Shifts in transgender healthcare: Thinking about gender diversity and inclusivity

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Gremillion, Helen

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2024-09-19

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Conference Contribution - Oral Presentation

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Auckland (N.Z.)
New Zealand
transgender
gender-affirming care
gender identity
non-binary
transmasculine
sex
gender transition
case studies
LGBTQIA+
Money, John (1921-2006)

ANZSRC Field of Research Code (2020)

Citation

Gremillion, H. (2024, September 19). Shifts in transgender healthcare: Thinking about gender diversity and inclusivity [Paper presentation]. Te Manawa Reka: Curiosity Symposium, Tangatarua Marae, Mokoia Campus, Toi Ohomai Institute of Technology, Rotorua, New Zealand. https://hdl.handle.net/10652/6777

Abstract

This presentation examines the rapidly shifting landscape of transgender healthcare for adolescents at a time when an increasing number of young people are identifying as gender diverse, and the provision of associated medical care is hotly contested – along with the very conditions of possibility for trans life. The presentation critically analyses binary constructs of gender and sex, as well as problematic sex/gender distinctions that appear within transgender medicine, examining aspects of their history and effects in both clinical and wider political contexts. In addition, variable and sometimes incompatible concepts of gender at play in the clinic, as well as differentials of power surrounding age and patient agency, are identified and scrutinized. Building on a 2022 presentation at this symposium (delivered when the project was in its formative stages), and utilizing the methodology of analytic autoethnography, the author draws on her own experiences in a New Zealand clinic as the mother of a transgender teenager, presenting vignettes from healthcare consultations to illustrate operations of medical power as well as resistance against problematic formulations of clinical expertise. The concluding discussion outlines legacy learnings that could support a more diverse range of sex/gender embodiments in the future, articulating alternative understandings of the relationship between sex and gender to this end. The implications for theorizing sex and gender are significant and have the potential to contribute substantially not only to healthcare debates but also to more inclusive discourses about gender identity

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