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'Conflict versus Congruence': A Qualitative Study Exploring the Experience of Gender Dysphoria for Adults with Autism Spectrum Disorder.

An emergent evidence base indicates a higher prevalence of autism exists amongst people attending gender identity clinics. This qualitative study explored adults' with autism experiences of coming to understand and address their gender dysphoria (GD). Data were collected and analysed using Grounded...

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Published in:Journal of Autism & Developmental Disorders Vol. 50; no. 8; pp. 2643 - 2658
Main Authors: Coleman-Smith, Rachel S., Smith, Richard, Milne, Elizabeth, Thompson, Andrew R.
Format: research tables/charts Journal Article
Published: Springer Nature Aug2020
Online Access:View this record in EBSCOhost
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      dt: Aug2020
      vid: 50
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-019-04296-3
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        atl: 'Conflict versus Congruence': A Qualitative Study Exploring the Experience of Gender Dysphoria for Adults with Autism Spectrum Disorder.
      aug:
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          Coleman-Smith, Rachel S.
          Smith, Richard
          Milne, Elizabeth
          Thompson, Andrew R.
        affil: Department of Psychology, University of Sheffield, Cathedral Court, S1 2LT, Sheffield, UK
      sug:
        subj:
          Gender Dysphoria Psychosocial Factors
          Autism Spectrum Disorder Psychosocial Factors
          Persons with Disabilities Psychosocial Factors
          Human
          Qualitative Studies
          Grounded Theory
          Semi-Structured Interview
          Conceptual Framework
          Psychological Well-Being
          Fear
          Stigma
          Conflict (Psychology)
      ab: An emergent evidence base indicates a higher prevalence of autism exists amongst people attending gender identity clinics. This qualitative study explored adults' with autism experiences of coming to understand and address their gender dysphoria (GD). Data were collected and analysed using Grounded Theory. Ten adults with autism and GD undertook semi-structured interviews. A tentative theoretical framework of common processes involved in understanding and addressing GD for individuals with autism was developed. The experience is captured in the core category—Conflict versus Congruence. A key finding was the impact of autism as a barrier but sometimes a protective factor in participants' understanding and addressing GD. Participants appeared to achieve greater personal congruence and wellbeing upon transition. Nevertheless, conflicts remained as they navigated the social world with a continuing fear of hostility and sense of difference due to having two stigmatised identities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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