sexism

Politicians and journalists want to remove trans people from public life. Fuck that.
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Politicians and journalists want to remove trans people from public life. Fuck that.

On 4th April 2023 the Equality and Human Rights Commission (EHRC) provided advice to the UK Government on “clarifying” the definition of sex in law. Specifically, they recommended the protected characteristic of sex in the Equality Act 2010 be re-defined as “biological sex”. The proposals have been welcomed by the Labour party as well as the Conservatives.

If adopted, the EHRC’s proposals would strip trans people of numerous legal protections currently afforded by the Equality Act as well as the Gender Recognition Act.

This is made extremely clear by the EHRC. Their own examples include the argument that it is a problem that trans women may be protected from sexism under current law, and (as “legal lesbians”) from homophobia if we have female partners. Most worryingly of all, they have doubled down on previous attacks on our right to access gendered spaces. If implemented, the proposals may result in the trans women being barred by law from women’s toilets, changing rooms, hospital wards, domestic violence shelters, rape crisis centres, and book clubs (the latter is a genuine example provided by the EHRC).

I am not going to get into the weeds with these proposals. Others will no doubt provide deep legal analyses. I have already seen “gender critical” commentators claiming that this will have no real effect on our lives in practice. To which I say: fuck you.

I am done with being polite, and reasonable, and rational. These proposals represent a blatant attack not just on our civil rights but also on our rights to exist as human beings in public. In practice, banning trans women from women’s toilets means that many if not most of us simply cannot use public toilets.

Trans women use women’s facilities because we are women. And when I say “trans women are women” I am not merely making some kind of abstract metaphysical claim. I am saying that we are structurally disadvantaged under patriarchy, and experience sexist violence every day from men. That is the material reality. Insisting that trans men use women’s toilets is equally stupid, especially if your supposed aim as a “gender critical” campaigner is to produce a space free of beards and penises.

But here I am disappearing once again into details. None of this is about details. It’s about terrorising trans people, and we are terrified.

It’s about making our lives impossible. Ideally, we will disappear; our oppressors don’t really care if we suffer or we die. And we know, trans people know, that people around us are suffering and dying because we are actually a part of that community. I’ve spent the past 13 years producing research that formally documents the oppression we face, because when we simply say what we know is true because we are living that truth every day, nobody in power gives a shit.

In the meantime, people in suits believe there are votes and clicks and money to be won through fighting culture wars, through distracting people from rising poverty and slow-burning climate collapse.

If you are cis, it is up to you, the reader, to do something about this. Over the past five years trans people have been systematically harassed and silenced by a hostile media. We have been pushed out of political parties and campaign groups. Supposed human rights protectors such as the EHRC have been institutionally captured by the far right. Academics happily write abstract theory about what a terrible danger we pose. Fascist groups are rallying against us in the streets, trans healthcare is under attack, and trans children are being told they must be outed to their parents, all with the support of Labour and Tory politicians as well as popular children’s authors.

Obviously we will fight for our own liberation. We have always fought. We are so beautiful and so powerful, especially here and especially now.

But we need you to fight with us.

Here are some things you can do. Write to your MP, and then do it again. Make sure they are sick of hearing from you and then keep going. Go to a protest. Engage in direct action. Maybe sign a petition if you’re into that kind of thing. If you are in a political party, fight like hell to ensure that party is actually on our side. Join a union and fight for us there. Join a human rights group. Join a small trans organisation and offer whatever you can, whether that’s volunteer time, small donations, or signal-boosting.

Think about how you or your organisation might productively break the law to help people. If the EHRC’s proposals actually make it through Parliament, we must make them unworkable. Section 28 was only successful because teachers, administrators, and local authorities collaborated with an openly homophobic government. That doesn’t have to be the case again.

If you need evidence to back you up, it is all over this website. Don’t ask me for advice – I am tired and burned out and have already done the work. Read TERF Wars, read my evidence to Parliament, read the report I wrote with Katharine Jenkins with a feminist perspective on sex, gender, and the Gender Recognition Act.

Finally, it’s important to note this is just the tip of the iceberg. Attacking trans people and defining women by “biological sex” are a part of a wider attempt to remove women’s reproductive rights. Our government is shredding the refugee convention and putting asylum seekers in camps. Our legal rights to protest and strike have been massively curtailed.

If you’ve ever wondered “what would I have done in the face of rising fascism?” then wonder no longer.

Your moment is here. The question is how you act.

–

edit 9/4/23 – read more here:

A pocket guide to escalation (Beth Gale)

Gender: the EHRC explain (jane fae)

The EHRC wants to redefine sex. Here’s what it means for trans people (Open Democracy)

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The Soul of Sexism

What The Commitments taught me about playing music

Like most women musicians, I’ve experienced a fair amount of sexism while playing in a band.

It can be insidious. Bands with women in often find they are more likely to put on stage earlier in the night, and paid less than other bands, regardless of skill, experience or size of following.

Other times, it’s entirely explicit. Like when men have shouted GET YOUR TITS OUT while I’m setting up on stage, or RAPE while we’re playing.

Sometimes, I downplay the impact of sexism in music, to focus on the positives. But it always gets to me – that sense that live music is for men and boys, that sense that it’s not for women and girls, that sense that we’re not really welcome – unless we are willing to be objectified and treated less seriously as performers.

—

I saw The Commitments musical with colleagues during its December 2022 run in Glasgow. After a difficult semester, I looked forward to being at the theatre with new friends from work, and enjoying a night of brilliant soul classics.

The Commitments is about a group of young (white) Irish people who form a soul covers band in the late 1980s. The musical depicts disparate personalities coming together, arguing a lot, playing a handful of gigs, and then going their separate ways. Most of the songs are performed by the cast on stage, although the production also used either off-stage musicians or a backing track.

The Commitments lived up to its billing as a jukebox musical. The band (on stage and off) were great. It was exciting to hear a series of well-known tunes re-arranged for the show, and performed with gusto. The architecture of the stage set was gorgeous, variously depicting a Dublin neighbourhood, small family houses, pubs, and bingo halls. The plot and characters were paper thin at best, but this didn’t detract from the overall experience – or wouldn’t have done, if it weren’t for the treatment of the handful of women on stage.

There were three women in the band. They were portrayed as backing singers, although often they actually performed lead vocals. They were collectively referred to as the “Commit-tits”.

Most of the male characters benefited from some basic level of characterisation: e.g. the drunk “prick” of a lead singer with a great voice, the older guy who claimed to have played in various famous bands, the manager with a grand vision. By contrast, only one woman had a character trait; she was the “hot one”. Literally every male character in the band made various objectifying comments about her. The other two women were implicitly pitted against her, and one another; the randy older guy had sex with all three, eventually resulting in a brief fight where they jealously pulled each another’s hair.

During the first half of the musical, the band members changed into stage wear, which they remained in for most of the rest of the play. The eight male performers wore smart white shirts, black suits and ties. The three women wore sexy black mini dresses.

Their characters were objectified in every sense, existing seemingly only as objects of desire and the butt of every misogynist joke. Meanwhile, I was surrounded in the theatre by the joy and laughter of an audience who enthusiastically clapped and sang along with the (genuinely excellent) music. The cognitive dissonance was wild.

Through the second half of the play, I felt increasingly physically sick.

—

Once the night was over, I reflect on why I experienced such a visceral reaction to the sexism of The Commitments. None of the musical’s misogyny was extraordinary or spectacular. On the contrary, it was low-key, continual, and passed off as normal: just like the everyday sexism women experience in our everyday lives. This makes it hard to identify as a problem, and hard to address in practice.

When I spoke about my feelings on social media, several people who had seen the 1991 movie told me that I misunderstood The Commitments. They told me this was a story of white working class experience in 1980s Dublin, that the characters’ behaviour was reflective of attitudes at the time, that the characters were represented honestly within a social realist narrative.

My issue is, however, is not with a film I haven’t watched. What I saw in the theatre was not social realism, but a jukebox musical where the story worked to loosely link one song to another. The setting was broad; the characters were one note at best.

The narrative of the play had nothing to say about the constant sexism to which women were subject. It was simply present in the actions and words of every male character. In this way, it was normalised, and legitimised.

The very structure of the play itself perpetuated sexist stereotypes about the roles of men and women within storytelling, within society, and within music. The male characters expressed desires and interests, organised events, played musical instruments, and provided commentary on one another’s decisions. The women sang nicely, looked pretty, and were a device for the characters development among the men who leered at them. That is what women are for. That is what women do.

The everyday sexism of The Commitments also reflected a wider failure of the musical to grapple with the political issues it hinted at. An apparently all-white cast performed music historically written and performed by Black women and men, for an overwhelmingly white audience. The musical’s only nod to this were some vague references to worker’s rights and the assertion by one character that “the Irish are the Blacks of Europe, and Dubliners are the Blacks of Ireland”. While I imagine the play was attempting to comment on class solidarity and the historical contingency of whiteness, the clumsy claim of comparative oppression treated the existence of actual Black Irish people as an impossibility (an assumption made all the more bizarre by a later brief reference to the Thin Lizzy version of “Whisky in the Jar”).

—

I felt sick watching The Commitments because I saw myself – the expectations placed on me as a woman, the possibilities available to me as a woman, the everyday impact of everyday sexism on me as a woman – in the experiences of those women on stage.

I felt sick watching The Commitments because I saw how my non-white friends are so often treated, especially women of colour – their creative endeavours diminished or appropriated, their experiences of racism ignored and erased.

As a bassist and singer, I saw the norms that have led to male musicians shouting stuff at me and my bandmates when we are playing, demanding to examine my fingers for calluses, and assuming that I am at a gig accompanying a man. I saw the hidden structures that made it hard for me and many of my friends to pick up an instrument in the first place. I saw how and why it is constantly so difficult for women and people of colour to simply turn up and play music in so many settings.

I felt sick watching The Commitments because I was witnessing the operation of power.

—

The stage musical version of The Commitments debuted in 2013: the same year myself and a couple of friends were organising Revolt, a feminist club night in Coventry which prioritised women and trans performers. We did this in reaction to male dominated line-ups, which perhaps had a token woman singing or (at a certain kind of indie rock show) playing bass guitar. We knew that having numerous women from a range of backgrounds on stage does something important. It undermines the assumption that women musicians can or should only play second fiddle to men, and builds a sense of possibility for women in the audience: that music is for us.

We can be more; we will be more; we are more. Creating space for many types of people on stage changes people’s worlds.

In doing so it threatens white male power, which can sometimes feel threatening for white men.

That is why certain promoters and musicians and audience members make life difficult for others in music, through intentional bigotry or unthinking bias. For women, it doesn’t matter how good we are, how we dress, or how we behave on stage. We are so often an alien presence in a space supposedly for men, not obeying the unspoken rules: shut up, don’t speak out, and don’t take up a male musician’s space on stage unless you’re prepared to be compliant and sexually available.

What does matter is context. I reflected on this, wondering why the clothing the women wore in The Commitments bothered me so much. I’ve worn very similar outfits on stage myself. Men have shouted RAPE at me when I’ve done so. But they’ve also shouted GET YOUR TITS OUT at me when I was wearing jeans, trainers, and a loose black band t-shirt. It’s not about what we’re wearing – it’s never about what we’re wearing. It’s about how male desire, male prejudice, and male power is projected onto us.

I realised my problem with The Commitments was that the women characters’ sexuality doesn’t belong to them. Within the context of the plot, they were only ever given the opportunity to be attractive for the men around them, not for themselves. Sex without power.

The Commitments musical wants women in the audience to enjoy the music while sucking up the sexism and ignoring the depth of anti-racist histories. By contrast, at Revolt we sought to build power for women – all women – on and off stage. We sought to bring into being a world in which we can dress how we want, and dance, and sing, and listen, and play, and there’s not a damn thing anyone can do to diminish us for having and creating a great time. It wasn’t perfect, but it was ours.

—

I love a good feminist space, but separatism won’t save us. If we want women musicians to prosper, we need an actual commitment to promoting respect in every context.

The biggest onus is on event organisers, writers, and musicians – especially those in a position of relative power. There is no excuse for endless all-male and all-white line-ups at events, for casual sexism or racism in lyrics, in event promotion, or in the lines of a jukebox musical. How many people involved in putting on The Commitments looked at the script or the choreography and thought, “hang on a moment”, but didn’t speak out? How many white men (or women) who put on gigs or tour in bands even bother to think about whether or not there are women or people of colour on stage?

Simply having women or people of colour in the room is also not enough. We deserve to be present without having to worry about discrimination or abuse. Campaigns such as Good Night Out and the Healthy Music Audiences project have loads of resources available oncreating safer spaces for musicians and audience members alike.

Ultimately, everyone can play a part in changing the world – that’s how cultural change happens. You can support minoritized musicians by taking us seriously and helping us to build power. Attend our shows, listen to our music, share it with other people, and have a great time. That, really, is what it’s all about. 

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A Methodology for the Marginalised

This is a deeply strange time to have a new peer-reviewed article out. I’ve been on strike for weeks, and otherwise on annual leave, planning a move south (for my new job) which may well be indefinitely postponed. It’s hard to comprehend the enormity of the COVID-19 crisis, nor the fact that the most helpful thing I can do right now is stay put.

The article was originally drafted in 2018, and based on experiences I had during fieldwork and while disseminating my research between 2013 and 2017. With the pandemic upon us, this previous decade feels like deep, distant history. Here in the UK, the true, awful toll of the illness is yet to become apparent; yet cities are beginning to turn silent as we self-isolate, political axioms are turned on their head, and all conversation turns eventually to the virus.

In this context, it’s easy to wonder if any of the work we did a month or more prior could possibly still be relevant. And yet.

~

Cover image of the journal Sociology.My new piece is titled A Methodology for the Marginalised: Surviving Oppression and Traumatic Fieldwork in the Neoliberal Academy, and it is published in Sociology, the journal of the British Sociological Association. I use my experiences as a trans academic as a case study to talk about the huge inequalities endemic within universities, and how these disproportionately impact those who already experience forms of social marginalisation. My aim is not simply to chronicle the harms of marketisation, transphobia, sexism, and racism, but to also propose a way forward. We need to start thinking and acting more collectively; in addition to workplace organisation and union activity, this is relevant to how we design and implement our studies.

My proposed “methodology” involves bringing questions of solidarity and mutual support to the procedure of research design. Universities have long been bastions of privilege, with mechanisms of exclusion are unthinkingly built into every aspect of academic life. The only way we can possibly open up higher education is through creating systems of support which acknowledge and account for pre-existing inequalities, and these must be embedded within the process of knowledge creation itself.

My article uses the example of suicide within trans communities to illustrate this principle. Suicide ideation and suicide attempts are especially common among trans people. As such, it is highly likely that any given trans academic will either be suicidal, or will have friends who are. Consequently, if trans people are to stand a reasonable chance of surviving within the university, this is something that should be accounted for in research design and funding proposals as well as in wider institutional support structures.

~

It’s impossible right now to know when and if the world will return to “normal”. I have seen some contend that this cannot be possible given the devastating number of predicted deaths, the shock to our economic and political systems. Others observe that the prevailing social order has survived before, and argue that any emergency measures to support workers who have lost their livelihood and/or increase police powers will inevitably be reversed in the long term.

However, what we do know is that universities have historically been remarkably resiliant – as have the inequalities in our society. Whatever happens next, we must continue to fight for a better world, and that includes within academia.

We can already see this beginning to play out in the UK as universities scramble to shift their activities online. Managers are relying on staff to carry on teaching, conducting research, and undertaking assessment and monitoring activities such as the REF. Meanwhile, most of us struggle to balance working from home with looking after partners, housemates, and/or families, wrestling with IT systems that have been heavily undermined by cuts as shiny new buildings stand empty on our campuses. We cannot possibly expect to carry on as normal.

It is in this context that I invite you to read my new article, as and when you find the time and mental energy. It is one of the most difficult and vulnerable things I have ever written. I am really proud of it. It helped me think through some small ways in which I might change my work patterns and practice of solidarity, as part of a far larger push for change. I hope that in turn, it might help you also.

A Methodology for the Marginalised:
Surviving Oppression and Traumatic Fieldwork in the Neoliberal Academy

~

Update 17 July 2020: the article has now been published in Volume 54, Issue 4 of Sociology, and is also now available free to read on the journal’s website. I have updated the links to reflect this.

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Interview on Acadames podcast

webfront8Earlier this year I took part in an interview for Acadames, a super-cool podcast “that explores whether being a woman in academia is a dream, game, or scam”. The episode is now available! I really enjoyed speaking with Whitney  Robinson about my work, and hope you will enjoy our conversation just as much.

Today Whitney speaks with Dr. Ruth Pearce, a social researcher and feminist scholar based at the University of Leeds in the United Kingdom. Ruth discusses her current work with the Trans Pregnancy project, why gender equity schemes are so important in academia, and offers tips for resiliency when facing online harassment and political backlash. Along the way, she shares stories of her life as a trans woman, how academic institutions in the UK differ from those in the US, and the similarities between organizing a concert and organizing a conference.

Click here to listen.

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A slow, painful grind: WPATH 2018 conference report

IWPATH_BuenoAr_Logo_reverse.jpgn the first week of November I attended the 2018 WPATH Symposium in Buenos Aires, Argentina. This biennial event is one of the largest trans studies conferences in the world, with around 800 academics, activists, healthcare practitioners and researchers coming together to exchange knowledge.

Most of the conference consisted of parallel sessions: approximately eight or nine speaker panels occurring simultaneously in different parts of the conference venue. So it is impossible for anyone to take part in the majority of conference events. Nevertheless, I attended as many sessions as possible, and livetweeted from most of these. Links to Twitter summaries of the sessions I attended can be found at the end of this post.

In this post, I comment primarily on my observations of the conference as a sociologist and trans professional.


Opportunities and inclusion

As I anticipated, WPATH 2018 was full of contradictions.

On the one hand, it was exciting to join and learn from so many academics, healthcare practitioners and human rights experts working in the field of trans health. As I report in the Twitter summaries below, the conference provided a great opportunity to participate in debates over new ideas and standards of care, and hear about cutting-edge research findings and advances in clinical practice. It was an especial privilege to learn first-hand about the implementation and impact of Argentina’s pioneering Gender Identity Law, a topic I expand upon later in this post, but hope to write about in more detail in the near future.

I was also glad to have the opportunity to present a paper on research ethics and a poster with initial findings from the Trans Pregnancy project to an international audience.

It was excellent to see that the conference organisers acknowledged and responded to some of the feedback from trans delegates in previous years. Gender-neutral toilet blocks were present on every floor of the conference venue, and pronoun stickers were provided to accompany name badges. The provision of a “trans hospitality suite” enabled trans attendees to relax in a more comfortable environment, and also arrange our own ad-hoc meetings and events. This was inevitably re-branded by its users as an “intersex and trans” room in recognition of the importance of this space also to intersex delegates; I hope conference organisers will learn from this for future events.

This year’s Symposium also benefited from a clear code of conduct and language guide, previously introduced for the 2017 USPATH and EPATH conferences.


Microaggressions and objectification

On the other hand, the cis-centric atmosphere of the event felt like a slow, painful, constant grind. As with previous WPATH conferences, the event was punctuated by constant microaggressions (and, on occasion, outright “macro”aggression); these were damaging to intersex people, people of colour and delegates from the Global South as well as trans attendees. Examples include individuals advocating for intersex genital mutilation, off-colour jokes about trans suicide, the use of outdated language, and misgendering of research participants.

Some research seemed entirely voyeuristic: for example, one poster from the Netherlands purported to report on differing levels of jealousy towards sexual competitors among “mtof and ftom transgenders”. It was often unclear how consent was obtained (if at all) for the use of personal information about research participants and/or patients. This was particularly concerning when numerous posters and powerpoint slides included unnecessary photographs of intersex and/or trans genitalia (a “WPATH conference bingo” grid circulated among intersex and trans attendees of the event included a square for “unexpected genitals”).

As a trans attendee, I felt deeply objectified by the tone and content of this material. It felt dehumanising, and I felt like a thing, subject to the harsh gaze of an abstract, dehumanising curiosity. Yet I was disturbed not only by those engaging in such work, but also in the response of many of their peers. Numerous practitioners and researchers who seemed broadly sympathetic to trans rights and affirmative in their own work often said nothing to counter transphobia, cisgenderism and endosexism in the work of others. It is difficult for intersex and trans people to explain how painful this situation is when most of our colleagues and the senior figures in the field are not intersex or trans; we know that our projects and careers alike may suffer if we speak out too openly or too harshly. I encourage fellow members of WPATH to reflect on their potential complicity in this situation, and consider how we might collectively work to change it.


Tokenism and colonialism

The choice to locate the conference in Buenos Aires felt deeply tokenistic, with numerous attendees from the Global South arguing that this represented a colonial attitude. The vast majority of conference attendees were from the United States or Western Europe. The price of the conference was a significant barrier to many attendees, amounting to the equivalent of the average monthly income in Buenos Aires. The choice to host the event in an expensive Hilton hotel felt like it was taken primarily for the benefit of (the more wealthy) attendees from the West to the detriment of local intersex and trans people, some of whom reported that they risked being profiled by the police if they tried to enter the wealthy area of the city in which the hotel was located.

The sessions on clinical practice in Argentina and human rights in Latin American were some of the most interesting I sat in on, but also least well-attended. I later heard that on one occasion a high-profile lawyer invited to speak on the topic of Argentina’s Gender Identity Law addressed a near-empty room, due to clashes with sessions that focused on Western bioethics, research and medical practice. This sense of tokenism was compounded through the choice to hold the conference in English (the official language of WPATH), with funded translation into Spanish available in a maximum of two rooms at any one time. Some of the conference organisers later stated that they had been worried about the finances of the event, but this felt like a strange claim in the wake of a lavish gala dinner with dancers, DJs, and multiple buffets serving food from various regions of Argentina. As human rights expert and executive director of GATE Mauro Cabral declared in the closing plenary of the conference, “When WPATH decided to come to Argentina, with the most progressive gender identity law in the world, I was excited. But we could only talk among ourselves. You came to this country because of the weather, steak and wine, but not to learn from us”.

While these issues are primarily structural ones that need to be formally addressed by WPATH, the onus is also upon individuals from Western and/or Anglophone countries to take action and reflect upon our relative power and privilege in attending these events. In addition to vocally supporting my colleagues from the Global South, one aspect of my own practice I feel I can address is my use of language in planning talks. For example, I could have undertaken a little extra work to ensure that my slides were bilingual, listing bullet points in Spanish as well as in English. I hope to draw on this lesson in preparing for future international events.


TPATH, human rights monitors, and lessons from Argentina

My experience of WPATH 2018 was improved enormously by the presence of other trans people working in the field of trans health, as well as the intersex activists and human rights experts who came to monitor WPATH’s historic antipathy towards intersex rights. Many of us are members of TPATH (the Transgender Professional Association for Transgender Health), a new and as-yet loosely affiliated group of trans people working in trans health that I helped to co-found during the 2016 WPATH Symposium in Amsterdam. Numerous others were part of a 50-strong delegation of intersex and trans human rights monitors from all parts of the world, who attended in order to conduct a collective human rights audit of the conference.

It was with these individuals that I found myself having the deepest conversations, these individuals with whom I heard the most fascinating research findings and the most rigorous analyses. We also shared a strong sense of solidarity in the face of the many problems apparent at WPATH 2018.

That said, the most important event I attended took place outside of the WPATH event: in Casa Jáuregui, a historic queer cultural centre many blocks away from the Hilton. Here, Frente de Trans Masculinidades (the Transmasculine Front) and other activists based in Buenos Aires hosted a meeting with TPATH members from the Bahamas, Aotearoa/New Zealand, Norway, South Africa, the UK and the USA. We shared information on our various areas of work, and the local activists talked at length about the history, implementation and practical impact of the Gender Recognition Law.

45312673_10156968672567287_3664316683624906752_n.jpg

Argentinian activists host TPATH members at Casa Jáuregui.

While it is important not to deny the significant challenges faced by trans people in Argentina, which include harassment by authorities, economic marginalisation and many forms of violence and discrimination, many of us were struck by how much has been achieved by activists in Argentina and (consequently) how advanced trans rights are in this country. The Gender Identity Law has been carefully written to enable flexibility; this has meant, for example, that it was interpreted to enable non-binary recognition by a judge as recently as last week. It also guarantees access to healthcare, which has meant that every possible medical intervention is available to trans people, either for free or through relatively inexpensive health insurance (in theory, that is: in practice, various legal battles have been necessary). This has been of benefit to cis women and queer people as well as trans people: for instance, through enabling easier access to hysterectomies or breast reductions.

During the meeting, the local activists described gender-affirming medical interventions that most of us had never even considered, such as beard hair implants for transmasculine individuals who cannot or would prefer not to use testosterone. Moreover, while long waiting lists exist for some procedures such as surgeries, those of us attending from European countries and (especially) Aotearoa/New Zealand were astonished by how much shorter they were than equivalent waiting times in our own countries, in part due to the absence of unnecessary gatekeeping procedures and treatment bottlenecks.

I was profoundly moved by the opportunity to attend this meeting, and regretted that so much of my time in Buenos Aires was spent in the sterile environment of the Hilton. However, I was also glad to have the opportunity to work with others to challenge the hierarchies and cisgenderist assumptions inherent in WPATH. We undertook many small interventions: asking questions about ethics, consent and power dynamics in the sessions we attended, raising concerns in private conversations, reporting blatant contraventions of the WPATH code of conduct. I was also pleased to hear many of my colleagues openly critiquing problematic issues identified during an update on the progress of the forthcoming Version 8 WPATH Standards of Care, and take part in attempts to hold our professional body to account during a member’s meeting on the final day.

Overall, I found WPATH 2018 to be a very tiring, draining and frequently unpleasant experience. However, I do not regret attending. I am grateful to have had the opportunity to learn so much from so many. I am also glad to have played a small role in supporting my intersex and trans colleagues and my colleagues from the Global South in attempting to help transform WPATH so it is more transparent, more accountable, and less colonial in attitude and in action.


Session summaries

The following links are to Twitter threads in which I summarise plenaries, talks and mini-symposia I attended at WPATH 2018.

Saturday 3rd November

Opening session and President’s Plenary

Keynote: Employment discrimination against trans people (Sam Winter)

Keynote: Trans legal history in Latin America (Tamara Adrian)


Sunday 4th November

Mini-Symposium: The Argentinian experience of public transgender health after the implantation of the Gender Identity Law

Oral presentations: Services in different parts of the world (Australia, Southern Africa, Scotland)

Mini-Symposium: Trans refugees: escape into invisibility

Mini-Symposium: Latin American perspectives on depathologization of trans and travesti identities

Plenary: Show hospitality to strangers: intersex issues in the time of gender identity laws (Mauro Cabral and respondents)
Note: this was listed as a plenary session in the programme, but actually took place alongside multiple parallel sessions. Consequently, this talk was under-attended by Western healthcare practitioners in much the same way as the Latin American sessions.


Monday 5th November

Oral presentations: Suicidal and non-suicidal behavior

Mini-Symposium: Ethical considerations in transgender health research

Oral presentations: Fertility

Oral presentations: Reproduction


Tuesday 6th November

Mini-Symposium: Child and adolescent medicine Mini-Symposium: Child and adolescent medicine

Plenary: SOC 8 update

Plenary: SOC 8 Q&A

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Staff sexual misconduct: new research and ways forward

Last week I attended an important event on staff-to-student sexual misconduct in UK Higher Education institutions. The event included a summary of new research showing the huge challenges students face in reporting sexual misconduct, and reflections on how best to tackle misconduct and reform reporting mechanisms. It was hosted by The 1752 Group, who are working hard to end staff-to-student misconduct in Higher Education. My talk focused on Athena SWAN. I reflected on how self-assessment teams can make use of the process to push for better reporting mechanisms in their institutions.

One of the most important aspects of the day was the focus on power. The very real power differential between lecturers/tutors/supervisors and their students is rarely acknowledged within academia. By ignoring this power relation or pretending that it is not relevant to sexual encounters, Higher Education institutions and those of us who work in them do our students an enormous disservice.

We heard some harrowing stories from researchers and survivors, but I also left inspired by the commitment of those who gathered to consider how best to create change. For decades now, stories of sexual misconduct have been silenced and covered up, which has effectively enabled perpetrators to continue their abuse. Through bringing together people with a range of expertise to reflect openly on themes such as power, complicity and accountability, we can begin to end the silence and think about practical solutions.

You can read a full account of the day from myself and other Twitter users on Storify here.

 

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WE ARE REVOLTING: my first Trans Pride

There are a couple of looks I am very familiar with as a trans person.

One is primarily a look of confusion. It is the kind of look you might expect to receive if you were wearing a boot on your head. You have disrupted the everyday order of things, and people don’t know how to respond.

One is primarily a look of disapproval, communicating a barely-contained sense of disgust or revulsion. It is the kind of look you might expect to receive if you have smeared shit all over your face and are walking down the street as if nothing is wrong. You have disrupted the everyday order of things, and people are very unimpressed, but perhaps aren’t quite yet ready to shout or spit at you. But you imagine that they would quite like to.

I’m very used to these looks because I have received them a lot over the course of my life. More often when I was younger, my face and body as yet unchanged by oestrogen. But I still receive such looks now and again to this day, particularly when I put less effort into conforming to stereotypical expectations about how a woman should look or carry herself. Perhaps I have put on less makeup, or I am wearing baggy clothes, or I haven’t brushed my hair for a couple of hours.

Other trans people – particularly other trans women, and especially trans women of colour – are less fortunate than me. People don’t just look at them. The looks are merely where it starts. Then people shout at them, or spit, or throw stones. People pinch their arses or grope their breasts. I hear these stories from my trans friends pretty regularly. It’s like everyday sexism with the volume turned up.

Other trans people – particularly other trans women, and especially trans women of colour – are less fortunate still. People stalk them. People assault them. People rape them. People kill them.

They do this because we are revolting.

It starts with a look. Call it the cis gaze.

~

Today I saw so many looks of confusion and disapproval. I felt the revulsion. It was visceral. It was contained. It could not harm me. I was amongst hundreds like me.

Today I took part in a Trans Pride march for the first time.

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Waiting for a bus before the march. Photo by Sophie Wilson.

Trans people have, of course, taken part in LGBT Pride marches for as long as they have existed. Trans Pride marches, however, are a relatively new phenomenon. The first Trans Pride in the UK took place in Brighton in 2013.  I attended Trans Pride Leeds, which is in its first ever year.

I have previously marched in LGBT Pride parades in Birmingham and London, and attended Pride parties in Coventry and Leamington Spa. On these occasions, people throng the streets. There is a sense of celebration. There is a giant street party. People come out to see the happy gays. They mostly look on with enjoyment. It is a family affair.

At Birmingham Pride one year, I was stopped by a “community safety officer”, who objected to my placard. It was not family friendly, he said. If I didn’t destroy or cover it up, he would call a police officer and I would be arrested. At London Pride one year, some people sought to control entry to a women’s toilet, ejecting at least one trans woman in the process.

Trans people are not necessarily welcome at LGBT Pride events. Or, if we are, we are not as welcome as many of our cis gay, lesbian, bi and queer siblings. Or, if we are, we are not seen or celebrated in the same way. We are not as safely contained.

But: there are a lot more cis gay, lesbian bi and queer people at LGBT Pride than there are trans people. We disappear into the crowd. We cause less confusion. We bring less disapproval. We do not so easily revolt.

This is why Trans Pride is important. This is why Trans Pride is necessary.

 

 

Photo by Kayleigh Brooks
Photo by Ruth Pearce
Photo by Natacha Handley
Photo by Ruth Pearce

~

Today is Trans Day of Visibility, apparently. In the UK, trans people are more visible than ever.

Visibility has brought new dangers. We are currently subject to an unprecedented hate campaign in the media, spearheaded by “respectable” publications such as The Times and The New Statesman. On the Internet, we have attracted the dangerous attentions of a resurgent neo-nazi movement, their anti-trans campaigns bolstered by useful idiots who claim to oppose trans rights in the name of feminism.

Visibility has brought new opportunities. We see more of one another. We are more organised than ever. We have grassroots organisations in every city. We are producing art, music, plays, and films that speak to our own interests and concerns. We are marching in protest, we are marching in Pride. We seek gender liberation.

It will be a very long, very hard fight, but we are going to change the world.

We are revolting.

~

Today I saw so many looks of confusion and disapproval. I returned the gaze. I held my placard high. I shouted, joyously. They could not harm me. I was amongst hundreds like me.

I could not, would not be shamed, for I felt the power of Pride.

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Trans Pride placards. Photo by Natasha Handley.

 

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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.

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Forthcoming talk: The Transgender Moral Panic

I’ve been invited to give a guest lecture at the University of Warwick next week, on Thursday 8th February.

This will be part of the “Hidden Histories” alternative lecture series, organised by Warwick Students’ Union with support from a number of academic departments.

The talk will take place from 7pm in S0.21 (Social Science Building), and is open to all. I will speak for around an hour and there will be time for questions and discussions.

Here’s the blurb from the Facebook event page:

The Transgender Moral Panic: A Brief Social History

Over the last few months, there has been an enormous upsurge in media commentary that expresses concern about the role of trans people in public life. Gendered changing rooms, non-binary people, trans children and notions of self-definition have all come under intense scrutiny, with psychologist Meg-John Barker describing 2017 as “the year of the transgender moral panic”.

For the 2nd lecture in our Hidden Histories series, Ruth Pearce will explore the background to the recent wave of media interest, taking in radical feminist theories, scientific racism and proposed changes to UK law. She will show how the transgender moral panic has been shaped by deep-seated cultural anxieties around sex and gender, brought to the fore by the precarious successes of the trans liberation movement.

Ruth Pearce is a trans feminist scholar. Her research primarily examines discourses, practices and experiences of trans health. Her PhD was awarded by the University of Warwick in 2016. Her thesis looked at how trans health is differently understood within trans communities, activist groups and professional literatures, with a range of meanings and practices contested within and between these spaces.

Come along for what is set to be a fascinating event exploring a topic which is generally erased from mainstream curricula. Refreshments will be provided!

Hidden Histories banner

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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.

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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