“It was like I had to fit into a category”: Care-seekers’ experiences of gender regulation in the Swedish trans-specific healthcare

2017 ◽  
Vol 23 (1) ◽  
pp. 21-38 ◽  
Author(s):  
Ida Linander ◽  
Erika Alm ◽  
Isabel Goicolea ◽  
Lisa Harryson
Keyword(s):  
Constructivist Grounded Theory ◽  
Care Providers ◽  
Transgender People ◽  
Trans Studies ◽  
In Trans ◽  
Gender Performances ◽  
Gender Regulation ◽  
Specific Care ◽  
Queer Phenomenology ◽  
Foucauldian Analysis

The few previous studies investigating regulation of gender in trans-specific healthcare are mainly based on text material and interviews with care-providers or consist solely of theoretical analyses. There is a lack of studies analysing how the regulation of gender is expressed in the care-seeker’s own experiences, especially in a Nordic context. The aim of this study is to analyse narratives of individuals with trans experiences (sometimes called transgender people) to examine how gender performances can be regulated in trans-specific care in Sweden. The conceptual framework is inspired by trans studies, a Foucauldian analysis of power, queer phenomenology and the concept of cisnormativity. Fourteen interviews with people with trans experiences are analysed with constructivist grounded theory. The participants’ experiences indicate that gender is constructed as norm-conforming, binary and stable in trans-specific healthcare. This gendered position is resisted, negotiated and embraced by the care-seekers. Norms and discourses both inside and outside trans-specific care contribute to the regulation and limit the room for action for care-users. We conclude that a trans-specific care that has a confirming approach to its care-users, instead of the current focus on gender norm conformity, has the potential to increase the self-determination of gender performance and increase the quality of care.

A younger onset dementia toolkit: Innovative practice

Dementia ◽  
2018 ◽  
Vol 19 (4) ◽  
pp. 1299-1307
Author(s):  
Caroline Vafeas ◽  
Elisabeth Jacob ◽  
Alycia Jacob
Keyword(s):  
Expert Panel ◽  
Aged Care ◽  
Dementia Care ◽  
Care Providers ◽  
Community Environment ◽  
Innovative Practice ◽  
Care Workers ◽  
The Family ◽  
Specific Care ◽  
The Individual

A diagnosis of younger onset dementia requires specific care tailored to the individual and the family. Dementia care workers often do not have the skills and experience necessary to offer this care within the residential and community environment. This article reports the development of an interactive resource to educate those employed to care for people living with younger onset dementia. Prescription for Life, a talking e-Flipbook was developed and piloted in two states of Australia. Feedback from the pilots was incorporated in the resource prior to a national rollout. The project was supported by an expert panel, including experts from national aged care providers.

“I am not just a me but I'm also a we”: Algorithmic Culture and Netflix's Sense8

2019 ◽  
Vol 63 (4) ◽  
pp. 139-151 ◽  
Author(s):  
Rye Gentleman
Keyword(s):  
Digital Media ◽  
Sharp Decrease ◽  
Well Being ◽  
Transgender People ◽  
In Trans

Transgender representation has proliferated in the era of algorithmically driven digital media, marking an increase in trans visibility alongside a sharp decrease in the material well-being of transgender people. By positioning its sole transgender character as an avatar of the algorithmic era, Netflix's Sense8 reveals the ways in which algorithmic culture contributes to the paradox of trans media visibility.

Clinical Research With Pregnant Women: Perspectives of Pregnant Women, Health Care Providers, and Researchers

2018 ◽  
Vol 28 (13) ◽  
pp. 2033-2047 ◽  
Author(s):  
Kyoko Wada ◽  
Marilyn K. Evans ◽  
Barbra de Vrijer ◽  
Jeff Nisker
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Clinical Research ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Research Participation ◽  
Well Being ◽  
Constructivist Grounded Theory ◽  
Care Providers ◽  
Women Health

Limited clinical research with pregnant women has resulted in insufficient data to promote evidence-informed prenatal care. Charmaz’s constructivist grounded theory methodology was used to explore how research with pregnant women would be determined ethically acceptable from the perspectives of pregnant women, health care providers, and researchers in reproductive sciences. Semistructured interviews were conducted with a purposive sample of 12 pregnant women, 10 health care providers, and nine reproductive science researchers. All three groups suggested the importance of informed consent and that permissible risk would be very limited and complex, being dependent on the personal benefits and risks of each particular study. Pregnant women, clinicians, and researchers shared concerns about the well-being of the woman and her fetus, and expressed a dilemma between promoting research for evidence-informed prenatal care while securing the safety in the course of research participation.

scholarly journals Time Use and Experienced Wellbeing of Older Caregivers: A Sequence Analysis

2019 ◽  
Vol 59 (5) ◽  
pp. e441-e450 ◽  
Author(s):  
Vicki A Freedman ◽  
Jennifer C Cornman ◽  
Deborah Carr ◽  
Richard E Lucas
Keyword(s):  
Sequence Analysis ◽  
Time Use ◽  
Panel Study ◽  
National Sample ◽  
Care Providers ◽  
Care Patterns ◽  
Older Caregivers ◽  
Time Diaries ◽  
And Cluster Analysis ◽  
Specific Care

Abstract Background and Objectives The diminished wellbeing of caregivers is well documented, but studies typically draw upon coarse measures of time use and thus provide limited understanding of the role of specific care activities in the daily lives of care providers. This study uses time diary data to explore whether there are signature care patterns throughout the day and whether these care patterns have implications for caregivers’ experienced wellbeing. Research Design and Methods Using a national sample of 511 time diaries from older caregivers in the Disability and Use of Time supplement to the Panel Study of Income Dynamics, we examine minutes of care provided on the prior day, overall and for four broad care categories (household, personal care, transportation, and visiting), and patterns of care over the day, the latter based on sequence and cluster analysis. Results Older caregivers spend on average 2.3 hr providing care to another adult on care days. Caregiving follows a roller-coaster pattern over the day, peaking at mealtimes. Sequence analysis suggests five distinctive caregiving patterns, which vary by both demographic characteristics of the caregiver (gender, work status) and care arrangement type (relationship to recipient, whether sole caregiver to recipient). The 40% who provide only marginal assistance of about 1 hr report lower experienced wellbeing than the 28% who provide sporadic assistance with a mix of activities for about 2 hr. Discussion and Implications A substantial share of older caregivers provides only 1 hr of assistance on a given day but appears to be at risk for reduced wellbeing. Better understanding of the reason for their marginal involvement and reduced wellbeing is warranted.

Institutionalizing Trans* Studies at the University of Arizona

2020 ◽  
Vol 7 (3) ◽  
pp. 354-366
Author(s):  
Susan Stryker
Keyword(s):  
Future Prospects ◽  
Transgender Studies ◽  
University Of Arizona ◽  
Trans Studies ◽  
In Trans ◽  
The University ◽  
Successes And Challenges

Abstract This article reports on the successes and challenges of institutionalizing trans* studies at the University of Arizona. It describes the Transgender Studies Faculty Cluster Hire Initiative of 2013–18, efforts to establish a curricular program of some sort in trans studies, barriers to achieving some of the the initiative's early goals, and future prospects for the field's institutionalization at the University of Arizona and elsewhere.

Provincializing Trans* Modernity

2021 ◽  
Vol 8 (2) ◽  
pp. 207-222
Author(s):  
Jonah I. Garde
Keyword(s):  
Critical Reading ◽  
Black Feminist ◽  
Trans Studies ◽  
In Trans ◽  
Multiple Meanings ◽  
The Relationship

Abstract This article aims to disrupt notions of modernity deeply inscribed in the origin narrative of trans studies by thinking through the relationship between transgender, the transatlantic, and Europe. Drawing on Saidiya Hartman's and Christina Sharpe's Black feminist theorizing of the asterisk and the multiple meanings embedded in trans*, the article takes up the archives of European sexology to explore their entangled histories as well as their limitations. Through a critical reading of Der Steinachfilm that is attentive to its transgressive imaginary as well as its silenced colonial and racial subtext, the author aims to contribute to the necessary task of provincializing some of trans studies' dominant epistemologies.

scholarly journals Thyroid hormone concentrative uptake in rat erythrocytes. Involvement of the tryptophan transport system T in countertransport of tri-iodothyronine and aromatic amino acids

1992 ◽  
Vol 281 (1) ◽  
pp. 81-86 ◽  
Author(s):  
Y Zhou ◽  
M Samson ◽  
J Francon ◽  
J P Blondeau
Keyword(s):  
Amino Acids ◽  
Transport System ◽  
Aromatic Amino Acids ◽  
Kinetic Properties ◽  
Rat Erythrocytes ◽  
Amino Acid Transport System ◽  
System L ◽  
Trans Studies ◽  
In Trans ◽  
Tryptophan Transport

The kinetic properties of transport system T, which is specific for uptake of aromatic amino acids, were studied in rat erythrocytes in the presence of leucine in order to block the neutral amino acid transport system L. Since the triiodothyronine (T3) transport system and system T are closely related, the trans effect of T3 and tryptophan on [3H]tryptophan transport and the trans effects of aromatic amino acids on [125I]T3 transport were studied. Equilibrium-exchange, zero-trans and infinite-trans studies of [3H]tryptophan transport indicated that system T in rat erythrocytes is a simple carrier with exchanging properties resulting in trans-acceleration of influx and trans-inhibition of efflux when tryptophan was present at the trans side of the membrane. In erythrocytes preloaded with unlabelled tryptophan, countertransport resulted in a 7-fold accumulation of labelled substrate inside the cells. T3 on the trans side of the membrane inhibited both influx and efflux of tryptophan, with Ki values similar to the Km values of the T3 transport system. Extracellular tryptophan trans-inhibited [125I]T3 efflux in a manner similar to [3H]tryptophan efflux. Preloading erythrocytes with tryptophan resulted in trans-acceleration of T3 uptake and a transient 5-fold accumulation of free T3 into erythrocytes. Phenylalanine and tyrosine (but not the D-isomer of tryptophan or non-aromatic amino acids) also produced trans-acceleration for T3 uptake and T3 countertransport. These results are compatible with a kinetic model assuming a common simple carrier of T3 and tryptophan transport and point to a countertransport pathway driving the uphill uptake of T3 by hetero-exchange with intracellular aromatic amino acids.

scholarly journals ADVANCE CARE PLANNING AMONG LGBT PEOPLE: AN INTEGRATIVE REVIEW AND ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S181-S182
Author(s):  
Luisa Kcomt ◽  
Kevin M Gorey
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Living Will ◽  
Rapid Review ◽  
Care Planning ◽  
Care Providers ◽  
Advanced Illness ◽  
Transgender People ◽  
Lgbt People ◽  
Healthcare Proxy

Abstract Lesbian, gay, bisexual, and transgender people (LGBT) with advanced illness need culturally competent advanced care planning (ACP) services but often encounter structural and communication barriers. The aim of this study was to examine the ACP behaviors of LGBT people. An integrative rapid review method was used to search electronic databases for peer reviewed and non-peer reviewed publications between 2010 to 2017. Eight survey instruments comprising 30 prevalence estimates were analyzed. ACP discussions between LGBT people and their primary health care providers were rare, with an overall prevalence of 10%. Transgender people were 50–70% less likely than their LGB counterparts to have a living will or to have appointed a healthcare proxy. These results suggest there is a critical need for greater cultural competency among health care providers serving LGBT populations. Social workers can play a key role in advocacy and social justice for LGBT individuals with advanced illness.

scholarly journals Addressing gaps in physician knowledge regarding transgender health and healthcare through medical education

2016 ◽  
Vol 7 (2) ◽  
pp. e70-78 ◽  
Author(s):  
Deborah McPhail ◽  
Marina Rountree-James ◽  
Ian Whetter
Keyword(s):  
Medical Education ◽  
Quality Care ◽  
Small Body ◽  
Healthcare Access ◽  
Transgender People ◽  
Health Curriculum ◽  
Individual Interviews ◽  
Physician Knowledge ◽  
Trans People ◽  
Specific Care

Background: Transgender people (those people whose sex at birth does not “match” their felt gender identity) are a priority group for healthcare as they experience high rates of discrimination and related illnesses. Despite this, there is a trend of poor healthcare access for trans people due, in large part, to the denial of care on the part of physicians. A small body of literature is beginning to suggest that this denial of care may be due to a lack of physician knowledge as well as, in some cases, to transphobia. There is a dearth of research in Canada, however, exploring whether and/or how knowledge gaps create barriers to quality care, and whether medical education can attend to these gaps while and through addressing gender normativity.Methods: To fill these gaps in the literature, we undertook a qualitative study with 30 trans identified people and 11 physicians (N=41) in Winnipeg, Manitoba. Methods included semi-structured individual interviews and focus groups. Data were transcribed and analyzed with NVivo qualitative data software using iterative methods.Results: An overwhelming finding of this study was a lack of physician knowledge, as reported both by trans people and by physicians, that resulted in a denial of trans-specific care and also impacted general care. Transphobia was also identified as a barrier to quality care by both trans people and physicians. Physicians were open to learning more about trans health and healthcare.Conclusions: The findings suggest a pressing need for better medical education that exposes students to basic skills in trans health so that they can become competent in providing care to trans people. This learning must take place alongside anti-transphobia education. Based on these findings, we suggest key recommendations at the close of the paper for providing quality trans health curriculum in medical education.

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