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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.

In this chapter, we draw on trans-informed theoretical frameworks to provide insights into gender justice and gender democratization in Early Childhood Education and Care (ECEC). Our purpose is to illuminate the systemic impact of cisgenderist and cissexist beliefs which refer to the legitimation of birth-assigned gender identity and what this means for embracing a critical project of gender expansiveness in the ECEC classroom. More broadly, we explicate how our engagement with trans studies informs a critique of existing debates about masculinities, boys and male teachers in the early years. We draw on the work of trans scholars in the first part of this chapter to ground an epistemological basis for our understanding of gender expansiveness and masculinities that challenges a cisnormative framing of gender justice in ECEC. In the second part, we draw specifically on scholars in the field who have been pivotal in elaborating what we understand to be gender expansive identities and what this means for thinking about gender justice in the early childhood classroom. In the third part, we reflect on the pedagogical implications of boyhood sissiness through a trans-informed lens and explicate its implications for understanding boys and masculinities in the early years. Finally, we draw on transgender studies-informed perspectives on masculinity which call for ‘de-essentializ[ing] masculinity as grounded in a cis-male body’ (Gottzén & Straube, 2016, p. 217) and explore their implications for re-envisioning masculinities as a gender-transformative project in ECEC.

This paper aims to challenge the cisnormative and binary assumptions that underpin the management and gender scholarship. Introducing and contextualising the contributions that comprise this special issue, this paper critically reflects on some of the principal developments in management research on trans* and intersex people in the workplace and anticipates what future scholarship in this area might entail.

A critical approach is adopted to interrogate the prevailing cisnormative and binary approach adopted by management and gender scholars.

The key finding is the persistence of cisnormativity and normative gender and sex binarism in academic knowledge production and in society more widely, which appear to have hindered how management and gender scholars have routinely failed to conceptualise and foreground the array of diverse genders and sexes.

This paper foregrounds the workplace experiences of trans* and intersex people, which have been neglected by management researchers. By positioning intersexuality as an important topic of management research, this paper breaks the silence that has enwrapped intersex issues in gender and management scholarship. There are still unanswered questions and issues that demand future research from academics who are interested in addressing cisnormativity in the workplace and problematising the sex and gender binaries that sustain it.

Over the past decade, there has been an increase in the number of transgender adolescents that receive gender-affirming hormones. While the long-term repercussions of taking hormones are understudied, it is possible that one of the impacts is infertility. Although infertility is not definite, healthcare professionals are still responsible for discussing fertility preservation with transgender adolescent patients, which encourages a population of young people to determine whether or not they want to biologically have children in the future. Drawing on in-depth interviews with healthcare professionals, parents, and transgender adolescents, this study explores the thoughts and perceptions pertaining to fertility and how these three groups work with one another throughout transition. My findings show that (1) adult participants (parents and healthcare professionals) have mental barriers, which include fear of regret and grief over the loss of anticipated biological motherhood, (2) there is a delay in the conversation happening between the healthcare professionals, parents, and trans adolescents, and (3) trans adolescents reject fertility, but are open to building a family. I argue that cisnormative and transnormative ideologies overshadow these conversations, which could result in limiting the potential for queer biological parenthood. The chapter ends with suggestions for how to make conversations pertaining to fertility preservation more expansive to dismantle transnormativity.

Gender-diverse people experience unique cultural and interpersonal stigma in mainstream society and sometimes within their own communities; they face allegations of inauthenticity based on their nonconformity to either cisnormative or transnormative gender regimes. Based on 21 in-depth life history interviews, we unveil the intricate interactional process of negotiating identity and authenticity in the biographical work of gender-diverse individuals. In this study, gender-diverse people engaged in a “gender audit” with their gender-diverse interviewer. Gender audits yield verbal performances of gender with oneself and others. Ambiguity was “accounted for” or “embraced and created” in their biographical work to organize their life stories and undermine binary essentialism – a discourse that was “discursively constraining.” Gender audits took place in participants' day-to-day lives, either through self-audits, questioning from others, or both. In the final analysis, we assert that we all engage in gender auditing. Gender audits are intersubjective sites of domination, subordination, resistance, and social change. Gender diversity, then, can be viewed as a product of gender in flux.

Heteronormativity and cisnormativity are dominant perspectives ensuring that social structures, including educational systems, operate with a bias for heterosexual, cisgender people. Gender and sexual minority (GSM) children worldwide attend schools where they are excluded and harassed because of their gender identity and/or sexuality. While many education professionals would not tolerate such discrimination perpetrated on the basis of minority ethnicity, race, or religion, relatively little attention is given to the marginalization of GSM students. The term ‘context paralysis’, coined here, describes a reluctance to engage with issues when the cultural context may make doing so difficult. Gender and sexuality are indeed sensitive and provocative topics, deeply connected to cultural norms and customs. However, to dismiss discrimination against GSM people in the name of local traditions is to be complicit in a tradition of bigotry. This chapter calls upon comparative and international education (CIE) scholars to employ their aptly nuanced training and expertise to elevate the visibility of issues barring GSM students from equal participation in school, to disseminate findings about effective interventions and policies that protect and support GSM students, and to interpret and adapt this research for application across cultural and geographic settings. Indeed, it is those in the field of CIE who may be best suited to carry out the sensitive implementation of educational research across borders and are, thus, particularly well-positioned to overcome context paralysis on behalf of GSM children worldwide.

The purpose of this paper is to deploy a critical discourse analysis (CDA) to consider exclusionary practices enacted by academic libraries as evidenced through resource provision. Specifically, this paper looks at the inclusion of trans and gender-nonconforming (TGNC) individuals in library guides, TGNC naming practices in abstracts and the physical shelving of transgender studies texts. This paper concludes with a discussion of methods to overcome such exclusionary practices in the future.

This paper deploys CDA as informed by queer theory, affording a lens to consider how language and information are structured such that particular power dynamics emerge placing symbolic value on discursively normal identities. CDA helps illuminate when, how and why TGNC individuals remain excluded within academic librarianship practices.

Findings show continued investments in heteronormative and cisnormative structures concerning information provision and access for TGNC patrons. TGNC patrons using library guides consistently fail to see any mentioned made of their respective identities aside from research about their identities. Patrons seeking information of personal value (i.e. coming out resources) find few resources. Further, library stacks and databases enact consistent microaggressions such as fetishizing, deadnaming and misgendering.

This project contains considerable social implications, as it pushes against a continued recalcitrance on the part of academic libraries to invest in neutrality by showing its failures regarding TGNC persons.

This study possesses a considerable set of practical implications and highlights tangible problems that could be addressed with relative ease by academic librarians through either systemic reorganization of information or TGNC patrons. Alternatively, this work also suggests that if such reformations are not possible, academic librarians can take it upon themselves to call attention to such issues and purposefully mark these failings, thus making it clear that it is a current limitation of how libraries function and invite patrons (both cisgender and transgender) to challenge and change these representations through research and advocacy.

This project contains considerable social implications as it pushes against a continued recalcitrance on the part of academic libraries (and librarianship more broadly) to invest in neutrality. This study contests the idea that while possessing neutrality academic libraries also posit themselves as inherently good and inclusive. By showing the violence that remains enacted upon transgender and gender nonconforming folks through multiple venues within the academic library, this study makes clear that statements of negativity are thrust onto TGNC patrons and they remain excluded from an institution that purports to have their well-being as one of its core values.

The deployment of CDA within information science is still a relatively new one. While linguists have long understood the multiplicity of discourse beyond language, the application of this method to the academic library as a discursive institution proves generative. Furthermore, the relationship between academic libraries and their LGBTQ+ populations is both underrepresented and undervalued, a problem exacerbated when focusing on how transgender and gender nonconforming patrons see themselves and their relationships to the academic library. This paper shows the dire state of representation for these particular patrons and provides groundwork for positively changing such representations.

For the vast majority of cisgendered people who experience alignment between the sex they were assigned at birth, the body they have and their gender identity they are comfortable with (Schilt and Westbrook, 2009), the experience of trans people is a distant one. More of us share an experience of aging and the associated concerns about reduced independence, deterioration of health and increased need for care and support. The paper aims to discuss these issues.

For trans elders, the experience of aging has specific features that have a major impact on their lives if not understood, planned for and responded to appropriately. This paper presents findings from a qualitative study exploring trans peoples experiences, concerns and suggestions for how agencies providing elder care can better meet their expectations (Jones, 2013).

The research revealed low confidence in the ability of current aged care services to meet the needs of trans elders due to a limited understanding of the relationship between health and social care specific to trans people; undervaluing the networks in trans people’s lives; the need to demonstrate culturally competent services and real concerns regarding tackling discrimination and abuse. Despite legislative advancements, there was a sense that activism is central to tackling these issues and trans people are articulating their demands for shaping future provision. The research identifies a number of recommendations for care providers and future areas of research.

In response to identifying an absence of trans voices being heard on the subject of trans elder care, this study sought to understand expectations of services, amplify the voices of the participants and share the priorities they articulated to influence future service design and practice.

Purpose: In this chapter, we develop a concept of social biographies which draws on social network and life course theories to examine how a diverse set of social relationships impacts health of sexual and gender minority (SGM) people over time.

Design/methodology/approach: We provide an overview of several decades of research on SGM people's social relationships, organizing this research within a social biographies framework.

Findings: We theorize about the importance of both the structure and content of SGM people's social networks for health, how these social relationships interact with each other, how these social biographies and their impacts shift across SGM cohorts and over the life course, and how they further are shaped by the intersection of a range of factors (e.g., race/ethnicity, social class).

Social biographies can remain constant or change over time, and relationships of all types and durations have the power to significantly improve or undermine health. This is in part because social ties both buffer and exacerbate the inimical effects of stress on health.

Originality/value: Traditional conceptualizations of relationships fail to reflect the diversity of relationships in SGM lives. Studying this diversity deepens our view of how social biographies influence health and how health inequities between SGM and cisgender and heterosexual (cishet) populations emerge. Studying social biographies of SGM people using theoretical and methodological tools from life course and social network perspectives reveals existing voids in the current literature, enabling researchers to better understand the shifting nature of social relationships in the twenty-first century.

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.