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Title: Choice in life (transgender older adults' mental health) and in death (UK GPs' euthanasia discourses)
Author: Maddock, Emily
ISNI:       0000 0004 7226 403X
Awarding Body: Prifysgol Bangor University
Current Institution: Bangor University
Date of Award: 2017
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Transgender older adults’ mental health needs are poorly understood. A systematic review of the literature revealed that transgender older adults’ mental health is affected by three types of factors; socioeconomic, psychosocial and biomedical. Transgender older adults may have unique mental health needs that differ from the general older adult population, transgender adults and youth. Fear of victimisation and discrimination, and a lack of social support result in transgender older adults being less likely to engage in end of life planning. Empirical paper: The debate in the United Kingdom (UK) regarding the legalisation of euthanasia (EU) and assisted suicide (AS) is ongoing. However, the views of UK GPs regarding the legalisation of EU/AS are not well understood. Six white British GPs participated in semi-structured interviews. Their discourses were analysed using Foucauldian discourse analysis. While the GPs’ factual knowledge regarding EU/AS was limited, they revealed three discourses: ‘palliative’, ‘medicine is limited, is EU/AS the answer?’ and ‘Patients have the right to EU/AS, but do not count on me’. Implications for theory and practice: Both papers highlighted the influence of societal norms and related discourses on individuals and on services, the need for open communication, staff training and for services to be sensitive to personal choice, both for patients and staff. Many influential models of aging are underpinned by normative assumptions. The use of these models by services and in research may be perpetuating these assumptions through the lack of consideration of those who do not meet such assumptions, including transgender older adults.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available