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The case study focuses on the CRT tenet of intersectionality at the micro level regarding the issue of homelessness. Informed by the work of Kimberlé Crenshaw and Patricia Hill Collins on intersectionality, this case highlights how the intersection of multiple oppressed identities compounds the life of a first-generation African American transgender individual. Sitting at the intersection of their race, gender and cultural upbringing affected how the client navigated homelessness. Using that same tenet, the case demonstrates how the social worker working with the client is able to intervene in a way that centers their various identities. The case posits that by acknowledging the interweaving of different identities such as race and gender, CRT prompts a deeper understanding of the structures of power and discrimination.
This case discusses how the concept of family is a social construct, created and maintained by social norms that inform our individual attitudes, perceptions, and expectations of what a family is or is not. Although there is a strong history of advocacy in the Black queer community, families who identify as more traditional may struggle with acceptance of LGBTQ+ persons. Additionally, systemic racism and homophobia may create barriers to legal protections for individuals and partnerships who sit at that intersection. Being aware of the role of negative social construction on Black individuals’ ability to thrive in society and considering and honoring the roles of persons who are part of one’s chosen family is essential for social work practice. This is especially true in spaces where chosen family are given little to no legal consideration.
Trans people are among the most marginalized and stigmatized groups globally, facing high risks of discrimination, violence and abuse. In Colombia, older adults experience significant vulnerabilities and poverty, which are exacerbated for those with diverse gender identities, a population that remains invisible in this country. The existing literature on the ageing experiences of trans individuals, particularly in Latin America, is scarce, yet trans individuals in this region face widespread violence and discrimination. This article addresses this knowledge gap by exploring the ageing challenges encountered by Colombian trans women, through a qualitative study involving 23 trans women aged 50–67 living in Bogotá. It finds that older trans women face barriers throughout their lives, including stigma, gender-based violence, stigmatizing policies and political erasure. While some barriers persist for their lifecourse, others emerge in later life. A few resources are available at the structural, societal and individual levels to help trans women in Columbia cope with the ageing process. This article contributes to the limited knowledge of ageing in trans populations in the Global South. It shows how legal and social frameworks are pivotal in shaping ageing experiences that are unique to Colombia in ways not thoroughly explored in the Global North. It underscores the need for inclusive policies and practices that address the specific challenges of trans older adults. By adding to the social gerontological scholarship, this article will help inform debates and guide future research and policy development.
The way in which our understanding of and approaches to Bloomsbury have been changed by feminist and gender scholarship is under discussion in this chapter. In the main, however, it addresses the gender politics of Bloomsbury itself primarily through how Bloomsbury artists engaged with feminism and gender in their creative endeavors and in their personal relationships, and how their gender politics accorded with or diverged from what was happening in the broader public sphere in terms of social movements such as suffrage, and cultural institutions such as marriage. The chapter discusses Virginia Woolf, Vanessa Bell, Lytton Strachey, Dora Carrington, and E. M. Forster, among others. Far from seeking to present a coherent position among the group, this chapter teases out the contradictory and shifting views of various members. It ends by considering the group’s legacy in terms of whether and how Bloomsbury contributed, artistically and politically, to the reorientation of gender in its day, and ours.
This chapter introduces trans studies to Michael Field, and Michael Field to trans studies. It sketches out a range of critical approaches to Victorian trans studies and considers how Michael Field’s life and work enrich and complicate this emerging field. It introduces Mo Moulton’s ‘non-binary methodology’ as a framework to consider Michael Field’s many gendered selves, for instance, Edith Cooper as ‘Henry Boy’ in their diaries and correspondence. The chapter then turns to the transgender phenomena that proliferate Michael Field’s published work, using three case studies: Tiresias’ transfeminine power in Long Ago (1889), the condemnation of cross-dressing in The Race of Leaves (1901), and the artistry of transition in The World at Auction (1898).
Howard CH Khoe, National Psychiatry Residency Programme, Singapore,Cheryl WL Chang, National University Hospital, Singapore,Cyrus SH Ho, National University Hospital, Singapore
Chapter 47 covers the topic of gender dysphoria. Through a case vignette with topical MCQs for consolidation of learning, readers are brought through the management of patients with gender dysphoria from first presentation to subsequent complications of the conditions and its treatment. Topics covered include diagnosis, differentials, course, co-morbidities, management with hormonal treatment, sex-reassignment surgery.
The current administration has disproportionately targeted transgender, nonbinary, and gender nonconforming people, despite accounting for less than 1% of the population (Jones, 2024). Though there has been a flurry of executive orders issued restricting the rights of this population, Executive Order 14168 (i.e., Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government) and Executive Order 14151 (Ending Radical and Wasteful Government DEI Programs and Preferencing) are likely to be particularly impactful for workplaces. This is because Executive Order 14168 challenges the existing federal protections of the Civil Rights Act of 1964 extended through Bostock v. Clayton County (2020), by declaring sex as binary and biological and denying the existence of transgender people. In addition, EO14151 eliminates federal diversity, equity, and inclusion programs and practices, which limits organizational practices and policies that might otherwise create inclusive and equitable environments for transgender employees. Therefore, this policy brief aims to discuss these executive orders, the existing protections they aim to alter, and the potential implications for transgender employees, organizations, and industrial-organizational professionals.
Gender-affirming care is a multi-faceted healthcare provided to transgender and gender diverse individuals to support their physical and mental health. As more adolescents and young adults may be interested in various gender care options, cardiologists should have familiarity with the medical and surgical therapies offered and the risk and considerations these may have, particularly for youth with the history of congenital or acquired cardiovascular disease. The existing literature on exogenous hormone therapy, for the general population and transgender individuals specifically, is by large limited to the adult population, with little relevant information for younger individuals. Current evidence indicates several potential cardiovascular implications to consider with gender-affirming hormone therapy without documented morbidity or clear contraindication for its use. These include the risk of thromboembolism, atherosclerotic and coronary artery disease, hypertension, and dyslipidemia among others. This review summarises existing evidence to assist in navigating the risks and therapeutic options so that offering gender-affirming care can be considered and delivered safely for adolescents and young adults with cardiovascular conditions and makes recommendations for future research.
Readers have very credibly seen their most innovative concepts about gender reflected in James Joyce’s works. Joyce presented gender as it affects our attempts to live collectively and on shared terms, suggesting that gender flexibility is crucial to understanding human community, the polis, and thus the political. He explored gender as a physical experience, a socially intersectional construction, a performative speech act, and a phenomenological gesture while consistently challenging the stability of gender difference. Joyce’s famously ambiguous prose remains the creative strength of his oeuvre, which may put political and social wrongs to right by witnessing to a long history of gender-based violence, but equally may perpetuate old ideals in the service of strange comedy. His texts place responsibility on the reader to make meaning and justice in the world, while his words also provide readers with more fluid possibilities to counter the old inequities of the sex/gender system.
Cross-gender behaviour gradually entered the spheres of aetiology and diagnosis during the eighteenth century with reference to scattered instances of male cross-dressing. But well into the nineteenth century, “gender identity” (a mid-twentieth-century term) remained a poorly theorised instance of medicalisation. Late eighteenth-century concepts of “dynamic hermaphroditism” accounted for gender-nonconforming behaviours and aspirations, but could not account for the observed heterogeneity in disparities between sexed body and mind. Increasingly substantive contributions to aetiology were seen during the late 1870s and 1880s, particularly in response to Carl Westphal’s convoluted, 1869 concept of “contrary sexual feeling” (conträre Sexualempfindung). Richard von Krafft-Ebing’s notion of metamorphosis sexualis paranoica provided one of the most authoritative approaches to the question of gender identification in “sexual inversion”. The notion, which took the first seven German editions of his Psychopathis sexualis to achieve a definitive formulation, needs to be seen in light of Krafft-Ebing’s earlier conceptions of sexual delusion, which straddled the realms of the experienced sexual body and sense of self. Moreover, Krafft-Ebing was not the first to outline a theory of non-cisgender identity, as demonstrated by the mid-1880s work of Théodule-Armand Ribot and Rudolph Arndt, as well as various significantly earlier approaches to what had been considered the “monomania of sexual transformation”.
LGBTQ+ people remain underrepresented in politics, leading scholars to examine a variety of barriers to office. Based on work on women in politics, this paper focuses on one possible barrier: political finance. Is there a political financing gap between straight cisgender and LGBTQ+ candidates? Are there inequalities among LGBTQ+ candidates? If so, what explains them? This article explores these questions by combining a dataset of out LGBTQ+ candidates in the 2015–21 federal elections with political donations data from Elections Canada. When we examine bivariate financing gaps, we find LGBTQ+ candidates receive less money than their straight cisgender counterparts. These gaps are gendered: queer cisgender women, transgender, and nonbinary candidates receive the least money. When we adjust for other variables, we still find LGBTQ+ candidates in the Conservative Party and transgender and nonbinary candidates across parties receive less money. This article contributes to work on gender and identity in campaign finance and LGBTQ+ representation.
In this chapter we ask if people have rights to their social identities – in particular, their gender identities. We cash out what such gender identity rights entail by discussing the appropriate level of constitutional scrutiny to apply to laws that target transgender people.
Recent increases in homophobic and transphobic harassment, hate crimes, anti-lesbian, gay, bisexual, transgender, gender nonconforming, and queer (LGBTQ+) legislation, and discrimination in healthcare toward LGBTQ+ persons require urgent attention.
This study describes seriously ill LGBTQ+ patients’ and partners’ experiences of discriminatory care delivered by healthcare providers.
Methods
Qualitative data from a mixed-methods study using an online survey were analyzed using a grounded theory approach. Seriously ill LGBTQ+ persons, their spouses/partners and widows were recruited from a wide range of organizations serving the LGBTQ+ community. Respondents were asked to describe instances where they felt they received poor care from a healthcare provider because they were LGBTQ+.
Results
Six main themes emerged: (1) disrespectful care; (2) inadequate care; (3) abusive care; (4) discriminatory care toward persons who identify as transgender; (5) discriminatory behaviors toward partners; and (6) intersectional discrimination. The findings provide evidence that some LGBTQ+ patients receive poor care at a vulnerable time in their lives. Transgender patients experience unique forms of discrimination that disregard or belittle their identity.
Significance of Results
Professional associations, accrediting bodies, and healthcare organizations should set standards for nondiscriminatory, respectful, competent, safe and affirming care for LGBTQ+ patients. Healthcare organizations should implement mechanisms for identifying problems and ensuring nondiscrimination in services and employment; safety for patients and staff; strategies for outreach and marketing to the LGBTQ+ community, and ongoing staff training to ensure high quality care for LGBTQ+ patients, partners, families, and friends. Policy actions are needed to combat discrimination and disparities in healthcare, including passage of the Equality Act by Congress.
Most twin registries have not systematically collected the data required to determine gender identity, which has limited opportunities to evaluate potential familial contributors to gender diversity. This study addresses this gap by analyzing responses to gender identity questions introduced in Twins Research Australia’s 2023 survey. Among 4475 respondents (mean age 52.2 years, SD = 15.3), 36 (0.8%) indicated a transgender or gender diverse identity, which is consistent with population-based estimates of gender diversity internationally. Gender diversity co-occurred in 2/19 monozygotic pairs and 0/8 dizygotic pairs, giving rise to tetrachoric correlations of 0.62 (95% CI [0.33, 0.87]) and 0.00 (95% CI [0.00, 0.88]), respectively. These results broadly align with previous concordance estimates from twin studies that were specifically focused on gender identity. Although limited by a small sample size, these findings demonstrate the feasibility and utility of systematically collecting gender identity data through routine twin registry surveys.
This chapter offers an intersectional feminist reading of West Side Story that shows how women of color and the gender non-conforming character Anybodys are central to the (partial) redemptive arc of the musical. The narrative and characterizations—as expressed through songs, dances, and score—suggest a path to a better “Somewhere” that requires us to step outside the confines of normative masculinity and femininity which reinforce the boundaries of race and class. Throughout the musical, Anita and Maria must navigate the tensions within the concepts of assimilation and multiculturalism, as well as a social landscape dominated by an anxious and often violent masculinity. Careful attention to performances of these roles, and the character Anybodys, make clear that the belonging they (and we the audience) seek might be found somewhere beyond the reductive and destructive strictures of the gender binary.
Depicting transgender persons in comics without falling into visual caricature and thereby perpetuating harmful stereotypes can be a delicate task. In this discussion, I draw upon the notion of picture-reading to argue that, despite this fact, comics as a medium is particularly well-suited—both formally and in terms of production-relevant factors—toward capturing and communicating the complexities of transgender experience.
As increasing proportions of our global population age, transgender people are experiencing higher rates of dementia, and many are afraid to enter long-term care. Structural interventions such as advance directives may help mitigate fears around entering long-term care by managing specific anxieties that transgender people may have about dementia, loss of decision-making capacity, and discrimination in long-term care settings.
Marriage equality was a significant achievement, one that yielded both practical and symbolic benefits for hundreds of thousands of queer households. At the same time, marriage equality is not the same as full equality. In the years since the Obergefell decision, LGBTQ rights advocates have continued to fight difficult and demoralizing battles against harmful laws and policies, which have increasingly targeted transgender rights. However, the movement’s past successes should offer hope for the future. The history of gay and lesbian rights advocacy reveals that small victories at the state and local level, brought about by working with nonlegal actors, can transform both the law and society. Although advocates have not yet achieved gay liberation’s visions of the future, they have attained meaningful reforms. The movement’s history thus offers a crucial reminder that the law can change society for the better.
This chapter meditates on how Black erotic bodies manifest in a white supremacist world. It contends that said bodies congeal through an amalgamation of fungible gender and material/discursive dispossession. These inheritances afford Black people the opportunity to conjure fugitive freedom practices, such as multiplicity, which enable Black people to harness erotic power in the pursuit of self-determined notions of pleasure and intimacy with themselves and within Black communities. To buttress my argument, I draw on the work of Akwaeke Emezi – namely, their debut novel Freshwater and an essay about their gender transition surgeries – and Audre Lorde’s classic essay, “The Uses of the Erotic: The Erotic as Power,” to illustrate how multiplicity is a freedom practiced undergirded by erotic power such that practitioners need not minimize or eliminate contradictory or complex aspects of themselves in order to access pleasure and intimacy along personal and interpersonal registers.
Eighteenth-century Paris was the site of multiple sexual cultures ranging from permissive to conservative. All these sexual cultures operated within a set of prescriptive legal, religious, and moralistic discourses that prohibited sex outside of marriage while often supporting sexual pleasure within it. Many Parisians ignored these prescriptions, often with impunity. The police concerned themselves with public sex and intervened in private affairs only when asked to do so. Paris was home to a diverse permissive sexual culture. It was comprised of a portion of the financial, social, political, and intellectual elite, often identified as libertines, for whom sex outside marriage was both widespread and widely accepted. It also included men who had sex with each other as part of Paris’s extensive sodomitical subculture, though there is little evidence of a modern homosexual identity. Prostitution was endemic in Paris, encompassing numerous forms of transactional sex that translated into a sort of hierarchy, with women kept as mistresses by men of the elite at the top and those catering to marginal men at the bottom. We know least about the sex lives of other ordinary people, though evidence suggests many had sex outside of marriage and many cared deeply for their spouses.