Relationships in which one partner is transgender are disproportionately challenging compared to other LGBQ+ relationships (Gamarel et al., 2014; Pulice-Farrow et al., 2017). While research has yet to examine how transgender-cisgender couples experience emotional intimacy, it is theorized that this process may be critical for relationship health during gender transition. This study explored how transgender-cisgender couples experience emotional intimacy during their transition process. Symbolic interactionism was used to examine the questions: (1) How do perceptions of couple emotional intimacy influence how each partner assigns meaning to their experiences with transitioning? and (2) How do partners communicate about their emotional experiences during their transition process? Constructivist grounded theory was used to analyze individual interviews with 20 transgender and cisgender participants (ten couples) using group-level analysis. The process model that emerged from the data indicated that transgender and cisgender partners experienced emotional tensions internally and within their relationships as they created meaning from their experiences with transitioning. Tensions created pathways for partners to emotionally withdraw from or engage in communication about their experiences. Communication processes ebbed and flowed as partners created meaning for their relationship in transition. When couples engaged in communication, they created shared meaning about their experiences and strengthened emotional intimacy. Data revealed that these processes of building and sustaining emotional intimacy were interactional and iterative. Recommendations for research and clinical work with these couples are provided, in light of these findings. / Doctor of Philosophy / Relationships in which one partner is transgender are particularly challenging compared to other LGBQ+ relationships (Gamarel et al., 2014; Pulice-Farrow et al., 2017). Research has yet to examine how transgender (a person whose gender identity does not align with their assigned sex at birth) and cisgender (a person whose gender identity aligns with their assigned sex at birth) intimate partners experience emotional intimacy. However, emotional intimacy may be critical for relationship health during transition (a person's process of developing a gender expression that matches their gender identity). This study explored how transgender-cisgender couples experience emotional intimacy during their transition process. I explored how each partner emotionally experienced their relationship during transition and how partners communicated about their emotional experiences during their transition process. I analyzed individual interviews with 20 transgender and cisgender participants (ten couples) (Charmaz, 2006). The findings revealed that both transgender and cisgender partners experienced emotional tensions within themselves and within their relationships as they created meaning from their experiences with transitioning. While experiencing tensions, partners chose to either engage or withdraw from communication. Communication ebbed and flowed as partners created meaning for their relationship as they transitioned. Efforts to communicate brought couples closer and strengthened emotional intimacy. Recommendations for research and clinical work with these couples are provided.

Text component of a doctoral dissertation, which references the full dissertation content in a multi-media web-based format. It includes a background statement, acknowledgements section, printed navigation guide and site map for the website, and a full list of references.

The diploma thesis examines the construction of masculinity and femininity of young transsexual individuals who have not undergone surgical gender reassignment. The work is divided into theoretical and practical part. The theoretical part builds on the theory of gender stereotype and the research of Gagné and Tewksbury, according to which transsexual individuals try to suppress their feminine or masculine selves as expected, while maintaining relationships. Furthermore, the work is based on Mandal's and Jakubowski's study, which confirms the theory that transsexual women live more in a gender stereotype than transsexual men who live in accordance with their original and new gender roles. In the practical part, a qualitative survey is carried out using the method of grounded theory, and six transsexual respondents were interviewed using semi- structured interviews: three transsexual men and three transsexual women. The sample is selected from transgender individuals who have not undergone operative gender reassignment and have decided to share their story on social networks. The aim of the research part is to find out how transsexual people without operative gender reassignment construct their masculinity and femininity. The main finding was that transsexual individuals who chose not to undergo sex...

Transgender and nonbinary (TNB) people identify with a gender identity that differs from cultural expectations based on sex assigned at birth. Many TNB people pursue social and/or medical transition with the intent of affirming their gender identity to themselves and the world around them. Medical transition describes the process of utilizing one or more forms of gender-affirming medical care (e.g., hormone therapy, gender confirmation surgery, hair removal, breast augmentation, mastectomy) in order to change the physical body such that it is more congruent with an individual’s affirmed gender identity. Researchers suggest that many TNB individuals currently use or desire to use gender-affirming hormone therapy (GAHT), and that some TNB individuals desire or use nontraditional or non-standardized (e.g., low dose) hormone therapy regimens. Unfortunately, many TNB people encounter barriers in the process of accessing gender-affirming healthcare, especially individuals who are nonbinary and/or desire gender transition steps that are nontraditional or non-standardized (e.g., low-dose hormone therapy). In current research literature, little is currently known about the experiences and healthcare needs of TNB people who currently or desire to take nontraditional GAHT. To address this gap in the research literature, the present study was a qualitative study involving semi-structured interviews with 10 TNB people to explore their experiences connected to nontraditional GAHT. The grounded theory analysis revealed a core category: Nontraditional Gender Affirmation Model. The core category is comprised of five axial level categories: Social Processes, Medical Processes, Barriers to Accessing Medical Transition Care, Facilitators to Accessing Medical Transition Care, and Coping with Distress and Barriers. The five axial level categories are comprised of 30 open-coding level categories and 33 open-coding level subcategories. The grounded theory model developed depicts a framework of various phenomena involved in the process of gender affirmation for transgender and nonbinary individuals with nontraditional gender transition needs, including nontraditional approaches to GAHT. Implications for healthcare providers, psychological practice, and future research are discussed.

Purpose: The Veteran's Health Administration (VHA) has created a training program for interdisciplinary teams of providers on the unique treatment needs of transgender veterans. An overview of this program's structure and content is described along with an evaluation of each session and the program overall. Methods: A specialty care team delivered 14 didactic courses supplemented with case consultation twice per month over the course of 7 months through video teleconferencing to 16 teams of learners. Each team, consisting of at least one mental health provider (e.g., social worker, psychologist, or psychiatrist) and one medical provider (e.g., physician, nurse, physician assistant, advanced practice nurse, or pharmacist), received training and consultation on transgender veteran care. Results: In the first three waves of learners, 111 providers across a variety of disciplines attended the sessions and received training. Didactic topics included hormone therapy initiation and adjustments, primary care issues, advocacy within the system, and psychotherapy issues. Responses were provided to 39 veteran-specific consult questions to augment learning. Learners reported an increase in knowledge plus an increase in team cohesion and functioning. As a result, learners anticipated treating more transgender veterans in the future. Conclusion: VHA providers are learning about the unique healthcare needs of transgender veterans and benefitting from the training opportunity offered through the Transgender Specialty Care Access Network-Extension of Community Healthcare Outcomes program. The success of this program in training interdisciplinary teams of providers suggests that it might serve as a model for other large healthcare systems. In addition, it provides a path forward for individual learners (both within VHA and in the community) who wish to increase their knowledge.

<p dir="ltr">The need for affirming relational therapy is important for clients who identify as transgender and gender nonconforming - particularly during the process of their transition. Because of the conceptual overlap between the two approaches, the Satir Model of experiential therapy can be effectively applied to existing frameworks for affirming couple therapy. The study reflects the efficacy of this proposed model of therapy through a phenomenological case study. The results, their implications, and the application of the model are discussed.</p>

Text in English with abstracts in English and isiZulu / This qualitative study set out to discover the lived experiences of South African transgender individuals within the liminal space of having been confirmed for gender affirming surgery, yet who have not completed their surgery. The aim included seeking out how participants’ wellbeing was affected by being within this liminal space. Six participants were recruited in Johannesburg, Pretoria and Cape Town. Thematic analysis was used to derive themes from the transcripts. Themes included coming out; relationships; wellbeing; misgendering/misnaming; support; public and private medical care; and liminality. Recommendations for future studies are included, and recommendations on interventions and support are discussed. / Lolu cwaningo lohlobo lwekhethelo lenzelwe ukuthola noma ukubheka izinselelo zabantu abafuna ukushintsha ubulili babo baseNingizimu Afrika ababhekana nazo uma basohlelweni lokuyohlinzwa ngoDokotela ukuze bakhone ukushintsha ubulili babo. Inhloso yalolu cwaningo ukubheka ngqo kubantu abayihambile lena ndima ukuthi bahlukumezeka kanjani ngesikhathi basohlelweni lokuthi bashintshe ubulili babo. Abantu abayisithupha abazibandakanye nalolu cwaningo batholakale eGoli, ePitoli kanye naseKapa. Kusetshenziswe ucwaningo olubheka indikimba ukuze kutholwe izihloko ezivele embalweni osuselwe enkulumeni eqoshiweyo. Izihloko ezivelayo yilezi, ubudlelwano; impilo; ukubizwa ngobulili ongasibona/ukubizwa ngegama okungasilona elakho; ukwesekwa; usizo lwezibhedlela zikahulumeni nezibhedlela ezizimele; kanye nokuba sesimeni sokushintsha ubulili. Izincomo zocwaningo oluzayo zifakiwe nazo, kuphindwe kwakhulunywa noma kwabhekwa ukuthi kungangenelelwa kanjani ngosizo. / M.A. (Clinical Psychology) / Psychology