of eight service users of a National Health Service (NHS) gender identity clinic in the United Kingdom. The transcripts of these focus groups were analysed using thematic analysis. : Five themes were identified: Invisibility, Managing non-binary gender identity in a binary world, Individuality, Gender dysphoria and Seeking interventions. : Clinical implications are discussed, with the recommendation for an affirmative approach that offers space for the non-binary individual to articulate their desires and come to terms with their identity. This exploration must take into consideration the person's place within a social world that can be transphobic and limited in terms of potential medical interventions. Further research is needed to better understand this marginalised community.
尽管当前社会环境中对非二元性别身份的认知有所提高,但这一多元群体的经历和需求在研究文献中却鲜被理解和呈现。有证据表明,对于表达非二元性别身份的个体而言,社会排斥并不罕见,文献中也反映出这可能进而影响他们的心理健康。随着非二元个体越来越多地前往英国性别认同诊所并寻求医疗干预,本研究的目的是更好地了解他们的经历和需求。研究开展了两个焦点小组,参与者为英国一家国民保健服务体系(NHS)性别认同诊所的八位服务使用者。运用主题分析法对这些焦点小组的记录进行了分析。研究确定了五个主题:隐形、在二元世界中处理非二元性别身份、个性、性别焦虑和寻求干预。文中讨论了临床意义,并建议采用一种肯定性的方法,为非二元个体提供空间,使其能够表达自身愿望并接受自己的身份。这种探索必须考虑到个体在一个可能存在恐跨症且医疗干预选择有限的社会世界中的处境。需要开展进一步研究以更好地了解这个边缘化群体。