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.

Lyndsey Moon at TRED 2011

Lyndsey’s talk at TRED 2011, which formed the introduction to an open discussion of numerous topics including psychology, pathologisation, and the place of gender variant voices in academia.

In the talk Lyndsey explores a number of issues centring around counselling and therapy, including:

  • the (lack of) training practitioners receive on gender issues.
  • the attitudes that many trainee and practising counsellors and therapists hold regarding trans people
  • experiences of teaching PhD candidates about gender and sexuality
  • the impact of the American Psychological Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM)

Trans* Education and Determination: a review

The Trans*Trans feminist symbol, designed by Helen G Education and Determination teach-in took place on Friday 20th May: the date on which a cancelled psychiatric event was intended to take place. It featured a number of talks, presentations and workshops exploring issues such as trans academia, counselling, psychiatric practice, and feminism.

The teach-in was a great success, and will hopefully lay the groundwork for future such events. This community effort – organised on the internet by a loose team of volunteers – was a powerful rebuke to the medical and psychiatric institutions that claim to speak for trans people whilst denying us a voice.

Trans* Education and Determination was originally envisaged as a response to the Royal College of Psychiatrists’ event Transgender: Time to Change, which was due to feature two transphobic speakers: Dr Az Hakeem and Julie Bindel. This event was cancelled following the announcement of a trans community protest and the withdrawal of support from Charing Cross Gender Identity Clinic. However, the decision was taken to go ahead with the teach-in.

Almost thirty people arrived at King’s College London for the launch of the teach-in on the Friday morning. This number gradually grew throughout the day as attendees freely came and went from the open event. Cheryl Morgan, Roz Kaveney and Juliet Jacques volunteered to act as chairs, taking turns to introduce speakers and facilitate questions and discussions.

PhD student Ruth Pearce informally opened the event during the introduction to her talk. She explored the theme of articulation, arguing that the teach-in offered a valuable opportunity to give voice to trans experiences and perspectives.

Ruth’s presentation offered some background on the evolution of trans academia and suggested that the internet has played a particularly powerful role in shaping the recent history of trans identity and community. She then provided some details of her planned research project, which will explore trans experiences of primary healthcare in the United Kingdom.

Attendees asked about Ruth’s research methods, which involve acquiring data from online communities. This led to a valuable discussion that explored the potential advantages, pitfalls and ethical implications of internet research.

Lunch was followed by a talk given by psychologist and sociologist Dr Lyndsey Moon. Lyndsey drew upon her experiences as a queer child, a practising counsellor and a teacher to critique the rigidity and contingency of psychiatric categorisation, particularly that found in the American Psychological Association’s Diagnostic and Statistical Manual (DSM). This talk illustrated the DSM’s failure to account for fluidity and complexity, and the danger this poses for professional understandings of gender and sexuality.

Lyndsey also explained how her own research had demonstrated that psychologists and psychiatrists receive practically no training on the impact of social phenomena such as gender, sexual orientation, disability, race and religion. She argued that psychology and psychiatry remain broadly white, middle-class and abled professions in the UK.

Attendees expressed their broad agreement with Lyndsey’s points and joked about artificiality of psychiatric classification. A number of individuals explained how they’d been treated poorly within academia because of the transphobic assumptions made about them.

Academic Natacha Kennedy provided an extended examination of Dr Az Hakeem’s 2010 paper “Deconstructing Gender in Trans-Gender Identities”. In this article, Hakeem argued that trans people reinforce gender norms, and advocated group therapy as an alternative to transition and stated.

Natacha questioned the logic of Hakeem’s claims, and demonstrated how he failed to provide evidence about many of his statements. Her frequently amusing deconstruction demonstrated how the paper relied greatly upon ideological statements rather than evidence-based study.

The presentation concluded with some background on the approach of Kenneth Zucker, a practitioner with somewhat more extreme views than Hakeem who is contributing to the next edition of the DSM. Natacha explained how her own research findings contradict some of Zucker’s claims during an anecdotal account of a previous trans protest.

NUS LGBT representative Kai Weston shared his perspective on the intersection of trans experiences and feminism. He provided a refutation of the radical feminist position held by Julie Bindel, drawing upon examples of gender variance from non-western societies and within trans communities to counter her argument that trans people reinforce binary gender norms.

Kai’s thoughts provided the introduction to an extended group discussion of intersectionality and the impact of feminist theory on trans lives. Attendees asserted the importance of countering sexism and misogyny whilst exploring the relative benefits and disadvantages of different feminist positions. Issues such as the invisibilisation of transmasculinity and the tensions between trans and intersex activism were also touched upon.

Journalist Jane Fae provided the final talk of the day, a deeply personal critique of psychiatry. She explained how Freud in particular relied upon deeply unrepresentative samples in order to justify his theory, suggesting that Freudian psychiatry therefore owes considerably more to abstract theorising than to empirical evidence. She provocatively claimed that the psychiatric profession and its accompanying academic literature is a psuedo-scientific scam.

Jane finished her talk with an emotional attack upon the psychiatric gatekeeping that requires trans patients to spend a considerable amount of time and/or money in order to pursue a physical transition.

The audience broadly welcomed the uncompromising central thrust of Jane’s argument, although there were some counter-examples illustrating benefits that psychiatry can bring. There was some confusion over the boundaries between psychiatry, psychology and psychotherapy, with a number of suggested solutions proposed.

Attendees broke away for individual discussions before the day finished with group feedback on the day, in which everyone present was offered the opportunity to share their thoughts and feelings. Positive criticism of the teach-in was shared with an eye towards similar events for the future.

Some felt that a less academic or “studenty” feel might help appeal to a wider audience. A number of individuals argued that any future events should remain free, although the possibility of a sliding scale entry fee was also suggested. Many agreed upon the idea of holding future trans teach-ins outside of London, hopefully within a somewhat more accessible, non-university building. It was also felt that more could be done to reach out to groups under-represented at the event, such as minority ethnic trans people.

Everyone welcomed the positive, productive atmosphere of the event, and thanks were offered to the many volunteers who worked hard to make the day a success.
Trans feminist symbol designed by Helen G.

Trans* Education and Determination: teach-in details confirmed

From the Facebook event page:

FRIDAY 20th MAY
A trans teach-in to discuss issues of psychiatry, community and care, originally conceived in response to the presence of transphobic speakers at the (now cancelled) Royal College of Psychiatrists’ event “Transgender: Time to Change.

There will be a number of talks and workshops throughout the day, alongside open discussions and debates. All are welcome!

Times: 11am-6pm

Location:

Ground Floor Room 2, Strand Building, King’s College London

Strand, WC2R 2LS
London, United Kingdom
Entry: FREE

Provisional timetable:

11am: event opens
11:30am: Dr Lyndsey Moon: a discussion of counselling practices
12:30pm: Lunch
1:30pm: Natacha Kennedy: a critique of “talking therapies”
2:30pm: Kai Weston: workshop
3:30pm: Ruth Pearce: identity and fluidity within trans communities
4:30pm: Jane Fae: a critique of psychiatry
5:30pm: community workshop/discussion

For further details, visit our blog: http://transfringe.wordpress.com/about/

This event is kindly hosted by KCL Women’s Officer and GenderMatters@Kings.