Applying Self-Directed Groupwork and Social Action Research Methodology with francophone parents of trans children and youth in Rural Quebec

Parental support is an important protective factor in preventing suicide among trans youth. However, parents often struggle to accept their child’s gender transition. Having access to a group and to meeting other parents facilitates the acceptance process, but support groups are rare and even more so outside urban areas. The research project discussed in this article was developed to understand specifically the experience of parents of francophone trans youth living in rural and remote communities in Quebec. A Self-Directed Group approach (Mullender, Ward and Fleming 2013), combined with Social Action Research (Author et al. 2015) was initiated to offer a platform for parents to explore the specificities of parenting a trans child in rural francophone Quebec. Parents were recruited through social and traditional media and a series of group meetings was planned to collect data and as well as to facilitate the parents' mobilization. Despite applying the Self-Directed Groupwork principles and process, many challenges were encountered, stimulating a number of reflections on the use of self-directed group work and social action in remote geographical areas. This paper explores some of those challenges and discusses a possible way forward for research.

Asymptomatic idiopathic intracranial hypertension post female to male gender transition

A 23- year-man post female to male (FTM) gender transition was found to have bilateral papilloedema at a routine optician visit. The patient was referred on for formal ophthalmological and neurological assessments. Optical coherence tomography (OCT) confirmed the presence of bilateral papilloedema. The patient was entirely asymptomatic and had no medical history. He took testosterone intramuscularly once per month. Neurological examination was otherwise normal. Investigations including routine blood panels, CT brain, MRI brain and cerebral MR venogram were all normal. Lumbar puncture yielded cerebrospinal fluid (CSF) normal in appearance but demonstrated raised intracranial pressure. In the absence of other causative aetiologies a diagnosis of idiopathic intracranial hypertension (IIH) was made. Treatment was commenced with acetazolamide and the patient was discharged with outpatient ophthalmological and neurological follow-up.

Motifs of homosexuality in Virginia Woolf’s Orlando

To avoid the stigma of societal dissaproval, love for somebody of the same sex has often been hidden from the declinatory views of the public; however, it has also been secretively transcribed into a broad spectrum of art. Virginia Woolf embroidered her homosexuality into the grotesque lines of Orlando. At the time, Woolf was engaged in an intense lesbian relationship with author Vita Sackville-West, who served as a model for the work’s main character. Woolf proclaimed her masterpiece “A Biography”, mirroring the duality of her own and Vita’s character, the perpetual beauty of the book’s hero, enduring for centuries, and his subtle gender transition. In the paper, we discuss some of the homosexual motifs in Orlando, which were formed by different influences, including the queer movement, ancient Greek literature and feminism.

Suture: Trauma and Trans Becoming

The landscape of trauma is scattered with ghosts. Wolves hunkering in the shadows. Memory’s spectral persistence and evasion. Leaky bodies and selves gathered up in the storm of pain. Genders imposed and genders made. History’s cruel excisions, scars, the spillage of wounds. A landscape in which we are nevertheless called to build home. Here, “storytelling is a kind of suturing.” Combining memoir, lyrical essay, and cultural criticism, KJ Cerankowski's Suture: Trauma and Trans Becoming stitches together an embodied history of trauma and its ongoing impacts on the lived realities of trans, queer, and other marginalized subjects. Suture is a conjuration, a patchwork knitting of ghost stories attending to the wound as its own archive. It is a journey through many “transitions”: of gender; through illness and chronic pain; from childhood to adulthood and back again; of psyche and form in the wake of abuse and through the work of healing; and of the self, becoming in and through the ongoingness of settler colonial violence and its attendant subjugations of diverse forms of life. Refusing a traditional binary-based gender transition narrative, as well as dominant psychoanalytic narratives of trauma that center an individual process of symptom, diagnosis, and cure, Suture explores the refractive nature of trauma’s dispersed roots and lingering effects. If the wounds of trauma are disquiet apparitions—repetitions within the cut—these stories tend the seams through which the simultaneous loneliness of mourning and togetherness of queer intersubjective relations converge. Across these essays, healing, and indeed living, is a state of perpetual becoming, surviving, and loving, in the nonlinearities of trauma time, body-time, and queer time.

More Than Meets the Eye: On Facing without Fully Knowing the Queer Worlds around Us

This chapter tracks a recent trend in queer narrative films that minimize psychological transparency, leave plot lines unresolved, and make facial close-ups affectively illegible. Such opacities regarding story and character refocus spectators instead on nuanced operations of power within specific cultural milieus. Thus, these films yield stealth versions of political cinema, hailing audiences into complex acts of richly intersectional social analysis and pushing film’s formal capacities to convey “personal” stories in ways that evade voyeurism and deprioritize identification. After opening with the Oscar-winning Moonlight (2016), which stipulates its lead character’s inscrutability to himself and others, including audiences, this inquiry delves further into three lesser-known contemporaries: Spa Night (2016), about a closeted Korean American teen; They (2017), a meditation on gender transition and national exile; and Tomcat (2016), an Austrian parable of the unknowability of humans and other animals.

A rational route to transformative decisions

According to Paul (Transformative experience, 1st edn, Oxford University Press, 2014), transformative experiences pose a challenge to decision theory since their value cannot be anticipated. Building on Pettigrew’s (in: Lambert, Schwenkler (eds) Becoming someone new: essays on transformative experience, choice, and change, Oxford University Press, pp 100–121, 2020) redescription, this paper presents a new approach to how and when transformative decisions can nevertheless be made rationally. Thanks to fundamental higher-order facts that apply to any kind of experience, an agent always at least knows the general shape of the utility space. This in combination with the knowledge about the non-transformative alternative in the choice set can enable rational decision-making despite the presence of a transformative experience. For example, this paper’s approach provides novel arguments for why gender transition (cf. McKinnon in Res Philosophica 92(2):419–440, 2015) or staying childfree (cf. Barnes in Philos Phenomenol Res 91(3):775–786, 2015) can be rational.

‘We Are Helpless, Hopeless and Living in Despair’: Impact of COVID-19 on the Overall Health and Well-being, and Participation of the Transgender Community in India

This article investigates the impact of COVID-19 on the health and lived experiences of the transgender community in India. In particular, the study analyses how COVID-19 affects the lives of the transgender community in terms of their interaction with the government policymaking and identity negotiation, livelihoods, access to health resources, availability of gender transition services and status of mental health. The analysis shows that the COVID-19 pandemic and the government strategies to curb the spread of infection have exacerbated the challenges faced by the transgender community in India and threatened their survival. As disease outbreaks traditionally perpetuate gender inequities and increase vulnerabilities borne by marginalised groups, the analysis has implications for purposefully creating appropriate platforms for participation of the transgender community and designing and delivering suitable programs and services to enhance their welling and human dignity.

Histologic Findings in Surgical Pathology Specimens From Individuals Taking Masculinizing Hormone Therapy for the Purpose of Gender Transition: A Systematic Scoping Review

Context.— Transgender men and transmasculine persons experience a discordance between the female sex they were assigned at birth and their gender. They may choose to take hormone therapy and/or undergo surgery to masculinize the body. Understanding the common (and less common) histologic changes present in patients taking masculinizing hormones will empower pathologists to better serve this unique patient population. Objective.— To summarize histologic findings in surgical pathology specimens from persons taking masculinizing hormones as a part of gender transition. Data Sources.— A systematic review of the OVID Medline and PubMed databases was performed to identify all studies describing histologic findings in surgical pathology specimens from transgender men from January 1946 to January 2021. Conclusions.— Publication in this area has markedly increased in the last 2 decades. However, most of the studies identified were descriptive and case reports describing changes seen in specimens removed as a part of masculinizing surgical procedures. Benign histologic findings include stromal hyalinization and epithelial atrophy in the breast, polycystic ovarian syndrome–like changes in the ovary, and transitional cell metaplasia in the cervix. The most commonly reported neoplastic finding was adenocarcinoma of the breast, with rare cases of ovarian, endometrial, cervical, vaginal, pituitary, pancreatic, and cardiovascular neoplasia also reported. Ongoing research in this area is needed to better characterize the histologic findings in persons taking masculinizing hormones to provide a deeper understanding of the effect of these treatments on different tissues and facilitate better patient management.