Attitudes Towards How Gender Services Should Respond When an Adult Presents Seeking Gender Transition

Systematic literature review:

A comprehensive literature review was undertaken to explore the experiences of psychological therapy amongst transgender and gender nonconforming (TGNC) individuals. Two overarching and five subthemes were identified which captured experiences of how gender was overemphasised, ignored or pathologized in therapy. Experiences of therapist identity, approaches to therapeutic work and therapists advocating for gender minorities were also described. The findings suggested that the experiences of TGNC individuals in therapy overlaps with their experiences of healthcare more generally and with the experiences of other oppressed groups. Possible clinical implications were discussed, including the need for therapists to be mindful of issues of power within the therapeutic relationship, and implications for whether and how gender is discussed within therapy.

Empirical research project:

Numerous theories exist in relation to gender and gender identity, and this has led to different understandings of TGNC identities. This has subsequently meant that different perspectives exist regarding interventions for those seeking care from gender services. Polarised positions in relation to this topic have led to a lack of constructive dialogue and reports of people feeling silenced. The current research project utilised Q-methodology to explore different attitudes towards how gender services should respond when someone presents wishing to transition gender. Three viewpoints were extracted, reflecting affirmation, exploration, and the need for certainty. Potential implications were discussed, namely the hope that in naming these positions, space might be opened up for constructive dialogue to take place between TGNC individuals, families, and healthcare professionals.