Publications

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Trans children’s rights and the UNCRC – new article and interview

I have a new article out, co-authored with Dr Cal Horton. It’s about the incorporation of UN convention rights into Scottish law, and what this should (in theory) mean for trans children in Scotland and beyond. The article is totally open access so anyone can read, download, and share it anywhere. You can peruse a copy right here:

The United National Convention on the Rights of the Child and the Rights of Trans Children in Scotland
The International Journal of Children’s Rights

In recent years I’ve felt increasingly critical of human rights as an artificial framework for behaviour, which is frequently ignored or manipulated by those in power. As Nat Raha and Mijke van der Drift put it, these are “human rights for human resources”. Nevertheless, the UN Convention on the Rights of the Child (UNCRC) is now part of Scottish law, and Scottish children and policymakers alike are being informed that this conveys certain expectations for how young people are to be treated.

Cal and I believe it is important to reflect on what this all means for people seeking to work in a humane way with trans children, in Scotland and beyond. In particular, we emphasise the importance of directly involving young people in conversations and decision-making about their own lives. We draw on the demands of young people themselves in doing so, including groups such as Trans Kids Deserve Better Scotland, who note that policymakers have actively ignored young trans people by “by shutting trans bodies and voices out of every room that matters [and] pretending we don’t exist.”

This weekend also sees the publication of an interview I did for the Herald about the UNCRC article. In this, I discuss the findings of my research with Cal. I also reflect more generally on the situation faced by trans studies researchers, in which it is increasingly hard to conduct trans-positive research even as the UK government and funding bodies throw millions of pounds at anti-trans researchers.

Screenshot of the Herald newspaper website. The article header reads: Expert says trans children's rights are not being respected. Exclusive by James McEnaney. There is a photograph of Ruth Pearce, a smiling white woman with shoulder-length brown hair who is wearing an Against Me t-shirt. Below the image is a quote from Ruth: "It is a difficult time to be doing any kind of research on trans or queer or even feminist topics, so I'm finding that I need to be quite cautious about media coverage.


We end the interview with key three takeaways regarding what can be done to protect the rights of trans children, in Scotland and beyond:

“Number one would be to genuinely consult with young trans people and ask what they want and need. They deserve real and meaningful consultation.

“Number two is that there is a huge amount of knowledge that already exists, both on young trans people’s experiences and on how to consult with young people. Draw on the knowledge that already exists.

“And number three is to acknowledge that there is a trans-eliminationist movement. Acknowledge that there is an active attempt to stop anyone from doing the first two things.

“There’s an active attempt to stop any anyone taking seriously what young trans people have to say about their own lives, and an active attempt to stop any accessing of existing knowledge, and that comes from a place of prejudice.

“One of your starting points has to be acknowledging that that exists.”

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New article: Embodied Experiences of Trans Pregnancy

I recently had a new co-authored research article published in the journal Body & Society, titled Embodied Experiences of Trans Pregnancy. It is part of a special issue on Pregnant Bodies and Embodied Pregnancy.

For this piece of writing, we were particularly interested in how embodiment is gendered and vice-versa. In the article, we draw on interviews with trans men and non-binary people to explore the lived, bodily complexities of trans pregnancy. We consider the strategies trans men and non-binary people engage in to manage their gender presentation during pregnancy, and the degree to which pregnancy might disrupt their ability to control the presentation of gender.

The published article is currently behind a paywall, but you can download a free version here from the University of Glasgow’s Enlighten repository, or from the publications page of this website.

This is likely to be the last published article from the Trans Pregnancy Project, an international study which ran 2017-2021. Together we have written around 15(!) other articles and book chapters, and edited a special issue of the International Journal of Transgender Health. You can learn more on the Trans Pregnancy Project website.

Cover of the journal Body & Society.

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New book chapter: By Us and For Us: Bringing Ethics into Transgender Health Research

I’ve co-authored a short chapter for a new book that’s due out in February. The book, titled A History of Transgender Medicine in the United States: From Margins to Mainstream, traces the development of trans medicine across three centuries, with writing from more than 40 contributors.

The book is currently on offer from the publisher, SUNY Press. If you order by 6th December you can buy the book for 50% off with the code HOLIDAY24. That means the paperback edition will come to $22.47 for those in the USA, or £24.12 with postage for buyers in the UK.

I should clarify also that, as usual with academic books, I won’t personally be seeing a penny from its sale. So if you’d like to read this publication, please do get it at a bargain price if you can!

Book cover for A History of Transgender Medicine in the United States: From Margins to Mainstream, by Carolyn Wolf-Gould, Dallas Denny, Jamison Green, and Kyan Lynch. The cover features an anatomical drawing of a heart in the trans flag colours of white, pink, and blue, against a white background.


Our chapter is titled “By Us and For Us: Bringing Ethics into Transgender Health Research“, and I wrote it collaboratively with Noah Adams, Jaimie Veale, Asa Radix, Amrita Sarkar, and Danielle Castro.

In this chapter we explore the context and subsequent impact of an earlier work, our co-authored journal article (with additional author Kai Cheng Thom) Guidance and Ethical Considerations for Undertaking Transgender Health Research and Institutional Review Boards Adjudicating this Research. That article is now one of the most highly-cited works I’ve contributed to. Since its publication in 2017, it’s been used to inform the design and implementation of hundreds of studies, becoming more influential than I ever could have imagined.

I’m really grateful especially to Noah Adams for leading on the process of both our 2017 article and new book chapter. I first met Noah, along with Jaimie and Asa , at the 2016 WPATH Symposium in Amsterdam, which saw the presentation of numerous extremely unethical studies on trans and intersex people. I learned a great deal very fast at that symposium, and through the subsequent writing process with Amrita, Danielle, and Kai.

Most importantly, I learned that it is possible to change research and practice for the better through interventions that centre community perspectives, mutual learning, and our collective responsibilities to one another. This is an important thing to bear in mind in our current age of disinformation and the abuse of scientific discourse: while abusive practices have a long history in trans medicine and medical research, another world is possible.

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New article: ‘Why Is the Chubby Guy Running?’

2024 has been a good year for the publication of articles I’ve been working on with colleagues for a long time. Hot on the heels of recent pieces on microaggressions and domestic violence comes the latest peer-reviewed work from the Trans Pregnancy Project, published in the Journal of Applied Philosophy. It’s open access, which means you can read it for free or download a copy to share here:

‘Why Is the Chubby Guy Running?’: Trans Pregnancy, Fatness, and Cultural Intelligibility
by Francis Ray White, Ruth Pearce, Damien W. Riggs, Carla A. Pfeffer, Sally Hines

The article opens with the titular question, “why is the chubby guy running?” – drawn from a story shared by a research participant who ran a 5k race while thirty-nine weeks pregnant. We use this as the starting point for exploring the topic of fatness in respect to trans men and non-binary people who experience pregnancy, addressing the gendering of both pregnancy and fatness, stereotypes associated with fat men, and how certain bodies become legible or intelligible.

Cover of the Journal of Applied Philosophy.

A lot of research participants in the project described complex relationships to fatness during their pregnancy, especially where their bump was inaccurately read as a “beer belly”. The writing of this article was led by fat studies expert Francis Ray White; I really appreciated the opportunity to work with them on making sense of these stories, and thinking through what they might mean both for trans birth parents and for our understanding of gender and pregnancy more widely.

This is likely to be one of the last published works from the Trans Pregnancy Project (although we do have at least one more article on the way!)

The project originally wrapped in 2020, but we had such an enormous amount of data that we’ve been writing it up ever since since, addressing topics including media representation, midwifery, conception, pregnancy loss, sperm donors, testosterone use and cessation, racialisation and whiteness, partner abuse, and young people’s views about possible pregnancy. I’m grateful as ever for the trust offered to us by the research participants, and hope we can continue to expand and evidence society’s understanding of their experiences.

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New article: The association between microaggressions and mental health among UK trans people

I have a new article out in the journal Social Psychiatry and Psychiatric Epidemiology, co-authored with colleagues at University College London. It reports on the findings of a study led by Talen Wright, looking at the mental health impacts of microaggressions on trans people.

You can download and read the full study for free here:

The association between microaggressions and mental health among UK trans people:
a cross-sectional study
by Talen Wright, Gemma Lewis, Talya Greene, Ruth Pearce, and Alexandra Pitman


What did we find out about microaggressions, mental health, and trans people?

Wright designed a survey of 787 trans adults in the UK, asking questions both about participants’ mental health and their experiences of microaggressions. When analysing the findings, we found that experiencing more microaggressions was associated with worse mental health, including increased severity of depressive and anxiety symptoms, and increased odds of lifetime self-harm, suicidal thoughts, and suicide attempts.

We also found evidence indicating an association between specific microaggressions and specific mental health outcomes:

  • Participants who reported more misuse of their pronouns by others were more likely to report increased thoughts of self-harm and suicide.
  • Participants who reported more experiences of their gender being denied by others were more likely to attempt suicide.
  • Participants who reported more experiences of people around them acting uncomfortably around them because of being trans were more likely to report increased symptoms of depression.
  • Participants who reported more experiences of people around them denying the existence of transphobia were more likely to report increased symptoms of anxiety.


Why is this study important?

With apologies to my co-authors, I consider this a form of “cat detector” research. I base this term on an image shared a few years ago by the Facebook page High Impact PhD Memes, purporting to show someone successfully wielding a cat detector:

The meme is labelled as follows: Interviewer: "How would you define your previous works?" Me: "Groundbreaking". Underneath this is an image depicting the researchers' previous works: a person holding a machine in a cat's face. The machine is labelled "cat detector", and has one face lit up green, labelled "Yes", indicating that it has successfully detected a cat.


The meme is funny because, well, it’s obviously a cat. The research is stating the obvious.

And so this research might quite reasonably seem to many trans people. We know that microaggressions are harmful: that when people deny who we are, it hurts. When researchers or journalists or politicians talk about high rates of poor mental health among trans communities, we know that it is because people are harming us, that entire systems are set up in ways that harm us.

At the same time, we live in a political and policy context where trans people’s voices are rarely heard, and disinformation runs rampant. A lot of cis people are getting inaccurate information about our lives and needs, including healthcare commissioners, doctors, nurses, therapists, educators, and civil servants, as well as our families, friends, and colleagues. Trans people are often portrayed as overly sensitive to other people’s transphobic behaviour, or living in denial of reality.

Given this context, I feel it is beneficial to demonstrate empirically – with statistical analyses! – that small actions add up, and “microaggressions” cause real harm.

I hope this research will be useful for countering non-evidenced transphobic policy approaches. For example, the UK government’s current guidance on “Gender Questioning Children” in schools directly encourages educators to undertake actions that are associated with harmful outcomes in our study. As more research is conducted and published in this area, we will have more information available to clearly demonstrate the risks of transphobic policy, and empower advocates fighting for change.

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Out now in Scientific American: “The U.K.’s Cass Review Badly Fails Trans Children”

I have co-authored an article with Cal Horton for the science magazine Scientific American. We take a concise look at what the Cass Review is, what it found, why the methods used were troubling, and how it is being used to harm young people.

You can read the article here. I hope it will be helpful as a basic explainer for why trans community groups, academic experts, and clinical specialists are so concerned about the Cass Review.

Screenshot of Scientific American website.

Writing for Scientific American was a really interesting experience. It was of course radically different to publishing in a peer-reviewed journal: we put the piece together in a matter of weeks, and it was not scrutinised by academic experts from our specific field of study. At the same time, there was an extremely rigorous editorial, fact-checking, and copyediting process that also made it very different to publishing in most magazines or newspapers.

I was deeply impressed with the sheer amount of time and care the Sci Am editors put into this piece. On one hand, their contributions ensured the piece is written in accessible language, with an international (and especially US-based) readership in mind. On the other hand, we had extensive discussions to ensure that all points made in the article could be rigorously evidenced, including some very detailed exchanges about the specifics of UK law, and what exactly the Cass Review document does and does not have to say about exponential growth over different periods of time. We had to be able to strongly back up any even slightly contentious point.

It was a challenging experience, but one I felt very held by as an author committed to consciencious research practice. Publishing this piece in Sci Am definitely ensured that it was as good as it could possibly be.

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Community Development Journal: Issue 59(3) out now

One element of my work I don’t talk about as much on this blog is my role as co-editor of the Community Development Journal. We put out four issues every year featuring amazing research from across the world, so I’m hoping to highlight this a bit more in future posts.

Volume 59, Issue 3 is out now and features articles on a range of topics from violent protest, to public art, to academic/voluntary partnerships – with contributions from South Africa, the Philippines, the UK, India, Canada, Vietnam, Mexico, Portugal, and Italy. As ever, it’s been hugely exciting to work with and learn from such a broad range of insight and expertise.

In addition to overseeing the peer review process, myself and co-editor Kirsty Lohman write an editorial for every issue. This editorial – one of five freely available articles in the latest issue – celebrates the launch of the new CDJ Plus website and reflects on the privileges and limitations of academic publishing. In particular, we discuss the importance and limitations of using our platform to speak out about the ongoing colonial violence in contexts such as Gaza and Ukraine.

You can read that editorial here:

Academic publishing and the privilege of a platform
by Ruth Pearce and Kirsty Lohman

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New article: “Child rights in trans healthcare”

Image of the cover for the International Journal of Transgender Health

I’m pleased to announce that Child rights in trans healthcare – a call to action has just been published as an advance article in the International Journal of Transgender Health. I helped to co-author it alongside an international team of expert researchers and clinicians, including Cal Horton, Jaimie Veale, TC Oakes-Monger, Ken Pang, Annie Pullen Sansfaçon, and Sophie Quinney.

This article is an editorial, reflecting on the current landscape of policy and practice regarding children’s rights within trans healthcare:

In this editorial we first call attention to the importance of child-rights informed policy and practice in trans healthcare. We outline critical pillars of rights-respecting healthcare for trans, gender-diverse, and gender non-conforming children. We highlight the importance of embedding rights within service delivery, discussing the need for child participation in healthcare design, evaluation and accountability. In the second section of this editorial we articulate and call attention to a sector-wide ethical duty of care to children, building a sector where child rights violations are no longer tolerated. We highlight the responsibilities of all trans healthcare stakeholders and professionals, including those in adult trans healthcare, in ensuring a sector-wide shift to ethical and rights-respecting practice.

The article can be read for free here.

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Free essays! Queer punk, trans-inclusive midwifery, and trans health law

In recent years I have co-authored numerous peer-reviewed essays for edited collections. I have just made three of these freely available, from books originally published in 2020 and 2021.

Why is this happening now? Well, it’s basically due to moves toward so-called “open access” within the bizarro world of academic publishing. I try and publish my work in places that will also let me share my work for free. For book chapters, publishers usually impose an embargo period of 2-3 years, after which authors are allowed to share the post-peer-review version on our own website. The essays I have recently uploaded have all had their embargo end, so I’m excited to now share them more widely.

You can download the essays by clicking on the links below.

Queering Community Development in DIY punk spaces
Also published in the book: Arts, Culture and Community Development (Policy Press)
Written with my long-running collaborator Kirsty Lohman, this essay looks at grassroots community organising within queer, feminist, and anti-racist punk spaces. We argue that this organising is often prefigurative: that is, it actively models and enacts the changes that punks want to see in the world. Looking at events such as First Timers and Decolonise Fest, plus bands such as Big Joanie, we explore what happens when marginalised people create their own cultural spaces, and seek to facilitate access to these spaces for others who are often denied artistic and political expression.

Men transmasculine and non-binary people and midwifery care
Also published in the book: Midwifery Essentials (Elsevier)
I contributed to this essay as part of the Trans Pregnancy research project team. Our project spoke with over 50 men, transmasculine, and non-binary people who experienced pregnancy and childbirth in Australia, Bulgaria, Canada, Germany, the UK, and the USA, plus a handful of midwives who have supported people from this group. In this short essay, we briefly outline the positive and negative experiences that trans birth parents reported having with midwives, plus challenges reported by midwives themselves. On this basis we make 8 recommendations for developing best practice with trans people in midwifery services.

Depathologising Gender: Vulnerability in Trans Health Law
Also published in the book: A Jurisprudence of the Body (Palgrave Macmillan)
I co-wrote this essay with Chris Dietz, a scholar of Law at the University of Leeds. Drawing on feminist and trans critiques of human rights models, plus an analysis of gender recognition laws in countries including Argentina, Denmark, and the UK, we argue for a new approach to understanding the fight for depathologisation in law and medicine.

These three essays are just some of the many peer-reviewed academic publications I make freely accessible on this website. For more work on a range of topics relating to trans studies, feminism, and/or community development, see my publications page.

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“Transnormativity in the Psy Disciplines” reprinted in feminist reader



I’m really happy to announce that an article I co-authored, “Transnormativity in the Psy Disciplines: Constructing Pathology in the Diagnostic and Statistical Manual and Standards of Care”, has been reprinted in the Palgrave Handbook of Power, Gender, and Psychology.

Originally published in American Psychologist in 2019, this was among the first of many articles written collaboratively with my colleagues in the Trans Pregnancy Project team: Damien W Riggs, Carla Pfeffer, Sally Hines, Francis Ray White, and Elisabetta Ruspini. I hope that through its inclusion in this new handbook on theories of gender and power in feminist psychology, this slightly updated essay will reach new readers and provide helpful context on the construction of sex/gender norms through classification and diagnosis.

As I explained on its original publication, in this piece “we examine how the interests of cisgender clinicians and trans patients have variously been opposed and entwined, and contextualise this in relation to wider structures of racism, sexism, colonialism, and binary thinking around sex and gender. We focus especially on how guidance for diagnosing trans people and managing trans healthcare has been contested across various versions of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (the DSM) and the International Harry Benjamin Gender Dysphoria Association (HBIGDA, later WPATH) Standards of Care.”

A free open access version of the original article remains available here: [Transnormativity in the Psy Disciplines: Constructing Pathology in the Diagnostic and Statistical Manual and Standards of Care].