Risk factors for marginalization

• Unprotected childhood
• Experiences of violence and victimization (as a child, school mobbing, in a relationship etc.)
• Strong history substance abuse or a substance abuse becoming chronic
• Great losses in close human contacts due to transitioning (parents disown, divorce etc.)
• Inadequate and dysfunctional ways of problem-solving (denial, dissociation by substance abuse etc.)
• Chronic anxiety, depression and other mental health problems
• Somatic illnesses
• Breaks in working and studying ability
• Periods of unemployment
• Poverty, economic uncertainties
• Sex work
• Psychological heterosexuality in transwomen (androphilia) and sexual relationships with men
  • The risk of abuse/The risk of socialization into womanhood remains inadequate/ Might try to seek recognition and acceptance for femininity only through sexual means and might sexualize her femininity.
• Inadequate passing (usually as a woman)
• Problems with getting employment
• Constant experiences of discrimination
• Gender-identity-strengthening feedback is lacking
• Hostility towards the society as a firewall; black/white-weltanschauung with strong splitting into good (us) versus bad (them)
• (Internalized marginalization)

Structural:

• The problem areas and omissions within the public health care system (the length of the transitioning 10 years, difficulties in getting into the system and getting the care while in the system, bad quality, the psychiatric medicalization of the problems)
• The gender system (Marginalizes transpeople and creates invisibility of the gender minority experiences, dehumanization and negative stereotypes)

Factors protecting from marginalization

Psychosocial and the ones pertaining to the societal status

• Protected childhood
• Trust in life
• Positive ego
• Good social skills (self-expression, negotiation, compromizing and consideration etc.)
• Developed skills for anxiety tolerance and problem-solving
• Happy relationship with acceptance
• Working as a parent
• A robust network of peers
• Psychologically being a lesbian or a bisexual in transwomen (gynephilia or having a relationship with man or a woman is possible)
• For transwomen earlier or current love affairs with women and close friendships with women
  • Help socialization into womanhood
• Being well educated
• Employment
• Societal and economic statuses are good (own money/peace/spece/car/choices within the healthcare/career choices etc.)
• Looks: Good or ordinary (with transwomen especially)
• Middle class taste and style (with transwomen especially)
• Hobbies, abilities, skills in doing and knowing (esp. In transmen)
• Participating in the gender community and the knowledge of the gender subcultures (knowledge, views, concepts, values.)
• Societal work for your own group

Structural

• The public health care, welfare and social services of the welfare state
• Own clubs and special support services (SETA, Gender Support Center, Trasek)