Gender Dysphoria and Dementia: A Case Report

Marshall, Jessica; Cooper, Michael; Rudnick, Abraham

doi:10.1080/19359705.2014.974475

Cited by 16 publications

(28 citation statements)

References 4 publications

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“…While some of this literature is empirically based, other publications remain only theoretical, focused on single case studies or on data collected from trans adults of all ages about their fears of aging, leaving little space for the voices of trans older adults. The same can be said of the scarce texts specific to trans and dementia, in both the grey literature (Alzheimer's Australia, 2014;McFadden, Frankowski, and Witten, 2017) and the academic literature (Marshall, Cooper, and Rudnick, 2015;Hunter, Bishop, and Westwood, 2016;Westwood, 2016;Witten, 2016;Baril and Silverman, 2019). Surprisingly, almost without exception, the literature on LGBTQ and dementia discusses "detransition" and gender "confusion.…”

Section: Trans Older Adults Living With Dementia: a Forgotten Reality?mentioning

confidence: 94%

“…literature on "detransition" has focused on trans youth, reflecting a more general ageist bias in trans studies (McGovern, 2014;Siverskog, 2015;Toze, 2018), a surprising number of works in the limited yet growing literature on trans older adults discuss cases of "detransition" in relation to dementia (e.g. Withall, 2014;Latham and Barrett, 2015a;Marshall, Cooper, and Rudnick, 2015;Knauer, 2016;Witten, 2016). Both of these groups-minors and older adults with cognitive disabilities-are groups for which legal capacity 3 is either absent or questioned (de Boer et al, 2010;Flynn, 2018).…”

mentioning

confidence: 99%

“…Regardless of whether or not they believe in potential gender-identity "confusion," these authors suggest diverse strategies of intervention with trans people living with dementia (TPLWD) (e.g. Marshall, Cooper, and Rudnick, 2015;Peel and McDaid, 2015;Hunter, Bishop, and Westwood, 2016;Westwood, 2016;McFadden, Frankowski, and Witten, 2017;Baril and Silverman, 2019).…”

mentioning

confidence: 99%

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Forgotten Wishes: End-of-Life Documents for Trans People with Dementia at the Margins of Legal Change

Baril¹,

Silverman²,

Gauthier³

et al. 2020

Can. j. law soc.

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Literature on the topic of trans older adults has documented a few anecdotal cases in which some trans people living with dementia forgot they transitioned and reidentified with their sex assigned at birth (“detransition”). Trans communities and their allies have encouraged trans people to engage in end-of-life planning, including the preparation of legal documents that state their wishes regarding gender identity and expression in the event of “incapacity” caused by dementia. While useful, we contend that end-of-life planning is often implicitly based on cisnormative and cognonormative (normative system based on cognitive abilities) assumptions. Such planning is founded on a stable notion of gender identity throughout the life course (“post-transition”) and assumes that the pre-dementia self is better equipped to make decisions than the “demented” self. We conclude by encouraging, based on an intersectional, trans-affirmative, crip-positive, and age-positive approach, respect for the agency of trans people with dementia.

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Section: Trans Older Adults Living With Dementia: a Forgotten Reality?mentioning

confidence: 94%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Forgotten Wishes: End-of-Life Documents for Trans People with Dementia at the Margins of Legal Change

Baril¹,

Silverman²,

Gauthier³

et al. 2020

Can. j. law soc.

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“…Another case in the literature involves a trans woman who developed dementia with 'subsequent gender confusion', and became unable to express a clear gender preference (Marshall et al, 2015). The next of kin was a daughter who had difficulty accepting her father's transition.…”

Section: Sub-theme: Dementiamentioning

confidence: 99%

A narrative review of literature on the use of health and social care by older trans adults: what can United Kingdom services learn?

2021

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We carried out a narrative review and thematic analysis of literature on the physical health care, mental health care and social care of trans older adults to ascertain what is known about older trans adults’ contacts with and use of health and social care. Thirty papers were found: a majority originated in the United States of America. Five themes were identified: experience of discrimination/prejudice and disrespect; health inequalities; socio-economic inequalities; positive practice; and staff training and education. The first three themes present challenges for providers and service users. Experiences of discrimination/prejudice and disrespect over the course of their lives powerfully influence how older trans adults engage with care services and practitioners. Health and socio-economic inequalities suggest that older trans adults are likely to have greater need of services and care. The remaining two themes offer opportunities for service improvement. We conclude that more research is needed, that there is a strong argument for taking a lifecourse perspective in a spirit of cultural humility, and that contextual societal factors influence service users and providers. We identify positive trans-inclusive practices which we commend to services. More needs to be done now to make older adult services appropriate and welcoming for trans service users.

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“…Another study described a 94‐year‐old woman of trans experience named Jamie, who had been living as a woman since she was 80 and had moderate cognitive impairment . She was referred for psychiatric services by staff at her long‐term residential care facility after she expressed confusion regarding ‘whether she was male or female’.…”

Section: Impact Of Cisgenderismmentioning

confidence: 99%

Challenging cisgenderism in the ageing and aged care sector: Meeting the needs of older people of trans and/or non‐binary experience

Ansara

2015

Australas J Ageing

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Recent Australian legislative and policy changes can benefit people of trans and/or non‐binary experience (e.g. men assigned female with stereotypically ‘female’ bodies, women assigned male with stereotypically ‘male’ bodies, and people who identify as genderqueer, agender [having no gender], bi‐gender [having two genders] or another gender option). These populations often experience cisgenderism, which previous research defined as ‘the ideology that invalidates people's own understanding of their genders and bodies’ [1–6]. Some documented forms of cisgenderism include pathologising (treating people's genders and bodies as disordered) and misgendering (disregarding people's own understanding and classifications of their genders and bodies) [1,2,7]. This system of classifying people's lived experiences of gender and body invalidation is called the cisgenderism framework [3,7]. Applying the cisgenderism framework in the ageing and aged care sector can enhance service providers' ability to meet the needs of older people of trans and/or non‐binary experience.

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Gender Dysphoria and Dementia: A Case Report

Cited by 16 publications

References 4 publications

Forgotten Wishes: End-of-Life Documents for Trans People with Dementia at the Margins of Legal Change

Forgotten Wishes: End-of-Life Documents for Trans People with Dementia at the Margins of Legal Change

A narrative review of literature on the use of health and social care by older trans adults: what can United Kingdom services learn?

Challenging cisgenderism in the ageing and aged care sector: Meeting the needs of older people of trans and/or non‐binary experience

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