Volume 18, Issue 7 (October 2020)                   Nursing and Midwifery Journal 2020, 18(7): 519-531 | Back to browse issues page

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Heidari N, Abdullahzadeh M, Naji A L. LIVED EXPERIENCES OF TRANSGENDER INDIVIDUALS REGARDING THE FAMILY’S REACTION TO GENDER DYSPHORIA: A PHENOMENOLOGICAL STUDY. Nursing and Midwifery Journal 2020; 18 (7) :519-531
URL: http://unmf.umsu.ac.ir/article-1-4176-en.html
LIVED EXPERIENCES OF TRANSGENDER INDIVIDUALS REGARDING THE FAMILY’S REACTION TO GENDER DYSPHORIA: A PHENOMENOLOGICAL STUDY
Nahid Heidari1 , Mehrdad Abdullahzadeh * 2, A. li Naji1
1- Department of Nursing and Midwifery, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran
2- Department of Nursing and Midwifery, Isfahan Branch (Khorasgan), Islamic Azad University, Isfahan, Iran (Corresponding Author) , mehrdad11012@gmail.com
Abstract:   (3213 Views)
Background & Aims: The family as a social institution of shaping identity for individuals can play an exacerbating or reducing role in symptoms of many physical and mental disorders. Understanding how transgender people experience the reaction of the family to Gender Dysphoria demonstrations can be beneficial for a better understanding of the problems of these clients, and that addressing these issues. This study aimed to explain the lived experiences of transgender people regarding the family’s reaction to Gender Dysphoria. Materials & Methods: Participants in this qualitative study with the phenomenological approach were ten transgender individuals (six biological males, four biological females). They were selected by the targeted and snowballing method according to the inclusion criteria from the field of forensic medicine in the south of Iran. Semi-structured in-depth interviews were used. Data were analyzed using the seven-step approach of Colaizzi. Lincoln and Guba's criteria were used to assess the reliability and validity of data. Results: After analyzing the data, the two main themes of maladaptive reaction and adaptive reaction and six general categories of denial of reality, destiny test, punishment instead of treatment, disparaging until breaking the habit, accompanying with desperation, and coping with fate were classified. Conclusion: According to the results,the reaction of transgender individuals’ families to gender dysphoria includes a significantlydifferent patternof behavior. The reaction in the family of transgender people to the person with this disorder can be interpreted as an attempt to avoid the experience of shame in society.
Keywords: Family, Gender dysphoria, Phenomenology, Transgender people
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Type of Study: Qualitative | Subject: پرستاری
References
1. Ristori J, Cocchetti C, Romani A, Mazzoli F, Vignozzi L, Maggi M, et al. Brain Sex Differences Related to Gender Identity Development: Genes or Hormones? Int J Mol Sci 2020;21(6):2123. [DOI:10.3390/ijms21062123] [PMID] [PMCID]
2. Watson RJ, Fish JN, McKay T, Allen SH, EatonL,Rebecca M. Substance Use Among a National Sample of Sexual and Gender Minority Adolescents: Intersections of Sex Assigned at Birth and Gender Identity. LGBT Health 2020;7(1) 37-46. [DOI:10.1089/lgbt.2019.0066] [PMID] [PMCID]
3. Montejo AL. Sexuality and Mental Health: The Need for Mutual Development and Research.J Clin Med 2019;8(11):1794. [DOI:10.3390/jcm8111794] [PMID] [PMCID]
4. Gul P, Schuster I. Judgments of marital rape as a function of honor culture, masculine reputation threat, and observer gender: A cross‐cultural comparison between Turkey, Germany, and the UK. Aggress Behav 2020;46: 341- 53. https://doi.org/10.1002/ab.21893 [DOI:10.1002/ab.21893.] [PMID] [PMCID]
5. Padial-Ruz R, Pérez-Turpin JA, Cepero-González M, Zurita-Ortega F. Effects of Physical Self-Concept, Emotional Isolation, and Family Functioning on Attitudes towards Physical Education in Adolescents: Structural Equation Analysis. Int J Environ Res Public Health 2019;17(1):94. [DOI:10.3390/ijerph17010094] [PMID] [PMCID]
6. Povedano-Diaz A, Muñiz-Rivas M, Vera-Perea M. Adolescents' Life Satisfaction: The Role of Classroom, Family, Self-Concept, and Gender. Int J Environ Res Public Health 2019;17(1):19. [DOI:10.3390/ijerph17010019] [PMID] [PMCID]
7. Tateno M, Ueno C, Park TW, Nakayama H. A Preliminary Survey on Clinical Practice for Children and Adolescents with Gender Dysphoria in Japan: CurrentSituation and Challenges. Psychiatry Investig 2019;16(7):554-7. [DOI:10.30773/pi.2019.04.17] [PMID] [PMCID]
8. Brandelli Costa A. Formal comment on Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. PLoS One 2019;14(3):e0212578. [DOI:10.1371/journal.pone.0212578] [PMID] [PMCID]
9. Coutin A, Wright S, Li C, Fung R. Missed opportunities: are residents prepared to care for transgender patients? A study of family medicine, psychiatry, endocrinology, and urology residents. Can Med Educ J 2018;9(3):e41-e55. [DOI:10.36834/cmej.42906]
10. Rahimi SA, Kalantari M, Abedi M, ModarresGharavi SM. Investigating Parent-Child Relationship in Predicting Gender Dysphoria in Transsexual Women and Men. J Psychol 2020; (24): 200-14. (Persian) [Google Scholar]
11. Aljayyousi GF, Abu Munshar M, Al-Salim F. Addressing context to understand physical activity among Muslim university students: the role of gender, family, and culture. BMC Public Health 2019: 19(1):1-2. [DOI:10.1186/s12889-019-7670-8] [PMID] [PMCID]
12. Watson RJ, Fish JN, McKay T, Allen SH, Eaton L, Puhl RM. Substance Use Among a National Sample of Sexual and Gender Minority Adolescents: Intersections of Sex Assigned at Birth and Gender Identity. LGBT Health 2020;7(1):37-46. [DOI:10.1089/lgbt.2019.0066] [PMID] [PMCID]
13. Bockting WO, Miner MH, Swinburne Romine RE, Dolezal C, Robinson BB, Rosser BS, et al. The Transgender Identity Survey: A measure of internalized transphobia. LGBT health 2020;7(1):15-27. [DOI:10.1089/lgbt.2018.0265] [PMID] [PMCID]
14. Golriz G. 'I am Enough': Why LGBTQ Muslim Groups Resist Mainstreaming. Sex Cult 2020; 15:1-22. [Google Scholar]
15. Day DS, Saunders JJ, Matorin A. Gender Dysphoria and Suicidal Ideation: Clinical Observations from a Psychiatric Emergency Service. Cureus 2019;11(11):e6132. [DOI:10.7759/cureus.6132]
16. Karia S, Alure A, Dave T, Shah N, De Sousa A. Paranoia in patients with gender dysphoria: A clinical exploration. Indian J Psychiatry 2019;61(5):529-31. [DOI:10.4103/psychiatry.IndianJPsychiatry_433_18] [PMID] [PMCID]
17. Rahimi S, Kalantari M, Abedi M R, Modares Gharavi S M. The role of early maladaptive schemas and difficultiesin emotion regulation in the prediction of Gender Dysphoria in Transsexual men. Shenakht Journal of Psychology and Psychiatry 2019;6(3): 144-55. (Persian) [DOI:10.29252/shenakht.6.3.144]
18. Restar A, Jin H, Breslow AS, Surace A, Antebi-Gruszka N, Kuhns L, et al. Developmental Milestones in Young Transgender Women in Two American Cities: Results from a Racially and Ethnically Diverse Sample. Int J Transgender Health 2019;4(1):162-7. [DOI:10.1089/trgh.2019.0008] [PMID] [PMCID]
19. Kidd K, Hill A, Sequeira G, McMillan C, Rofey D, Switzer G, et al. Development of the Transgender Family Acceptance to Empowerment (Transfate) Scale. J Adolesc Health 2020;66(2): S87. [DOI:10.1016/j.jadohealth.2019.11.174]
20. Farahmand M, Danafar F. Analysis of Individual-Social Problems of transsexuals. Quarterly of Social Studies and Research in Iran 2017;6(4): 735-65. (Persian). [Google Scholar]
21. Clemens B, Derntl B, Smith E, Junger J, Neulen J, Mingoia G, et al. Predictive pattern classification can distinguish gender identity subtypes from behavior and brain imaging. Cerebral Cortex2020;30(5):2755-65. [DOI:10.1093/cercor/bhz272] [PMID]
22. Coutin A, Wright S, Li C, Fung R. Missed opportunities: are residents prepared to care for transgender patients? A study of family medicine, psychiatry, endocrinology, and urology residents. Can Med Ed J 2018;9(3):e41-55. [DOI:10.36834/cmej.42906]
23. Bauer GR, Zong X, Scheim AI, Hammond R, Thind A. Factors Impacting Transgender Patients' Discomfort with Their Family Physicians: A Respondent-Driven Sampling Survey. PLoS One 2015;10(12):e0145046. [DOI:10.1371/journal.pone.0145046] [PMID] [PMCID]
24. Mohammadbaqeri F, Mahmoodi H, Sofy S. Comparison of Social Anxiety, Suicidal Ideation and Social Support in People with Transsexual Has Done Gender Reassignment and Has Not to Do Gender Reassignment. J Sabzevar Univ Med Sci 2020;26(6): 771-8. (Persian) [Google Scholar]
25. Canoy N, Thapa S, Hannes K. Transgender persons' HIV care (dis)engagement: a qualitative evidence synthesis protocol from an ecological systems theory perspective. BMJ Open 2019;9(1):e025475. [DOI:10.1136/bmjopen-2018-025475] [PMID] [PMCID]
26. Abedini S, Sepehrinia H. Relationship between socio-cultural and family dimensions with the perception of sexual identity before and after surgery in patients with gender identity disorder studied in Ardabil.Journal of sociology studies 2016;8(29): 21-38. (Persian) [Google Scholar]
27. Farahmand M, Danafar F. A Qualitative Study of Bigenders Lived Experience Through Family and Social Interactions. Journal of Social Problems of Iran 2018;9(1): 191-212. (Persian) [Google Scholar]
28. Luvuno ZPB, Ncama B, Mchunu G. Transgender population's experiences with regard to accessing reproductive health care in Kwazulu-Natal, South Africa: A qualitative study. Afr J Prim Health Care Fam Med 2019;11(1): e1-e9. [DOI:10.4102/phcfm.v11i1.1933] [PMID] [PMCID]
29. Harry-Hernandez S, Reisner SL, Schrimshaw EW, Radix A, Mallick R, Callander D,et al. Gender Dysphoria, Mental Health, and Poor Sleep Health Among Transgender and Gender Nonbinary Individuals: A Qualitative Study in New York City. Transgend Health 2020;5(1):59-68. [DOI:10.1089/trgh.2019.0007] [PMID] [PMCID]
30. Kota KK, Salazar LF, Culbreth RE, Crosby RA, Jones J. Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. BMC Public Health 2020;20(1):125. [DOI:10.1186/s12889-020-8177-z] [PMID] [PMCID]
31. Galupo MP, Pulice-Farrow L. Subjective ratings of gender dysphoria scales by transgender individuals. Archives of Sexual Behavior 2020;49(2):479-88. [DOI:10.1007/s10508-019-01556-2] [PMID]
32. Johnson M, Wakefield C, Garthe K. Qualitative socioecological factors of cervical cancer screening use among transgender men. Prev Med Rep 2020;17:101052. [DOI:10.1016/j.pmedr.2020.101052] [PMID] [PMCID]
33. Wang YY, Liang DD, Lu C, Shi YX, Zhang J, Cao Y, et al. An exploration of how developers use qualitative evidence: content analysis and critical appraisal of guidelines. BMC Med Res Methodol 2020;20(1):1-28. https://doi.org/10.1186/s12874-015-0105-z [DOI:10.1186/s12874-020-01041-8] [PMID] [PMCID]
34. Heidari N, Abdullahzadeh M, Naji SA. Lived Religious and Spiritual Experiences of Transgender People: A Qualitative Research in Iran. Sex Cult 2020:1-13. [DOI:10.1007/s12119-020-09776-8]
35. Katz-Wise SL, Budge SL, Fugate E, Flanagan K, Touloumtzis C, Rood B, et al. Transactional Pathways of Transgender Identity Development in Transgender and Gender Nonconforming Youth and Caregivers from the Trans Youth Family Study. Int J Transgend 2017;18(3):243-63. [DOI:10.1080/15532739.2017.1304312] [PMID] [PMCID]
36. Schmitz RM, Tyler KA. The Complexity of Family Reactions to Identity among Homeless and College Lesbian, Gay, Bisexual, Transgender, and Queer Young Adults. Arch Sex Behav 2018;47: 1195-1207. [DOI:10.1007/s10508-017-1014-5] [PMID]
37. Fuller KA, Riggs DW. Family support and discrimination and their relationship to psychological distress and resilience amongst transgender people. Int J Transgend 2018;19(4):379-88. [DOI:10.1080/15532739.2018.1500966]
38. Ward MH. Transitional Perspectives on Family: Impact of Coming Out on the Personal Meaning of Family for Transgender Individuals. (Dissertation). University of Cincinnati; 2019 [URL]
39. Smith, ER, Perrin PB, Sutter ME. Factor analysis of the heterosexist harassment, rejection, and discrimination scale in lesbian, gay, bisexual, transgender, and queer people of color. Int J Psychol 2020; (55): 405-12. doi:10.1002/ijop.12585 [DOI:10.1002/ijop.12585] [PMID] [PMCID]
40. Logie CH, Dias LV, Jenkinson J, Newman PA, MacKenzie RK, Mothopeng T, et al. Exploring the Potential of Participatory Theatre to Reduce Stigma and Promote Health Equity for Lesbian, Gay, Bisexual, and Transgender (LGBT) People in Swaziland and Lesotho. Health Educ Behav 2019;46(1):146-56. [DOI:10.1177/1090198118760682] [PMID] [PMCID]
41. Bry LJ, Mustanski B, Garofalo R, Nicole M. Burns MN. Resilience to Discrimination and Rejection Among Young Sexual Minority Males and Transgender Females: A Qualitative Study on Coping With Minority Stress. J Homosex 2018;65(11): 1435-56, DOI: 10.1080/00918369.2017.1375367. [DOI:10.1080/00918369.2017.1375367] [PMID]
42. Testoni I,Pinducciu M. Grieving those Who Still Live: Loss Experienced by Parents of Transgender Children.J Gend Stud 2019; (18) 1: 142-62. [DOI:10.2478/genst-2020-0011]
43. Ghazzawi A, Suhail-Sindhu S, Casoy F, Libby N, McIntosh CA, Stewart Adelson, et al. Religious faith and transgender identities: The Dear Abby project. J Gay Lesbian Ment Health 2020; 2(24), 190-204. [DOI:10.1080/19359705.2019.1706682]
44. Abreu RL, Rosenkrantz DE, Ryser-Oatman JT, Rostosky SS, Riggle ED. Parental reactions to transgender and gender diverse children: A literature review. Journal of GLBT Family Studies 2019;5(15): 461-85. [DOI:10.1080/1550428X.2019.1656132]
45. Fabbre, VD, Gaveras E. The manifestation of multilevel stigma in the lived experiences of transgender and gender nonconforming older adults. Am J Orthopsychiatry 2020;90(3): 350-60. [DOI:10.1037/ort0000440] [PMID] [PMCID]
46. Gomes de Jesus J, Belden CM, Huynh HV, Malta M, LeGrand S, Kaza VG, et al. Mental health and challenges of transgender women: a qualitative study in Brazil and India. International Journal of Transgender Health2020;27:1-3. [Google Scholar]
47. Schneider J, Page J, Nes FV. "Now I feel much better than in my previous life": Narratives of occupational transitions in young transgender adults. J Occup Sci 2019;2(26): 219-32. [DOI:10.1080/14427591.2018.1550726]
48. Dutta S, Khan S, Lorway R. Following the divine: an ethnographic study of structural violence among transgender jogappas in South India. Cult Health Sex 2019;21(11): 1240-56. [DOI:10.1080/13691058.2018.1555718] [PMID]
49. WeinhardtLS, Xie H, Wesp LM, Murray JR, Apchemengich I, Kioko D, et al. The Role of Family, Friend, and Significant Other Support in Well-Being Among Transgender and Non-Binary Youth. Journal of GLBT Family Studies 2019;15(4): 311-25. [DOI:10.1080/1550428X.2018.1522606]
50. Golden RL, Oransky M. An Intersectional Approach to Therapy with Transgender Adolescents and Their Families. Arch Sex Behav 2019;48: 2011-25. [DOI:10.1007/s10508-018-1354-9] [PMID]
51. Seibel BL, de Brito Silva B, Fontanari AMV, Catelan RF, Bercht AM, Stucky JL,et al. The Impact of the Parental Support on Risk Factors in the Process of Gender Affirmation of Transgender and Gender Diverse People. Front Psychol 2018;9:399. https://doi.org/10.3389/fpsyg.2018.00399 [DOI:10.3389/fpsyg.2018.01969] [PMID] [PMCID]
52. Hillier A, Torg E. Parent participation in a support group for families with transgender and gender-nonconforming children:"Being in the company of others who do not question the reality of our experience". Transgend health 2019;4(1):168-75. [DOI:10.1089/trgh.2018.0018] [PMID] [PMCID]
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