In most cases of gender identity disorder (GID), the condition is often apparent in early childhood, when such a child may express behavior incongruent with and dissatisfaction related to their assigned gender.
Participants mentioned dissatisfaction related to organizational factors, particularly the lack of positive feedback and poor rewards from supervisors.
One area where patients consistently reported dissatisfaction related to operations and procedures carried out during their stay.
As well, they exert a direct pressure on existing professionals and can create dissatisfaction related to increased workloads [ 9].
Some of the free text comments suggest that this dissatisfaction relates to a desire for more opportunity for practice and feedback.
Elsewhere we address how the potential for patient dissatisfaction relates to differing perceptions between patients and clinicians about the urgency of need [ 44].
Three subscales (drive for thinness, bulimia, and body dissatisfaction) relate to the diagnosis of ED, and eight subscales (ineffectiveness, perfectionism, interpersonal distrust, interceptive awareness, maturity fears, asceticism, impulse regulation, and SI) relate to the general psychopathology of ED.
More consistently, caesarean section births have been associated with feelings of dissatisfaction related to the birth and with poor body image and lower self-esteem [ 14], possibly increasing the risk of depression in the longer term.
Another important source of dissatisfaction related to 'social admissions': 'I think that patients that get these labels attached to them often do end up receiving second-rate care' (P22).
Herzberg's two-factor theory (also known as Herzberg's motivational hygiene theory) states that an individual's perception of satisfaction or dissatisfaction relates to a portfolio of discrete intrinsic and extrinsic variables.
