Thesis (Ph. D.)--University of Rhode Island, 2005. / Typescript. Includes bibliographical references (leaves 155-164).

Thesis (Ph. D.)--York University, 1999. Graduate Programme in Psychology. / Typescript. Includes bibliographical references (leaves 329-371). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNQ43415.

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Since the 17th century there has been a proliferation of discourse on sex and a host of sexual identities have been surfaced. One such sexuality that is particularly marginalised is transsexuality; central to which is the management of the transsexual self. The critical study of such practices has often been neglected in favour of ‘mainstream’ research on transsexuality’s deviance, aetiology and treatment. Furthermore, internet-based resources have been identified as a key site for the management of the transsexual self. Hence, this study aimed to investigate the constructions of transitioning in popular websites aimed at transsexuals and significant others, family, friends and allies of transgendered persons (SOFFAs). A search strategy was adapted to select the most popular websites for analysis. A discourse analysis – guided by Parker’s (1992) 20 ‘steps’ – was conducted on 12 webpages. The construction of transitioning was dominated by biomedicine and the ‘psy’ professions. Due to these hegemonic powers the transsexual identity was associated with distress and thus a number of technologies of self – particularly medical intervention – were ‘needed’ for the management of the transsexual self. This construction spoke to the rights and health of transsexuals but also appeared to limit their freedom and serve capitalist gain rather than the interests of trans persons. Uncovering these power dynamics may have important implications for the Standards of Care, the controversial status of gender identity disorder in the DSM and allowing for the creation of alternative power strategies which may permit more freedom in the care of the gendered self.

This dissertation is an ethnographic study of the clinical practices emerging around gender non-conforming children in the U.S. It explores the epistemic, techno-scientific and socio-cultural conditions of the emergence of these clinical practices, their related diagnostic categories, and their convergence with categories of personhood among children, such as the transgender child. In addition to diagnostic practices, it analyzes the development of psychotherapeutic and medical treatments for gender atypical children, particularly the recent treatment named "puberty suppression." This ethnography includes the study of 1) the expert revision of the psychiatric category of Gender Identity Disorder of Childhood (GIDC) by the American Psychiatric Association for the fifth edition of the DSM, 2) the diagnostic and treatment practices at two major pediatric gender clinics in the U.S., one mainly psychiatric and one endocrine. This project explores the relation between the concept and clinical practice of GIDC, and links the production of global expert knowledge to the unfolding of events in local clinics. It examines discourses of gender, body, identity, and childhood that construct, and are produced by, these medical concepts and practices. It explores the contemporary scientific and cultural appeal of innate and interior origins of identity and difference, and the status of children as clinical subjects in establishing scientific evidence of truth and authenticity. It situates the current medico-cultural notion of the brain as the location of gender identity within the culturally and historically specific conceptions of the body and the soul and the modern accounts of "the self" as interiority and psychic depth.

Thesis (Ph. D.)--University of Toronto, 2006. / Source: Dissertation Abstracts International, Volume: 67-06, Section: B, page: 3485. Includes bibliographical references (leaves 111-132).

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 89-93).

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.

This thesis operates, unashamedly, from the premise that every act of criticism involves a self-reflexive gesture of one's own concerns and ideological imprintings. For this reason Chapter One establishes the writer's own involvement - both autobiographical and theoretical - in notions of male rage and the 'working through' of these concerns. Chapter Two conducts an overview of male rage and the extant systemic literature on the subject. It sets out the various positions on the subject and posits the importance of gender (over generation) in the praxis of therapy. Furthermore, it explores the possibility that the male is equally, but differently, troubled by the hegemonic forces of patriarchy as is the woman. Without diminishing the legitimacy of the woman's experience in the face of male rage, the argument is forwarded that the male is caught in a similar struggle but without the feminine articulatory resources. This chapter details the lack of male power in the face of his supposed muscular omnipotence. Seminal analytic approaches to the question of gender are raised in Chapter Three. Working through Freud, Klein, Lacan and Masters and Johnson an attempt is made to plot the 'evolution' of the feminine and the masculine. Central to this debate is the bi-polarization of gender relations within the same sex (biology/construction) and without (phallic/vaginal, clitoral, passive/active). What emerges is that femininity is bi-focal and that the woman has more resources at her disposal that hitherto acknowledged. While the woman is always double - as both clitoral and vaginal, as lover and mother- it appears that male sexuality is far more precarious than generally perceived. It is this dis-ease on the part of the male that translates itself into envy and, with it, the need to denigrate and belittle woman as the object of that envy. In Chapter 4 an attempt is made to overlap the seemingly divergent fields of analytic and systemic methodologies via the involvement of the therapist in the eco-system of analysis. The substantial role of the therapist -- and the coercive forces placed on him/her by the couple -- is used to modify Elkaim's model and to introduce the need for a telling of the particular stories that concentrate on the unique narratives of the warring couple rather than the patriarchal regime under which these stories are constrained. Before encountering these narratives an essay is made at establishing a methodology of sorts. Newton's scientific formulations are used in order to question the binary opposition that has been, historically, established between quantitative (male) and qualitative (female) methodologies. In the process of questioning this binary opposition it becomes clear that any form of objectifying approach constitutes a refuge from the messiness that is intrinsic to the therapeutic process. The experimental methodology that is posited is precisely one that engages in the narratives of male violence - four extracts are considered, each exposing different articulations of male violence. The question of female subjectivity (and the attendant power of the sorority) is returned to in light of these stories. Central to this section is the notion that male subjectivity is far more convoluted - perhaps more that the feminine counterpart - than initially conceived. The original identification with the (m)other forever displaces him in that the later identification with the father remains distant and contrived. For the purposes of maintaining the dialogic nature of this work, a feminist appraisal of the rage narratives concludes the thesis. Don Quixote is used, by way of an Epilogue, to offer three representations of male subjectivity and to look towards alternative subject positions for the male under patriarchy. / Psychology / D.Litt. et Phil. (Psychology)

Thesis (MEdPsych)--Stellenbosch University, 2013. / Bibliography / ENGLISH ABSTRACT: A literature search done by the researcher has noted that there is little information available regarding transadolescents’ experience within the South African context. In a society that only acknowledges two genders, transgenderism remains invisible. The transgender minority group tends to be more neglected, misunderstood and stigmatized than their homosexual peers. Transadolescents, who are already in a challenging phase of development, are at risk for negative outcomes such as bullying, scholastic problems, social isolation and depression. The aim of this research is therefore to explore and describe the transadolescents’ subjective experience in their own words. To facilitate this process the research was positioned in the interpretative/constructionist paradigm, in terms of which it is based on the premise that subjective experiences are created during social interaction. Bronfenbrenner’s bio-ecological model was used as theoretical framework to illustrate the reciprocal interactions between the various micro- and macrosystems. The qualitative research approach was used to explicate the essence of the participants’ lived experience. Phenomenology was selected as the most appropriate research design. Semi-structured interviews were conducted with three transadolescents and thematic analysis was used to code and organise the data and to present it in the form of a narrative report. Five themes and associated categories were identified. It was found that the transadolescent experiences identity formation as particularly challenging and that there are individual differences between self-identities and gender expressions. The process of disclosure towards parents is accompanied by considerable anxiety and there are major differences in the disclosure practices that are followed. Parents’ reactions differ and can range from acceptance to eviction. Preference is given to friends who are also seen as being ‘different’ and it can be quite a relief to share their identity with friends regardless of their reactions. Even though South Africa has a policy of inclusive education, the reality is one of discrimination, bullying and isolation. Furthermore, medical services in South Africa are inadequate and transadolescents are exposed to discrimination and unsympathetic professionals. Consequently much must still be done to promote understanding of transadolescents, so that the different contexts in which they move can be better prepared to deliver effective and supportive services. / AFRIKAANSE OPSOMMING: Tans is daar beperkte inligting beskikbaar omtrent die transadolessent se beleweniswêreld binne die Suid-Afrikaanse konteks. Binne ‘n samelewing wat slegs twee genders erken, speel transgenderisme agter geslote deure af. Die transgender-minderheidsgroep word meer afgeskeep, misverstaan en gestigmatiseer as hul homoseksuele eweknieë. Binne ‘n alreeds uitdagende ontwikkelingsfase, is die transadolessent besonder weerloos vir negatiewe uitkomste soos afknouery, skolastiese probleme, sosiale isolasie en depressie. Die doel van die studie is gevolglik om die transadolessent se subjektiewe belewenis in hul eie woorde te verken en te beskryf. Om hierdie proses te fasiliteer is die studie geposisioneer in die interpretatiewe/ konstruksionistiese paradigma wat voorstel dat subjektiewe ervarings tydens sosiale interaksie geskep word. Bronfenbrenner se bio-ekologiese model is as teoretiese raamwerk gebruik om hierdie wederkerige interaksie tussen die verskillende mikrostelsels en die makrostelsel te illustreer. Die kwalitatiewe navorsingsbenadering is gevolg om ‘n waarheidsgetroue beeld weer te gee van die deelnemers se subjektiewe belewenis en fenomenologie is as mees geskikte navorsingsontwerp gekies. Semi-gestruktureerde onderhoude is met drie transadolessente gevoer en die data is met behulp van die tematiese analise gekodeer, georganiseer en in ‘n narratiewe verslagvorm weergegee. Die data-analise het gelei tot die identifisering van vyf temas en gepaardgaande kategorieë. Daar is bevind dat identiteitsvorming ‘n uitdagende proses vir die transadolessent is en dat individue se self-identiteit en uitlewing van hul identiteit verskil. Die openbaarmakingsproses aan ouers gaan met geweldige angstigheid gepaard en daar is groot individuele verskille in die wyse waarop dit geskied. Ouers reageer verskillend en dit wissel van algehele aanvaarding tot uitsetting. Voorkeur word gegee aan vriende wat ook as ‘anders’ bestempel word en ongeag vriende se reaksie, is dit ‘n verligting om hul identiteit te deel. Ten spyte daarvan dat Suid-Afrika inklusiewe onderwyspraktyke voorstaan, is die realiteit een van diskriminasie, afknouery en isolasie. Voorts is die mediese dienste in Suid-Afrika ontoereikend en transadolessente word blootgestel aan diskriminasie en onsimpatieke professionele persone. Te oordeel hieraan, moet daar baie gedoen word om die transadolessente beter te verstaan sodat die verskillende kontekste waarbinne hulle beweeg, beter voorbereid is om effektiewe en ondersteunende dienste te lewer.