Using circular questions to explore individual family member experiences of youth gender dysphoria in Australia

Abstract

Background: The number of young people reporting gender dysphoria is increasing worldwide, with gender dysphoria known to affect everyone in the family in unique ways. Previous research has highlighted the importance of family support and understanding; however, much less is known about individual and collective family member experiences, particularly for siblings under the age of 18?years.

Aims: This study sought to identify, describe and interpret individual family member experiences of youth gender dysphoria using semi-structured interviews, incorporating circular questioning, within a whole of family, clinical and wider social context.

Methods: Thirty-five individual family members living in Australia (nine young people aged 12-17?years experiencing gender dysphoria, 10 mothers, eight fathers, and eight siblings aged 11-17?years) were interviewed, exploring positive and negative experiences of youth gender dysphoria, within and outside of the family. Family relationships, support and healthcare experiences were also explored.

Results: All participants reported a mixture of positive and negative experiences of youth gender dysphoria. Levels of acceptance tended to change with the duration of transition, with most family members adapting with time. Siblings reported mixed experiences within the same family, with some struggling to adapt. Most family members felt that including the whole family in the healthcare of the young person was important, although dependent on individual circumstances and family context. Specialist gender care experiences were unanimously positive, although services were considered difficult to access.

Discussion: Family members reported shared and individual positive and negative experiences of youth gender dysphoria across social contexts. Accepting and facilitating gender transition for young people appeared to improve individual and family functioning. Most participants valued a whole of family approach within specialist healthcare. The use of circular questioning in the study helped dispel assumptions and facilitated curiosity for others’ experiences in the family.     

Can propositional biases modulate syntactic repair processes? Insights from preceding comprehension questions

ABSTRACT

There is an ongoing debate about whether discourse biases can constrain sentence processing. Previous work has shown comprehension question accuracy to decrease for temporarily ambiguous sentences preceded by a context biasing towards an initial misinterpretation, suggesting a role of context for modulating comprehension. However, this creates limited modulation of reading times at the disambiguating word, suggesting initial syntactic processing may be unaffected by context [Christianson & Luke, 2011 Christianson, K. , & Luke, S. G. (2011). Context strengthens initial misinterpretations of text. Scientific Studies of Reading , 15 (2), 136–166. https://doi.org/ 10.1080/10888431003636787 [Taylor & Francis Online], [Web of Science ®] , [Google Scholar]. Context strengthens initial misinterpretations of text. Scientific Studies of Reading, 15(2), 136–166]. The current experiments examine whether propositional and structural content from preceding comprehension questions can cue readers to expect certain structures in temporarily ambiguous garden-path sentences. The central finding is that syntactic repair processes remain unaffected while reading times in other regions are modulated by preceding questions. This suggests that reading strategies can be superficially influenced by preceding comprehension questions without impacting the fidelity of ultimate (mis)representations.