While prior research has called attention to how medically based, normative understandings of sex and gender place undue restrictions on transgender people's autonomy, there has yet to be an attempt to consolidate this research into a recognizable concept that is situated within existing theoretical frameworks. This article uses documentary films focused on transgender men as an empirical example to develop the concept of transnormativity. Transnormativity describes the specific framework to which transgender people's presentations and experiences of gender are held accountable. Drawing on research specific to transgender community groups, medicalization, and legal transition, I argue that transnormativity structures transgender experience, identification, and narratives into a hierarchy of legitimacy that is dependent upon medical standards. This ideology, as I show via a content analysis of documentary films, circulates in media depictions of transgender people in ways that eclipse alternative explanations of gender non-conformity. While medical transition is a central component of many transgender people's gender trajectory, I argue in this article that the privileging of the medical model over others creates a marginalizing effect for gender-non-conforming people who cannot or do not wish to medically transition.

The medicalization of gender variance is a key force in transgender people's experiences of embodiment, identity, and community. While most directly dictating experiences of diagnosis and medical classification, it is important to acknowledge that the effects of medicalization are widespread across social contexts and institutions. I explore the medical model of transgender identity, with special attention to its current diagnostic classification, in order to highlight how transgender people's interactional experiences of gender are shaped by medical authority. I review literature that highlights the operation of the medical model as a normative accountability structure in its influence across multiple institutions of social life including health and healthcare, transgender community groups, and legal classification.

In this article, we examine how race and gender shape nurses’ emotion practice. Based on audio diaries collected from 48 nurses within two Midwestern hospital systems in the United States, we illustrate the disproportionate emotional labor that emerges among women nurses of color in the white institutional space of American health care. In this environment, women of color experience an emotional double shift as a result of negotiating patient, coworker, and supervisor interactions. In confronting racist encounters, nurses of color in our sample experience additional job-related stress, must perform disproportionate amounts of emotional labor, and experience depleted emotional resources that negatively influence patient care. Methodologically, the study extends prior research by using audio diaries collected from a racially diverse sample to capture emotion as a situationally emergent and complex feature of nursing practice. We also extend research on nursing by tracing both the sources and consequences of unequal emotion practices for nurse well-being and patient care.

This article uses ethnographic methods to explore how transgender people engage the medicalisation of transgender experience in a U.S. context under the purview of the American Psychiatric Association. Building on sociological literature related to medicalisation, this paper argues that the lived experience of medicalisation is a non‐linear, complex process whereby individual engagement with medical authority is both empowering and constraining in the lives of trans people. Inductive qualitative analysis of 158 hours of participant observation and 33 in‐depth interviews with members of a transgender community organisation revealed that transgender individuals (i) reject a medical frame for gender dysphoria, (ii) embrace and stress the importance of gender‐affirming medical technologies for individual identity development and social interaction and (iii) strategically reintroduce medical logics and embrace medical authority in order to facilitate medical and social recognition, validation and acceptance.

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Drawing on interview and diary data from 40 men in nursing in the US, the current study advances our theoretical understanding of how heteronormativity and masculinity intersect to shape men's performance of carework. Men in nursing are constrained by their accountability to stereotypes that they are gay and/or hypersexual, challenging their work in the feminized profession of nursing. As heteronormativity is embedded in the institution of health care, men nurses of all sexualities must perform additional labour on the job to reconcile their conflicting accountability to heteronormative stereotypes and occupational standards of care. We conceptualize this additional labour as heteronormative labour — work performed in order to strategically manage heteronormative expectations and realized through discursive, cognitive and emotional strategies. The experiences of men in caring professions remain rich for advancing theory on the relationship between sexuality and gender generally and in the workplace.

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This article uses ethnographic methods to explore how peer support and community involvement influence the mental health and well-being of transgender (or, trans) people in the southeastern United States. The study builds on existing research that suggests that trans community involvement and peer support among trans people enhance mental health experiences and moderate the effects of stigma and discrimination on health outcomes. Through qualitative analysis of 158 hours of participant observation and 33 indepth interviews with members of a trans community organization in the U.S. Southeast, this paper identifies three key processes through which peer support and community involvement enhance the mental health and well-being of trans people: (1) the normalization of trans identities and experiences; (2) the creation of a social support network; and (3) the empowerment of trans people.