“I knew that I wasn’t cis,I knew that,but I didn’t know exactly”: Gender identity development,expression and affirmation in youth who access gender affirming medical care

Abstract

Background: Research about gender identity development is still in its infancy, especially among youth who experience gender dysphoria and are accessing gender-affirming medical care.

Aims: This article contributes to the literature on how gender identity and gender dysphoria is experienced, expressed and addressed by youth who have started, or are just about to start, a gender-affirming medical intervention.

Methods: The project draws from qualitative interviews with 36 trans children and youth of different ages and stages of puberty. The data were collected in three specialized Canadian clinics that offer gender-affirming care and they were analyzed through inductive thematic analysis.

Results: Two interlinked dimensions of the youth’s lives allow meaning-making of their gender identity: 1) internal or personal and 2) interactional or social processes. Careful analysis reveals three gender identity development pathways that may be taken by youth, from early questioning to the affirmation of their gender identity. A discussion of current models of gender identity development and their limitations concludes the article.     

Exploring a Training IRAP as a single participant context for analyzing reversed derived relations and persistent rule-following

Rule-governed behavior and derived stimulus relations have always shared strong conceptual links within behavior analysis. However, experimental analysis linking the two domains remains limited. The current study consisted of three experiments that aimed to continue to bridge this experimental gap. The first experiment sought to establish the extent to which a training version of the implicit relational assessment procedure (IRAP) could be used to establish and successfully reverse experimentally established derived relations. The results suggested that the Training IRAP could successfully produce derived reversals. Experiments 2 and 3 explored the extent to which reversed derived relations would control rule-governed behavior when the contingencies for rule-following competed with the rule. In Experiment 2, the task contingencies were immediately in opposition to the (reversed) derived rule, and participants generally responded in accordance with the task contingencies, rather than the rule. In Experiment 3, the task contingencies were initially rule-consistent before a contingency reversal that later made them rule-inconsistent. Here evidence of rule-persistence emerged. The results of the research are considered within the context of a recent framework that has emerged out of RFT for analyzing the dynamics involved in derived relational responding.     

THE RELATIONSHIP BETWEEN FEMININE GENDER ROLE STRESS, BODY IMAGE, AND EATING DISORDERS

The Feminine Gender Role Stress (FGRS) scale was used in two studies to determine whether eating disorders could be linked to the cognitive tendency among women to appraise specific situations as highly stressful because of rigid adherence to the traditional feminine gender role. Study 1 showed the FGRS scale could distinguish eating disorders from other psychiatric disorders in an inpatient setting and from normal college women. This suggests that women who have eating disorders report higher than usual levels of stress as a result of rigid adherence to the traditional feminine gender role. Study 2 looked at cardiovascular reactivity to a "feminine" (i.e., body image threat) and a control stressor and determined the FGRS scale could predict which women are threatened by feminine stressors. Results from these studies suggest feminine gender role stress may be the missing link between cultural values of femininity and vulnerability for eating disorders.