Gender congruence and body satisfaction in nonbinary transgender people: A case control study

Abstract

Background: Binary transgender people access gender affirming medical interventions to alleviate gender incongruence and increase body satisfaction. Despite the increase in nonbinary transgender people, this population are less likely to access transgender health services compared to binary transgender people. No research has yet understood why by exploring levels of gender congruence and body satisfaction in nonbinary transgender people.

Objective: The aim of this study was to compare levels of gender congruence and body satisfaction in nonbinary transgender people to controls [binary transgender people and cisgender (nontrans) people].

Method: In total, 526 people from a community sample in the UK took part in the study (97 nonbinary, 91 binary, and 338 cisgender identifying people). Participants were asked to complete an online survey about gender congruence and body satisfaction.

Results: There were differences in gender congruence and body satisfaction between nonbinary and binary transgender people. On sex-specific parts of the body (i.e., chest, genitalia, and secondary sex characteristics), nonbinary transgender people reported significantly higher levels of gender and body satisfaction compared to binary transgender people. However, there was no difference in congruence and satisfaction with social gender role between the two transgender groups (nonbinary and binary). Cisgender people reported significantly higher levels of gender congruence and body satisfaction compared to transgender people (nonbinary and binary).

Conclusions: There are differences in gender congruence and body satisfaction between nonbinary and binary transgender people. Nonbinary individuals may be less likely to access transgender health services due to experiencing less gender incongruence and more body satisfaction compared to binary transgender people. Transgender health services need to be more inclusive of nonbinary transgender people and their support and treatment needs, which may differ from those who identify within the binary gender system.     

The experiences of therapists using a new client‐centred psychometric instrument,PSYCHLOPS (Psychological Outcome Profiles)

PSYCHLOPS (‘Psychological Outcome Profiles’) is a newly developed client‐generated psychometric instrument which can be used as an outcome measure. Uniquely, it asks clients to state their own problems, in their own words. As part of its validation, we used it alongside an existing measure, CORE‐OM (‘Clinical Outcomes Routine Evaluation – Outcome Measure’). Based on a qualitative methodology, we report here on the first‐hand experiences of four therapists using both instruments. The key themes that emerged from therapists’ responses were feasibility, validity and usefulness. Both questionnaires were perceived as complementing each other, the qualitative information from PSYCHLOPS balancing the quantitative information from CORE‐OM and that both could contribute to the therapist‐client interaction. The key features of PSYCHLOPS are likely to prove attractive to therapists and should increase acceptance and uptake of outcome measures.     

An exploration of values in ethical consumer decision making

Consumer concern for ethical issues has been well documented across much of the developed world. Research on values is also prominent in the literature. Neglected in consumer behaviour is an understanding of the pertinence of particular values in ethical decision making contexts. This paper outlines the results of qualitative research, which explores those values pertinent to ethical consumers in decision making and the nature of their influence in grocery consumption contexts. A questionnaire was used to ascertain the dominance and nature of values influencing consumer decision making in this context.     

Cognitive and Moral Enhancement: A Practical Proposal

According to Persson and Savulescu, the risks posed by a morally corrupt minority's potential to abuse cognitive enhancement make it such that we have an urgent imperative to first pursue moral enhancement of humankind – and, consequently, if we are a long way from safe, effective moral enhancement, then we have at least one good reason to consider opposing further cognitive enhancement. However, as Harris points out, such a proposal seems to support delaying life-saving cognitive progress. In this article, we first show that Harris's worry can be expanded to show that Persson and Savulescu's proposal also threatens the development of moral enhancement – precisely what they suggest we have pro tanto reason to pursue. From there, we offer our own, alternative proposal – one on which cognitively enhanced researchers play a key role in the production of moral enhancement, and those in the general population who wish to be cognitively enhanced must first accept moral enhancement as an entry requirement. We engage with four substantive objections to our proposal and use these objections to refine and strengthen the details.     

Group belongingness and collective action: Effects of need to belong and rejection sensitivity on willingness to participate in protest activities

Engaging in political protests are becoming increasingly common, and considering the potential, individual, costs and the low probability of affecting the political outcome, it is necessary to understand the motivations behind such actions. The desire to be part of a social group is deeply rooted in human nature, and previous research proposes that the groups one belongs to may influence the decision to engage in protests. We build on this research and suggest that social exclusion, individual fear of exclusion and need to belong interact in explaining who is likely to become engaged. In two studies, one natural experiment and one lab‐experiment, we show that social exclusion increase willingness to participate in protests for individuals high in both rejection sensitivity and need to belong. We conclude that contextual factors, such as exclusion or marginalization should be considered in relation to individual level personality factors when explaining who is likely to become engaged in political protests. These results are important since they suggest that some people engage in politics simply due to social reasons and are less ideologically motivated.     

The role of emotion knowledge in the links between shyness and children's socio‐emotional functioning at preschool

The present study investigated the potential protective role of components of emotion knowledge (i.e., emotion recognition, situation knowledge) in the links between young children's shyness and indices of socio‐emotional functioning. Participants were n = 163 children (82 boys and 81 girls) aged 23–77 months (M = 53.29, SD = 14.48), recruited from preschools in Italy. Parents provided ratings of child shyness and teachers rated children's socio‐emotional functioning at preschool (i.e., social competence, anxiety‐withdrawal, peer rejection). Children were also interviewed to assess their abilities to recognize facial emotional expressions and identify situations that affect emotions. Among the results, shyness was positively related to anxiety‐withdrawal and peer rejection. In addition, emotion recognition was found to significantly moderate the links between shyness and preschool socio‐emotional functioning, appearing to serve a buffering role. For example, at lower levels of emotion recognition, shyness was positively associated with both anxiety‐withdrawal and rejection by peers, but at higher levels of emotion recognition, these associations were attenuated. Results are discussed in terms of the protective role of emotion recognition in promoting shy children's positive socio‐emotional functioning within the classroom context.     

Eye-hand interactions in tracing and drawing tasks

We report a preliminary analysis of the interactions between eye and hand during tracing and drawing of four simple shapes. Eye and hand movements were recorded using the ASL 504 system and the Flock of Birds system, respectively. During tracing, pen tip and eye were tightly coupled, with participants making a series of small saccades just in front of the moving pen, interspersed with periods of smooth pursuit. During drawing, saccades were fewer and larger and pursuit was less frequent. Observed eye-hand interactions suggested a bidirectional relationship between the eye and hand. These findings are explained in terms of the differing degree that the two tasks employ visual detail, external or internal cues and eye-hand coordination.     

Protecting threatened identity: sticking with the group by emphasizing ingroup heterogeneity

In two studies (Ns=163, 164), the authors tested the prediction that perceptions of group variability can steer and guide the way that loyalty is expressed in times of identity threat. In both studies, participants were classified as lower or higher identifiers on the basis of their scores on a group identification measure, and manipulations involved group variability perceptions (homogeneous ingroup vs. heterogeneous ingroup) and threat to the ingroup. Higher identifiers presented with a homogeneous ingroup perceived more ingroup homogeneity under threat than when there was no threat. In contrast, higher identifiers who perceived the ingroup initially as heterogeneous perceived more ingroup heterogeneity under threat than in no threat conditions. Lower identifiers perceived more ingroup heterogeneity under threat (vs. no threat) irrespective of manipulated group variability perceptions. Discussion focuses on different ways that group loyalty can be expressed in times of identity threat.     

Cognitive capacities for behavioural flexibility in wild chimpanzees (Pan troglodytes): the effect of snare injury on complex manual food processing

In chimpanzees, it is only in the restricted context of tool use that manual and cognitive skills have been described, comparable to those that gorillas and orang-utans display in obtaining plant foods. We report the complex food preparation skills used to eat, without tools, the leaves of the tree Broussonettia papyrifera in the Sonso community of chimpanzees at Budongo Forest, Uganda. Able-bodied individuals used multi-stage techniques that required bimanual role differentiation at several stages, and were hierarchical in organisation. A total repertoire of 14 techniques was found, with strong preference in all individuals for either of two of these; 6 additional techniques were found when flowers and leaves were eaten together. However, in this community over 20% of individuals suffer from some form of upper- or lower-limb injury as a result of snares. We investigated the manner of compensation for upper-limb injury. Only the most severely injured showed reduced feeding efficiency. Injured individuals were found to use the same repertoire of techniques as able-bodied chimpanzees. We found no evidence to suggest that injured individuals were able to develop wholly novel techniques optimal for their specific injuries, although shifts in preference for particular techniques did occur. Rather, injured individuals used novel ways of achieving particular steps in the process; by "working around" their impairments; in this way, they managed to use the same techniques as the able-bodied. Since snare injuries generally befall young animals, these results suggest that chimpanzees learn techniques partly through observational learning (of, necessarily, able-bodied individuals). Accepted after revision: 8 February 2001 Electronic Publication