Disrupting Cisnormativity, Transnormativity, and Transmisogyny in Healthcare: Advancing Trans Inclusive Practices for Medical Family Therapists

Boe, Joshua L.; Ellis, Émilie M.; Sharstrom, Kalene A.; Gale, Jerry

doi:10.1080/08952833.2020.1848051

Cited by 13 publications

(7 citation statements)

References 44 publications

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“…From a queer theory perspective, the idea of introducing lived “queer” experiences into psychology training can be seen as an active attempt to breakdown or deconstruct the dominant cisnormative medicalized discourse that frame transgender people within psychological practice (Boe et al, 2020; Butler, 1999; Jagose, 1996). Boe and colleagues (2020) argued that Western cultures (e.g., Australia) typically operate within a binary gender system, those who do not fit inside this “box” tend to be pathologized and medicalized due to their positioning as “wrong” by this Western cisnormative lens. Thus, by incorporating transgender experiences and real-life case studies into training, the cisnormative medicalized framework can be exposed and challenged, paving the way for a “queering” of knowledge and practice within psychology training (Jagose, 1996).…”

Section: Discussionmentioning

confidence: 99%

School psychologists’ perceptions of transgender training and education: An Australian qualitative investigation.

Mackie¹,

Patlamazoglou²,

Lambert³

2023

Psychology of Sexual Orientation and Gender Diversity

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Many school psychologists lack transgender training and education and feel underprepared to work with this population. However, little is known about school psychologists' engagement with transgender training and education. To redress this gap, the current study explored cisgender school psychologists' perceptions of transgender training and education. Seven Australian cisgender psychologists completed individual, semistructured interviews, and the data were analyzed using interpretative phenomenological analysis (IPA). Three superordinate themes were identified: practicality and utility of training,LGBTQþ curriculum within tertiary education, and addressing the needs of transgender young people. The findings demonstrate the importance of using real-life experiences and case studies within training, having access to available training opportunities, recognizing the global utility of transgender training, updating tertiary LGBTQþ curriculum, and using a queer-informed holistic lens within transgender training and education. Practical implications include promoting the global utility of transgender training, "queering" tertiary education, and incorporating lived experiences into training opportunities. Future research should further investigate the impact of certain types of transgender training and education opportunities on psychologists' perceived competency and client outcomes. Public Significance StatementThis is the first known study to qualitatively explore school psychologists' perceptions of transgender training and education. This study aims to better our understanding of school psychologists' engagement with, and experiences of, transgender training and education, as well as further improving and developing current transgender training opportunities and updating LGBTQþ tertiary curriculum content.

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Section: Discussionmentioning

confidence: 99%

School psychologists’ perceptions of transgender training and education: An Australian qualitative investigation.

Mackie¹,

Patlamazoglou²,

Lambert³

2023

Psychology of Sexual Orientation and Gender Diversity

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“…2022;18:e4136. doi: 10.18294/sc.2022.4136 respecto al acceso a servicios de salud de calidad y capacitados, coincide con lo que Boe (17) , Bauer (15) y Komnt (18,19) sostienen en sus respectivos trabajos sobre las dificultades relacionadas con el desconocimiento y la falta de preparación, guías y protocolos para la atención de las personas trans.…”

Section: Discussionunclassified

“…(L) Un punto importante en el que coinciden tanto M y L es la cuestión de las revisiones ginecológicas. El miedo que ambos señalan es lo que algunas investigaciones abordan como estigma o discriminación, que puede ser debido a la falta de preparación y capacitación del personal médico y también a la visión cisnormativa con la que son diseñados los programas de atención médica (15,16,17,44) .…”

Section: En Esa Misma Líneaunclassified

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Influencias de los discursos cisnormativos en el cuidado físico y psicoemocional de jóvenes trans de México

Mandujano

Ruíz

2022

SCOL

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La cisnormatividad en el ámbito de la salud ha implicado la patologización de identidades que no se identifican con los criterios de la lógica binaria del género. El objetivo de este estudio fue analizar el alcance y la influencia que los discursos cisnormativos tienen en el cuidado y la salud de las y los jóvenes trans. Entre marzo de 2021 y mayo de 2022, se llevaron a cabo entrevistas semiestructuradas que se analizaron a la luz de la perspectiva socioconstruccionista. Participaron cinco jóvenes trans (dos mujeres trans y tres varones trans), de entre los 20 y 29 años. Los resultados mostraron la incorporación en sus relatos de aspectos del discurso cisnormativo del género; no obstante, a la par generan narrativas alternativas, en las que el cuidado psicoemocional y del cuerpo les lleva a posicionarse lejos de tropos narrativos como la disforia y “el cuerpo equivocado”. Concluimos que este trabajo contribuye a desmantelar la visión médica de las personas trans, mostrando cómo a través de sus recursos, adoptan prácticas de autocuidado. Asimismo, refleja la importancia de construir diálogos con las personas trans que permitan generar más y mejores estrategias de atención.

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“…Intersectionality-informed research practices hold enormous potential for making trans women visible in health research by paying attention to the heterogeneity of identity experience (Koyama, 2000;Boe et al, 2020). First, an intersectionality-informed approach in public health is important for examining the speci cities of the social location of trans women in health systems, enabling the development of new trans-centric theoretical concepts that allow scholars and practitioners to understand the structural determinants that engender unique forms of oppression for trans women in healthcare (Baeur, 2014).…”

mentioning

confidence: 99%

The Complexities of Trans Women’s Access to Healthcare in South Africa: Moving Health Systems Beyond the Gender Binary Towards Equity

Shabalala,

Campbell

2023

Preprint

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Background: Research in healthcare inequity has shown that health systems are shaped by broader socio-political contexts and biases that shape the institutionalization of healthcare, often leading to significant barriers to inclusive and equitable healthcare access. Health research has, however, overlooked how health systems marginalize gender-diverse persons and sustain health inequities among this population. Trans women, for instance, face multiple layers of exclusion due to their gender identity in health systems that could be considered patriarchal, binary, and cisnormative. Intersectionality-informed research can help challenge these gender structures within healthcare by acknowledging the diversity of identity experiences. Methods:This study adopts a critical trans politics (CTP) perspective to explore the socio-cultural and political dynamics limiting South African trans women's access to healthcare. Using a critical narrative approach, the research asks: 1) What narratives do South African trans women share about their experiences in health systems? 2) What gendered societal structures, practices, and norms enable or hinder their inclusion in health systems? Five South African adult trans women between the ages of 22 and 30 participated in semi-structured individual, telephonic interviews that focused on participants' subjective experiences within the healthcare sector. Results:Trans women are often stigmatized and positioned as outsiders in ciscentric health systems, which uphold traditional gender norms and favour cisgender individuals, while excluding and marginalizing trans positions. Three dominant thematic narratives emerged. First, the denial of trans women’s self-determination reflected in institutional policies and practices that misgender trans women, limited their access to dignified healthcare. Second, the lack of knowledge about gender-affirming healthcare held by healthcare professionals and healthcare institutions led to informational erasure. Third, barriers to accessible and equitable healthcare faced by trans women were compounded by gender, race, and class structural dynamics. Conclusions:This study sheds light on the challenges faced by South African trans women in accessing appropriate and respectful healthcare, highlighting the need for more inclusive and informed practices in local health systems. In response, a trans-inclusive health equity framework is proposed and its implications for theory, policy, research, and practice are outlined.

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Disrupting Cisnormativity, Transnormativity, and Transmisogyny in Healthcare: Advancing Trans Inclusive Practices for Medical Family Therapists

Cited by 13 publications

References 44 publications

School psychologists’ perceptions of transgender training and education: An Australian qualitative investigation.

School psychologists’ perceptions of transgender training and education: An Australian qualitative investigation.

Influencias de los discursos cisnormativos en el cuidado físico y psicoemocional de jóvenes trans de México

The Complexities of Trans Women’s Access to Healthcare in South Africa: Moving Health Systems Beyond the Gender Binary Towards Equity

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