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X” marks the transgressive gender

A qualitative exploration of legal gender-affirmation

Bibliographic Data

ID15682175
AuthorsTeddy G Goetz (0000-0002-1138-6602, University of Pennsylvania, corresponding author), Amanda C Arcomano (Columbia University)
Year2022
Volume27
Issue3
Pages304-318
Publication date2022-01-10
Open AccessNo
TypeARTICLE
VenueJournal of Gay & Lesbian Mental Health (JOURNAL)
Journal identifiersISSN: 1935-9705 • E-ISSN: 1935-9713
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/19359705.2021.2008572
OpenAlexW4206641653
LanguageEN
Citations received3
References cited7

Purpose: Gender affirmation for transgender, non-binary, and/or gender diverse (“trans”) persons can include legal name and/or gender marker changes. Gender marker choice has become more com plex with increasing availability of a gender-neutral “X” marker. Yet, little research has characterized trans persons’ perspectives on legal gender affirmation, and its mental health impacts.Methods: Here we present qualitative research exploring trans individuals’ goals for and barriers from seeking gender-affirming legal care and perspectives on the “X” gender marker. We conducted one-hour semi-structured interviews with 54 trans persons in the U.S. and Canada.Results: Almost all participants were interested in legal name (had: 54%, want: 33%) and gender marker (had: 46%, want: 46%) changes. Most common barriers included: logistics, fearing violence/discrimination, cost, and legality; 24% reported only updating some identification documents. While some sought an “X” gender marker (had: 11%, want: 19%), 32% considered the “X” harmful, fearing lack of compatibility with other documents and increasing risk of gender-based violence/discrimination. Most reported anxiety and isolation from concerns over mismatched or inaccurate identification documents.Conclusions: This work offers insight into how legal gender affirmation influences mental health for trans persons, highlighting the importance of mental health providers exploring legal gender affirmation when treating members of the trans community

Developmental psychology · Gender dysphoria · Gender identity · Qualitative research · Sociology · Transgressive · Anthropology · Feminism, Gender, and Sexuality Studies · Gender Studies · Law in Society and Culture · LGBTQ Health, Identity, and Policy · Psychology · Social Psychology · Geology

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    Open Access•E Coleman, A E Radix et al.•International Journal of…•2022

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    Open Access•Ayden I Scheim, Arjee Restar et al.•Social Science & Medicine•2025

  • Null

    Open Access•null null•Philosophy study•2016

  • Legal gender marker and name change is associated with lower negative emotional response to gender-based mistreatment and improve mental health outcomes among trans populations

    Open Access•Arjee Restar, Harry Jin et al.•SSM - Population Health•2020

  • Exploring Transgender Legal Name Change as a Potential Structural Intervention for Mitigating Social Determinants of Health Among Transgender Women of Color

    Open Access•Brandon J Hill, Richard A Crosby et al.•Sexuality Research and Social…•2017

Citations per year0.75
Citation span2022 - 2026 (5)
Highly citedNo

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