Eudaimonic Well-Being in Transsexual People, Before and After Gender Confirming Surgery
Gender confirming surgery (GCS) and cross-sex hormones (CSH) are crucial steps in the self-realization of a transsexual individual. However, no study has analyzed the outcome of GCS in a eudaimonic perspective, nor explored eudaimonic well-being before GCS. The study compares the eudaimonic well-being of trans men (N = 56) and women (N = 89) before and after GCS; in the MtF sample, a further comparison was carried out between those who never started any medical intervention and those who were already taking CSH. Finally, the impact of experiences of harassment, discrimination and violence on eudaimonic well-being in the post-surgery sample was explored. All participants completed the Psychological Well-being Scales (Ryff in J Pers Soc Psychol 57:1069–1081, 1989) and, only the post-surgery sample, a questionnaire to assess previous experiences of harassment, discrimination and violence. Both in MtF and FtM participants, those who already received GCS showed higher scores on self-acceptance; in the MtF sample, higher scores were also found on environmental mastery and lower scores on personal growth. The association between experiences of discrimination on well-being was limited and positive, with higher scores in personal growth only in FtM participants who reported being victims of such experiences. Our results suggest that both MtF and FtM transsexuals show higher levels of eudaimonic well-being after GCS.
KeywordsTranssexualism Eudaimonic well-being Gender confirming surgery Gender transition Transphobic violence
The authors are heartily grateful to Patrizia Steca, PhD, and Dario Monzani, PhD, for precious comments on a previous draft of this paper.
- Browne, K., & Lim, J. (2008). Count me in too: LGBT lives in brighton and hove. Brighton, UK: University of Brighton. Retrieved from http://www.brighton.ac.uk/cupp/images/stories/projects/c-ke/LGBTU/CMIT_Safety_Report_Final_Feb08.pdf.
- Devor, A. H. (2004). Witnessing and mirroring: A fourteen stage model of transsexual identity formation. Journal of Gay & Lesbian Psychotherapy, 8(1/2), 41–67.Google Scholar
- European Union Agency for Fundamental Rights. (2014). Being trans in the European Union: comparative analysis of EU LGBT survey data. Retrieved from http://fra.europa.eu/sites/default/files/fra-2014-being-trans-eu-comparative_en.pdf.
- Gijs, L., & Brewaeys, A. (2007). Surgical treatment of gender dysphoria in adults and adolescents: Recent developments, effectiveness, and challenges. Annual Review of Sex Research, 18, 178–224.Google Scholar
- Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. New York, NY: Haworth Clinical Practice Press.Google Scholar
- Prunas, A., Bandini, E., Fisher, A. D., Maggi, M., Pace, V., Quagliarella, L., Todarello, O., & Bini, M. (2016). Experiences of discrimination, harassment, and violence in a sample of italian transsexuals who have undergone sex-reassignment surgery. Journal of Interpersonal Violence. doi: 10.1177/0886260515624233.
- Prunas, A., Clerici, C. A., Veneroni, L., Muccino, E., Gentile, G., & Zoja, R. (2015). Transphobic murders in Italy: An overview of homicides in Milan (Italy) in the last two decades (1993–2012). Journal of Interpersonal Violence, 30(16), 2872–2885. doi: 10.1177/0886260514554293.CrossRefGoogle Scholar
- Ruini, C., Ottolini, F., Rafanelli, C., Ryff, C., & Fava, G. A. (2003). La validazione italiana delle Psychological Well-being Scales (PWB). [Italian validation of Psychological Well-being Scales (PWB)]. Rivista di psichiatria, 38(3), 117–130.Google Scholar
- Transgender Europe. (2013). Constant rise in murder rates. Retrieved from www.transrespect-transphobia.org/en/tvt-project/tmm-results/march-2013.htm.
- Turner, L., Whittle, S., & Combs, R. (2009). Transphobic hate crime in the European Union. Retrieved from http://www.ilga-europe.org/sites/default/files/transphobic_hate_crime_in_the_european_union_0.pdf.