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This qualitative study explored adults\u2019 with autism experiences of coming to understand and address their gender dysphoria (GD). Data were collected and analysed using Grounded Theory. Ten adults with autism and GD undertook semi-structured interviews. A tentative theoretical framework of common processes involved in understanding and addressing GD for individuals with autism was developed. The experience is captured in the core category\u2014\n                    <jats:italic>Conflict versus Congruence<\/jats:italic>\n                    . A key finding was the impact of autism as a barrier but sometimes a protective factor in participants\u2019 understanding and addressing GD. Participants appeared to achieve greater personal congruence and wellbeing upon transition. Nevertheless, conflicts remained as they navigated the social world with a continuing fear of hostility and sense of difference due to having two stigmatised identities.\n                  <\/jats:p>","DOI":"10.1007\/s10803-019-04296-3","type":"journal-article","created":{"date-parts":[[2020,3,13]],"date-time":"2020-03-13T10:03:36Z","timestamp":1584093816000},"page":"2643-2657","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["\u2018Conflict versus Congruence\u2019: A Qualitative Study Exploring the Experience of Gender Dysphoria for Adults with Autism Spectrum Disorder"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2586-8303","authenticated-orcid":false,"given":"Rachel S.","family":"Coleman-Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Milne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,13]]},"reference":[{"key":"4296_CR1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental health disorders: DSM-5","author":"American Psychological Association","year":"2013","unstructured":"American Psychological Association. 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