Persistent Misunderstandings about Being Transgender and Their Effect on Pediatric Care

2020 ◽  
Vol 20 (1) ◽  
pp. 29-39
Author(s):  
Gerald D. Coleman ◽  

There is no paucity of academic studies, medical literature, or media attention given to concerns about gender ideology and being transgender. When reporting their findings, however, some researchers and practitioners working from a purely secular perspective overstep medical observations to make metaphysical pronouncements. This causes considerable confusion and stifles dialogue that could occur if the line between medicine and philosophy were clearly delineated. Properly understood, transgender describes an observable distress due to incongruence between one’s birth sex and gender identity. Conversely, gender ideology is a metaphysical conclusion, which argues that a person’s gender is fluid and open to personal choice. Clearly distinguishing between these can help families, clinicians, and society provide medically appropriate and culturally competent care to those with gender dysphoria, especially children.

2019 ◽  
Author(s):  
Marybeth Meservey ◽  
Yvonne Gomez-Carrion

The healthcare community and lay public have become more aware of transgender (TG) people in the past decade as celebrities have publicly transitioned and activists have pushed back against restrictive laws. Movies, television, nonfiction books, and novels increasingly represent the experience of people who are TG. News organizations and entertainment outlets have given attention to the lives, needs, and challenges of TG and gender-nonconforming individuals. Nonetheless, TG individuals are often fearful when seeking healthcare. Experiences of shame, judgment, and rejection with providers lead to anxiety in future encounters. The number of clinical providers who feel prepared to offer care for TG individuals is limited. Many TG individuals have been denied basic primary and preventive healthcare as a result of their TG status. Understanding the concepts of TG and gender nonconformance expands the skill set of the healthcare professional for providing culturally competent care to all patients and their family members. This review contains 26 figures, and 59 references. Key Words: cis-sexual, gender binary, gender confirmation surgery, gender dysphoria, gender nonconforming, intersex, LGBTQ, queer, transgender, WPATH


2019 ◽  
Vol 30 (2) ◽  
pp. 149-165
Author(s):  
Lukáš Jeník

The issue of gender and gender studies is a topic that has its own admirers but also vehement critics. The aim of the paper is to outline a number of key stereotypes often repeated by the critics of “gender ideology“ which is above all an attempt to radically separate sex and gender. This “ideology“ is based on various conceptions of social constructivism, but also on poststructuralist theories. One of the most frequent targets of the above mentioned criticism is American philosopher Judith Butler. Many critics are irritated by her philosophical conception and political activity. The ambition of the text is to show that the conventional reading of Judith Butler is very often just a misunderstanding. The reason of this misconception is primarily the ignorance of her hermeneutical points of departure, which leads to the misinterpretation of her work.


Author(s):  
Erzsébet Barát

This chapter reviews research on populism by describing the role of discourse in articulating a “we” as an empty signifier. The emergence of “gender-ideology” discourse is presented as key to contemporary forms of exclusionary populism, as demonstrated in a case study of Hungary’s recent modification of the national register to prevent transgender individuals from retroactively changing their “sex at birth” status. The chapter argues that the discrediting of gender as an ideology mobilizes not only exclusionary right-wing populism but also feminisms asserting binary distinctions of a biologized sex and gender. While the government defends “us, the Hungarian people” against a “gender” that is not material but pure propaganda, self-identified progressive feminists dismiss trans-politics for focusing on identity instead of political economy. Both groups thus use “gender ideology” to mobilize an exclusionary rhetoric of hate. The chapter proposes that “us, the people” may instead be used to motivate a radical left populism organized around a “feminist people” of flexible inclusivity.


2019 ◽  
Author(s):  
Marybeth Meservey ◽  
Yvonne Gomez-Carrion

The healthcare community and lay public have become more aware of transgender (TG) people in the past decade as celebrities have publicly transitioned and activists have pushed back against restrictive laws. Movies, television, nonfiction books, and novels increasingly represent the experience of people who are TG. News organizations and entertainment outlets have given attention to the lives, needs, and challenges of TG and gender-nonconforming individuals. Nonetheless, TG individuals are often fearful when seeking healthcare. Experiences of shame, judgment, and rejection with providers lead to anxiety in future encounters. The number of clinical providers who feel prepared to offer care for TG individuals is limited. Many TG individuals have been denied basic primary and preventive healthcare as a result of their TG status. Understanding the concepts of TG and gender nonconformance expands the skill set of the healthcare professional for providing culturally competent care to all patients and their family members. This review contains 26 figures, and 59 references. Key Words: cis-sexual, gender binary, gender confirmation surgery, gender dysphoria, gender nonconforming, intersex, LGBTQ, queer, transgender, WPATH


Author(s):  
Cary Gabriel Costello

Perceived as natural and universal, the framing of sex and gender as binaries is in fact a cultural ideology. The empirical reality is that sex is a spectrum, manifesting in a wide array of sex variance, some of it formally categorized as intersex by scientists and doctors, and some not. This article gives an overview of how different societies have organized sex and gender into three, four, or more categories, and of the imposition of binary sex/gender as part of the European colonialist project. It then presents case histories examining four transgender and/or intersex individuals in the contemporary context, illustrating how individuals negotiate, exploit, or subvert binary sex/gender ideologies in conceptualizing physical sex variance and gender transition.


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