The psy disciplines (i.e., psychiatry, psychology, psychoanalysis, and psychotherapy) have played a significant role in shaping understandings of transgender people's lives in ways that are transnormative (i.e., by emphasizing one particular account of what it means to be transgender). This paper documents 1) how the rise of the psy disciplines created opportunities for transgender people to access treatment (but that such access often required tacit acceptance of transnormativity), and 2) how transgender people have resisted transnormative accounts within the psy disciplines. More specifically, this paper explores how both the American Psychiatric Association's Diagnostic and Statistical Manual, and what is now the World Professional Association for Transgender Health's Standards of Care, have often enshrined highly regulatory accounts of transgender people's lives, while also changing over time, in part due to the contributions of transgender people. The paper concludes by considering recent contributions by transgender people in terms of the use of informed consent models of care and clinical research, and highlights the ongoing marginalization of transgender people in terms of access to ethical, trans-competent care.
Background: Growing numbers of men, trans/masculine, and non-binary people are becoming gestational parents, yet very little is known about experiences of pregnancy loss among this diverse population. Methods: The study employed a cross sectional design. Interviews were undertaken with a convenience sample of 51 trans/masculine and non-binary people who had undertaken at least one pregnancy, living in either Australia, the United States, Canada, or the European Union (including the United Kingdom). Participants were recruited by posts on Facebook and Twitter, via researcher networks, and by community members. 16 (31.2%) of the participants had experienced a pregnancy loss and are the focus of this paper. Thematic analysis was used to analyse interview responses given by these 16 participants to a specific question asking about becoming pregnant and a follow up probe question about pregnancy loss. Results: Thematic analysis of interview responses given by the 16 participants led to the development of 10 themes: (1) pregnancy losses count as children, (2) minimizing pregnancy loss, (3) accounting for causes of pregnancy loss, (4) pregnancy loss as devastating, (5) pregnancy loss as having positive meaning, (6) fears arising from a pregnancy loss, (7) experiences of hospitals enacting inclusion, (8) lack of formal support offered, (9) lack of understanding from family, and (10) importance of friends. Conclusions: The paper concludes by outlining specific recommendations for clinical practice. These include the importance of focusing on the emotions attached to pregnancy loss, the need for targeted support services for men, trans/ masculine, and non-binary people who undertake a pregnancy (including for their partners), and the need for ongoing training for hospital staff so as to ensure the provision of trans-affirming medical care.
That contemporary discourses of the ‘obesity epidemic’ are engaged in the construction of fatness as pathological, immoral and socially undesirable has been the subject much recent critical inquiry within Fat Studies. This paper contributes to that literature with a re-reading of obesity discourse via what queer theorist Lee Edelman (2004) has called ‘reproductive futurism’. Edelman contends that queerness figures the social order's death drive, and is thus abjected in order to assure the reproduction of that social order. This paper argues that, like the queer, fatness is increasingly being figured as anti-social and as that which must be eliminated in the name of a viable future. Framing obesity in this way makes possible an analysis of the presumed ‘threat’ of obesity, frequently referred to, but seldom unpacked, in the existing literature. A comparative analysis of the UK government's Change 4 Life (2009) public health campaign and nineteenth century theories of degeneracy is used to illustrate the cultural anxieties about immorality, disease, civilization and death that undergird both discourses. This analysis suggests the centrality of rationality and self-control, understood as moral, to the reproduction of the social order. Furthermore, reading the ‘obesity epidemic’ as couched in the logic of reproductive futurism opens up potential alternative approaches to fat politics. In the light of Samantha Murray's (2008) critique of the liberal humanist underpinnings of fat activist discourse, this paper considers whether Edelman's advocacy of ‘future-negating’ for queers, offers a productive trajectory for fat politics.
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