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Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

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Publication date: 19 November 2021

Abstract

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Abstract

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Book part
Publication date: 19 November 2021

Bailey Troia

This study builds on existing research to explore how transgender and non-binary people navigate complex terrain when it comes to strained and ambiguous relationships with…

Abstract

This study builds on existing research to explore how transgender and non-binary people navigate complex terrain when it comes to strained and ambiguous relationships with families of origin. This chapter draws on 23 in-depth interviews with trans and non-binary adults (ages 19–41) to examine the ways that respondents navigated ambiguous and complex family relationships marked by mixed messages and contradictory behaviors from parents regarding their sexual and gender identities. I find that respondents engage in a range of strategies – correcting, conforming, and concealing – to bargain for belonging within families of origin through their work to preserve family ties. Beyond experiencing the emotional costs of ambiguous parental support, I find that some respondents also experience financial strain and inadequate housing, stemming from unstable, distressing relationships with their parents. This chapter demonstrates that ambiguous support from family and complex familial relationships may contribute to a cycle of precarity for trans and non-binary adults. Finally, I show that for respondents, connections to local queer and trans communities and supportive partnerships buffered the negative impacts of familial ambiguity. However, not all respondents had access to community support, intensifying their experiences of marginalization. This chapter contributes to the literature working to destabilize the support versus rejection binary used to characterize LGBTQ experiences and has implications for better understanding the pathways into poverty that trans and non-binary people experience.

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Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

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Book part
Publication date: 19 November 2021

William C. Stallings, Nik M. Lampe and Emily S. Mann

Transgender people experience significant health and healthcare disparities in comparison to cisgender people. Limited access to quality, trans-competent healthcare in the…

Abstract

Transgender people experience significant health and healthcare disparities in comparison to cisgender people. Limited access to quality, trans-competent healthcare in the USA is a central social determinant of these inequities. In this chapter, we expand on the burgeoning literature on accountability structures and transgender healthcare through an analysis of individual interviews with cisgender medical providers about their and their colleagues’ capacity to provide trans-competent healthcare. First, we find that providers report unfamiliarity and uncertainty concerning transgender people, their healthcare needs, and related issues. Although providers regard such ignorance as a structural problem within medical education and practice, the solutions they proffer rely on the benevolence and personal initiative of individual providers to seek out trans-specific information and training. This upholds the boundaries between what is considered “normal” (i.e., cisgender centered) healthcare and trans-competent healthcare. Second, we find that cisgender medical providers who want to provide quality healthcare to transgender people engage in emotion work that prioritizes the comfort and ignorance of their cisgender colleagues and inhibits institutional change. In sum, we argue that, regardless of their intentions, cisgender providers engage in practices that maintain healthcare as a cisnormative accountability structure and, in turn, contribute to the persistence of transgender health and healthcare disparities.

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Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

Book part
Publication date: 19 November 2021

Sameera V. Akella

This study explores the health-seeking process for queer and/or trans people, and factors involved in their healthcare negotiations and decisions to seek care. The data…

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This study explores the health-seeking process for queer and/or trans people, and factors involved in their healthcare negotiations and decisions to seek care. The data included 20 semi-structured interviews of people who identify as queer and/or trans in the southeastern United States. Qualitative analysis was conducted using constructivist grounded theory to inductively analyze accounts of healthcare events, behaviors, and experiences of queer and/or trans people. Participants’ ages ranged from 18 to 57, with a majority identifying as trans/gender nonconforming (65%) and those remaining identifying as queer, cisgender individuals (35%). Both queer and trans identities can overlap, therefore, I use the term “queer and/or trans.” Categories generated through the coding process were as follows: (1) mental health concerns, (2) negotiating gendered and heteronormative assumptions, and (3) significance of participants creating a bed of knowledge. My analysis asserts that these data indicate that queer and/or trans participants manage not just healthcare decisions, but the hopelessness attached to seeking this type of help.

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Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

Book part
Publication date: 19 November 2021

Yael Armangau and Julien Figeac

This chapter aims to analyze the sociabilities, information-sharing behaviors, and types of social support among users of French non-mixed trans Facebook groups. First…

Abstract

This chapter aims to analyze the sociabilities, information-sharing behaviors, and types of social support among users of French non-mixed trans Facebook groups. First, our national survey (N = 405) reveals that the different uses of these groups (information retrieval, emotional support, etc.) vary according to the age and education levels of their trans users, or according to their progress on the transition pathways. Second, we perform a lexical analysis of the messages (N = 70,488) posted, since 2013, in a sample of 24 groups, in order to identify the main topics of discussion. This analysis leads us to emphasize the diversity of social support provided by trans people to one another, via posts and comments. These findings deemphasize the benefits of institutional support because they suggest, alternatively, that trans people are organizing themselves to avoid challenges associated with medical institutions and the French “therapeutic shield.. Such individuals use Facebook to this end, sharing information or support in order to create a safe space managed with a transfeminist ethic, and allowing themselves to make gender-related choices more autonomously, far away from normative judgements (in particular those expressed by the medical profession).

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

Book part
Publication date: 19 November 2021

Alexandra C. H. Nowakowski, J. E. Sumerau and Lain A. B. Mathers

This chapter explores age-based variations in the healthcare experiences of transgender people. Specifically, we outline how transgender people narrate their experiences…

Abstract

This chapter explores age-based variations in the healthcare experiences of transgender people. Specifically, we outline how transgender people narrate their experiences with coming out and transition in later life as well as possibilities for future research and clinical practice concerning older transgender populations. To this end, we begin with a review of the limited literature on older transgender populations including the ways such findings converge and diverge from studies of younger transgender populations. Then, we analyze data gathered from older transgender people throughout the United States concerning their experiences with health events, healthcare providers, and healthcare settings. For this empirical analysis, we draw on over 250 qualitative responses from transgender people over the age of 40. The findings of this chapter demonstrate the importance of adjusting existing healthcare protocols to provide adequate care for aging transgender populations. Specifically, our analyses highlight gaps in access and quality of healthcare delivery as well as issues related to medical education, trans-inclusive protocols, and sex-gender segregated medical traditions. The implications of our work here reveal important possibilities for expanding transgender healthcare access as well as existing barriers to such access. We specifically utilize the case of our respondents and the existing literature to illuminate gaps in needs assessment and healthcare delivery concerning older transgender populations. We will conclude the chapter with recommendations for bridging such gaps in research, education, and system operation.

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

Book part
Publication date: 19 November 2021

Sarah A. Rogers

In this chapter, I address how criminal justice policies, and discrimination and prejudice within the US criminal justice system, negatively affect trans men. By focusing…

Abstract

In this chapter, I address how criminal justice policies, and discrimination and prejudice within the US criminal justice system, negatively affect trans men. By focusing on trans men’s unique incarceration experiences using 15 in-depth interviews, I recommend four key policy changes for correctional facilities: (1) allow trans men to choose the gender of the correctional facility in which they are housed; (2) allow trans men to wear undergarments that align with their gender identity; (3) provide trans men access to trans-appropriate healthcare; and (4) implement harsher penalties for non-compliance of Prison Rape Elimination Act Standards. These four policies would improve the life chances of trans men during their incarceration and post-incarceration.

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

Book part
Publication date: 19 November 2021

Olga Suhomlinova and Saoirse O’Shea

In this chapter, we explore the lived experiences of transgender and gender non-conforming (TGNC) prisoners, arguably the most vulnerable minority in the prison estate…

Abstract

In this chapter, we explore the lived experiences of transgender and gender non-conforming (TGNC) prisoners, arguably the most vulnerable minority in the prison estate, using the data from our correspondence study with transgender women and non-binary individuals incarcerated in male establishments in England and Wales. We provide a brief review of the extant literature, describe the English prison system and the regulations concerning transgender prisoners, and analyze two axes of vulnerability of TGNC prisoners: social (stemming from relationships between prisoners) and institutional (resulting from the prison regime). Along the social axes, we find, in contrast with prior research, that our respondents defied the stereotypes of trans prisoners as submissive to males in a hypermasculine prison society and as involved primarily in abusive relationships. Along the institutional axes, we find that, despite the progressive by international standards transgender prison regulations, prisoners were subject to vicissitudes in treatment that negatively affected their ability to express their gender and their health. Focusing on access to gender-affirming items (clothing, prosthetics, make-up) and gender-affirming medical treatment, we develop recommendations for the prison service that could improve the conditions of confinement for TGNC prisoners.

Details

Advances in Trans Studies: Moving Toward Gender Expansion and Trans Hope
Type: Book
ISBN: 978-1-80262-030-6

Keywords

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