Identity Concealment in Transgender Adults: A Qualitative Assessment of Minority Stress and Gender Affirmation

Minority individuals might conceal their identity in social contexts in an effort to avoid stigma and victimization. Unfortunately, identity concealment is thought to impact psychological distress in transgender and gender nonconforming (TGNC) individuals. Thus, through 30 in-depth interviews, we so...

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Veröffentlicht in:American journal of orthopsychiatry 2017, Vol.87 (6), p.704-713
Hauptverfasser: Rood, Brian A., Maroney, Meredith R., Puckett, Jae A., Berman, Ariel K., Reisner, Sari L., Pantalone, David W.
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container_end_page 713
container_issue 6
container_start_page 704
container_title American journal of orthopsychiatry
container_volume 87
creator Rood, Brian A.
Maroney, Meredith R.
Puckett, Jae A.
Berman, Ariel K.
Reisner, Sari L.
Pantalone, David W.
description Minority individuals might conceal their identity in social contexts in an effort to avoid stigma and victimization. Unfortunately, identity concealment is thought to impact psychological distress in transgender and gender nonconforming (TGNC) individuals. Thus, through 30 in-depth interviews, we sought to understand if and how identity concealment was experienced by TGNC individuals. Findings indicated that (a) TGNC identity concealment is a source of stress, (b) individuals might conceal their TGNC identity based on social context, (c) concealment of assigned sex and gender history can function to affirm one's true gender identity, and (d) concealment of gender history is a rejection of one's assigned sex. In addition, (a) passing/blending is an important interpersonal and intrapersonal process, (b) the importance of passing/blending can change over time, and (c) not passing/blending may result in worrying about personal safety. The authors discuss how concealment can both inhibit and promote psychological health for TGNC individuals, and they offer clinical applications for health providers. Public Policy Relevance Statement Concealing one's transgender identity appears to be associated with psychological distress; however, concealing one's assigned physical body and gender history might function to affirm one's true gender. Thus, policymakers in different social contexts-schools, employment, health care-should work to promote transgender inclusivity and create supportive settings where transgender individuals can affirm their true gender without fear of retribution.
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Unfortunately, identity concealment is thought to impact psychological distress in transgender and gender nonconforming (TGNC) individuals. Thus, through 30 in-depth interviews, we sought to understand if and how identity concealment was experienced by TGNC individuals. Findings indicated that (a) TGNC identity concealment is a source of stress, (b) individuals might conceal their TGNC identity based on social context, (c) concealment of assigned sex and gender history can function to affirm one's true gender identity, and (d) concealment of gender history is a rejection of one's assigned sex. In addition, (a) passing/blending is an important interpersonal and intrapersonal process, (b) the importance of passing/blending can change over time, and (c) not passing/blending may result in worrying about personal safety. The authors discuss how concealment can both inhibit and promote psychological health for TGNC individuals, and they offer clinical applications for health providers. Public Policy Relevance Statement Concealing one's transgender identity appears to be associated with psychological distress; however, concealing one's assigned physical body and gender history might function to affirm one's true gender. 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subjects Adult
Emotional disorders
Female
Gender Identity
Gender nonconforming
Human
Humans
Interviews as Topic
Male
Mental Health
Minority Groups - psychology
Minority Stress
Psychological distress
Self-Disclosure
Social environment
Social identity
Stigma
Stress
Stress, Psychological - psychology
Transgender persons
Transgender Persons - psychology
Transgender Persons - statistics & numerical data
Transsexuality
Victimization
title Identity Concealment in Transgender Adults: A Qualitative Assessment of Minority Stress and Gender Affirmation
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