Male-to-Female Transsexual Individuals' Experience of Clinical Relationships: A Phenomological Study
Date of Award
1-1-2010
Document Type
Dissertation
Degree Name
Ph.D.
Organizational Unit
Graduate School of Social Work
First Advisor
Susan S. Manning, Ph.D.
Second Advisor
Arlene I. Lev
Third Advisor
Jean East
Keywords
Clinical relationship, Transgender, Transsexual
Abstract
This phenomenological study was designed to gain insight into male-to-female transsexual clients' experience of clinical relationships. Transsexual clients who enter into a clinical relationship have an experience that is unique due to their transsexual status in society. Their circumstances warrant attention in research due to the following factors: 1) the nature of being transsexual 2) the gate-keeping requirements necessary for transition 3) their experience in society as a vulnerable and oppressed population, and, 4) the importance of understanding the transsexual individuals' experience of clinical relationships from the perspective of transsexual clients themselves. Twelve transsexual women were interviewed using semi-structured format utilizing open-ended questions regarding their experiences. Participants ranged in age from 30 to 64, and their year's post-SRS/GRS ranged from 20 months to 33 years. The data was analyzed using Moustakas' modified version of the Van Kaam method of analysis. The findings were grouped into four core themes: What the client brings to the clinical relationship, what the therapist brings to the clinical relationship, the experience of the clinical relationship, and the outcome of the clinical relationship. The essence of the experience is stated as fear driven self-preservation. It was found that participants feared rejection and expressed self-preservation initially by suppressing their transgender identity. After experiencing a crisis and/or catalyst, the participants changed their self-preservation focus to gender role transition, at any cost. The combination of this self-preservation for transition, and fear of clinicians' power in the gate-keeping process provided challenges for therapeutic alliance and trust in the clinical relationship. Participants expressed a change of attitude towards therapy, therapists, and the standards of care post-transition. Implications for social work research, theory, practice, education and policy are discussed.
Publication Statement
Copyright is held by the author. User is responsible for all copyright compliance.
Rights Holder
Karen M. Scarpella
Provenance
Received from ProQuest
File Format
application/pdf
Language
en
File Size
230 p.
Recommended Citation
Scarpella, Karen M., "Male-to-Female Transsexual Individuals' Experience of Clinical Relationships: A Phenomological Study" (2010). Electronic Theses and Dissertations. 579.
https://digitalcommons.du.edu/etd/579
Copyright date
2010
Discipline
Social work