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    Identifying coping strategies used by patients at a transgender health clinic through analysis of free‐text autobiographical narratives

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    Author
    Bouman, Walter P.
    Arcelus, Jon
    Keyword
    Communication
    Psychological adaptation
    Social behaviour
    Motivation
    Transgender persons
    Date
    2021
    
    Metadata
    Show full item record
    DOI
    10.1111/hex.13222
    Publisher's URL
    https://onlinelibrary.wiley.com/doi/10.1111/hex.13222
    Abstract
    Background This paper presents an analysis of 32 narratives written by patients waiting for assessment at a transgender health clinic (THC) in England. Narratives are autobiographical free texts, designed to allow patients to describe in their own words their experiences of their gender identity and/or transition prior to a clinic appointment, as part of the assessment process. Objective Narratives were analysed to identify actions prospective patients had taken to manage their (usually lengthy) waiting times, so that these ‘coping strategies’ could be shared with future patients. Design Corpus linguistic methodology was utilized to identify common patterns across the whole corpus of text‐based data, augmented with more detailed sociolinguistic analysis of individual narratives. Results There are broad commonalities in the way the transition experience is described across the corpus in terms of presentation of key experiences and feelings. There are specific descriptions of a number of recurring coping strategies, both positive and negative. Conclusion The empowerment value of writing these narratives may be limited; the existence of recurring key features suggests that patients may feel they have to present their experiences in certain ways to be accepted for treatment. However, dissemination of some positive coping strategies may help future clients of THCs to better cope with waiting times, as well as assisting practitioners in THCs in supporting their patients during this wait. Patient/Public Contribution The clinic's Service Users’ Research Advisory Group contributed to formulating the objective and design of the study. Results were presented at the clinic's annual PPI conference. (PsycInfo Database Record (c) 2021 APA, all rights reserved) (Source: journal abstract)
    Citation
    Zottola, A., Jones, L., Pilnick, A., Mullany, L., Bouman, W. P. & Arcelus, J. (2021). Identifying coping strategies used by patients at a transgender health clinic through analysis of free‐text autobiographical narratives. Health Expectations, 24(2), pp. 719-727.
    URI
    http://hdl.handle.net/20.500.12904/14727
    Collections
    Gender Dysphoria

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