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Research Article

Nonbinary people living in a binary world: Minority stress in public and gendered places

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References

  • Ansara, Y. G., & Berger, I. (2016). Cisgenderism. In N. Naples, R. C. Hoogland, M. Wickramasinghe, & W. C. A. Wong (Eds.), The Wiley Blackwell Encyclopedia of Gender and Sexuality Studies (pp. 137–160). Blackwell. https://doi.org/10.1002/9781118663219.wbegss426
  • Anzani, A., Morris, E. R., & Galupo, M. P. (2019). From absence of microaggressions to seeing authentic gender: Transgender clients’ experiences with microaffirmations in therapy. Journal of LGBT Issues in Counseling, 13(4), 258–275. https://doi.org/10.1080/15538605.2019.1662359
  • Anzani, A., Rucco, D., Lorusso, M. M., & Prunas, A. (2023). Identity values of chosen names in transgender and non-binary youth: A qualitative investigation. LGBTQ+ Family: An Interdisciplinary Journal, 19(1), 87–104. https://doi.org/10.1080/27703371.2022.2149656
  • Aparicio-García, M. E., Díaz-Ramiro, E. M., Rubio-Valdehita, S., López-Núñez, M. I., & García-Nieto, I. (2018). Health and well-being of cisgender, transgender and nonbinary young people. International Journal of Environmental Research and Public Health, 15(10), 2133. https://doi.org/10.3390/ijerph15102133
  • Baiocco, R., & Pistella, J. (2019). “Be as you are” clinical research center at the Sapienza university of Rome. Journal of Gay & Lesbian Mental Health, 23(4), 376–379. https://doi.org/10.1080/19359705.2019.1644572
  • Baiocco, R., Rosati, F., & Pistella, J. (2023). Italian proposal for non-binary and inclusive language: The schwa as a non-gender-specific ending. Journal of Gay & Lesbian Mental Health, 27(3), 248–253. https://doi.org/10.1080/19359705.2023.2183537
  • Barbee, H., & Schrock, D. (2019). Un/gendering social selves: How nonbinary people navigate and experience a binarily gendered world. Sociological Forum, 34(3), 572–593. https://doi.org/10.1111/socf.12517
  • Barr, S. M., Snyder, K. E., Adelson, J. L., & Budge, S. L. (2022). Posttraumatic stress in the trans community: The roles of anti-transgender bias, non-affirmation, and internalized transphobia. Psychology of Sexual Orientation and Gender Diversity, 9(4), 410–421. https://doi.org/10.1037/sgd0000500
  • Bastomski, S., & Smith, P. (2017). Gender, fear, and public places: How negative encounters with strangers harm women. Sex Roles, 76(1–2), 73–88. https://doi.org/10.1007/s11199-016-0654-6
  • Bauerband, L. A., Teti, M., & Velicer, W. F. (2018). Measuring minority stress: Invariance of a discrimination and vigilance scale across transgender and cisgender LGBQ individuals. Psychology & Sexuality, 10(1), 17–30. https://doi.org/10.1080/19419899.2018.1520143
  • Billard, T. J. (2019). “Passing” and the politics of deception: Transgender bodies, cisgender aesthetics, and the policing of inconspicuous marginal identities. In T. Docan-Morgan (Ed.), The Palgrave handbook of deceptive communication (pp. 463–477). Springer International Publishing. https://doi.org/10.1007/978-3-319-96334-1_24
  • Bockting, W. O., Miner, M. H., Swinburne Romine, R. E., Hamilton, A., & Coleman, E. (2013). Stigma, mental health, and resilience in an online sample of the US transgender population. American Journal of Public Health, 103(5), 943–951. https://doi.org/10.2105/ajph.2013.301241
  • Bower-Brown, S., Zadeh, S., & Jadva, V. (2023). Binary-trans, non-binary and gender-questioning adolescents’ experiences in UK schools. Journal of LGBT Youth, 20(1), 74–92. https://doi.org/10.1080/19361653.2021.1873215
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Braun, V., & Clarke, V. (2022). Conceptual and design thinking for thematic analysis. Qualitative Psychology (Washington, D.C.), 9(1), 3–26. https://doi.org/10.1037/qup0000196
  • Chang, T. K., & Chung, Y. B. (2015). Transgender microaggressions: Complexity of the heterogeneity of transgender identities. Journal of LGBT Issues in Counseling, 9(3), 217–234. https://doi.org/10.1080/15538605.2015.1068146
  • Clark, B. A., Veale, J. F., Townsend, M., Frohard-Dourlent, H., & Saewyc, E. (2018). Nonbinary youth: Access to gender-affirming primary health care. International Journal of Transgenderism, 19(2), 158–169. https://doi.org/10.1080/15532739.2017.1394954
  • Colizzi, M., Costa, R., & Todarello, O. (2015). Dissociative symptoms in individuals with gender dysphoria: Is the elevated prevalence real? Psychiatry Research, 226(1), 173–180. https://doi.org/10.1016/j.psychres.2014.12.045
  • Dhejne, C., Van Vlerken, R., Heylens, G., & Arcelus, J. (2016). Mental health and gender dysphoria: A review of the literature. International Review of Psychiatry (Abingdon, England), 28(1), 44–57. https://doi.org/10.3109/09540261.2015.1115753
  • Doan, P. L. (2010). The tyranny of gendered spaces-reflections from beyond the gender dichotomy. Gender, Place & Culture, 17(5), 635–654. https://doi.org/10.1080/0966369X.2010.503121
  • Dürrbaum, T., & Sattler, F. A. (2020). Minority stress and mental health in lesbian, gay male, and bisexual youths: A meta-analysis. Journal of LGBT Youth, 17(3), 298–314. https://doi.org/10.1080/19361653.2019.1586615
  • Flick, U. (2014). An introduction to qualitative research. Sage.
  • Flynn, S., & Smith, N. G. (2021). Interactions between blending and identity concealment: Effects on non-binary people’s distress and experiences of victimization. PloS One, 16(3), e0248970. https://doi.org/10.1371/journal.pone.0248970
  • Frost, D. M., & Meyer, I. H. (2023). Minority stress theory: Application, critique, and continued relevance. Current Opinion in Psychology, 51, 101579. https://doi.org/10.1016/j.copsyc.2023.101579
  • Galupo, M. P., Pulice-Farrow, L., & Lindley, L. (2020). “Every time I get gendered male, I feel a pain in my chest”: Understanding the social context for gender dysphoria. Stigma and Health, 5(2), 199–208. https://doi.org/10.1037/sah0000189
  • Galupo, M. P., Pulice-Farrow, L., & Pehl, E. (2021). “There Is Nothing to Do About It”: Nonbinary Individuals’ Experience of Gender Dysphoria. Transgender Health, 6(2), 101–110. https://doi.org/10.1089/trgh.2020.0041
  • Greey, A. D. (2023). “It’s just safer when I don’t go there”: Trans people’s locker room membership and participation in physical activity. Journal of Homosexuality, 70(8), 1609–1631. https://doi.org/10.1080/00918369.2022.2038968
  • Guy, A. A., Yoder, W., Manser, K., Ramos, S. D., & Du Bois, S. N. (2020). Comparing the health of transgender women, transgender men, and gender non-conforming individuals using population-level data. Annals of LGBTQ Public and Population Health, 1(1), 43–62. https://doi.org/10.1891/LGBTQ.2019-0002
  • Harrison, J., Grant, J., & Herman, J. L. (2012). A gender not listed here: Genderqueers, gender rebels, and otherwise in the National Transgender Discrimination Survey. LGBTQ Public Policy Journal at the Harvard Kennedy School, 2(1), 13–24.
  • Hegarty, P., Ansara, Y. G., & Barker, M.-J. (2018). Nonbinary gender identities. In N. K. Dess, J. Marecek, & L. C. Bell (Eds.), Gender, sex, and sexualities: Psychological perspectives. (pp. 53–76). Oxford University Press.
  • Hendricks, M. L., & Testa, R. J. (2012). A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the minority stress model. Professional Psychology: Research and Practice, 43(5), 460–467. https://doi.org/10.1037/a0029597
  • Hughto, J. M., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine (1982), 147, 222–231. https://doi.org/10.1016/j.socscimed.2015.11.010
  • Jacobsen, K., Davis, C. E., Burchell, D., Rutherford, L., Lachowsky, N., Bauer, G., & Scheim, A. (2023). Misgendering and the health and wellbeing of nonbinary people in Canada. International Journal of Transgender Health. Advance Online Publication, 1–15. https://doi.org/10.1080/26895269.2023.2278064
  • Johnson, A. H. (2016). Transnormativity: A new concept and its validation through documentary film about transgender men. Sociological Inquiry, 86(4), 465–491. https://doi.org/10.1111/soin.12127
  • Johnson, K. C., LeBlanc, A. J., Deardorff, J., & Bockting, W. O. (2020). Invalidation experiences among nonbinary adolescents. Journal of Sex Research, 57(2), 222–233. https://doi.org/10.1080/00224499.2019.1608422
  • Jones, A. K., Wehner, C. L., Andrade, I. M., Jones, E. M., Wooten, L. H., & Wilson, L. C. (2022). Minority stress and posttraumatic growth in the transgender and nonbinary community. Psychology of Sexual Orientation and Gender Diversity. Advance online publication. https://doi.org/10.1037/sgd0000610
  • Jones, Z. (2018). Depersonalization in gender dysphoria: Widespread and widely unrecognized. Medium. https://zinniajones.medium.com/depersonalization-in-gender-dysphoria%02widespreadand-widely-unrecognized-baaac395bcb0
  • Kidd, J. D., Jackman, K. B., Barucco, R., Dworkin, J. D., Dolezal, C., Navalta, T. V., Belloir, J., & Bockting, W. O. (2021). Understanding the impact of the covid-19 pandemic on the mental health of transgender and gender nonbinary individuals engaged in a longitudinal cohort study. Journal of Homosexuality, 68(4), 592–611. https://doi.org/10.1080/00918369.2020.1868185
  • Kozee, H. B., Tylka, T. L., & Bauerband, L. A. (2012). Measuring transgender individuals’ comfort with gender identity and appearance: Development and validation of the Transgender Congruence scale. Psychology of Women Quarterly, 36(2), 179–196. https://doi.org/10.1177/0361684312442161
  • Lefevor, G. T., Boyd-Rogers, C. C., Sprague, B. M., & Janis, R. A. (2019). Health disparities between genderqueer, transgender, and cisgender individuals: An extension of minority stress theory. Journal of Counseling Psychology, 66(4), 385–395. https://doi.org/10.1037/cou0000339
  • Lerner, J. E. (2021). Having to “hold it”: Factors that influence the avoidance of using public bathrooms among transgender people. Health & Social Work, 46(4), 260–267. https://doi.org/10.1093/hsw/hlab027
  • Levitt, H. M., Kehoe, K. A., & Hand, A. B. (2023). Beyond minority stress: Toward a multidimensional psychology of trans/nonbinary gender. Current Opinion in Psychology, 49(101515), 101515. https://doi.org/10.1016/j.copsyc.2022.101515
  • Lindley, L., & Galupo, M. P. (2020). Gender dysphoria and minority stress: Support for inclusion of gender dysphoria as a proximal stressor. Psychology of Sexual Orientation and Gender Diversity, 7(3), 265–275. https://doi.org/10.1037/sgd0000439
  • Lorusso, M. M., Rosati, F., Loopuijt, C., Pistella, J., Baiocco, R., & Albanesi, C. (2024). Navigating the gap: Unveiling the hidden minority stressors faced by trans and nonbinary clients in gender affirming pathways. International Journal of Transgender Health. Advance online publication. https://doi.org/10.1080/26895269.2024.2335519
  • Matsuno, E., Bricker, N. L., Savarese, E., Mohr, R., & Balsam, K. F. (2022). The default is just going to be getting misgendered’: Minority stress experiences among nonbinary adults. Psychology of Sexual Orientation and Gender Diversity. Advance online publication. https://doi.org/10.1037/sgd0000607
  • McGuire, J. K., Okrey Anderson, S., & Michaels, C. (2022). “I don’t think you belong in here:” The impact of gender segregated bathrooms on the safety, health, and equality of transgender people. Journal of Gay & Lesbian Social Services, 34(1), 40–62. https://doi.org/10.1080/10538720.2021.1920539
  • McLemore, K. A. (2015). Experiences with misgendering: Identity misclassification of transgender spectrum individuals. Self and Identity, 14(1), 51–74. https://doi.org/10.1080/15298868.2014.950691
  • McLemore, K. A. (2018). A minority stress perspective on transgender individuals’ experiences with misgendering. Stigma and Health, 3(1), 53–64. https://doi.org/10.1037/sah0000070
  • Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38–56. https://doi.org/10.2307/2137286
  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
  • Meyer, I. H. (2015). Resilience in the study of minority stress and health of sexual and gender minorities. Psychology of Sexual Orientation and Gender Diversity, 2(3), 209–213. https://doi.org/10.1037/sgd0000132
  • Millet, N., Longworth, J., & Arcelus, J. (2017). Prevalence of anxiety symptoms and disorders in the transgender population: A systematic review of the literature. International Journal of Transgenderism, 18(1), 27–38. https://doi.org/10.1080/15532739.2016.1258353
  • Mirabella, M., Piras, I., Fortunato, A., Fisher, A. D., Lingiardi, V., Mosconi, M., Ristori, J., Speranza, A. M., & Giovanardi, G. (2022). Gender identity and non-binary presentations in adolescents attending two specialized services in Italy. The Journal of Sexual Medicine, 19(6), 1035–1048. https://doi.org/10.1016/j.jsxm.2022.03.215
  • Morris, E. R., Lindley, L., & Galupo, M. P. (2020). Better issues to focus on”: Transgender microaggressions as ethical violations in therapy. The Counseling Psychologist, 48(6), 883–915. https://doi.org/10.1177/0011000020924391
  • National Center for Institutional Diversity. (2019). Not another gender binary: A call for complexity over cis-readability. Retrieved from https://medium.com/national-center-for-institutional-diversity/
  • Parr, N. J., & Howe, B. G. (2019). Heterogeneity of transgender identity nonaffirmation microaggressions and their association with depression symptoms and suicidality among transgender persons. Psychology of Sexual Orientation and Gender Diversity, 6(4), 461–474. https://doi.org/10.1037/sgd0000347
  • Pezzella, A., Pistella, J., Baiocco, R., Kouta, C., Rocamora-Perez, P., Nielsen, D., Kuckert-Wöstheinrich, A., Dudau, V., & Papadopoulos, I. (2023). IENE 9 project: Developing a culturally competent and compassionate LGBT + curriculum in health and social care education. Journal of Gay & Lesbian Mental Health, 27(2), 118–124. https://doi.org/10.1080/19359705.2021.2012733
  • Poquiz, J. L., Coyne, C. A., Garofalo, R., & Chen, D. (2021). Comparison of gender minority stress and resilience among transmasculine, transfeminine, and nonbinary adolescents and young adults. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 68(3), 615–618. https://doi.org/10.1016/j.jadohealth.2020.06.014
  • Puckett, J. A., Aboussouan, A. B., Ralston, A. L., Mustanski, B., & Newcomb, M. E. (2023). Systems of cissexism and the daily production of stress for transgender and gender diverse people. International Journal of Transgender Health, 24(1), 113–126. https://doi.org/10.1080/26895269.2021.1937437
  • Pulice-Farrow, L., Cusack, C. E., & Galupo, M. P. (2020). Certain parts of my body don’t belong to me”: Trans individuals’ descriptions of body-specific gender dysphoria. Sexuality Research and Social Policy, 17(4), 654–667. https://doi.org/10.1007/s13178-019-00423-y
  • Reineck, K. (2017). Running from the gender police: Reconceptualizing gender to ensure protection for non-binary people. Michigan Journal of Gender & Law, 24(2), 265–322. https://doi.org/10.36641/mjgl.24.2.running
  • Reisner, S. L., & Hughto, J. M. W. (2019). Comparing the health of nonbinary and binary transgender adults in a statewide non-probability sample. PloS One, 14(8), e0221583. https://doi.org/10.1371/journal.pone.0221583
  • Richards, C., Bouman, W. P., Seal, L., Barker, M. J., Nieder, T. O., & T’Sjoen, G. (2016). Non-binary or genderqueer genders. International Review of Psychiatry (Abingdon, England), 28(1), 95–102. https://doi.org/10.3109/09540261.2015.1106446
  • Rimes, K. A., Goodship, N., Ussher, G., Baker, D., & West, E. (2019). Nonbinary and binary transgender youth: Comparison of mental health, self-harm, suicidality, substance use and victimization experiences. The International Journal of Transgenderism, 20(2-3), 230–240. https://doi.org/10.1080/15532739.2017.1370627
  • Rood, B. A., Reisner, S. L., Surace, F. I., Puckett, J. A., Maroney, M. R., & Pantalone, D. W. (2016). Expecting rejection: Understanding the minority stress experiences of transgender and gender-nonconforming individuals. Transgender Health, 1(1), 151–164. https://doi.org/10.1089/trgh.2016.0012
  • Rosati, F., Lorusso, M. M., Pistella, J., Giovanardi, G., Di Giannantonio, B., Mirabella, M., Williams, R., Lingiardi, V., & Baiocco, R. (2022). Non-binary clients’ experiences of psychotherapy: Uncomfortable and affirmative approaches. International Journal of Environmental Research and Public Health, 19(22), 15339. https://doi.org/10.3390/ijerph192215339
  • Ryan, C., & Rivers, I. (2003). Lesbian, gay, bisexual and transgender youth: Victimization and its correlates in the USA and UK. Culture Health & Sexuality, 5(2), 103–119. https://doi.org/10.1080/1369105011000012883
  • Scandurra, C., Carbone, A., Baiocco, R., Mezzalira, S., Maldonato, N. M., & Bochicchio, V. (2021). Gender identity milestones, minority stress and mental health in three generational cohorts of Italian binary and nonbinary transgender people. International Journal of Environmental Research and Public Health, 18(17), 9057. https://doi.org/10.3390/ijerph18179057
  • Scandurra, C., Mezza, F., Maldonato, N. M., Bottone, M., Bochicchio, V., Valerio, P., & Vitelli, R. (2019). Health of non-binary and genderqueer people: A systematic review. Frontiers in Psychology, 10, 1453. https://doi.org/10.3389/fpsyg.2019.01453
  • Sharrow, E. A. (2021). Sports, transgender rights and the bodily politics of cisgender supremacy. Laws, 10(3), 63. https://doi.org/10.3390/laws10030063
  • Spack, N. P., Edwards-Leeper, L., Feldman, H. A., Leibowitz, S., Mandel, F., Diamond, D. A., & Vance, S. R. (2012). Children and adolescents with gender identity disorder referred to a pediatric medical center. Pediatrics, 129(3), 418–425. https://doi.org/10.1542/peds.2011-0907
  • Spiel, K. (2021). Why are they all obsessed with Gender?” (Non)binary Navigations through Technological Infrastructures [Paper presentation]. Designing Interactive Systems Conference 2021, (pp. 478–494). https://doi.org/10.1145/3461778.3462033
  • Stanton, A. M., Batchelder, A. W., Kirakosian, N., Scholl, J., King, D., Grasso, C., Potter, J., Mayer, K. H., & O’Cleirigh, C. (2021). Differences in mental health symptom severity and care engagement among transgender and gender diverse individuals: Findings from a large community health center. PloS One, 16(1), e0245872. https://doi.org/10.1371/journal.pone.0245872
  • Sue, D. W., & Capodilupo, C. M. (2007). Racial, gender and sexual orientation microaggressions: Implications for counseling and psychotherapy. In D. W. Sue & D. Sue (Eds.), Counseling the culturally diverse: Theory and practice (pp. 109–131). Wiley.
  • Sulis, G., & Gheno, V. (2022). The debate on language and gender in Italy, from the visibility of women to inclusive language (1980s–2020s). The Italianist, 42(1), 153–183. https://doi.org/10.1080/02614340.2022.2125707
  • Tan, K. K. H., Treharne, G. J., Ellis, S. J., Schmidt, J. M., & Veale, J. F. (2020). Gender minority stress: A critical review. Journal of Homosexuality, 67(10), 1471–1489. https://doi.org/10.1080/00918369.2019.1591789
  • Testa, R. J., Habarth, J., Peta, J., Balsam, K., & Bockting, W. (2015). Development of the gender minority stress and resilience measure. Psychology of Sexual Orientation and Gender Diversity, 2(1), 65–77. https://doi.org/10.1037/sgd0000081
  • Twist, J., & de Graaf, N. M. (2019). Gender diversity and non-binary presentations in young people attending the United Kingdom’s National Gender Identity Development Service. Clinical Child Psychology and Psychiatry, 24(2), 277–290. https://doi.org/10.1177/1359104518804311
  • Vidourek, R. A., King, K. A., & Merianos, A. L. (2016). School bullying and student trauma: Fear and avoidance associated with victimization. Journal of Prevention & Intervention in the Community, 44(2), 121–129. https://doi.org/10.1080/10852352.2016.1132869
  • Warren, J. C., Smalley, K. B., & Barefoot, K. N. (2016). Psychological well-being among transgender and genderqueer individuals. International Journal of Transgenderism, 17(3-4), 114–123. https://doi.org/10.1080/15532739.2016.1216344
  • Wingrove-Haugland, E., & McLeod, J. (2021). Not “minority” but “minoritized.” Teaching Ethics, 21(1), 1–11. https://doi.org/10.5840/tej20221799
  • Young, E. (2019). They/them/their: A guide to nonbinary and genderqueer identities. Jessica Kingsley.

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