# An Autophotographic–Phenomenological Investigation of British Transmen’s Psychological Well-Being

## TL;DR

This study explores the psychological well-being of British transgender men, highlighting the challenges they face and the resources that support their mental health.

## Contribution

The study contributes a novel use of auto-photography and interpretive phenomenological analysis to understand the lived experiences of British transmen.

## Key findings

- Participants experienced significant mental health difficulties before transitioning, often rooted in childhood and societal rejection.
- Unconditional acceptance within the trans community and access to gender-affirming healthcare were key to improving well-being.
- Navigating healthcare systems and facing family and community resistance were major threats to psychological well-being.

## Abstract

Background/Objectives: British trans and gender-expansive individuals face stigma and consistently experience lengthy waits for gender-enhancing interventions. Researchers are using a range of qualitative methodologies to give this marginalised community a voice. In this study the focus is on the lived experiences of British transgender men seeking medical intervention around their gender identity. The aim was to explore how psychological well-being for this group of transmen was both threatened and supported. Methods: Online semi-structured interviews using auto-photography were conducted with eleven transmen aged between 18 and 68 years. Both verbal and visual data were analysed together using interpretive phenomenological analysis. Analysis: Three themes focus on challenges and supportive strategies utilised by participants both before their decision to transition and after. All participants expressed significant mental health difficulties before commencing their transition, typically originating from childhood and continuing until they gained access to gender-affirming medical care. Their transition journeys damaged their well-being through resistance and rejection from families and communities, and difficulties navigating healthcare systems. A series of resources which significantly enhanced well-being were also reported. Unconditional acceptance and belonging found within and beyond the trans community, connecting with nature and ultimately progressing with gender-affirming healthcare were key elements in protecting and promoting well-being. Conclusions: The toll on the well-being of trans and other gender-expansive individuals is considerable and recent changes in UK law have exacerbated the hostile environment faced by TGE individuals. Community-based allyship and access to affirmative professional psychological support at all stages is vital.