Lomonosov Psychology Journal
ISSN 0137-0936
eISSN 2309-9852
En Ru
ISSN 0137-0936
eISSN 2309-9852

Body Image of Different Gender Identities Carriers: Empirical Study

Background. Historically, the status of transgender identity in the classification of mental disorders is ambiguous and is conditioned by sociocultural factors that influence its perception. Recently, it has been seen as a variation of the norm, which is not a psychopathology, but is stigmatized. A reflection of the reconsidering of transgender identity was the development of ICD-11, the application of which requires research. .

Objective of the research is to study differences in the experience of distress associated with body image and gender identity.

Sample. The study included 256 respondents (119 with a masculine identity, 61 with a feminine identity, and 76 with a nonbinary identity). Age 21,6±6,4 years, range — 12–56 years. The sample is geographically, economically and ethnically diverse.

Methods. To study the contribution of socio-demographic characteristics to the experience of distress was explored using the χ2 test with a significance level of p ≤ 0.05. The use of qualitative analysis of content made it possible to highlight the key problems they faced.

Results. Many socio-demographic characteristics are associated with experienced distress, which is not specific. It is associated both with the bodily structures that determine it and with discrimination that affects the respondents. Most of the respondents faced micro-aggression (insults, incorrect use of pronouns), physical and psychological violence. To minimize distress, the respondents resorted to practices consistent with their gender identity and to wearing appropriate clothing.

Conclusion. Experience of distress among carriers of macro- and micro-identities has been studied. The results of the study will be practical in clinical-psychological practice where transgender and nonbinary identities are often pathologized.

Acknowledgements. The author thanks the assistant of the Department of Health Psychology and Neuropsychology of KSMU Nilufer Majid Kizi Khakhutadze for help in developing the questionnaire and to the reviewers, whose comments made it possible to improve the manuscript.

References

Becker, I., Nieder, T.O., Cerwenka, S. et al. (2016). Body Image in Young Gender Dysphoric Adults: A European Multi-Center Study. Archives of sexual behavior, 45(3), 559–574.

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8–14.

Campbell, M.M., Fresán, A., Addinall, R.M. et al. (2018). Experiences of gender incongruence and the relationship between social exclusion, psychological distress, and dysfunction among South African transgender adults: A field-study for ICD-11. Annals of clinical psychiatry, 30(3), 168–174.

Jones, B.A., Pierre Bouman, W., Haycraft, E. et al. (2019). Gender congruence and body satisfaction in nonbinary transgender people: A case control study. The international journal of transgenderism, 20(2-3), 263–274.

Kirey-Sitnikova, Y., Burtsev, E.A. (2022). A review of instruments of experimental psychological diagnostics of gender dysphoria and gender incongruence in the context of transition to ICD-11. Nevrologicheskii vestnik (Neurology Bulletin). LIV(1),69–84. (In Russ.).

Lindgren, T.W., Pauly, I.B. (1975). A body image scale for evaluating transsexuals. Archives of Sexual Behavior, 4(6), 639–656.

Lobato, M.I., Soll, B.M., Brandelli Costa, A. et al. (2019). Psychological distress among transgender people in Brazil: frequency, intensity and social causation - an ICD-11 field study. Revista brasileira de psiquiatria, 41(4), 310–315.

Mendelevich, V.D. (2020). Non-binary gender identity and transgendence beyond psychiatric discourse. Nevrologicheskii vestnik (Neurology Bulletin), (2), 5−11. (In Russ.).

Mirabella, M., Giovanardi, G., Fortunato, A. et al. (2020). The Body I Live in. Perceptions and Meanings of Body Dissatisfaction in Young Transgender Adults: A Qualitative Study. Journal of Clinical Medicine, 9, 3733.

Robles, R., Fresán, A., Vega-Ramírez, H. et al. (2016). Removing transgender identity from the classification of mental disorders: a Mexican field study for ICD-11. The Lancet. Psychiatry, 3(9), 850–859.

Robles, R., Real, T., Reed, G. (2021). Depathologizing Sexual Orientation and Transgender Identities in Psychiatric Classifications. Consortium Psychiatricum, 2(2), 45-53.

Slade, P.D. (1994). What is body image? Behaviour Research and Therapy, 32(5), 497–502.

Tan, K., Treharne, G.J., Ellis, S.J. et al. (2020). Gender Minority Stress: A Critical Review. Journal of homosexuality, 67(10), 1471–1489.

Testa, R.J., Michaels, M.S., Bliss, W. et al. (2017). Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors. Journal of abnormal psychology, 126(1), 125–136.

Van de Grift, T.C., Cohen-Kettenis, P.T., Steensma, T.D. et al. (2016). Body Satisfaction and Physical Appearance in Gender Dysphoria. Archives of Sexual Behavior, 45(3), 575–585.

Whyte, S., Brooks, R.C., Torgler, B. (2018). Man, Woman, “Other”: Factors Associated with Nonbinary Gender Identification. Archives of Sexual Behavior, 47(8), 2397–2406.

Recieved: 04/19/2022

Accepted: 07/02/2022

Published: 10/31/2022

Keywords: transgender identity; gender incongruence; body image; discrimination; stigma

Available online since: 31.10.2022

Issue 3, 2022