Trans Pregnancy poster: initial findings presented at WPATH

Cross-posted from the Trans Pregnancy blog. Image shows a woman standing in front of a poster display board, smiling.

In early November, I presented a poster at the 2018 World Professional Association for Transgender Health (WPATH) Symposium in Buenos Aires, Argentina. The poster outlined a number of initial findings from our first research interviews, which have so far been conducted in Australia, Canada, the United Kingdom and the United States.

The WPATH Symposium is attended primarily by healthcare professionals working specifically in the field of trans health, so the poster was designed especially with this audience in mind. Our future work will also speak to the needs and interests of trans people who become pregnant as well as professionals specialising in fertility and reproductive health. Plus, we will be exploring what trans pregnancy means for understandings of sex and gender.

You can click on the poster image below to read and download a copy for yourself, or click here for a PDF version.

Through our Twitter account I also reported on two sessions at the WPATH conference which were all about trans fertility and reproduction. You can read these Twitter threads by clicking on the links below:

WPATH oral presentations: Fertility

WPATH oral presentations: Reproduction

To find out more about the context of trans pregnancy and people’s experiences, please do explore our website. We have already published a series of law and policy reviews and are adding more resources all the time.

We are also still recruiting research participants from Australia, European Union countries (including the UK) and the USA. If you are a trans person who has been pregnant and you would like to talk confidentially with us about your experiences, please click here to find out more.

Trans Temporalities and Non-Linear Ageing

Transgender lives may require mixed strategies—not only healing and an achieved coherence but also the ability to represent and to inhabit temporal, gendered, and conceptual discontinuities.’
– Kadji Amin

I’ve recently ha9781138644939d a chapter published in a new book about LGBT ageing: Older Lesbian, Gay, Bisexual and Trans People: Minding the Knowledge Gaps, edited by Andrew King, Kathryn Almack, Yiu-Tung Suen and Sue Westwood. My essay is titled Trans Temporalities and Non-Linear Ageing.

This blog post includes an extract from the introduction to the chapter (updated slightly to reflect my advanced age from the time of writing – what temporal webs we academics weave), along a link at the end where you can download and read a free version of the entire essay.

At the time of writing, I am 12 years old, 16 years old, and 32 years old.
I was born 30 years ago; in chronological terms, I have lived for 32 years. Chronological time is, however, just one means by which ageing might be understood (Baars, 1997). When we talk about age in terms of chronological time, we make a number of assumptions. Most importantly, we assume that our journey through the life course is linear, progressing from birth (at the beginning of the journey) to death (at the end). But my age can also be understood in terms of trans time. As a trans woman, I have experienced non-linear temporalities of disruption, disjuncture, and discontinuity.

By temporality, I refer to ‘the social patterning of experiences and understandings of time’ (Amin, 2014: 219, emphasis mine). Through conceptualising time as a social phenomenon, we might think about other beginnings and other ends, as well as wider temporal shifts and discontinuities across the lifecourse. It is not unusual for trans people do this: for example, through talking about age in terms of trans years in addition to years since birth. What if we were to regarding my coming out at the age of 16 as a beginning (and, for that matter, as an end to my ‘previous’ life)? In this case, I might say that I am 16 years old in trans years. This does not, of course, change my chronological age: I am both 16 and 32. Or, we might regard my commencement of hormone therapy as a beginning, in which case I am 12 (but also 16 and 32, still).

Importantly, trans years are not necessarily linked to chronological years. For instance, two different trans people who are both aged 80 in chronological years might have aged quite differently in trans years: perhaps one of them came out many decades ago, while the other has only been out for a couple of years. These individuals are likely to have had vastly different trans temporal experiences, which belie their apparently similar chronological age.

In this chapter I explore the consequences of trans temporalities for ageing. Non-linear ageing is not simply a matter of theory, but an approach which can enable us to ‘do justice to the complex ways in which people inhabit gender variance’ (Amin, 2014: 219). As Louis Bailey, Jay McNeil and Sonja J Ellis note in chapter 4 of Older Lesbian, Gay, Bisexual and Trans People, ‘Mental Health and Well-Being amongst Older Trans People’, trans people tend to face a range of specific challenges as they age, and may fear accessing mainstream forms of care, such as mental health services. It is therefore vital that academics and service providers alike understand how temporal phenomena such as trans years can shape trans identities and experiences.

I begin by outlining theories of queer and trans temporality that help to make sense of community terminology such as ‘trans years’. I then show how trans people may experience ageing in a variety of quite different ways, drawing on a range of literature as well as findings from two qualitative research projects. Finally, I detail two common features of non-linear trans ageing:anticipation, and delayed adolescence. These discussions draw primarily on evidence, issues and challenges that have been identified in Western European and North American research.

Read the full essay here.

This is an open-access version of my book chapter – you are welcome to read and share it freely. However, if you are a student or academic, please do cite the published version of the essay, and encourage your library to purchase a copy of the book if they have not already done so.

For further reading, I recommend Trans Temporalities, a 2017 special issue of the journal Somatechnics. You can also read more from me on the topic in Chapter 5 of my book, Understanding Trans Health.

Family Planning workshop at Trans Health Matters (23 October)

In a couple of weeks I will be attending the Trans Health Matters conference, which is held at Resource for London on Tuesday 23 October.

You can read about and book tickets for Trans Health Matters 2018 here.

Co-hosted by holistic sexual health centres cliniQ (London) and Clinic T (Brighton), this event offers an insight into cutting edge practice and research, particularly with regards to sexual and mental health.

I will be speaking at a workshop entitled Trans Family Planning: Contraception, Fertility, Pregnancy and Childbirth, alongside Kate Nambiar, Michael Toze and Francis Ray White.

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Resource for London, Holloway Road

Trans people often find there is a lack of information available on their own fertility, or that they have been misinformed about the reproductive capacity of their own bodies. Similarly, trans people wishing to form families continue to face social, legal and medical barriers to parenthood. The workshop will comprise three short interventions, reflecting on current challenges and opportunities for trans reproductive autonomy, and an opportunity for attendees to reflect on how this might relate to their own work.

Kate Nambiar is a medical doctor and researcher who works at Clinic T. She will be discussing issues around contraception for trans people.

Michael Toze is a Research Fellow in the School of Health and Social Care at the University of Lincoln. He will talk about UK medical practice and law with regards to trans fertility, parenthood, and sterilisation procedures.

Francis Ray White is a Senior Lecturer in Sociology at the University of Westminster, and I am a Research Fellow in the School of Sociology and Social Policy at the University of Leeds. We will be discussing intial findings from the Trans Pregnancy Project.

 

The GRA, LGBT Survey, Action Plan and conversion therapy ban – what just happened?

On Tuesday, the UK Government (finally!) launched a long-awaited consultation on reforms to the Gender Recognition Act 2004 (GRA). This has been timed to coincide with several other events, including the publication of initial data from the Government Equality Office LGBT Survey, the launch of the Government’s new LGBT “Action Plan”, and the formal launch of the Memorandum of Understanding on Conversion Therapy.

While it makes sense – politically speaking – for all of these things to happen at once, it can be pretty confusing. The sheer amount of information to process alone is monumental. Part of my job is to engage with these events, and since yesterday morning my head has been spinning! So in this post I aim to briefly summarise what has happened, why it happened, and what this might mean for the future – especially with regards to trans rights.


GRA Consultation

Planned reforms to the GRA was announced in the wake of the 2017. The Government promised a consultation, which has taken a year to materialise.

Nevertheless, it’s now open and anyone can respond to it. The consultation outlines a number of issues that civil servants have identified with the GRA as it stands, and asks for your views on these.

You can read about and respond to the GRA consultation here.

There are a couple of issues with the GRA which trans rights advocates have highlighted as notably absent from the consulation, which you may wish to invite the Government to also address. These are:

  • The lack of provision for gender recognition for trans people under the age of 18.
  • No mention of the Gender Recognition Register, which currently lists all people who have successfully applied for gender recognition. This may prove a danger to trans people if a more authoritarian government were to come to power, as in the US.

In the past year there has been a moral panic in the UK media in response to proposals for GRA reform. You can find out more about this (and my thoughts on why the consultation is happening now) in my earlier post on the topic.


LGBT Survey

In 2017 the Government Equality Office launched the National LGBT Survey. This was the largest survey of LGBT (in)equalities ever conducted – not just in the UK, but the world. A total of 108,100 valid responses were recieved, of whom approximately 14,000 were trans (which also makes it the largest ever survey of trans people in the UK by an astonishing margin). Credit for this is due to the civil servants who quietly pushed through its implementation at a time of political turmoil and reshuffles in the wake of the general election, as well as the LGBTQIA+ organisations who promoted it extensively.

An initial research summary report was published on Tuesday. This provides a basic account of the research findings. The full research report was released late on Wednesday. This huge document provides a far deeper and more extensive look at the survey results. However, there is such an enormous amount of data available that researchers will probably be analysing the findings for years to come.

The timing of these publications is not a coincidence. The research included questions about gender recognition; the findings demonstrated a strong demand for reform from the trans population, with negligible opposition to proposals from cis respondents. The Government will therefore use this to back their attempt to reform the GRA.

You can read the reports of the LGBT Survey here (along with various data annexes).

You can read my initial reflections on the summary report in this Twitter thread.


LGBT Action Plan

In response to the findings of the LGBT Survey, the UK Government has produced a 75-point Action Plan. This describes the actions they propose to take to promote LGBT equality, which include drafting new laws, producing new policy and guidance, and ringfencing money from the Government Equality Office budget for carrying out equalities work.

It’s very easy to be cynical about “action plans” such as these, but they can actually have a real impact. For example, the Coalition Government’s 2011 Transgender Action Plan was widely regarded as useless by trans activists in following years, but (as I show in my research) its requirement for the implementation of new gender identity service protocols by April 2013 helped bring about important improvements in NHS England gender clinics. This included an end to the requirement for a local mental health assessment prior to a gender clinic referral, which reduced the number of waiting lists that transitioning patients have to endure.

The legislative centrepieces of the Action Plan are the proposed reform of the Gender Recognition Act, and a proposed ban on conversion therapy. Both potentially represent important steps forward for the law, but would also require relatively minimal action from the Government to tackle pressing issues highlighted elsewhere in the survey data (such as the enormous economic inequality experienced by LGBTQIA+ people). There are, of course, matters which weren’t asked about in the survey either, such as the UK’s treatment of LGBTQIA+ migrants and asylum seekers.

Therefore, in addition to holding the Government to account for implementing the LGBT Action Plan, we need to continue campaigning on matters such as austerity, immigration rights and the provision of public services.

You can read the LGBT Action Plan here.


Memorandum of Understanding on Conversion Therapy

On Wednesday afternoon I attended the formal launch of an effective ban on conversion or reparative therapy that has been agreed upon by the UK’s major professional bodies for therapists, counsellors, psychologists and psychiatrists. This is a really big deal because it represents an attempt to stamp out practices that aim to “cure” or “convert” a person’s gender identity or sexual orientation.

The Memorandum of Understanding was originally agreed upon in 2016. This document only addressed LGB conversion therapy. but (following a series of careful meetings and difficult negotiations) an updated version was published in 2017, which explicitly addressed conversion therapy targeting people on the grounds of gender identity. This was effectively a “soft launch”, ensuring that the document was made available to those who needed it.

Today “officially” launched the document in the House of Commons, with numerous MPs and representatives of religious and therapeutic organisations present. The idea was to promote the Memorandum of Understanding more actively, and draw attention to the issue of conversion therapy among all of these groups.

I was not very much involved in the drafting of the Memorandum of Understanding, but did attend one of the early meetings that discussed how it might be extended to ensure asexual and trans inclusion. At this meeting we struggled with the lack of formal evidence that trans people in particular were undergoing conversion therapy, although I supported others in arguing that the prevalence of deeply concerning anecdotal accounts alone necessitated action.

By coincidence(?) today’s formal launch event coincided with yesterday’s publication of the first ever statistics on LGBTQIA+ conversion therapy in the UK, as part of the LGBT Survey summary report. These figures are stark: 5% of respondents reported being offered conversion therapy, and 2% underwent it. That might sound like a small figure, but given the enormous response to the survey, what it means is that thousands of vulnerable LGBTQIA+ people have experienced these damaging practices in the UK. Worryingly, the survey also shows that young people continue to experience conversion therapy, and that the situation is more severe for trans people. Around 10% of trans respondents reported having been offered conversion therapy, and 4% stated that the had been subject to it.

Dr Igi/Lyndsey Moon from the Coalition Against Conversion Therapy, who played a key role in ensuring that the document was updated to include trans people, spoke passionately at the event. In addition to talking through some of the above figures, they also argued that simply attempting to “ban” conversion therapy may not result in the change we need to see. What needs to happen now is the long, hard work of cultural change – both within religious organisations, and within healthcare services.

You can read the Memorandum of Understanding on Conversion Therapy here.
Edit: I updated this post on the morning of Thursday 5th July to include a link to the full research report, which is now also available.

Book publication and launch

Today sees the publication of my book Understanding Trans Health. I’m really happy to be finally sharing it with the world.

Yesterday I hosted a launch event at the University of Leeds. I felt really strongly that this was an opportunity not only to celebrate the book, but also to explore some of the other fantastic work happening in the field of trans health. One of the things I write about in the penultimate chapter of Understanding Trans Health is the importance of collaboration and building one another up – I wanted to help start a conversation that encompassed more than my own work, and give something back to others from whom I have learned so much.

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Photo by Rob Noon.

Zowie Davy and Michael Toze opened the event with a discussion of the term “gender dysphoria”. They have conducted a systematic review of literature on the topic, and found that there are huge conceptual differences in how the term is deployed and understood. This can lead to diagnostic confusion and issues with empirical claims, especially given the continued contemporaneous influence of alternative and older diagnostic languages. Davy and Toze have written an academic article based on this work which is currently under peer review; I very much recommend watching out for its publication. [Twitter thread]

Chris Dietz offered a fascinating insight into gender recognition reform in Denmark. He noted that the positive international press afforded to the country’s new gender recognition law contrasted with the views of many actual trans people in Denmark. Concerns were raised in particular about the contrast between the liberal provisions of the law, which enables a form of self-declaration, and the strict requirements of the Sexological Clinic, which has a monopoly on gender identity services. [Twitter thread]

Kate Nambiar argued for the importance of trans-led healthcare services. She touched upon the inspiring history of pioneering women doctors in the 19th century, before offering a nuanced analysis of what we do and don’t know about trans sexual health and why trans-led services offer an opportunity to address endemic issues. I was particularly inspired by the description of her work as part of the Clinic T team. While my own work has primarily explored the problems that exist within the provision of healthcare services for trans people, I feel it is deeply important to explore possible options for a better future. [Twitter thread]

My own talk offered a broad overview of my book’s central ideas and themes, as well as some illustrative examples from research participants, healthcare literatures and resources. I also touched upon what it means to become an “expert” from my own experience as a trans academic, and the sometimes severe challenges that come with this. Several attendees tweeted summaries of my talk, which I have linked below.One attendee also very kindly filmed sections of my talk, so these may be uploaded to the Internet at a later date.

Summary from @K_A_Longhurst

Summary from @Chican3ry

Summary from @LilithBrouwers

You can read more about the event on the Twitter hashtag #transhealthleeds. But ultimately, to learn more about my work, I encourage you to buy the book!

The success of Understanding Trans Health will depend in part on word of mouth, so if you find the book interesting or useful, please do write a review to share your thoughts! Similarly, if you work or study at a university, please do talk to your subject librarian to see if they can order in a copy.

As for the event, I would like to offer a huge amount of thanks to everyone who came, as well as to the School of Sociology and Social Policy at the University of Leeds for supporting the event, and to Sally Hines for her warm contributions as a fantastic chair.

Understanding Trans Health – book launch and mini conference

Understanding trans healthMy research monograph Understanding Trans Health will be published in just over a month! To celebrate, I will be holding an event on Tuesday 5th June at the University of Leeds, where I will be discussing the book and the findings it reports. I have also invited a number of people I admire enormously to talk about what they’re working on at the moment.

The event is FREE but places are limited, so please do register if you want to come!

Register a place here.

 
Talks will include:

‘The Gender Experts’: Clinical Discourse and Becoming Trans
Dr Ruth Pearce (University of Leeds)
https://ruthpearce.net/about/

What is Gender Dysphoria? – at least, in the Literature
Dr Zowie Davy (De Montfort University) and Dr Michael Toze (University of Lincoln)
https://zowiedavy.wordpress.com/about/

Body Parts in Trans Erotica
Dr Kat Gupta (University of Sussex)
http://mixosaurus.co.uk/about-me/

Accessing trans healthcare: what role for medical law?
Dr Chris Dietz (University of Leeds)
http://www.law.leeds.ac.uk/people/staff/dietz

Trans healthcare at Clinic T
Dr Kate Nambiar (Clinic T, Brighton)
https://www.stonewall.org.uk/people/dr-kate-nambiar

The event will be chaired by my colleague Professor Sally Hines.

There will also be plenty of time for questions and discussion. The event will be followed by a reception with free drinks and nibbles.

I hope to see you there!

Scholars pen open letter to the Equality Challenge Unit on USS and pension inequalities

In the UK, academic and professional support staff at over 60 universities are currently on strike over proposed changes to the USS pension scheme.

An open letter to the Equality Challenge Unit (ECU) has been organised by a number of researchers. They note that the pension reforms are in direct conflict with the stated aims of the ECU’s two flagship equality schemes: the Athena SWAN Charter and Race Equality Charter.

Open letter to the Equality Challenge Unit and all UK university leaders.

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University staff and students demonstate against changes to USS in Leeds.

The letter’s authors argue that if these schemes are “to be more than a strategic brand enhancement, [they] must demonstrate its independence and commit to working towards the demonstration of that independence in the future. That includes a rigorous investigation of the equalities implications of pension changes.” As a scholar of Athena SWAN, I agree wholeheartedly with this assessment.

In my research (currently under review) I have observed that the charter has enormous drawbacks for many marginalised academics, particularly women and scholars of colour. For example, the labour of Athena SWAN is primarily undertaken by women, who frequently become exhausted, stressed and frustrated while preparing their department, faculty or institutional submission, and lose valuable time that would have been spent on research to further their own career. Moreover, some individuals are punished for submissions that ‘fail’ due to systemic issues within the department or institution, for instance through losing their job or being denied a promotion.

At the same time, Athena SWAN does have the potential for bringing about real change. With the charter increasingly recognised as important by funding bodies as well as potential students and staff, institutions are under growing pressure to take the requests of Athena SWAN self-assessment teams seriously. This has led to numerous universities and research centres introducing measures such as better support for new parents, more accessible toilets for trans and disabled staff and students, and for fairer pay structures for cleaning and janitorial staff.

If equality schemes such as Athena SWAN and the Race Equality Charter are to be meaningful and to have the long-term support of the very people they are meant to help, it is imperative that they continue to be used to push for real and positive change in this way. As such, I wholeheartedly support the open letter, and its call for the ECU and universtity leaders to recognise pensions as an equality issue.

**edit: you can now follow the “USS and Athena SWAN” campaign on Twitter: @USSAthenaSwan.