Healthcare Clinician Perspectives on the Intersection of Autism and Gender Dysphoria

Autor/inn/en	Cooper, Kate; Mandy, William; Russell, Ailsa; Butler, Catherine
Titel	Healthcare Clinician Perspectives on the Intersection of Autism and Gender Dysphoria
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 1, S.31-42 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Cooper, Kate) ORCID (Mandy, William) ORCID (Russell, Ailsa)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221080315
Schlagwörter	Autism Spectrum Disorders; Sexual Identity; Correlation; Patients; Clinics; Knowledge Level; Mental Health; Gender Issues; Social Influences; Barriers; Sensory Experience; Puberty; Interpersonal Communication; Needs; Health Services; Youth; Adults; Foreign Countries; Health Personnel; United Kingdom (England) + Suchen Sie Ihr Suchwort? Autism; Autismus; Geschlechtsidentität; Sexuelle Identität; Korrelation; Patient; Wissensbasis; Psychohygiene; Geschlechterfrage; Sozialer Einfluss; Sinnerfahrung; Pubertät; Interpersonale Kommunikation; Grundbedürfnis; Health service; Gesundheitsdienst; Gesundheitswesen; Jugend; Jugendlicher; Jugendalter; Ausland; Medizinisches Personal
Abstract	Autistic people are over-represented at gender clinics, but there is limited research to guide clinical practice with this group. We investigated the perspectives of clinicians working with autistic patients who experience gender dysphoria. We asked clinicians about the relationship between autism and gender dysphoria, and whether they work differently with this patient group. We recruited clinicians from young person and adult gender clinics and autism services (n = 16). We analysed the interview transcripts using interpretative phenomenological analysis (IPA). The first overarching theme was clinician understanding of the intertwined experiences of patients, with four subthemes: (a) coming to an individualised understanding of autism, gender dysphoria, and mental health; (b) different ways of thinking about gender; (c) social differences as barriers and facilitators to gender comfort; (d) the challenge of sensory sensitivities and puberty. The second overarching theme was mismatch of patient and clinician communication styles and goals, with three subthemes: (a) different communication of gender needs; (b) changing clinical sessions to overcome barriers; (c) tension between clinician and patient aims and thinking styles. We conclude that autism adaptations should be made in gender settings, by increasing clinician understanding of how autism and gender dysphoria can intersect, as well as by making adjustments to clinic processes. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01