In this critical-constructivist grounded theory study, we interviewed 13 autistic-transgender, nonbinary, and/or gender diverse (TNG) individuals on the intersection of their autistic-TNG identities and how they resisted marginalization related to these experiences. Analysis revealed the experiences of living in a world that "doesn't seem quite set up the right way" and situated autistic-TNG experiences in complex set of intersectional processes that require navigating relationships, health care systems, and safety challenges living in a heterosexist, cissexist, and ableist society. Participants had to constantly assess the safety and disclosure of their identities in the face of oppressive systems while claiming space and creating community that affirmed them. We conclude by highlighting the importance of taking an intersectional lens to highlight the many positive aspects of being autistic and TNG, which have been largely absent in research and clinical dialogues. We provide some suggestions for providing culturally responsive mental health and ways neurotypical and cisgender people can begin to challenge ableist and cissexist narratives in their clinical practice and research, alongside autistic-TNG people. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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“调整到不同的渠道”：自闭症跨性别成年人的交叉污名经历。

在这项基于批判建构主义的理论研究中，我们采访了 13 名自闭症跨性别、非二元和/或性别多样化 (TNG) 个体，了解他们的自闭症-TNG 身份的交叉点，以及他们如何抵制与这些经历相关的边缘化。分析揭示了生活在一个“似乎并不完全正确”的世界中的体验，并将自闭症-TNG 体验置于复杂的交叉过程中，这些过程需要在异性恋者中生活的关系、医疗保健系统和安全挑战，cissexist 和ableist 社会。面对压迫性系统，参与者必须不断评估其身份的安全性和披露，同时要求空间并创建肯定他们的社区。最后，我们强调了采用交叉镜头来突出自闭症和 TNG 的许多积极方面的重要性，这些方面在研究和临床对话中基本上没有。我们提供了一些建议，以提供对文化敏感的心理健康，以及神经典型和顺性别者与自闭症 TNG 人一起在临床实践和研究中开始挑战有能力者和顺性别者叙述的方式。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。我们提供了一些建议，以提供对文化敏感的心理健康，以及神经典型和顺性别者与自闭症 TNG 人一起在临床实践和研究中开始挑战有能力者和顺性别者叙述的方式。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。我们提供了一些建议，以提供对文化敏感的心理健康，以及神经典型和顺性别者与自闭症 TNG 人一起在临床实践和研究中开始挑战有能力者和顺性别者叙述的方式。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。