ABSTRACT

Eating disorders are a clinically relevant concern for the transgender population, though existing research has not addressed the role of diet and nutrition beyond a pathologized approach. This narrative inquiry follows the evolution of a 27 year-old transgender male’s relationship with food and exercise during his physical transition. Data collection included a review of the notes from his electronic health record and an unstructured, in-depth interview. The researchers analyzed the data through a hybrid biographical and psychological lens using gender schema theory and transgender theory. Five themes were constructed to characterize his relationship with food and exercise: punishment, control, physical transition, health promotion, and self-care. Though transgender individuals may be vulnerable to developing an unhealthy relationship with food and exercise, this heightened focus on the body may be an ideal time to instill healthy dietary and exercise patterns with the support of mental health counselors and registered dietitians.

摘要

饮食失调是跨性别人群的临床相关问题，尽管现有的研究没有解决饮食和营养在病态化方法之外的作用。这个叙述性调查跟随一名 27 岁的跨性别男性在身体过渡期间与食物和运动的关系的演变。数据收集包括审查他的电子健康记录中的笔记和非结构化的深入访谈。研究人员使用性别图式理论和跨性别理论，通过混合的传记和心理镜头分析数据。构建了五个主题来描述他与食物和锻炼的关系：惩罚、控制、身体转变、健康促进和自我保健。