Whimsical, queer exploration of all things gender.

Posts tagged ‘Queer’

Slurs – What they are not

If you look it up, a common-sense definition of a slur is simply an insulting remark, that might also harm someone’s reputation. This is over-simplistic, in that it doesn’t consider power dynamics. Often when we talk of slurs we’re talking about language used by those with power (which can mean being socially normalised, not demographically vulnerable to systemic forms of discrimination) to bash those without, in a hateful way associated with some kind of disenfranchised group. I would say minority group, though importantly women of course  experience all kinds of misogynistic language despite the size of the demographic (spoiler: because patriarchy). Most people can recognise and be suitably disgusted by a wide range of slurs, particularly racial ones. There’s also the conversations constantly happening within marginalised groups around the politics of reclaiming previously weaponised words as a form of empowerment – slutwalks, self-defining fags and dykes, and the now quite longstanding world of queer. But due to the (sometimes faltering, and certainly incomplete) progress that has been made through decades of social processes whereby more and more people get switched on to how language is used being something that matters, legitimate processes of challenging oppressive language have been levied as a rhetorical shield against being criticised, or even described.

I would argue there are two particular terms in relation to transgender people in particular that ignorant or prejudiced individuals like to claim are slurs or pejorative – cisgender, and TERF. Cisgender, or cis for short, comes from the latin meaning ‘on this side’ (whilst ‘trans’ means ‘on the other side’). It is a value-neutral descriptor for individuals whose gender identities align with how their gender was assigned at birth. TERF stands for trans-exclusionary radical feminism, and describes people (usually women) who profess a feminist identity but do not consider transgender women to be ‘real’ women.

Cisgender exists in order to de-position the words ‘man’ and ‘woman’ as always being about people who are not trans (notice how trans men and trans women are always indicated by the prefix, but most of the time cis men and cis women are ‘just’ men and women?). When we say man, or woman, we don’t have any information about whether an individual is cis or trans, but for as long as cisness is positioned as the ‘default’, trans status is positioned as ‘not normal’, rather than minority. Transness is implicitly excluded from being ‘real’ men or women for as long as those words on their own don’t include a universal appreciation of the possibility and reality of transness.  This isn’t to say that cis people can’t and don’t experience tensions, discrimination, or negative feelings because of enforced gender roles. But they do benefit from being viewed as real, constant, stable, and never having to convince or confess to others what their gender is, because it’s taken at face value. Cis people broadly benefit from being ‘the default’, and from cultural practices of ascribing gender to people based on what we see, and this often being taken as ‘more real’ than what an individual has to say about themselves.

People who don’t like these words existing often try to claim that they’re slurs in order to delegitimise their usage. Because of the fact that oppressed individuals may sometimes, in understandable frustration at experiences of inequality express their anger through disparaging the oppressive groups. Compare TERF to say, racist, or homophobe. These are words that are used to describe people with a particular set of (discriminatory) beliefs, or who engage in discriminatory practices. In those cases, people called homophobes and racists tend to respond by going ‘no I’m not! (I have a friend who is gay!)’ – yet fascinatingly TERFs don’t say that they don’t think that trans women aren’t women, but that… it’s offensive to say they are? In more extremely hateful individuals one does see people defiantly, proudly proclaiming themselves as racist, homophobic, transphobic – because they believe it is right to be so. Those who don’t believe it is right to be so but don’t recognise the problems with their actions are now the bigger problem.

People can try to shut down descriptors which shake their ignorant worldviews. TERFs see themselves as ‘feminists’, men and women critical of ‘cis’ see themselves as ‘just men and women’ (I’ve never seen a trans person have a problem or make a critique of the word cisgender, which probably has a lot to do with experiences of having their genders systematically delegitimised).

It is a Machiavellian, political move to utilise narratives of oppression resistance in order to reject descriptive labels that function to make a minority less Othered (in the case of cis) or to describe a set of beliefs unambiguously, making it easier to see their failings (such as TERF). One can see it in other domains – take the descriptor of ‘Blairite’ – because support for the political ideology of Tony Blair has been criticised heavily, proponents try to silence their critics through tone policing and claiming those labeling them are being offensive.

The bottom line – it’s important not to confuse people being pissed off with a group of people described by a word, and the word itself having a disparaging meaning.

 

 

5 Ways to be Kinder as a Gay Man

It can be easy not to care about politics and activism – and even easier to not care when people try and tell you that you should. This isn’t a post about that, but being kinder has significant impact on peoples’ lives. Everyone knows the sensation of dwelling on someone having done or said something really unnecessary, unhelpful, or mean, and how it can leave you rubbed the wrong way for the rest of the day. Hopefully you might also be able to think of a time when someone said or did something they really didn’t have to, but which stuck out, and made you feel good about the world for a moment. Being gay often situates one within a community – or at least a population – who can and do still experience rejection, hostility, discrimination… though increasingly, happily, many also don’t. In some particular ways, the gay community doesn’t necessarily recognise the ways in which it now has it good, and how the things we say and do can be unintentionally damaging. But what can an individual do about it? Especially without getting caught up in a world of politics or social justice that might not be at all for you? I would say – think about how you can be kinder. Below are some examples I think are important.

1. Avoid expressing your sexuality as ‘liking penis’ (or hating vaginas)

‘How is that unkind, I just do!’ You might say. But… not all gay men have a penis. If you’re a gay, transgender man trying to make your way in a community that situates your sexual desirability around something you may not have, then that can make you feel pretty excluded. There are of course, gay cisgender men who absolutely can be and are attracted to, have sex with, fall in love with trans men without fetishising them – without positioning them as some kind of exotic sexual curiosity. No-one is saying who you have to be attracted to, either – though taking a moment to ask yourself how central genitals are to your sexuality (if they are) and why, might be an enlightening exercise. Either way, this simple bit of awareness can go a long way to making gay communities a bit kinder for trans guys.

2.  Think about the broader implications of having ‘no fat’, ‘no old’, ‘no camp’, ‘no asian’ or other categories on your dating/sex apps

This is a predictably polarising point, with some arguing ‘it’s just a preference’ and others making arguments that it represents serious problems with hierarchies in the gay community, and how these are examples of racism, ageism, and other serious issues. Again – no-one is saying that you have to be, or can be, attracted to everyone. But there is a really significant difference between ‘having preferences’ and articulating that there is zero, absolutely zero possibility of talking to a person because of their occupation of a particular category. People ignore people, or say ‘no thank you’ all the time on these sorts of platforms. By doing the romantic or sexual equivalent of a 1930s style ‘no coloureds’ sign in a shop window, what this says is that no matter who you are, no matter how nice you are or whatever, your race/weight/presentation/age comes first. You are reduced to that thing – which makes people feel horrible. People don’t have direct control over who they find attractive, but again, there is value in examining why it is you feel the way you feel about particular groups of people. Giving someone a sign that you’re not interested without making it about a trait that can be the source of all kinds of degradation or exclusion is simply… kinder.

3. Respect campness

There’s a lot that can be said about this, but something I’ve definitely heard is gay people who feel that camp or effeminate gay men ‘are embarrassing’ or bring the gay community into ‘disrepute’. The first point I’d like to make in relation to this, is if this is about fear of association? That you don’t like the idea of mainstream society looking at you as a gay person and thinking of feather boas, drag queens, and high heels ? If so, then you have to accept that what you’re doing is saying to those who are far more likely to be victims of homophobia that they should simply stop doing what ‘makes the bullies bully’, rather than challenging what bullies do as wrong. Further, if we look at history, it wasn’t ‘straight acting’ gay men who did the terrifying, life-endangering activist work of activism such as Stonewall – it was transgender women of colour, effeminate gay men, and butch, queer women for the most part. The people who couldn’t hide. Some camp people will of course be shallow, bitchy, loud, annoying. Others will be deep, sensitive, quiet and delightful – in which case what you’re objecting to isn’t actually campness, but a construction that attempts to excuse the policing of femininity within men. Also, your masculinity (if you identify as such) shouldn’t feel threatened by camp, fabulous queens! If femininity threatens your masculinity through association, then perhaps your masculinity could benefit from being reconstructed in terms that aren’t oppositionally opposed to, or propped up by the denigration of femininity.

4. Try and empathise with those in the closet

‘It’s 2016, no-one cares, just get over it already’ – It can be so tempting to feel this way, especially if your own coming out was a bit of an anti-climax, either an affair of celebration, or indifference amongst those you know. Also as time passes by, it’s easy for any anxiety up until that point to be dismissed – ‘oh I was so paranoid but I really had nothing to worry about really, I should’ve known’. It might seem obvious to say, but not all circumstances are the same. There are still people who get kicked out by their families, have people change how they see you, change how they treat you. People deal with this in all kinds of different ways. If someone says they’re ‘straight but just like guys’, I might be thinking a couple of things, likely sympathetic things. No-one gains anything from saying ‘yeah right, face the facts buddy’. A community that engages sensitively with those who probably need it most is kinder and more supportive than one that doesn’t.

5. Don’t assume that a guy with a boyfriend is gay (or a guy with a girlfriend is straight)

There might be a fair old likelihood, but you know, bisexual people exist. Pansexual people exist (though not according to spellchecker). All kinds of sexuality and gender configurations exist. What about the queer guy who ended up in a relationship with a transgender woman, accepts her womanhood, but doesn’t identify as bi, or pan? There are lots of relationship experiences where the boundaries of sexuality labels breaks down a bit. Avoiding assumptions generally is a good way for people to feel like you’re considerate of their potential to exist.

On ‘Straight Acting’ and Stonewall.

Yesterday, I came across an article written by Noah Michelson provocatively titled ‘If You Think ‘Straight Acting’ Is An Acceptable Term, You’re An A**hole’. I would say the article is well worth reading, as it evocatively considers some of the concerns with Roland Emmerich’s new film ‘Stonewall’ – namely the accusations of historical inaccuracy, whitewashing, and homonormativity¹ in order to try and bring the film to a wider audience.

Michelson makes the point that:

Being “straight-acting,” for a gay man at least, is directly related to how convincingly he is able to present traditionally masculine mannerisms. The term is so markedly offensive because its very existence insists that there is a particular, instantly identifiable manner of being gay (defined by effeminacy). And what’s more, those qualities are seen as patently unattractive, undesirable and wildly dangerous.

He discusses his own experiences of policing his forms of self expression to articulate a more normative masculinity, in order to protect himself from queer bashing. He remarks how he regrets this, but poignantly asks whether he’d even be here to regret it if he hadn’t – emphasising increasingly how ‘same-sex’ attraction in and of itself doesn’t render one a victim, but the expression of transgressive masculinities and femininities amongst women and men respectively (and those who cross over or identify as neither in particular) puts one at risk. Now, there are those queers who, in the interests of their own safety, or their own ability to socially navigate the world they’re in with the least possible hassle will engaging in ‘straight acting’ actively. Then there are those who simply find that their default state of being is to articulate themselves in an unremarkable, normative manner. There is of course nothing wrong with that. I would however encourage those who have identified or do identify with the term ‘straight acting’ to ask – why do you? How is this identification situated within a larger social narrative and context which shapes who each of us are and how we feel? If you are concerned with how others perceive your masculinity in relation to your sexuality, why is that? Given that masculinity and femininity have large, complex narratives, can you see that when you say you’re ‘straight acting’, what people take from this will never be as simple as pure, value-neutral description (whether they realise it or not)? This can be articulated by different people in different ways to serve very similar ends. A common example being dating app profiles with caveats such as ‘not as camp as I look’, pre-empting judgement from a gay audience which has a clear hierarchy of value.

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Emmerich inserts the fictional protagonist Danny into the narrative of the film in order to “provide a very easy in” for a straight audience. One can understand the desire to want your film about an incredibly important civil rights event to reach and educate as many people as possible. There’s two important problems with this however. 1 – It didn’t remotely happen that way, and 2 – It throws the non-normative queers who were there doing what they did under the bus in order to pander to those potential viewers whose acceptance comes with terms and conditions of palatability. It also raises the very important question – have queer people moved so far away from the scary, dangerous activism of the past that is now spoken of reverently, these brave heroes, that we daren’t tell the story how it was for fear of making less headway with creating queer acceptance than we could?

I would say that if LGBTQ support is *dependent* on whiteness, normative masculinity, middle-class status, conventionally attractive embodiment – all the checkboxes of Danny that make him the least marginalised of the marginalised – then it is worth very little. Further, it’s 2015. Shows and films with casts not centred on whiteness, cisness, etc. have demonstrated their ability to be both commercially and critically successful – one needs look no further than Orange is the New Black. I believe that the film would actually have had a better impact on queer rights and empathy for oppressions faced in terms of sexuality and gender if Emmerich had dared to be more accurate, rather than worrying about the most socially conservative end of the spectrum. The comparatively slow limp of transgender rights and protections demonstrates exactly what happens when we try to gain acceptance by sweeping the more difficult queers under the rug. The irony that the charity ‘Stonewall’ only added trans to its remit this year is ridiculously long overdue, but not surprising due to this homonormative precedent. The very fact that Emmerich has been so heavily criticised is evidence that a mainstream audience could handle the more complex intersections of marginality the real historical figures experienced.

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It’s a fair question to ask what the problem with Danny’s role in the narrative is. Stonewall is famous for being a turning point, the explosive tipping point for LGBT (but let’s be honest, mainly G) rights. Therefore it’s easy to assume that the ‘mainstream gays’ who are visible and in many Western contexts doing relatively okay were also there. Not so. Those men and women with same-sex attraction in the 1960s who could hide it, often did. The straight actors were only to peer out of their closets after the radical queers had fought for some space for them. Emmerich would’ve done well to realise this, and recognise that his film had a duty to the queers still most marginalised today who fought *because* they had no other choice. Stonewall is a story for all queers, for all people to be inspired by, but not at the expense of de-centring the real, brave people who fought.

It’s very important then, to recognise the difference between what being ‘straight acting’ can mean in the world, and what it means when it’s inserted into this film which will be taken by many people as a representation of what happened. This may explain then, why when a historian of Stonewall, the only surviving member of the Stonewall  Street Youth, and other queer writers and experts were asked what they thought of the premier – the results were overwhelmingly damning. Emmerich has also said “as a director you have to put yourself in your movies, and I’m white and gay”. Maybe, just maybe, this film wasn’t about you, Roland. Maybe it also wasn’t about potential audience members who would deem The Stonewall Riots unacceptable if they saw them led by (as Michelson says) “non-white transgender people, genderqueer individuals, drag queens, butch dykes and sissy men”. Maybe that’s why Miss Major Griffen-Gracy, one of the few survivors of the Riot itself, said “How dare they do this again” of the film.

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Miss Major – Photograph credit to Annalese Ophelian.

It’s ironic that the historian David Carter explains that whilst he liked the characterisation of Ray, in reality Raymond Castro was “a very masculine guy, a generous guy – and very conservative-looking. He wasn’t effeminate – he never went in drag. He didn’t prostitute himself, either”. Emmerich had an opportunity to include a character who embodied a normative masculinity, whilst retaining historical accuracy – a bit of a godsend given that was important to him in this historical sea of queers that were more difficult to market. Why that wasn’t done is open to speculation. But if telling the story of Stonewall was important to Emmerich, as he says it was, but positioning the trans women of colour who were absolutely central to the events (Marsha P. Johnson, Sylvia Riviera, Stormé DeLarverie, and the aforementioned Miss Major) as the *main* characters, the central narrative, was too difficult… then maybe he shouldn’t have been the person to make this film.

1 – Whilst this term has been used in different ways in different contexts, the most common, and how I use it here, was popularised by Lisa Duggan in unpacking how heteronormativity can be assimilated into LGBT culture, practices, and identities. Heteronormativity is (often insidious or unconsciously manifested) practice that positions straightness, cisness, and normative gender and sexual roles as ‘normal’. That isn’t to say there is necessarily an explicit articulation of homophobia etc., but that in positioning particular qualities as normal (rather than common, or relatively frequent) one includes a moral dimension to the description – that positions particular others as ‘not normal’. Heteronormativity can manifest in such simple interactions many non-straight people will have experienced – an acquaintance say, asking a guy ‘do you have a girlfriend?’ or a girl ‘do you have a boyfriend?’ – the assumption of heterosexuality. In a sense then, homonormativity is exemplified by, for example, gay white men who have a distaste for campness, drag, gender-bending, and other aspects of queer culture that are distinctly un-normative. Plus of course, it’s never as simple as saying that a person *is* or *is not* hetero/homonormative – people articulate multiple and complex views, and may comfortably celebrate radical queerness in some contexts whilst wishing to distance themselves or tactically ‘tone it down’ in others. What this means for how queerness is considered by the wider population is an interesting point to consider.

Non-binary gender identity negotiation – My PhD explained!

I gave this talk at the 2015 ESSL (Education, Social Sciences, and Law) conference at the University of Leeds. Enjoy!

On Caitlyn Jenner’s Coming Out as Transgender

(Note – at the time of writing, Jenner explicitly stated in the interview that she was still using male pronouns, however this has since been updated to reflect a respect for her name and identity).

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On 24th April, Caitlyn Jenner ended media speculation by giving an interview to Diane Sawyer with ABC, announcing to the world that she is a transgender woman. As of 6.00 am Saturday 25th April GMT 2015 the full interview is still elusive (in the UK), with this 15 minute poor quality excerpt the longest I could find. Some high quality, short clips are found here. However I’ll be commenting on and synthesising the various reports and clips on and from the interview available so far.

We still identify as female. And that’s very hard for Bruce Jenner to say. ‘Cause why? I don’t want to disappoint people.

 Caitlyn Jenner

There’s a range of different things we can learn from this interview. The first thing is that a lot of people don’t appreciate what a big deal medical transitions are for trans people – emotionally, physically, and in most of the world, financially. Jenner literally laughs off the fact that some ‘sceptics’ suggest that this coming out could be a bid for attention, related to her part in the reality TV series Keeping Up With the Kardashians.

Are you telling me I’m going to go through a complete gender change, okay, and go through everything you need to *do* that, for the show? Sorry Diane, it ain’t happening!

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In addition to this, Jenner revealed she accessed hormones and facial surgery in the 1980s – being trans is not something new to Jenner herself, putting such ignorant cynicism to rest immediately. Her transition was ceased in 1990, after meeting her later wife of 23 years, Kris Kardashian. And in terms of ‘why now?’, she states unequivocally how she couldn’t hide this any longer. Jenner also made the points that fears over hurting her children meant she lost her nerve with her first attempts with medical and social transition, and that she and Kris might’ve still been together (they divorced in December 2014) if she had been ‘able to deal with it better’.

Which brings us to another important point that Jenner clarifies – how her sexuality has nothing to do with her gender identity. That identifying as a woman does not mean that she is attracted to men. Sawyer slowly walks through the logic of this – ‘if you are assigned male… and you become female… but you like women… are you a lesbian? are you a heterosexual… who…?’ Brenner cuts her off brilliantly, saying ‘you’re going back to the sex thing and it’s apples and oranges!’.

Whilst not discussed, it raised the question – how does a person’s gender identity relate to the sexuality of their partner? The answer is that it doesn’t, because whilst sexuality labels are most often used to signpost who a person sleeps with, these *labels* are also about identity. For instance, not all men who have sex with men identify as gay, and this is very important to recognise, in terms of both respect, and when conducting studies on sexual health. As a further example, if a person assigned male at birth comes out to her wife as a transgender woman, this doesn’t retroactively ‘turn’ the wife into a lesbian (assuming she was straight in the first place, and not bisexual for example…!). Also if the wife is still attracted to her transgender partner, still in love with her, that doesn’t mean she’s attracted to other women. It is an example of a straight-identified cisgender woman in what could be viewed as a lesbian, or same sex relationship… even if neither person, given their histories, identifies as a lesbian. But as long as one grasps the initial point that sexuality and gender identity are independent, and that labels aren’t gospel and depend on the person and situation rather than being a ‘neutral’ expression of ‘fact’, the rest can be negotiated from there.

For brevity’s sake, I don’t want to focus on the reactions of Jenner’s family, or the story of Jenner’s youth and athletic successes. The negotiation of significant personal issues is never easy, and the horrific marginalisation and ‘joke’ status that transgender people can still be relegated to isn’t up for debate. Jenner’s wealth and celebrity privileges don’t negate that coming out was a very brave thing to do, and she also makes it clear that she wants to do some good and help people by being open about her transition. She makes the point that her foothold in the reality television world gives her a powerful tool with which to raise awareness, even if not becoming an expert activist overnight.

The Twitter responses to the interview using the hashtag #BruceJennerABC have been overwhelmingly positive, though as S. Bear Bergman poignantly put it, “wondering who else should get 2 hrs on prime time TV?” whilst linking the list of unlawfully killed transgender people on Wikipedia, undoubtedly a list that under-represents. It was also pointed out by Kate Bornstein how the interview didn’t mention non-binary identities at all. Whilst not necessarily part of Jenner’s experience of gender, such a powerful opportunity for visibility and education could have benefited from greater breadth of reflection on the multi-facetedness of transgender lives. Jenner’s fame, wealth, and success position her as amongst the least vulnerable of transgender people, who collectively are still in dire need of protection, representation, access to services, and understanding. Let’s hope that Caitlyn Jenner inspires increased and better quality allyship.

The Power and Politics of Words: On ‘Shem*le’ and ‘Tr*nny’

Disclaimer: This is a big, complex issue. This post will never be able to do full justice to the topic, especially as I wish to remain accessible (which includes not writing a 20,000 word monster essay). I don’t intend to try and play an academic devil’s advocate, or create an argument where there isn’t one. The point of this post is NOT to ask ‘are these words okay?’ – large numbers of the trans community say no, and they deserve your respect. Nor is the point of this post to explain why they’re not okay – you can Google that though if you need to, as it’s important. Some members of the trans community reclaim the words as an act of empowerment, which I’ll come back to.

I had a really unusual experience of talking to a trans woman recently.  She referred to herself and all other trans women as ‘shem*les‘, and asked about the genitals of someone I know. For anyone in the know, you’ll know that when talking to trans people, both of these things are typically big red flags – offensive, insensitive behaviour. If she were cis I would have relied upon my educational privilege and assumed their ignorance, and called them out. It would’ve been an immediate moment of ‘ignorance alert! Need to set them straight in the name of challenging problematic behaviour!’. However, her transgender status changed the dynamic of the conversation, rendering me uncomfortable in putting on a teacher hat. Given that she’s trans, who am I to assume she doesn’t know the oppressive history of the word? Some transgender people (and other members of minority groups) reclaim words that have historically been used as insults, in order to empower themselves and challenge oppressive violence. Possibly the most famous word this has happened with is ‘queer’, which whilst still possible to wield aggressively, is used by many LGBTQ people to describe themselves. There’s even the academic field of Queer Theory. So because it would’ve been a very different (and problematic) thing for a cis(ish) guy to tell a trans woman how to use transgender-related language, instead I said ‘it’s interesting that you say X and Y, because I know many trans people who would have problems with this’.

It was clear from our conversation that her choice of language wasn’t a political decision, and that she wasn’t aware that the word is more often used to insult and oppress. Whilst many transgender people are very well read on transgender issues, as with any large and diverse group not everyone will be. It’s important to recognise that being trans absolutely does make that person the authority on their own experience of being trans, and that people should listen when they have something to say about how it is to be trans. But, being trans *in and of itself*, does not make an individual an ‘expert’ on transgender activism, politics, or language. It just so happens that, for obvious reasons, many people who experience social oppression of one sort or another (and their intersections) are motivated to learn about how to challenge it.

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It emphasises a point the wonderful Helen Belcher made in a talk I attended recently. She said (I’m paraphrasing) that ‘coming out as trans could be likened to expressing an interest in GCSE maths, and then having people assume you know degree level calculus’. In being an ally to transgender people, it’s important to listen. But assuming that one trans person can necessarily speak for all trans people not only isn’t realistic, but puts a lot of pressure on that person. I hold to the fact that it was impolite of the trans woman I spoke to to ask about the genitals of another person, close to me, who came up in that conversation. That conviction is informed by both lived, and academic experiences working with the transgender community.

I don’t want the take home message to be ‘trans people can be wrong about trans things, so listening isn’t all that important’. It is. The two points aren’t mutually exclusive – one can recognise that trans people are inherently the authorities on transgender experiences whilst recognising no one person’s points can ever represent what everyone thinks or feels. After all, plenty of LGBT people still loathe the word ‘queer’, and if one such person were to say ‘never use that word, it is always bad’, the queer people who do identify with the term (which includes me) could challenge that claim.

The slur ‘tr*nny’ is a very good example of vocal disagreement between different members of the trans community. For example in reference to controversies involving both slurs on RuPaul’s Drag Race, Justin Vivian Bond wrote how the policing of language is ‘trifling bullshit‘, and that there’s bigger problems to worry about. ‘Pro-slur’ arguments have been slammed – though with caveats pertaining to linguistic reclamation.

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There have been conversations about how the slurs are not RuPaul’s to reclaim as a cis-male drag queen, which emphasises how the queer community has changed since the days of the Stonewall Riots – when there was arguably less factionalism (and distinctions drawn) between L, G, B, and T. That may be in part due to there being less information and understanding broadly within society, with the oppressions still being experienced across the board. Now, it’s fair to say that gay and lesbian people have gained more ground with legal and social acceptance than the transgender community – and the differences between the political struggles and communities’ needs are a big conversation all on its own. One might raise an eyebrow at the seeming hypocrisy seen with RuPaul’s use of the above slurs, but then calling out Amanda Bynes for her use of the word ‘faggot’. If fag isn’t her word, tr*nny and sh*male aren’t his, despite the historical connection between drag and trans communities, from a time when there weren’t the words or identity categories for clear distinctions that there are now.

It’s complicated, but it doesn’t have to be. One can recognise that words have different meanings for different people, and use words in a way that is sensitive. I agree that only people who are oppressed by a word have the right to reclaim it, and that it’s insensitivity or ignorance when others play with such words. Words have the ability to oppress and to empower. If you feel strongly about challenging oppressions, then understanding the histories and conversations had about particular words can let you see the bigger picture.

Review: Louis Theroux Documentary – Transgender Kids

The Documentary Transgender Kids is available to watch on BBC iPlayer until 30th April 2015 – which can be found here. Apologies if you are outside of the UK and this link doesn’t work.

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On the 5th April, Louis Theroux’s latest documentary aired on BBC 2. To quote the BBC’s description of the programme: “Louis travels to San Francisco where medical professionals are helping children with gender dysphoria transition from boy to girl or girl to boy”. Whilst even this is an oversimplification (structuring transgender narratives as always having a binary ‘end result’, and also trans narratives or realities being dependent on gender dysphoric feelings, non-intuitive though this might be for some), the content of the program has been well received.

I agree with Paris Lees when she says that Louis excels at asking questions designed to aid the average viewer’s train of thought in understanding the subject matter. Whilst maintaining his position as ‘guy who doesn’t know much but wants to learn’, he also avoided tired issues of etiquette such as referring to people by the names and pronouns they identify with – as this is easily Google-able, but they moved through this in such a way so that viewers who didn’t already know this kept with the program.

The start of the documentary is strategically important and intelligent. We meet the parents of the little girl Camille, who iterate that their chief concern is doing right by their child, and learning how to best ensure their welfare – a position anyone can get behind. We are also introduced to Diane Ehrensaft who for me, was a highlight of the programme in demonstrating exceptional warmth, sensitivity, and wisdom. One would hope to see Diane’s approach in any professional working to support transgender and gender variant people, but which the voices of the transgender community tell us is sadly not the case.

People with little to no knowledge of transgender often ask the question ‘but how do you know’, and more so in the case of children. The anxiety surrounding the notion of supporting a ‘mistaken’ transition, of the risk of ‘getting it wrong’ is at the front of many people’s minds. It’s a big problem that many people (including medical professionals) can assume that it is ‘safer’ to prevent any kind of gender expression or transition that runs contrary to assignation at birth, because of potential risk. Louis raises this question (at 14.17 in, to be exact). Diane Ehrensaft is worth quoting directly in her response:

Is it a risk? Let’s call it a possibility. So with that possibility then we think, the most important thing is the same exact idea – to find out who you are and make sure you get help, facilitating being that person *then*. We have one risk we know about. The risk to youth when we hold them back, and hold back those interventions – depression, anxiety, suicide attempts, even successes – and if we can facilitate a better life by offering those interventions, I weigh that against there might a possibility that they’ll change later, but they will be alive to change. So that’s how I weigh it on the scales.

Bravo.

It’s also worth mentioning that whilst stopping or reversing transitions does happen, it is comparably rare. These examples shouldn’t need to be ‘hushed up’ because of the fear that they will be used to de-legitimise transgender people’s access to gender affirming services. Indeed one can see that being able to access such things and then stop can also be highly beneficial for an individual, to help work out who they are, and what they want.

The program didn’t make the mistake of trying to make a fictional debate about whether kids should or shouldn’t be given access – it was clearly sympathetic. I felt the show helped lead its audience to accept the importance of this point. It skillfully managed to do this without reducing the transgender voices on the program to one ‘line’ – there were definite differences between the children appearing on the show.

This was perhaps illustrated most clearly by Crystal/Cole, who exhibited a non-binary gender (although the show didn’t name it as such), sometimes expressing herself as Crystal and sometimes as Cole. They broached the fact that for some children (and indeed, plenty of adults as well) gender expression and pronouns could depend upon environment (‘he at school but she at home’) or on time (‘some days I’m Crystal but some days I’m Cole). There are also some conflicts within this particular narrative – Crystal’s mother (at 24.56) says that:

She has said in private with her therapist that she is a girl. Almost 100%. When I’ve sat down and had private conversations with her and said would you ever be interested in [transitioning medically], how do *you* feel about it? And her answer is ‘I can’t do that mommy, I have to be a boy’, and I enquire further as to why and she says ‘because I’m poppy’s only son, and it would destroy poppy’.

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This hints heavily at a father who isn’t supportive/understanding/accepting of his child’s gender expression, though we also hear Crystal herself say that she doesn’t prefer one name over the other, and later in the program says she wants to be male when she grows up (though for the very normative reasons of liking the thought of a wife and children, as if one must be male to have this). The show deals with this complexity well, and reflection upon Dr. Ehrensaft’s words are fitting. Crystal/Cole may be a transgender woman who, as a child, is navigating her father socially. They may be a non-binary person, with male and female identities, or some further understanding of themselves may manifest over time. I felt we were invited as an audience to recognise that ‘searching for truth’ is not the point of engaging with transgender people, but the most important factors are respect within the moment, and facilitation of what is needed for happiness and health. Which is not as complicated as critics might make it.

The mainstream media has responded positively to the documentary, although not all the conversations to have come out of it have been positive. For example, BBC Women’s Hour disappointingly attempted to create a very artificial ‘for vs. against’ debate’. Quite rightly, this inspired anger from transgender activist CN Lester, fed up of trans voices and narratives legitimacy being framed as a debate, as if each ‘position’ had equal evidence and importance.

Bottom line – this is a strong and sensitive documentary which I would recommend. Whilst obviously positioned within an American context (and the differences with the healthcare systems are important to consider), many people could learn from the compassion of some of the parents who recognise how important it is to become an advocate for their child. By challenging cisnormativity (the idea that identifying with the gender one is assigned at birth is ‘normal’ or ‘correct’), society is slowly dragged towards being safer and easier for those under the trans umbrella.

 

SuperQueers! LGBT+ in comic books

There’s been a fair bit going on recently. Transgender Day of Visibility was on 31st March, and the UK has seen the leader’s debates in the fretful warm-up to the general election. Therefore I wanted to write about something a little less serious, whilst still shedding some light on something not touched on much in mainstream outlets – LGBTQ comic book characters, which for me, shouts capes and spandex first and foremost. There’s been quite a few lists of favourite GSM (gender and sexuality minority) lists compiled by more expert comic book fans – but I’ll try and mix some slightly obscure and interesting examples with some well known classic heroes (and villains) who you might now see in a new light. So in no particular order then…

1. Mystique

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And pretty genderfluid too, but not in the way that normally means.

If (like me) your main familiarity with the X men was the film adaptations, or possibly the animated series of early ’90s morning kids TV – you’ve missed out on some seriously different character development. Amongst the most critical being the erasure of Mystique’s bisexuality. Besides originally being mother to the mutant Nightcrawler (that blue skin wasn’t coincidence) but also foster mother to Rogue (whaaat?), she was also over 80 years old by the millennium, with her shape-changing powers meaning her ageing is atypical also. As this article details, “Mystique’s character was not revealed as bisexual until The Uncanny X-Men #265, almost thirteen years after she originally debuted. This was due largely to the mandate by then Marvel Comics’ editor-in-chief that there would be no GLBT characters in the Marvel Universe.” Mystique’s début was in 1978 by the way, so not exactly the pre-legal days of Batman and Superman. Progress is slow though, and slower for letters other than G and L.

2. Batwoman

Delicious irony, in that she was originally introduced as a ‘no homo!’ love interest device, because it didn’t look very hetero when Batman and Robin shared a bedroom, even in the 1950s.

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Whilst like many of the big names there have been various incarnations, parallel universes, and all-round confusing re-inventions, Batwoman was rejuvenated as a Jewish lesbian in a slightly obvious move of clunky tokenism in 2006.

3. Northstar

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Important due to being the first openly gay Marvel superhero – though again, due to the policy of the then editor-in-chief Jim Shooter preventing any openly gay characters (along with the Comic Code Authority), despite debuting in 1979, he was only allowed to be explicitly stated as gay in 1992. With the ability to travel at near light-speed (and the associated resilience and strength), Northstar also got married in Astonishing X-Men in 2012.

4. Extraño

Extraño

 

An early DC queer example premièring in 1988, Extraño, meaning ‘strange’ in Spanish, was painfully stereotypical, though more explicitly ‘out’ before Northstar. Referring to himself often as ‘auntie’, he was confirmed to be HIV positive – possibly from doing battle with an adversary called Hemo-Goblin, who, I kid you not, was “a vampire created by a white supremacist group to eliminate anyone who was not white by infecting them with HIV”. In their own way, the comic book industry tried to engage with important political issues new to the world in the 1980s.

 

5. Wiccan

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A powerful member of the young avengers, Wiccan predictably has powerful magical abilities. With a backdrop that involved standing up to homophobic bullying, and a romance with fellow hero Hulking, this meant the character was particularly well received.

6. Alysia Yeoh

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Although not a superhero per se, Alysia is important as the first major transgender character in a mainstream comic (in 2013), as the roommate of Batgirl. Whilst there has been a few aliens who can morph gender around, psychics inhabiting bodies of different genders, and shapeshifters, this is the first time a transgender person (of colour no less, she’s Singaporean) had been naturalised and involved realistically.

7. Loki

Another huge character in no small part because of film franchises, and also with a complex, multi-incarnate history, Loki has a history of bisexuality and gender fluidity that has been promised to be explored more.

8. Sailor Uranus

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Although more well recognised from anime than from manga (comic book style serialisation in Japan), the Sailor Moon franchise was chock full of lesbianism, with Sailor Uranus having a relationship with Sailor Neptune. This was quite obvious in the originals through their flirtations – but in typical LGBT erasure/censorship, when translated for a US audience, the characters were positioned as cousins. Due to failing to remove all of the flirting however (either through sloppiness or a wish to actually be somewhat faithful to the original), it was accidentally implied not only that they were lesbians, but incestuous lesbians. Great job, conservative America.

9. Xavin

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Whilst we’ve already looked at Alysia as a sensitive and important example of transgender in comics, Xavin is something else. Quite literally, being a non-human known as a skrull who don’t experience gender in the same way. Xavin assumes male, female, and skrull forms. The character raised interesting interpretations of gender as for Xavin, this could be changed as easily and with no more personal significance than an outfit choice.

BONUS: The Young Protectors

Click to read the comic in full, for free!

Now this is something special. With an interesting, diverse cast of characters and a compelling plot, this young-superhero based comic has a gay-driven storyline, without reading like any kind of seedy knock-off. There’s a great balance between character development and action, and I only find it a shame there isn’t a more extensive serialisation to get one’s teeth into. And I’m not alone either. The creator’s Patreon backing is pretty huge. Well deserved, given the entire story is free to access.

The 32 Problems I Found with this Gender Identity Service FAQ Guide.

Transgender people have, as a group, an enormous amount of awareness of the problems with accessing gender related support through the NHS. This post will highlight some of these problems. Below is a letter received in February 2015 from the Leeds Gender Identity Clinic, copied verbatim (including all errors, down to mis-spacings and grocer’s apostrophes). The quality of this letter is pretty dreadful, and prompted my critique and questions, to be found below the letter.

The numbers in square brackets are references for my points. Some numbers will repeat, indicating the same response to a repeat of a problem.

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Leeds Gender Identity Service

Frequently asked questions August 2013 [1]

Leeds Gender Identity Service is well established, around 20 years old and has evolved over the years. It is a dynamic process. Below are some frequently asked questions and our answers as they stand in 2013.[1]

1) What are the team’s views and commitment to the client group?

The service has a very committed multi disciplinary team. Fortunately all members of the team (Consultant Psychiatrists, Medical Practitioner[2], Endocrinlogist, Clinical Nurse Specialist’s[3], Occupational Therapist, Prescribing Pharmacist, Clinical Team Manager, Clinical Service Manager and the Team Administrators) Share the belief in the bio psycho social model[4] and its application within physical, mental, social and general health and Gender Dysphoria in particular. All members of the team believe in the recognition of Gender Dysphoria[5] and the need to facilitate and co ordinate gender reassignment in the safest and most effective manner.[6]

The service believe in mutual respect between service provider and service user, informed consent, capacity ,[3] guidelines and a flexible application accordingly[3] to individual needs are paramount to the success of an agreed outcome.

2) What standards of care are followed by the service?

The Harry Benjamin International Standards of Care have a well established and historical influence on standards of care which are considered worldwide, over recent times these have evolved into the WPATH, version 7, and standards of care for the health of transsexual, transgender, and gender nonconforming people. As a team we are mindful[7] of this guidance. The team are guided by the National Royal College of Psychiatrist standards; however these have not been ratified[8] are recognised by NHS England. The Gender Act, ICD10, DSM IV, Nice guidelines, Act of parliament 2004 and the policies of the trust including First Do No Harm all guide our practice.

The service has an active involvement in the development of the National standards of care professionals group. This includes other leading, NHS, Gender Identity Services in the UK. The purpose of the group is to define agreed, UK, baseline standards of care.

A proposed DSM V is due for publication; however this is still in draft format.[9]

The DOH[10] published guidance for G.P.’s[3] and other health care staff in May 2013. Leeds Gender Identity Service along with other NHS teams[11] were involved in the preparation of this document.

3) What is included within the care pathway?

The care pathway is guided by the standards of care which are stated above however has the ability to be flexible to meet individual needs. It includes all the stages of Gender reassignment, assessment, hormone treatment, social gender transition and surgery[12]. The service initiates the 2nd opinion and surgical referral but these are completed outside of the Leeds Gender Identity Service[13] therefore any waiting times associated with these are outside of our control.

4) What is the assessment?

The assessment stage takes up to 4 sessions (4 months) however a minimum of 2-3 sessions completed over a 2-3 month period could be agreed according to individual needs.

The criteria of the assessment is confirmation of the diagnosis of gender Dysphoria and exploring aspects of physical, mental and social health. Issues of eligibility and readiness to move into the next stage would be evidence based.

5) What is the social gender transition (SGT)?

Social gender transition is in its entirety approximately 2 years[14]. In order to complete an assessment of social gender transition the information gathered during this stage of social gender transition needs to be evidence based, this would include:

Living in role full time[15]

Change of name[16]

Some form of occupational activity[17] this could include voluntary work, paid employment, further studies or evidence of engagement/ daily living in the new role[18]. The service looks at occupational activity in the most flexible way and will agree with each service user how they will meet this requirement depending on their individual circumstances. If extra support is required by the service user a referral to the occupational therapist is available.

It is the service user[3] responsibility to collect this evidence. The team’s responsibility is to document it [19].

The hormone stage describe3d in question 6 would also fit into the SGT and will last 12months this would include a surgical referral once a positive 2nd opinion has been received.

Leeds Gender Identity Service is keen to learn from our experiences, working safely and flexibly within the care pathway to meet the changing needs of the client group.

For those clients who feel they are unable to live in full time SGT or do not wish to live in role at all in a specified area of their life e.g. employment ‘special circumstances’  this can be discussed with the clinician. If ‘special circumstances’ is agreed the following criteria must be met:

The client will be assessed as fitting the diagnostic criteria of Gender Dysphoria with a high level of confidence[20]. (In accordance with ICD 10)[3]

Psychotherapy opinion / treatment will be accessed and a detailed report provided to the Gender Identity Service supporting a referral for hormone treatment.

A 12 month plan will be agreed if appropriate to identify additional objective evidence for all other aspects of SGT can be ‘agreed between client and clinician.

6) What is involved in the hormone stage?

The service has an appointed Medical Practitioner, Consultant Endocrinologist and a prescribing pharmacist they are responsible for this stage of the pathway. The lead professional remains involved throughout the stages including the hormone stage. Close liaison with General Practitioner[3]/other professionals are a must. This stage could last for 12-18 months or significantly shorter in individual cases. While attending the hormone clinic Clients[3] will receive regular blood test[3] from their GP and blood test monitoring by the gender service, until such a time that it is safe to transfer all hormone treatment care to the GP including appropriate prescriptions.

7) What is the surgical stage?

Surgery stage:  2nd opinion is a prerequisite to a surgical referral. Once we receive a positive 2nd opinion a referral to the appropriate surgeon is initiated.  Any delays within this stage would be due to delays in variables[21] totally outside the control of the team.

The service will be responsible for referring clients to an NHS Gender Specialist for a 2nd opinion appointment however if individual clients wish to access private 2nd opinion appointments to speed up waiting times it will be the responsibility of the client to self refer or negotiate[22] this with their GP.

Leeds Gender Identity Service is happy to receive and act upon a positive, private 2nd opinion from a reputable[23] Gender Specialist at the appropriate time within the care pathway.

The service usually refers clients to specific identified surgeons however will consider referral to other areas if a client has a specific request and the CCG[24] are willing to fund surgery in the requested area.

Clients will need to have completed 12months,[3] full time, SGT before receiving a mastectomy and have received 6 months hormone treatment[25].

Breast Augmentation is not currently a core treatment[26] commissioned through Leeds Gender Identity Service; however clients can apply for this following completion of 18 months on hormone treatment[27] if there is clear failure[28] of breast growth. This treatment can be applied for through individual CCG’s via individual funding requests.

On occasions clients have requested orchidectomy surgery without a penectomy, the service will work collaboratively with clients to ensure the treatment provided is in line with supporting client choice and within the safety of clear clinical boundaries.

This would include:

Confirmation from the endocrine clinic that current hormone levels are safe, stable and within range.

And

A ‘one off’ appointment from an independent NHS gender Specialist is obtained.

8) How long will it take me to move through the care pathway?

The service follows a care pathways which can be adapted to individual circumstances taking into account transition which has already taken place before attending the service and specifically for those clients holding a Gender Recognition Certificate. An illustration of the pathway could be represented as follow:

The full process from start to finish around 3-4 years[29]

The shortest flexible process depending on individual needs could be condensed to 18-24 months; this has to be realistic taking into account waiting times for second opinions and surgery which are outside of the services[3] control[30].

9) How do the team keep abreast of new developments and ensure client safety and satisfaction?

The service is part of a wider governance group which include most other UK, NHS Gender Identity Service’s[3]. This group meets on a 6 monthly basis and shares views, takes learning’s[3] and discusses standards and guidelines within the area of Gender Identity.

The team are also part of the Specialist Services Clinical governance group within Leeds and York Partnership NHS Foundation Trust who meet on a quarterly basis and also have a team monthly Clinical Governance meeting where issues can be discussed in more detail. Clinical audits, rigorous clinical supervision, evidence based practice are all essential parts of our practice.

Service user feedback is an area which we have worked particularly hard on over recent years. We always provide clients with feedback forms following any new developments and we also ask service users to complete satisfaction questionnaires. Information taken from these forms is used to develop and inform practice in the service[31].

10) Will I get funding to access the service?

The service is commissioned by NHS England therefore potentially we could accept referrals from around the country. Individuals are funded for assessment and if appropriate core treatments which are funded by NHS England.

11) How will I know what is happening in the service?

The team have a specified lead in service user involvement she works alongside service user volunteers to produce a six monthly newsletter. The Newsletter will update all readers on any new developments within the service, will provide feedback on any completed service user feedback form and how this has informed practice and provide service users with an opportunity to display thoughts, feelings, poems or information to others!

The newsletter is posted out to all service users and is available in the waiting area.

You can also access the News letter via Leeds and York Partnership NHS Foundation Trust website.

12) What if I am discharged from the service but am experiencing a Gender related problem?

The service offers “one off” appointments to clients experiencing an issue they need to explore within the specialist service. To access this you will need support from your GP[22] so they can write to the team and ask us to see you. Again this will be funded by NHS England. The “one off” appointments may cover issues which are stated below:

“One off” assessment lasting for an hour n order to advise GP about outstanding problems and submit a medical (psychiatric) opinion.

A “one off” assessment lasting for an hour carried out by our Medical practitioner who is able to advise GP’s on endocrinology issues.

GP’s can also request “one off” extended full day assessment in complex referrals where specialist advice / recommendations are required.

13) How long will I need to wait to be seen once I have been referred?

The service is commissioned to see a specified number of new clients each year by NHS England[32]. Once we have seen these clients a waiting list will start to form for the next financial year. NHS England are kept informed on the waiting list on a monthly basis and will use this information to help identify new assessments to be funded on each rolling year.

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…And now my bit.

[1] – Well, at least this makes it easy to identify as out of date. Major changes have occurred in the provision of gender based care (such as the release of the DSM V – an important diagnostic tool which actually redefined gender related diagnoses). An update is essential.

[2] – Wait. Only one medical practitioner? For the whole practice? This is alarming not only because of how understaffed it makes the practice appear, but also if any service user has a bad experience with that doctor, there is no-one else. The implication is that access to services all go through this one person.

[3] Grammar is hardly the most important issue here, but when I read an official document providing medical guidance, and it reads as if it was thrown together and not given a second glance, that translates into an uncertainty about the meticulousness and professionalism of the institute being represented. Such primary-school-level errors simply give an unprofessional air, and are easily avoided.

[4] Even with a biology degree I needed Google here, so they could really rephrase to be more user-friendly. How about ‘we understand that personal, social, and psychological factors play a vital part in experiences of gender, and do not seek to reduce service user’s needs to something purely biological’?

[5] – Um. Whilst this is clearly meant to be reassuring, it’s so basic as essential as to come off as alarming at the idea that anyone possibly might not recognise Gender Dysphoria in a Gender Identity Service. If I went to the GP for a vaccination and they said ‘don’t worry, I believe in these!’ I really wouldn’t feel better. There is a history of medical practitioners failing to respect transgender people’s agency, but this statement is hardly an effective way to gain trust.

[6] – I’m so relieved they clarified they wouldn’t do things an unsafe and ineffective manner. Pointless waffle.

[7] – ‘Mindful’ – this is so vague as to be useless. It implies they don’t actually have any external code they’re bound to follow, and can choose to ignore any guidance as and when they see fit. I’m not an alarmist, and I don’t for one minute think guidance would be actively rejected. But not referred to, in preference of one’s own considerations? I can see that happening. Especially as they go on to blanket name six other sets of policies, as if trying to universally appease without actually committing to anything.

 [8] – If not ratified, why chosen/used? I couldn’t easily verify whether this has changed since 2013, but practising with unratified standards seems like it requires explanation, at best.

[9] – This is simply out of date. The DSM V has been published, and this is a really important point. The service is potentially then misinforming service users who may not have much knowledge on the topic.

[10] – Explaining what an acronym is when you use it is widely regarded as a good idea – Department of Health. Should also get a [3] tag for not being ‘DoH’.

[11] – If they’re going to say this, they might as well say who.

[12] – This demonstrates how practice is still quite focused on a model of transgender care that emphasises the gender binary, heavily implying ‘one state of being to another’. It of course is fine for individuals who do feel this way about their gender, but is an approach that fails some of those trans people who are most invisible and marginalised within society.

[13] – Why?

[14] – It doesn’t ‘take’ any time at all, because this is an arbitrary and artificial measure created by the medical establishment. This functions as a method of restriction and control, again policing gender identity along arbitrary and binary boundaries. See here, here. and here for some further considerations, though it’s fair to say it’s a point of contention and much discussion, but lacking much research, especially that which emphasises trans voices.

[15] – Further absolutist, binary conception of gender. The very existence of bigender people blows this out of the water.

[16] – If a person is happy with their name, why should they have to change it? Once again ignoring non-binary people, this also ignores unisex names even amongst binary trans people (Alex, Charlie, etc.)!

[17] – The argument for this is to essentially force trans people into being exposed to the world, again to demonstrate a performance of seriousness and sincerity for medical gatekeepers. Whilst this is argued to provide time within which to learn about oneself and gendered practices, it is highly problematic. Not only the danger this puts people in who wish to and may not pass (before being given access to hormones and procedures that can significantly aid in this) but also for those trans people who may experience mental or physical conditions which makes these demands difficult or impossible. The validity of an individual’s gender identity is not dependent upon how that individual is viewed by others in society.

[18] – ‘new vs. old role’ – a dated, binary based requirement and phrasing that doesn’t work for many trans realities.

[19] – And judge what can or can’t count as ‘acceptable’ evidence, which is coloured by binary and cissexist positionality.

[20] – I went into the ICD (International Classification of Diseases) 10. As it was endorsed in 1990, it was no surprise that it still included ‘transsexualism’ and ‘duel-role transvestism’, and used wince-inducing terms like ‘the opposite sex’. There was no obvious mention of ‘confidence levels’ in relation to diagnoses. Therefore what this actually means, I have no idea and I don’t see how anyone else could readily be expected to either.

[21] – ‘Variables’. Nice and vague there. Such as?!

[22] – The expectation to do this is problematic if someone has a GP who is cissexist or transphobic. Which isn’t as rare as one would hope or expect.

[23] – What defines reputable? Obviously this isn’t easy, but such vagueness only serves to emphasise the position of power which the Gender Identity Service occupies. Obviously it’s vital that standards of care are maintained in private practice as well as state funded, but this wording doesn’t help anyone.

[24] – Clinical Commissioning Group. But everyone knows that, apparently.

[25] – No explanation as to why this is. Further relates to problems with the Real Life Test/Social Gender Transition (SGT) as it stands. Fails to account for those trans people who are very knowledgeable, secure, and stable in relation to their needs.

[26] – More unanswered questions. Why? Estrogen does stimulate breast development yes, but frequently produces small or even unnoticeable development. To create a hierarchy of gendered traits/procedures seems inherently nonsensical as what different trans people value and need for their well-being is obviously variable.

[27] – An excessive, arbitrary, and under-justified restriction. Whilst one can appreciate that with change being stimulated by estrogen, an immediate surgery around that time may risk complications, this absolutism runs contrary to the pledge to individual service user needs and desires.

[28] – And a further restriction. Who decides what, and at what size, ‘failed’ breast development is?

[29] – In true cissexist fashion, prioritising the intensely small minority of individuals for whom gender affirmation procedures are not appropriate, to the disproportionate suffering of a very large number of trans people.

[30] – It’s not the first time, but the service has very clearly distanced itself from responsibility for delays. Obviously this is a recurring problem which has invoked complaints and righteous demands for explanations. Are all of these interactions outside of the service strictly necessary? Could the system be made more transparent so that service users can see what aspects of the pathway causes delays? These are questions that trans people deserve answers to.

[31] – Might it be prudent for the service to also engage with transgender groups, so as to get informed guidance from members of the transgender population who aren’t in the (often stressful) process of accessing these services? Of course the feedback from service users is essential, but by no means the only resource available to them for the optimisation of their services.

[32] – This is of particular note. The idea that only a certain number can be seen, in a way that isn’t dictated entirely by resources (as different individuals require different amounts and types of time and care) but is decided upon in advance doesn’t make sense. It also emphasises one of the biggest problems at the heart of the insufficiencies of NHS Gender Identity Services – lack of funding. The number of individuals seeking aid is growing exponentially, and this remains unrecognised by funding bodies. This isn’t a criticism of the document per se, but highlights one of the more important frustrations with the larger system.

Book Review: Everything Must Go by LaJohn Joseph

Hello kind readers, this installation of GenderBen! Sees a new book review – though somewhat different to the usual fare. Firstly rather than one of the usual academic-y books I normally cover, today’s page-turner is a novel, and quite a new one. Everything Must Go is the debut novel of La JohnJoseph, who from what I can tell is a tour de fource of queer, campy, radical, postmodern dadaism – reminding me in some ways of a modern day Rose Sélavy (though this comparison in no way means to collapse Joseph’s gender identity to the cis crossdressing of Duchamp). Supporting an artist whose work (and perhaps existance?) explores and fucks with gender is the reason why I accepted the offer of reviewing this work, and felt it would be relevant to your interests, dear readers.

Everything Must Go was released on the 25th March by ITNA press, and you can buy the kindle edition here and the paperback here.

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If you’ll forgive me by opening my review with a quotation from the work I’m meant to be reviewing, I think it sets the stage incredibly well in appreciating what you’re in for when you open this book:
“If you go about looking for sense, asking for logic, and putting your faith in reason, then you are asking for trouble and you will deserve it when two big thugs named Senseless Violence and Why God Why? drag you down and alley and beat you up.”

The narrative is tolld first person by the protagonist, Diana, and her journey to go about ending the world. How, why, and who with might be less important than you may think as this story is much less about what is said than how it is said. Diana and their view of the world is the grand constant. Practically any rule about time, space, place and possibility is broken, bent, or queered at some point along the line. Sex and violence are likewise turned inside out and upside down – queering morality as much as reality, so brace yourself if shockable.

This book has a surrealist streak unlike anything I’ve ever read before, which made it both interesting and memorable. However this does necessitate letting go of some of the fundamental qualities one may usually expect from a narrative, with little to no explanation of the surreal aspects of the story’s reality. This became one of the things I liked most however, as the casual, blasé way in which fantastical happenings were dropped into the descriptions of every scene added an additional cheeky, self-aware dimension to the (abyssally black) humour. This also made me all the more willing to utterly suspend reality, though this wasn’t for the sake of intrigues with the plot or the substance of the characters, but chiefly due to the beautiful use of language. Even when discussing rape and murder with a nonchalant ennui so confounding you can only smirk. Gobs of historical and cultural trivia are scattered around quite naturally that helped connect the world of the book to the recognisable. This was also aided by the delightful depth and variety in the descriptions throughout. I never felt like the range of situations and descriptions were self indulgent or random for randomness’ sake, which is impressive given how out there much of the content is.

On the back of the book, one of the comments reads “my brain feels completely sullied and violated. Do it again please!” Which is bizarrely accurate. Whilst still reading I felt like the experience that was this book might be somewhere between a stroke and an orgasm. It’s certainly horizon-expanding. Totally bewildering, definitely. I think it’s fair to say as well that a good number of people may hate this book. However, I imagine that the people who love it are amongst the most interesting, queer, and fabulous. This book was indulgent and a joy to read, if sometimes unbridled and uncomfortable!

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