What is in a chosen name? An exploratory study on the renaming experiences of transgender people

Background: For transgender people, choosing and using a name congruent with their gender identity has been identified as a factor that improved self-esteem and well-being. This study aims to explore their renaming experiences and to identify the functions of chosen names in affirming gender identity and in expressing the need for continuity or rupture with the past. Method: The study was structured in two phases. The first phase, purely inductive, consisted in nine semi-structured interviews. A short version of the interview guide was used with sixteen other participants during the second phase of the study, which was both inductive and deductive, following a non-systematic literature review. Data was analyzed based on a constructivist grounded theory approach. Results: Two categories of functions of the chosen name were identified. The first category consisted of the functions of chosen names regarding the affirmation of gender identity, which were: the classificatory, the identificatory and the symbolic functions. The second category consisted of the functions of chosen names in expressing participants' needs for continuity or discontinuity with the past, chosen names being experienced as metaphors of a new beginning, supports for continuity through transformation, compromises between family and cultural identifications and disidentifications. Conclusion: Exploring the renaming process and the functions of the chosen names in the clinical setting with transgender people looking for mental health support may help to identify and enhance gender affirming strategies. This may further assist in reducing aspects of gender incongruence and dysphoria through subjectivation and resilience-developing processes.