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Historically, it has been common practice for doctors and parents to withhold the diagnosis from their minor intersex patients. This study seeks to integrate intersex youth experiences into the growing body of literature on diagnosis disclosure for intersex patients.

Using gender structure theory as a model, 16 intersex youth were given in-depth surveys regarding their experiences with their intersex identity in individual, interactional, and institutional contexts.

Participants more positively experience intersex than the earlier generations of intersex people. They were not deeply troubled by their diagnosis as doctors have historically feared, and they are open about their diagnosis with their non-intersex peers and teachers. They also find peer support valuable.

Data was collected from a single event and cannot represent all intersex youth. Future research must continue to engage with intersex youth experiences both inside of and beyond activist and support group networks.

These findings are strong exploratory evidence for the importance of diagnosis disclosure for intersex youth. Policies of withholding intersex diagnoses in clinical and familial contexts should be reevaluated in light of the experiences of intersex youth.

Diagnosis disclosure for intersex youth creates the potential for increased medical decision-making participation and increased capacity for activism and community building around intersex issues.

Our results encourage future studies that center the experiences of intersex youth, for we conclude that theorizing the lived experiences of intersex people is incomplete without their perspectives.

The chapter compiles a glossary of key lesbian, gay, bisexual, transgender, and queer (LGBTQ+) terms and concepts relevant in the twenty-first century that a progressive librarian and information professional should be aware of. These are categorized based on gender, sex, and gender identity; sexual and romantic orientation; LGBTQ+ rights and social justice; and outdated and offensive terms. It also briefly explores support for LGBTQ+ patrons through library-based scenarios and provides the contemporary professional important questions to consider in response to the difficult situations represented. Finally, the chapter provides a listing of 25 American LGBTQ+ web-based resources with annotations for librarians to become LGBTQ+ allies. These are categorized according to LGBTQ+ advocacy, youth, legal issues, policy and research, and libraries and archives.

To explore the relationship between LGBTQIA+ ¹

LGBTQIA+  =  Lesbian, Gay, Bisexual, Trans, Queer/Questioning, Intersex, Asexual/Ally, and others not defined within these terms.

Framed around the Williams Institute report Public Attitudes toward Homosexuality and Gay Rights across Time and Countries (2014), and incorporating aspects of queer theory, this chapter will explore some of the literature discussing libraries and the LGBTQIA+  community. It will then detail some specific examples of activities libraries are engaging in to support LGBTQIA+  rights.

Many libraries around the globe appear to be offering special programs and services for LGBTQIA+  persons.

This is not a systematic review of library services to the LGBTQIA+  community. The author relied on freely available information sources.

Highlights some of the excellent work libraries are doing in support of LGBTQIA+  human rights. The role of libraries are constantly changing, this chapter points to the potential for libraries to take a stronger role to enact social justice and support human rights.

The chapters in this book focus on how higher education can cultivate and promote a more inclusive and equitable environment in higher education, especially with regard to gender diversity as well as those non-conforming, non-heteronormative groups. The chapters in this volume cover the broad picture/context of diversity in various countries as well as a specific focus on gender. The chapters discuss the factors relating to inclusion and equity, what is driving campuses to be more inclusive, and practical steps and case studies that higher education institutions can implement to create more inclusive and equitable learning environments. Finally, this volume discusses the need for inclusive leadership which involves building institutional capacity for inclusion and creating the right conditions under which inclusion and equity can grow and thrive and crafting policies and practices whose end result is to create a culture of inclusion.

Books serve as important information resources and provide space for reflection and identity-building for many lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) people. Many in this community have experienced reduced feelings of isolation through engagement with the writings of others. Providing a safe space for such engagement is vital. Library and information science (LIS) professionals are in an optimal position to meet such needs, particularly when efforts are made to implement changes based on explicitly expressed concerns.

This chapter provides a case study of the LGBTQ Center of Durham, North Carolina, to illustrate how the organization is integrating the local LGBTQ+ community into its library by using the community’s own vocabulary and interests to inform the center’s practices and policies. The chapter also offers a guide to the locally responsive, LGBTQ+-specific classification system created for the LGBTQ Center of Durham’s library collection. This classification system was designed to represent library materials for its Durham and surrounding-area users in a useful, accessible, and respectful manner – a feat that the library committee did not feel could be accomplished using existing classification systems.

Building on the case study for applicability, the author makes recommendations for how LIS professionals who wish to better serve LGBTQ+ users can incorporate the community into their library and/or collection. The author provides additional suggestions for action, with varying levels of commitment, for library professionals and volunteers. Through resource development, training, collection development, and classification revision, libraries can more closely align their practices with the needs of users of all gender identities and sexual orientations.

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.

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.