Abstract
BackgroundThis qualitative study inductively draws on interviews with transgender and gender nonconforming (TGNC) people about positive emotional experiences related to their TGNC identities. Applying grounded theory tradition, this study provides an understanding of TGNC people's pathways to gender fulfillment and euphoria and presents a positive framework to understand TGNC gender experiences.MethodsResearchers analyzed data from semi-structured virtual interviews conducted with a diverse sample of 36 participants, including TGNC people and mental health providers working with the TGNC community. Researchers gathered data using three distinct semi-structured interview guides eliciting information about TGNC gender experiences, mental health, euphoria, and joy. Data were analyzed using a grounded theory approach; member checking and peer debriefing were conducted to ensure the credibility and trustworthiness of the findings.ResultsThe study identifies a cyclical framework for TGNC identity manifestation, consisting of Identity Exploration, Identity Awareness, Identity Enactment, and Identity Assessment. Gender euphoria is a dynamic experience that may be felt during any part of the cycle; it is a short-term response to a positive, novel experience of identity. TGNC people may also experience Gender Fulfillment, Gender, Contentment, Gender Frustration, and Gender Depression as outcomes relating to their gender experience.Discussion & ImplicationsStudy findings highlight the range of positive experiences of TGNC identity, which may be outcomes of Identity Enactment and experienced throughout the identity cycle. Findings highlight differentiations among positive feelings and related stimuli. This research improves our clinical understanding of TGNC experiences and provide a positive framework for future research.