Current theories, models and definitions of sexual dysfunction have been developed primarily based on heteronormative assumptions. This can be problematic when considering people who do not fall under such assumptions including those who identify as transgender; meaning people whose gender identity differs from their assigned biological sex. The current literature on transgender individuals largely focuses on the physical aspects of sexual functioning after sex reassignment surgery whilst negating the psychological factors that may impact on sexual functioning. The aim of this review was to fill this gap and consider what psychological factors may impact on sexual dysfunction and sexual satisfaction in the transgender population and how this fits with current theories and definitions of sexual dysfunction. Due to the limited research investigating psychological factors that impact on sexual functioning in transgender individuals, literature examining psychological issues impacting on sexual experiences in transgender people was reviewed and synthesized in order to consider how these applied to sexual dysfunction. The themes derived included challenging cissexual assumptions, the negative impact of cis-genderism, heteronormative impact on sexual experiences, the relational impact and body image. These findings suggest the importance of clinicians considering the cultural and contextual influences on sexual functioning. Further, this review highlights the limits of the current conceptualizations of sexual dysfunction and the importance of a holistic approach.
| Date of Award | 16 Sept 2019 |
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| Original language | English |
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| Awarding Institution | |
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| Supervisor | Anna Strudwick (Supervisor) & Catherine Butler (Supervisor) |
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Doctorate in Clinical Psychology: Main Research Portfolio: 1) Psychological influences that may impact on sexual satisfaction and dysfunction in individuals identifying as transgender; A structured narrative review; 2) Age Inclusive Compassion Focused Therapy: A Pilot Group Evaluation; 3) Exploring if Nostalgic Memories affect how People relate to their Dementia.
Altavilla, A. (Author). 16 Sept 2019
Student thesis: Doctoral Thesis › PhD