Trans Genealogies: special issue articles now online!

trans symbol

Trans symbol by Chris Hubley

I’m delighted to announce that the articles written for the Sexualities special issue ‘Trans Genealogies’ – edited by myself, Deborah Lynn Steinberg and Igi Moon – have now been pre-published on OnlineFirst.

While the creation of this special issue has been a particularly long and difficult affair, it was really fantastic to work with such interesting and thought-provoking articles. I’m really excited that we can now finally share them with the world.

The articles will be formally collated and published in a single issue of Sexualities in a few months’ time. This will be available both online and in print format, and I’ll no doubt be using that as an opportunity to once again encourage people to read them.

However, for now you can read the special issue articles here:


Introduction: The Emergence of ‘Trans’
Ruth Pearce, Deborah Lynn Steinberg and Igi Moon
[OnlineFirst] [open access]

Axiomatic: Constituting ‘transexuality’ and trans sexualities in medicine
JR Latham
[OnlineFirst]

Response and responsibility: Mainstream media and Lucy Meadows in a post-Leveson context
Kat Gupta
[OnlineFirst]

Rethinking queer failure: Trans youth embodiments of distress
Katrina Roen
[OnlineFirst]

‘Boying’ the boy and ‘girling’ the girl: From affective interpellation to trans-emotionality
Igi Moon
[OnlineFirst]

Genderqueer(ing): ‘On this side of the world against which it protests’
Zowie Davy
[OnlineFirst]

De/constructing DIY identities in a trans music scene
Ruth Pearce and Kirsty Lohman
[OnlineFirst] [open access]

Mak nyahs and the dismantling of dehumanisation: Framing empowerment strategies of Malaysian male-to-female transsexuals in the 2000s
Joseph N Goh and Thaatchaayini Kananatu
[OnlineFirst]


Here’s what we have to say about the special issue content in the editorial introduction:

We open with JR Latham’s ‘Axiomatic: Constituting ‘‘transexuality’’ and trans
sexualities in medicine’. Latham provides a genealogy of medical becoming, draw-
ing the reader’s attention to the manner by which trans identities may be consti-
tuted in and through a pathologising discourse that retains the influence of
pioneering mid-20th century clinician Harry Benjamin. Through his elucidation
of four axioms of transsexualism, Latham also unpacks the role of sexuality in
the becoming/emergence of trans in medical settings, and explores the manner by
which we might arrive into entirely contingent spaces of gender subjectivity and
enactment that we nevertheless take for granted.

A second example of the disciplinary impact of categorical thinking is explored
in Kat Gupta’s article, ‘Response and responsibility: Mainstream media and Lucy
Meadows in a post-Leveson context’. Like Latham, Gupta describes how trans
might ‘emerge’ and ‘become’ through the interventions of non-trans actors: in this context, journalists writing about trans teacher Lucy Meadows after she came out
in the workplace. Meadows’ dreadfully sad fate is only compounded by the con-
tinued construction of an unwanted male identity for her in British newspaper
reporting. However, as Gupta carefully demonstrates, this was not entirely the
outcome of intentional prejudice: rather, the misgendering of Meadows emerges
through the subtle contingencies of repetitious reproduction and metacommentary.

The four articles that follow critique binary thinking from a range of perspec-
tives, and question both cis-normative and trans-normative approaches to categor-
isation. These articles ask how we might think about bodies and psyches in a more
open and ethical manner, informed by ‘trans’ discourse but with wider conse-
quences for understandings of gender and sexuality. They look at how we might
move beyond the axioms described by Latham and the cultural forces analysed by
Gupta, inviting us to consider how we might re-think our approaches to bodies and
identities, avoiding binaries in inhabiting these ideas while building new solidarities
and allowing new possibilities to emerge.

In ‘Rethinking queer failure: Trans youth embodiments of distress’, Katrina
Roen explores how we could seek to break from normative thinking, including
the transnormativities that have emerged with ‘trans’. Noting that trans youth
are frequently associated with narratives of distress and self-harm, Roen draws
upon Jack Halberstam’s concept of queer failure and Sara Ahmed’s feminist cri-
tique of happiness in order to ‘unsettle’ these narratives and imagine new trans
possibilities ‘that do not involve straightening or alignment’.

Igi Moon also looks predominantly at the experiences and narratives of trans youth in ‘‘‘Boying’’ the boy and ‘‘girling’’ the girl: From affective interpellation to trans-emotionality’. In their article, Moon argues that emergent trans discourses offer an important alternative to binary notions of emotionality. Moon describes ‘trans-emotionality’ as a pluralistic approach to understanding gendered feeling that has been made possible through non-binary and genderqueer peoples’ responses to experiences of sexual liminality and dis-orientation.

In ‘Genderqueer(ing): ‘‘On this side of the world against which it protests’’’,
Zowie Davy questions the categorical lines that are frequently drawn between
‘transsexual’ and ‘genderqueer’ trans identities, desires and bodies. Revisiting a
series of interviews from the early 2000s, Davy employs the Deleuzian notion of
‘assemblage’ to question frequently taken-for-granted assumptions around trans
difference. She asks us to be reflexive in our understanding of the terminologies of
trans, transsexualism, transgenderism, genderqueer and non-binary; terminologies
that can be used to help us understand specificity but which can also be used to
close down analyses of connection and similarity. In this way we are effectively
encouraged to be attentive to the limitations of a ‘non-binary’/‘binary’ binary in
our accounts of trans possibility.

An optimistic account of such possibilities is provided by Ruth Pearce and Kirsty Lohman. In ‘De/constructing DIY identities in a trans music scene’, the authors draw upon a case study of an ‘underground’ scene in the UK to explore how trans discourses and everyday political approaches can feed into processes of cultural production. This offers an insight into what possibilities might emerge and flow from ‘trans’ as a pluralistic approach to gender and identification.

The issue closes with an account of Malaysian legal and media advocacy, ‘Mak
nyahs and the dismantling of dehumanisation: Framing empowerment strategies of
Malaysian male-to-female transsexuals in the 2000s’. In this article, Joseph N Goh
and Thaatchaayini Kananatu effectively revisit a range of themes from across the
special issue: processes of becoming and definition (including self-definition
as well as being defined by others) and the manner in which activism intersects with the media and law as well as the medical and political establishments. Like the UK case studies, this account is one of both specific importance and broader relevance. It is vital to acknowledge the particular context of the struggles for gender liberation by mak nyahs in Malaysia: a context shaped both by local law and religion, and the
complex post-colonial impact of Western discourses and political interventions.
The emergent language of mak nyah identity effectively stands in opposition not
only to the cis and binary gender norms of conservative politics and religious
fundamentalism, but also to a homogenised white, Western, Anglophone discourse
of ‘trans’. At the same time, Goh and Kananatu highlight how high the stakes are
and how difficult the battles for liberation can be for gender diverse peoples around
the world, in an important account of the dangers and possibilities that come with
‘trans’ visibility.

I hope readers find the special issue articles as fascinating, challenging, and useful as we did. Enjoy!

 

Understanding Trans Health – available to pre-order!

Last month I finished writing my first book, Understanding Trans Health: Discourse, Power and Possibility.

This book reports on the wide-ranging research project I undertook from 2010 to 2017, looking at trans discourses and experiences of healthcare services in the UK. It will be of interest to academics, students, health practitioners and activists working and studying in the field of trans health, and will be published by Policy Press in June 2018.

Understanding Trans Health is available for pre-order it for £21.59 (paperback) or £60.00 (hardback) from the Policy Press website. E-book and Kindle versions will also be available soon. If you work or study at a university or college, it would be really great if you could encourage your library to order in a copy!

If you live in the Americas, you can buy it through University of Chicago Press.

I’ll be writing more about the book as the release date approaches. In the meantime, feast your eyes upon the stunning cover commissioned by Policy Press: an image that reflects continuing inequalities of access, the pain of waiting, and patient experiences of anticipation.

Understanding trans health

In other book news, myself and Igi Moon are still working hard on our co-edited volume, The Emergence of Trans: Essays on Politics, Culture and Everyday Life. We’ve had some really fantastic chapter submissions and I can’t wait to share more about this too in the coming months.

Ethical guidance on studying trans health, for researchers and ethics boards

I recently co-authored an article on research ethics for the journal Transgender Health. It’s based on an extensive review of literature on the topic, and written by an international team of scholars and health practitioners with extensive experience of conducting research in this field.

Transgender Health is an open access journal, so the article is freely available for anyone to read and share.

I’ve copied the abstract out below: please click on the title for full access.


Guidance and Ethical Considerations for Undertaking Transgender Health Research and Institutional Review Boards Adjudicating this Research

The purpose of this review is to create a set of provisional criteria for Institutional Review Boards (IRBs) to refer to when assessing the ethical orientation of transgender health research proposals. We began by searching for literature on this topic using databases and the reference lists of key articles, resulting in a preliminary set of criteria. We then collaborated to develop the following nine guidelines:

(1) Whenever possible, research should be grounded, from inception to dissemination, in a meaningful collaboration with community stakeholders;

(2) language and framing of transgender health research should be non-stigmatizing;

(3) research should be disseminated back to the community;

(4) the diversity of the transgender and gender diverse (TGGD) community should be accurately reflected and sensitively reflected;

(5) informed consent must be meaningful, without coercion or undue influence;

(6) the protection of participant confidentiality should be paramount;

(7) alternative consent procedures should be considered for TGGD minors;

(8) research should align with current professional standards that refute conversion, reorientation, or reparative therapy; and

(9) IRBs should guard against the temptation to avoid, limit, or delay research on this subject.

Trans health in Canada: reflections and resources from CPATH

At the end of October I attended the CPATH 2017 (Canadian Professional Association for Transgender Health) conference in Vancouver. It was a fascinating event from which I learned a great deal. I’m keen to share some of my thoughts and experiences with others, as I feel there is a great deal that trans health researchers, practitioners and activists can learn from the progress that’s been made in Canada, as well as the limitations of that progress.

DNF13PxV4AEw4K-.jpg large

Poster: “In Our Dream B.C….”, by Drawing Change. Based on Trans Care BC consultation with gender creative, trans, and two-spirit youth and their families..

In this post, I reflect briefly on my impressions of the conference, and link to Twitter threads I wrote during various sessions. You can also read my initial thoughts on the conference here.


CPATH took a broadly holistic approach to trans health

Over 300 people took part in the three-day CPATH 2017 conference and two-day pre-conference. In attendance were GPs, nurses, endocrinologists, psychologists, psychiatrists, therapists and counsellors, social workers, healthcare administrators, peer and parent support group facilitators, academic researchers, lawyers, politicians, and various trans campaigners.

CPATH 2017 treated “health” as a social phenomenon as well as a purely embodied matter, and this made for some very productive conversations. For example, numerous sessions explored how trans healthcare might best be provided in the context of primary health. Gender identity services are frequently provided by GPs with support from external specialists, a model of care that is currently under consideration for England. In some Canadian Provinces, organisations such as Trans Care BC help to connect providers in primary care to relevant specialists, and support trans people in obtaining interventions such as hormone therapy and surgeries.

This approach enables continuity of care in a local context, with family doctors enabled to provide trans-specific care for their patients alongside everyday services. It reduces barriers to access such as waiting times and the necessity of long-distance travel. It also enables GPs to help their trans patients access a wider range of specialist services: for instance, trans people with mental health issues might benefit from a referral to a peer support group as well as or instead of formal therapy (depending on patient desire and need). Many practitioners provide services on the basis of informed consent, rather than using mental health assessments as gatekeeping measures. It was heartening to see generalist and specialist healthcare professionals, social workers, trans activists and others engaged in open discussions about how best to manage care through this kind of system.

I was also particularly struck (and moved) by a session entitled Trans and Two Spirit Youth Speak Back! The 40 or so adults in attendance – mostly healthcare professionals or researchers of one stripe or another – were asked not to speak at all during this workshop. We were instead invited to listen to the stories and experiences of trans and two-spirit young people, who sat dotted around the room and answered pre-prepared questions delivered by a youth group facilitator. This session structurally prioritised the voices of young trans people who are so often silenced, and also offered an opportunity for us to hear how the healthcare needs and challenges faced by these individuals were shaped by their cultural heritage, family life, schools and peer groups.


CPATH took intersectional trans voices seriously

Trans and Two Spirit Youth Speak Back! was just one example of how trans voices were frequently centred at CPATH 2017. As an attendee from the UK, I was very impressed by this! Our trans healthcare conferences, seminars and workshops tend to be organised by and for community groups, researchers or healthcare providers, with relatively little overlap between attendees at these events. Very few practitioners are (openly) trans, meaning that trans people tend to talk to one another at community and research events, but are heard less often at healthcare conferences for doctors, nurses and mental health specialists. Moreover, the speaker line-ups at all these events tend to overwhelmingly prioritise the most privileged individuals, such as white people and men. The only possible exception is cliniQ’s Trans Health Matters conference, and that event too feels like it’s taking the first steps towards something better.

During the opening plenary of the CPATH conference proper, we were informed that around one third of speakers at the event were trans, and around a tenth were Indigenous (i.e. of First Nations heritage). I’m not sure how many people of colour were represented at the event more generally, but the all-white panels which are a norm at UK events seemed few and far between.

Importantly, the trans women, trans men, non-binary and two-spirit platformed as speakers and workshop facilitators were usually also professionals. We weren’t simply present at CPATH to represent a “patient perspective”: rather, we were the experts. This reflects the hard work of individuals in pursuing a career, and the collective work of CPATH in supporting trans professionals; it also reflects the actions of local providers in various parts of Canada who have made an active effort to employ trans people, or secure funding for partnerships with trans-led organisations.

In my previous post I noted that the opening plenary of the conference proper centred Indigenous voices. This included a formal welcome from Musqueam Elder Jewel Thomas, and talks by trans and two-spirit Indigenous educators from different parts of North America. I was happy to see that the plenary session on the second day of the conference continued to centre the voices of individuals who tend to be marginalised within even trans spaces. Two-spirit physician Dr James Makokis and Latina trans activist Betty Iglesias – who discussed issues faced by trans sex workers and migrants – were platformed alongside an Member of Parliament from Canada’s ruling Liberal Party, resulting in a thoughtful and challenging debate.


CPATH (and the rest of us) still have a lot of work still to do

I left CPATH with a very positive impression, but Canada is by no means the promised land for trans health. Professionals and patient representatives alike frequently discussed the challenges they faced in providing gender-affirming services. Transphobia and cisgenderism are still very much prevalent within healthcare provision and legal frameworks, particularly outside of urban areas: there is therefore a great need for better education among trainees and further reform of laws and guidelines. Limited funding and different approaches across the country’s Provinces and Territories also mean that not everyone has the same access to treatment, and waiting lists persist for publicly-funded care. These are challenges that exist across the world, and may benefit from greater international collaboration and strategy-sharing.

At the end of the first day of the conference proper, there was a reception specifically for trans people attending the conference. I later reflected on the experience of attending this reception in conversation with a genderqueer colleague; both of us felt ourselves relaxing enormously upon entering the trans-only space. For all the positives of CPATH, it was a huge relief to step away from cisgenderist expectations and microaggressions that quietly persisted throughout the conference proper. These included a range of unspoken ideas about how we should dress, act, and talk “professionally”, limitations on our ability to name transphobia within healthcare settings without fearing repercussions, and the occasional terrible intervention from self-righteous cis professionals.

As ever, facing down these challenges is hardest for the most marginalised trans people, including (for instance) disabled individuals, sex workers, migrants, and people of colour. I was aware that while CPATH 2017 took a broadly intersectional approach, instances of ableism, racism, sexism and so on persisted: and this could take the form of unexamined prejudices on the part of more privileged trans people too. Moreover, white people were still heavily overrepresented among conference attendees; a phenomenon that was particularly noticeable at an event held in a city as diverse as Vancouver.

What I’m taking from this is a reminder that equality work is never “done”; rather, it is something that we should strive to always “do”. We should aim constant improvement in our relations to one another rather than assuming that solidarity and equality are things that we can simply achieve. It is in this spirit that I’ve attempted to use my own privilege as an academic to bring back lessons from Canada for the UK and beyond.

So, I’ll end this post with a serious of links to Twitter threads from the event. I livetweeted extensively from CPATH 2017, sharing summaries of the numerous talks and workshops I attended. This is by no means a comprehensive summary of any of the sessions I was at, let alone the wider conference (as numerous parallel sessions took place simultaneously). However, I hope the ideas and approaches will be as useful and interesting to you as they are to me.


Pre-conference (training) Twitter threads

Day 1:

Introduction to Gender-Affirming Practice

Pre-puberty/Puberty: Addressing On-coming Puberty

 

Day 2:

Adolescence: Moving Forward With Gender-affirming Care for Youth

Cross Country Health Clinic Practice Panel: Models of Care and Clinical Practices

 

Conference Twitter threads

Day 1:

Plenary: Centering Indigeneity and Decolonizing Gender

Interpersonal Communication Needs of Transgender People

Ethical Guidelines for Research Involving Trans People: Launch of a New Resource

Investigating the Medicalization of Trans Identity

Primary Care Approaches to Caring for Trans Youth

 

Day 2:

Plenary: Fostering Safety and Inclusion in Service Provision, Systems and Sectors

Non-binary Inclusion in Systems of Care

Trans Data Collection and Privacy

Legal, Ethical, Clinical Challenges: Youth Consent to Gender Affirming Medical Care

 

Day 3:

Pregnancy and Birth

Plenary: Supporting Older Trans People

 

 

New job at the University of Leeds

I’m delighted to announce that I’ve just begun Research Fellowship in the School of Sociology and Social Policy at the University of Leeds. I’ll be working as part of an international team on the ESRC-sponsored projected Pregnant Men: An International Exploration of Trans Male Practices of Reproduction, which is being led by Sally Hines. This study will explore the sociological, health care and policy implications of trans men’s reproductive practices.

Some initial information on the scope and plans for this research are currently available on the project website. I’ll be writing more about the project there (and here!) as it progresses.

 

Report: “Certifying Equality? A critical reflection on Athena SWAN”

Certifying EqualityEarlier this year I organised an event on Athena SWAN and equality accreditation for the Centre for the Study of Women and Gender at the University of Warwick. It was a really great opportunity for attendees from a range of HE institutions to reflect on the benefits and limitations of equality accreditation schemes, and share thoughts on our experiences of Athena SWAN.

I’ve now completed a report on the event, which I hope will be helpful for galvanising discussions in universities that participate in the Athena SWAN charter mark.

You can download the report here.

It includes reflections and insights from the Certifying Equality event, including:

  • Background to Athena SWAN
  • Athena SWAN as a catalyst for change
  • The contradictions of equality accreditation
  • Proposals for change
  • Presentation summaries

If you find this document helpful and interesting, please do help distribute it by sharing with your colleagues!

 

 

Forthcoming books!

I’m delighted to announce that I have recently signed not one, but two book contracts. Both books are scheduled for publication in 2018.

My first monograph, provisionally entitled Understanding Trans Health, will be published with Policy Press. This book will draw upon extensive qualitative fieldwork in the UK to examine how trans identities, experiences and healthcare needs are differently understood within community, activist and professional contexts. It shall explore how these different understandings can lead to conflict and mistrust within medical settings, and propose means by which more collaborative relationships might be fostered in the future.

An edited collection, provisionally entitled The Emergence of Trans: Essays on Healthcare, Culture and the Politics of Everyday Life will be published with Routledge. Assembled in collaboration with Dr Iggi Moon and the late Professor Deborah Lynn Steinberg, this book builds on the success of our 2012-2014 seminar series Retheorising Gender and Sexuality: The Emergence of Trans. It will feature international contributions from a range of authors based in different academic disciplines.

Academic books are often unaffordable to lay readers, and unavailable outside of academic libraries. I was therefore really keen that both books would be available in paperback and ebook format as well as the traditional hardback. I’m really pleased to say that both publishers have agreed to print paperback editions in the first run, in recognition of how the book topics are relevant to ordinary people within trans communities.

I’ll be sharing more details on these books as the publication dates approach.