For many years trans people have been treated as suffering from some pathology, proposing various curative treatments as a solution to their alleged health problem. However, recent studies show that gender identity of people is a very personal and diverse characteristic so must be protected. In this article, the author explains how an understanding of gender identity that is respectful of human rights involves rethinking the State’s view of transgender people. This change of perspective requires discarding the pathological vision and opting for a system that will equip them with the necessary tools to develop their identity and avoid discrimination. / Durante muchos años se ha tratado a las personas trans como si sufriesen de alguna patología, proponiéndose diversos tratamientos curativos como solución a su supuesto problema de salud. Sin embargo, recientes estudios muestran que la identidad de género de las personas es una característica personalísima y diversa por lo cual debe ser protegida.En el presente artículo, el autor explica como una compresión de la identidad de género que sea respetuosa de los derechos humanos implica replantear la visión del Estado sobre las personas trans. Dicho cambio de perspectiva requiere descartar la visión patológica y optar por un sistema que otorgue las herramientas necesarias para expresar su identidad y evitar situaciones de discriminación.

Bakgrund: Transpersoner är en del av samlingsnamnet HBTQI och inkluderar alla personer som anser att deras könsidentitet inte stämmer med deras kön vid födseln. Stigma och juridiska hinder präglar transpersoners värld vilket kan vara några anledningar till att transpersoner inte vill söka vård. Syfte: Syftet är att beskriva transpersoners erfarenheter av fysiska vårdmöten med sjuksköterskor inom primär- och slutenvården. Metod: En litteraturöversikt som utgått från tolv artiklar med kvalitativ design med fokus på transpersonernas perspektiv. Artiklarna publicerades mellan 2016–2022 och samlades in från Cinahl, Medline och PsycINFO. Analysen gjordes med Fribergs analysmodell. Resultat: Resultatet resulterade i tre huvudteman; diskriminering, sjuksköterskans kompetens och bristen på samskapande vård. Identifieringen av sex subteman gjordes; integritet och respekt, att bli felaktigt könsidentifierad, bristande kunskap hos sjuksköterskor, att utbilda sjuksköterskor, beroendeställning till sjuksköterskor och könsspecifik vård. Slutsats: Arbetet indikerar att en förändring kring bemötande med transpersoner måste ske för att öka tilliten till vården. En ökad tillit till vården kan leda till en ökad vilja att söka vård vid behov. Förslag till vidare forskning är en intervjustudie som kartlägger utbildningsbehovet kring könsspecifik vård. / Background: Transgender people are part of the collective name LGBTQI and include all people who feel that their gender identity does not match their gender at birth. The existence of the refusal to seek care due to various reasons, such as stigma and legal obstacles, characterizes the world of transgender people. Aim: The aim is to describe transgender people's experiences of physical care meetings with nurses in primary- and inpatient care. Method: A literature review based on twelve articles with qualitative design focusing on trans people's perspective. The articles were published between 2016–2022 and were collected from Cinahl, Medline and PsycINFO. The analysis was done with Friberg's analysis model. Result: The result showed three main themes; discrimination, the nurse´s competence, and the lack of co-creative care. The identification of six subthemes was done; integrity and respect, to be incorrectly gender-identified, lack of knowledge among nurses, to train nurses, dependence on nurses and gender-specific care. Conclusion: The literature review indicates that a change in treatment of transgender people must take place to increase trust in healthcare. Increased trust in care can lead to an increased willingness to seek care when needed. Proposals for further research are an interview study that maps the educational need for gender-specific care.

This qualitative interview study was designed to explore with Trans-Spectrum college students, including graduates, current students, and dropouts, how they have conceptualized and made meaning of their experiences in traditionally Red States since the 2016 U.S. Presidential Election. This study resulted in recommendations that would enable administrators in both community colleges and four-year institutions to implement specific practices to improve learning environments and access to resources for Trans-Spectrum college students. The researcher based this study on three principal assumptions: (1) there is a population of Trans-Spectrum college students in these Red States. Although no data exist on the number of transgender students in higher education per state, these students must exist. (2) Trans-Spectrum college students in these Red States face an array of challenges every day both on and off campus from bullying and family struggles to financial struggles to suicidality. (3) The 2016 U.S. Presidential Election had a negative impact on these participants’ college experiences. Interviews conducted with 25 participants comprised the primary data for this study. Participants included students presently attending community college; students presently attending four-year institutions; recent graduates of both community colleges and four-year institutions; and students who departed college. A document review also yielded data. The findings regarding the experiences of Trans-Spectrum college students in Red States since the 2016 U.S. Presidential Election were: (1) A strong majority of participants described their overall college experiences as being shaped by an uncertain and unpredictable learning environment. (2) A strong majority of participants indicated that the 2016 U.S. Presidential Election had a compromising effect on their safety and well-being on campus and in their community. (3) All participants described experiencing issues related to access to resources, campus-wide illiteracy on trans issues, and race and gender identity, while an overwhelming majority of participants described having mental health issues. A strong majority reported incidents of being bullied on campus and in the college community. (4) An overwhelming majority of participants identified a support system as a significant factor in helping them learn to overcome their challenges. The key recommendations that emerged from this study were: (1) Community Colleges should create an Intake Form on which students have the option to self-identify in terms of sexual orientation and gender identity. This will enable these colleges to track data on completion, persistence, and retention of Trans-Spectrum students. (2) Both community colleges and four-year institutions should invest more in mental health services and consider investing more resources in on-campus mental health personnel and resources. (3) Both community colleges and four-year institutions should build community partnerships to provide more resources for Trans-Spectrum students.

The history of transgender identity is inextricable from the mental health industry. Since the late 1970's transgender people have required permission from mental health professionals to make medical modifications to their sex characteristics. During the time of this research, it was difficult for transgender individuals to receive the hormones or surgeries they desire without first being diagnosed with Gender Identity Disorder (GID). This study applies labeling theory to the label of GID. Labeling theory poses that if an individual is labeled with a mental illness, they will either reject or accept the label. Acceptance of the mentally ill label will cause the individual to adopt characteristics expected of the label. The intent of this study is to examine the relationship between mental health therapy and the formation of transgender identities. Utilizing labeling theory, it analyzes whether or not transgender participants of this study accepted or rejected the mental illness label of GID. It was originally posed that if transgender individuals accepted the label of GID, they would experience a shift in their gender identity. However, the overwhelming majority of the twelve participants interviewed rejected the label of GID. Even though most participants rejected the GID label, many still saw a shift in gender identity while attending therapy. This thesis proposes that there may be a link between a transgender person’s reason for entering therapy and identity shift. Those who felt obligated to go to therapy for the sole reason of gaining permission to change their sex characteristics saw no change in identity. However, those who wanted help in exploring their gender with a therapist saw identity changes while in therapy.

Background: Research shows that transgender people are disproportionally represented in term of physical and mental illness compared to cis people. Stigmatization and discrimination in society results in transgender people having low trust in society's institutions, including health care. A good care relationship and equal care are of great importance for a patient's well-being and health. However, nurses feel that they do not have enough competence or experience in caring for transgender people. Aim: The aim of this literature study was to describe transgender people's experiences of care relationships with health care staff. Method: A qualitative literature study with an inductive approach consisting of twelve articles that were analyzed through a qualitative content analysis. Results: Three categories were identified: Lack of competence in the care meeting, Abusive care meetings and Affirmingcare meetings. Seven subcategories were also identified. These findings highlight that transgender people experience incompetence and violations in care meetings. However, positive experiences in the form of affirmative care meetings have also been described. Conclusions: The healthcare institution needs to implement education on cis-normativity and transgender people's specific care needs. Therefore, more research is needed on how transgender people believe that care can become more inclusive for this group of individuals.

This study was conducted through in-depth interviews to examine potential differences between binary-aligned transgender individuals and non-binary individuals in regards to media usage when learning about, articulating, and explaining their gender identity. Results showed numerous differences between transgender people with binary-aligned and non-binary gender identifications in regards to social media preferences and differences in perceived media importance and effects. Additional information was found in regards to the age at which gender identity is articulated and the importance of individuality in comparison to one's gender identity.

Text in English with abstracts in English and isiZulu / This qualitative study set out to discover the lived experiences of South African transgender individuals within the liminal space of having been confirmed for gender affirming surgery, yet who have not completed their surgery. The aim included seeking out how participants’ wellbeing was affected by being within this liminal space. Six participants were recruited in Johannesburg, Pretoria and Cape Town. Thematic analysis was used to derive themes from the transcripts. Themes included coming out; relationships; wellbeing; misgendering/misnaming; support; public and private medical care; and liminality. Recommendations for future studies are included, and recommendations on interventions and support are discussed. / Lolu cwaningo lohlobo lwekhethelo lenzelwe ukuthola noma ukubheka izinselelo zabantu abafuna ukushintsha ubulili babo baseNingizimu Afrika ababhekana nazo uma basohlelweni lokuyohlinzwa ngoDokotela ukuze bakhone ukushintsha ubulili babo. Inhloso yalolu cwaningo ukubheka ngqo kubantu abayihambile lena ndima ukuthi bahlukumezeka kanjani ngesikhathi basohlelweni lokuthi bashintshe ubulili babo. Abantu abayisithupha abazibandakanye nalolu cwaningo batholakale eGoli, ePitoli kanye naseKapa. Kusetshenziswe ucwaningo olubheka indikimba ukuze kutholwe izihloko ezivele embalweni osuselwe enkulumeni eqoshiweyo. Izihloko ezivelayo yilezi, ubudlelwano; impilo; ukubizwa ngobulili ongasibona/ukubizwa ngegama okungasilona elakho; ukwesekwa; usizo lwezibhedlela zikahulumeni nezibhedlela ezizimele; kanye nokuba sesimeni sokushintsha ubulili. Izincomo zocwaningo oluzayo zifakiwe nazo, kuphindwe kwakhulunywa noma kwabhekwa ukuthi kungangenelelwa kanjani ngosizo. / M.A. (Clinical Psychology) / Psychology

This interdisciplinary research paper explores story and metaphor of "trans/formative identities" as a basis for challenging normative racial and gender categories. Autoethnography is used as a method for weaving the author's own experience as a mixed-race Indigenous person with academic research and theory. The discussion is contextualized by an analysis of institutionalized colonial relationships framing Indigenous knowledge in academia and the role of Indian status in defining Indigenous identity. Six mixed-race and transgender or genderqueer people in Victoria and Vancouver. British Columbia are interviewed and the themes from their shared experiences are used as the basis for further understanding trans/formative identities. These themes are: irony; contradiction and impossibility; stories of home and family; naming and language; embodied negotiations, contextual selves, and; artistic visions.

The aim for this study was to investigate how social workers perceive that they are responding to clients who define themselves as transgender. The study has a qualitative basis with six semistructured interviews based on an elaborated vignette method. The selection of interviewees was social workers, three in the field of public authority and three workers at various excutive agencies. The material have been analyzed based on Queer theory and Honneths Recognition Theory. The findings indicate that social work organizations are lacking in knowlege of transgender people and their experiences. There is also a lack of evidence-based procedures, action plans and policies to respond to transgender people within the organizations. The findings also implies that social workers can respond to transgender people and address them more empathically, with greater acceptance as well as recognition through a professional self-reflection and a humble attitude. / Denna studies syfte har varit att undersöka hur verksamma inom socialt arbete uppfattar att de själva tillika verksamheten i stort bemöter transpersoner. Studien har en kvalitativ grund och baserar sig på sex semistrukturerade intervjuer med vinjettmetod. Urvalet av intervjupersoner är verksamma inom socialt arbete, tre inom myndighetsutövning och tre arbetande på olika utförarinstanser. Materialet har analyserats utifrån Queerteori och Honneths erkännadeteori. Resultatet visar bland annat att verksamheter inom socialt arbete brister i sin kunskap kring transpersoner och deras upplevelser samt saknar evidensbaserade rutiner, handlingsplaner och policys för att bemöta transpersoner inom organisationen. Resultatet visar även att yrkesverksamma inom socialt arbete kan bemöta transpersoner mer inkännande, med större acceptans och med en erkännande karaktär genom en självreflekterande och ödmjuk attityd.

The criminal justice system is a primary driver of racial and gender injustice. While research and policy advocacy tends to center the most typical criminalized subjects— black, and more recently Latino, men— unique insights into the dynamics of race, gender, and punishment emerge when we focus on a more unique group: transgender people of color. Nearly half of black transgender people experience incarceration over the course of their lives. The extreme criminalization of transgender people of color highlights the intersectional nature of carceral violence, and the ways state violence operates alongside social exclusion and structural abandonment. The carceral state produces and maintains social divisions. This dissertation investigates how the penal definition and management of racialized gender boundaries produces vulnerability and constrains life chances for transgender and gender-nonconforming people. I also demonstrate how, in the face of state coercion, criminalized gender-nonconforming people navigate and seek to mitigate vulnerability. The empirical context for this work is the California state prison system and the reentry ecosystem of San Francisco. Drawing on extensive archival research, 20 months of ethnographic observation in transgender prisoner advocacy organizations, and 136 interviews with formerly incarcerated transgender people, advocates, policymakers, and former prison staff, this dissertation shows how racialized gender regulation operates, transforms, and is resisted in penal organizations. This study traces racialized gender regulation over time— from 1941 to 2018— and across the carceral continuum, examining the management and navigation of racialized gender boundaries behind prison walls and in reentry organizations upon transgender people’s release. While transgender prisoner discourse foregrounds issues of identity, I find that neither identity nor accounts of race and gender as stable and transportable structures are sufficient to explain the ways racialized gender boundaries operate at the meso-level of penal organizations. Prison administrators and reentry staff articulate and regulate racialized gender boundaries based on historically-specific organizational imperatives (e.g. to distinguish between reformable and incurable prisoners, or to allocate limited reentry resources). Currently and formerly incarcerated transgender people, in turn, engage with classification pragmatically and pursue safety strategies designed to minimize vulnerability to both interpersonal and state violence. I arrive at these findings through three papers that focus on different dimensions of organizational practice and pragmatic survival strategies. In the first paper, I argue that, rather than emphasizing a categorical conflict between an institutionalized gender binary and gender-nonconformity, we should analyze how the nature of prison gender boundaries arises from the historically evolving nature of racialized punishment and the inherently coercive nature of classification in a total institution. Prison gender boundaries reflect an evolving conflict between the prison’s efforts to label, control, and confine bodies, and prisoners’ capacity to resist. Prison administrators make and manage gender boundary violation based on the evolving penal logics and resources at their disposal; from 1941-2018, administrators successively use strategies of segregation, treatment, risk management, and bureaucratic assimilation. Prisoners, in turn, express or repress non-normative gender identifications based on the consequences of classification in changing penal regimes. In the second paper, I extend research that has explained incarcerated transgender women’s high rates of victimization based on the prison’s rigid institutionalization of the gender binary. Employing an intersectional approach, I demonstrate that trans women of color in men's prisons are vulnerable because their restricted mobility, subjection to guard coercion, and material deprivation facilitates sexual assault. In this context, trans women of color use embodied, social, and economic resources to avoid victimization. Lastly, I examine how racialized gender regulation persists in the reentry organizations transgender people encounter upon release. Examining the gender rules and gendered interactions fostered by reentry housing programs, I show how the repudiation and regulation of black trans women’s womanhood leads to their exclusion from reentry resources and heightened reentry hardship. Together, these three papers work to explain how racialized gender regulation in the penal system generates complex, intersectional inequality, while also illuminating the ways criminalized transgender people of color understand, navigate, and resist these conditions.