Background: Transgender people are a growing group in society that does not fit into the norms and structures on which the environment is built. Even thoughthe living conditions of transgender people have improved in recent years in the form of the introduction of laws and rights, studies show that they are a vulnerable group who often fall victim to, among other things, violations and discrimination.It is the nurse's responsibility to alleviate suffering and promote health, as well as to work based on laws and ethical codes in order to provide good care. Aim: To describe nurses' experiences of care encounters with trans people Method: A literature study of eleven qualitative articles. Results: The results showed three themes. The first theme was "Emotional collisions", which describe nurses' inner emotional conflict of when they felt a lack of understanding for trans people but at the same time compassion for them. The second theme was "Uncertainty in care" which describes nurses' insecurity when caring for transgender people and their experience of lack of knowledge about this patient group. The last theme, "Fear of insulting the patient" describes nurses' experience of fear of misgendering or objectifying transgender people and their confusion about what the patient's gender identity means. Conclusion: Nurses experience a need for more knowledge about how to care for transgender patients. The norms need to be changed to include minorities for better inclusion in the healthcare system.

abstract: Despite the population of transgender individuals in the United States doubling from 2011 to 2016, this population is one of the most understudied in psychological science. Of the available research, the associations between gender congruence, defined as an individual’s body matching their gender identity, and well-being have been examined, particularly demonstrating positive associations between gender congruence and overall life satisfaction. However, there remains a dearth of research on the possible associations between gender congruence and relational well-being - particularly sexual satisfaction - and possible moderating effects of the internal negative feelings regarding one’s identity (internalized transphobia). To address these gaps in the literature, this study gathered data from 165 binary transgender men. While there was not an effect of gender congruence on sexual satisfaction, internalized transphobia was found to moderate this association such that individuals who reported high internalized transphobia and high gender congruence reported the highest sexual satisfaction. Results of this study highlight the existing literature on the negative associations between internalized transphobia and well-being for transgender individuals. Implications for counselors are discussed, including advocacy efforts and implementation of techniques to facilitate growth and resilience to help transgender clients navigate the negative effects of internalized transphobia. / Dissertation/Thesis / Masters Thesis Counseling 2020

Syftet med denna uppsats är att undersöka hur det i dagspressen skrevs om Cornelis Vreeswijk och de två transsexuella kvinnor som han misshandlade i februari 1975, genom att analysera artiklarna som berättelser som ämnar tillskriva brottet mening och moral. Dessutom är syftet att undersöka hur transfeminina personer porträtterades i andra artiklar omkring 1970-talet. Frågorna som ställs är ”Vilka berättelser om skuld och oskuld, kön och sexualitet finns det i återberättandet av brottet?”, ”Hur skiljer sig dessa berättelser åt?”, och ”Hur framställs kvinnorna i dessa berättelser? Vad säger detta om den mediala synen på transkvinnor på 1970-talet i Sverige?” Genom en närstudie av materialet ämnar jag besvara frågorna med hjälp av Sara Ahmeds teorier kring cirkulationen av känslor i text, och Stuart Halls teorier kring berättelser som möjliga bärare av konnotativa budskap. Dessutom görs en analys av en av Vreeswijks visor utifrån Ulf Carlssons litteraturvetenskapliga analyser av Vreeswijks låttexter. Uppsatsen struktureras utifrån två identifierade övergripande berättelser, där brottet och händelserna innan beskrivs på något olika sätt. Jag kommer fram till att Vreeswijk i artiklarna rentvås från moralisk skuld genom ett fokus på hans upplevelser, samtidigt som det konstitueras ett hatobjekt jag har valt att kalla ”falska flickor”. Språket som används i artiklarna överensstämmer med andra artiklar där det på olika sätt skrivs om transfeminina personer, samtidigt som kvinnorna i artiklarna om brottet på många sätt beskrivs annorlunda – istället för ”tragiska”, ensamma personer, skrivs det om kvinnorna som att de är (sexuella) ”bedragare”.

Feminist Current is a multi-author Canadian self-proclaimed feminist website which frequently publishes trans-exclusionary radical feminist (TERF) discourse via blogs, podcasts, and global news. This project is a critical discourse analysis of the ways in which Feminist Current communicatively constructs and deconstructs transgender identity in problematic and exclusionary ways. In this study, I consider significant definitions given through Feminist Current, entertain the question of whether TERF is a slur, and discuss the major themes. Based on twenty-three sampled essays published on Feminist Current, I find that Feminist Current authors use five major themes in their discourse: violence against women, strategic censorship, antimanipulation and pro-bodily autonomy, performances of humor and naivete, and calls for solidarity. This discourse functions to separate transwomen from women’s spaces and position transwomen as illegitimate and aggressive, while simultaneously repositioning radical feminism as a superior ideological framing.

Current literature about marginalised youth centres adult knowledges and perpetuates narratives of risk. Additionally, very little is known about young transgender persons within the South African context. Therefore, by making use of Photovoice elements, this narrative project sought to explore the lived experiences of transgender youth while simultaneously creating a space where they could discuss and re-present these experiences. The project aimed to challenge dominant narratives about transgender youth; youth gender and sexuality, and to expand transgender research in South Africa. This project also aimed to contribute to the empowerment of participants by positioning them as experts and centring their knowledges. The study was conducted in partnership with an LGBTIQ+ advocacy NGO and purposive sampling was used to recruit five trans-identifying participants between the ages of 18-26. In-depth interviews were conducted around what it means to be a young transgender person in Cape Town today, and the photographs participants took to represent these experiences. All data were analysed using thematic narrative analysis. The overarching thematic narratives that emerged were: ‘Navigating Identities’ and ‘Living within/out the Cistem’. Within these themes, participants drew on narratives of rigidity/fluidity, exclusion/belonging, and invisibility/hypervisibility respectively. The findings illustrate the complexity of experiences of transgender youth and thus demonstrates that young peoples’ lives are comprised of more than inherent risk. This project also provided an opportunity to critically reflect on Photovoice as a methodology for working with marginalised groups.

Syfte: Syftet med denna studie är att genom en litteraturstudie undersöka hur transpersoner upplever inkludering inom fysisk aktivitet och idrott.  Metod: Litteratursökning i databasen Discovery och manuella sökningar av valda källors referenslista resulterade i tio artiklar som publicerats inom de senaste elva åren. Alla artiklar har analyserats, kvalitetsgranskats och sedan sammanställts.   Resultat: De mest framträdande resultatet för fysiska hinder angående transpersoners upplevelse av inkludering var; svårigheterna med offentliga rum och omklädningsrum samt problematiken med träningskläder. De vanligaste psykosociala hindren för transpersoner inom inkludering i fysisk aktivitet och idrott var; förnekad identitet, missnöje med kroppen, diskriminering, mobbning och utanförskap vilket ledde till depression, ångest och rädslor. De främsta fysiska möjligheterna som framkom i resultatet var fördelen med individuella idrotter och könskorrigerande behandling i kombination med fysisk aktivitet. Det centrala resultatet för psykosociala möjligheter påvisades vara socialt stöd och att fysisk aktivitet och idrott bidrog till minskad ångest och ökad glädje hos transpersonerna.   Slutsats: Det går att konstatera att många transpersoner blir diskriminerade på grund av sin sexuella läggning, köns uttryck och könsidentitet. Detta medför att många transpersoner lämnar idrotten och slutar vara fysisk aktiva. Denna studie kom fram till att många av de problem som presenterades i artiklarna grundar sig i idrottens men framförallt samhällets okunskap. Det framkom även att utvecklingen av transpersoners inklusion och deltagande inom fysisk aktivitet och idrott är ett växande område för idrottsrörelsen att ta i tu med. Riksidrottsförbundet bör arbeta mer aktivt med hbtq- frågor för att öka kunskapen och för att få en djupare förståelse för dagens problematik. Detta skulle kunna bidra till att fler transpersoner kan känna trygghet i idrotten, vilket i sin tur skulle medföra att idrottens värdegrund uppfylls.

Thesis advisor: Susan Kelly-Weeder / Background: Stigma, discrimination, and victimization are common occurrences in the lives of TGGD persons (e.g. non-binary, genderqueer, agender, and other non-cisgender identities) in the U.S., including occurrences in healthcare settings. Additionally, TGGD people in the U.S. experience numerous disparities related to physical health, mental health, substance use, and health risk behaviors. Suicide prevalence data provide the strongest and most urgent indication that healthcare organizations, and mental health providers specifically, are not optimally meeting the needs of this marginalized, at-risk population. TGGD persons have experiences of stigma and discrimination in healthcare settings, and these experiences are directly associated with provider behaviors, staff cultural competence, and institutional policies/practices. Minority Stress Theory suggests that experiences of stigma are directly linked to health outcomes and health disparities. It also suggests disparities may be mitigated by one’s internal coping skills and by level of support available from affirming others. Purpose: This dissertation’s research sought to better understand the relationship between stigma/discrimination and sexual/gender minority (SGM) population health and to better understand the experiences of TGGD persons who receive mental health services in the United States. Therefore, this dissertation begins to address this critical need and fill the gap in science. Three discrete manuscripts are proposed to fully explicate three concepts: 1) How state-level policies may affect SGM mental health (a secondary data analysis); 2) A comprehensive understanding of TGGD persons’ mental healthcare experiences (an integrative review); and 3) TGGD persons’ inpatient mental healthcare experiences (a qualitative study). Methods: First, we conducted a secondary data analysis examining state-level inclusivity for SGM populations, and relationships with indicators of mental health and health risk behaviors in those states; we sought to determine whether and to what extent there is a relationship between states’ SGM policies and practices, and the mental health and health risk behaviors of those states’ SGM residents. Second, we conducted an integrative review examining the mental health treatment experiences of TGGD adults; we sought to synthesize and characterize the existing health literature regarding the mental health experiences of TGGD adults. Third, we conducted a qualitative descriptive study examining the inpatient mental health and substance disorder treatment experiences of TGGD adults; we sought to better understand the inpatient mental health and/or substance treatment experiences of TGGD persons and to identify and characterize facilitators of/barriers to gender-affirming care in inpatient mental health and/or substance treatment settings. Results: In Chapter Two of this dissertation, an ecological secondary analysis of the BRFSS data set showed statistically significant relationships between LGBTQ persons’ state of residence and self-reported mental health symptoms and risk behaviors of the LGBTQ persons who live there. Restrictive state policy environments were shown to function as a distal stress factor and inclusive state policy environments were shown to function as a resilience factor. In Chapter Three of this dissertation, integrative review results suggest that TGGD persons experience incidents of stigma and discrimination in mental health treatment settings. In Chapter Four of this dissertation, participants reported both stigmatizing aspects and welcoming/affirming aspects of inpatient mental health/substance treatment experiences. Conclusions: This dissertation explored the mental health of TGGD persons through a Minority Stress Theory conceptual framework, including potential distal stress factors, proximal stress factors, and resiliency factors. This program of research has made substantial and meaningful contributions towards an enhanced understanding of TGGD mental health experiences, sources of TGGD stigma, and sources of coping/resiliency. In each chapter, findings suggested the presence of MST concepts of distal stress factors, proximal stress factors, and resiliency factors. Nursing remains underrepresented in health literature, and dissertation results highlight ample opportunities to advance TGGD population health through nursing practice, nursing education, nursing scholarship, and nursing policy. / Thesis (PhD) — Boston College, 2021. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Legal aspects of gender reassignment Abstract Thesis deals with legal aspects of gender reassignment, especially with legal conditions of gender reassignment witch are required by the Czech law. Furthermore, the thesis provides a general introduction to the issue of transsexuality, deals with the etiology of transsexuality, and defines its two fundamental types, namely the MtF and the FtM transsexuality. This thesis also recalls the position of transgender people in society, as transgender people continuously face various forms of discrimination. In particular, the text of the thesis is focused on the legal analysis of the issue of gender reassignment. The thesis deals with all legal regulations that contain provisions concerning gender reassignment. In this manner, it deals with all relevant legal provisions included in the Czech Civil Code, in the Act on Specific Health Services, and in the Registry Act. The thesis also deals with the possible future legal regulation of gender reassignment using the de lege ferenda considerations. This bill could adapt the Czech legal regulation of gender reassignment to the case-law of The European Court of Human Rights as well as the legal standarts in other european countries. In the thesis, there is also the whole process of gender reassignment including both the...

Introduction: Transgender is an identity term used to describe people with diverse gender identities and expressions that differ from their sex assigned at birth. People who identify as transgender have worse health outcomes than the cisgender or non-transgender populations. Limited healthcare access and chronic stress from discrimination all contribute to worsening health outcomes for this population. However, research regarding this population is limited, particularly in the rural southern United States. The purpose of this study was to assess physicians’, nurse practitioners’, and physician assistants’ experience with, attitude towards, and knowledge of transgender healthcare in the Northeast Tennessee region. Methods: Medical providers, including NPs, PAs, DOs and MDs from Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, and Obstetrics and Gynecology in both academic and community settings were surveyed regarding their attitudes toward, knowledge of, and experiences with gender, sexual orientation, and sexuality as they relate to healthcare. All potential participants were informed that participation was voluntary. Limited demographics were gathered and surveys were collected in a confidential manner. Data were analyzed for statistical significance. Results: Initial analyses showed the majority of providers had not received training in transgender healthcare and perceived they had few to no trans-identified patients. Over half of all respondents felt competent in providing healthcare to trans people and the majority felt comfortable treating this population. Providers indicated it is important to know their patients’ sexual practices, gender identity and sexual orientation; however, the majority of providers do not ask patients their gender identity, sexuality, or desired pronouns. Respondents were unsure whether gender confirmation surgery is covered by insurance and widely accessible. In assessing clinical knowledge of providers, there were a wide variety of responses suggesting varying level of competence amongst providers. Responses were split regarding whether access to healthcare is the same for the transgender population as it is for the general population. Pediatric providers were asked about comfort in prescribing hormones, knowledge of mental health support in the area, referrals and discussing gender identity with patients. These responses fell along a normal distribution, indicating a variety of training, experiences, and opinion regarding trans healthcare for the adolescent population. Conclusions: Overall results from the preliminary data demonstrate a contradiction between ideology and practice. With most participants responding they felt comfortable and competent providing care to the transgender population, yet their responses indicated a lack of training and absence of inclusivity in their health care practices. This suggests that education is needed within the healthcare community on transgender healthcare.

Gender minorities and sexual minorities have been historically under researched in the field of psychology. This becomes more so the case when looking at the intersections of those who identify as both gender and sexual minorities. Prior research has indicated that minority stress models have been shown to be linked to disparities in mental health between sexual minorities and non-sexual minorities. This has also been shown to be true between gender minorities and cis gender individuals. Little research has ever been done to establish this model on those who fall within both minority groups and how these models may differ. The present study attempts to look at this intersection by comparing a mental health and minority stress model – comprised of anticipated discrimination, social support, and depression – for those identifying as a gender and sexual minority to those who identify as purely sexual minorities. In order to do this, participants (N = 315) were recruited from social media and were given a series of surveys. All participants identified as sexual minorities and 53% (n = 167) identified as Transgender or Gender Non-Conforming (TGNC). The cross-sectional, online quantitative study featured a battery of surveys that measured anticipated discrimination in both major and every day events, LGBT community connectedness, depression, and anxiety. A mediated moderated model and a series of t tests were performed to analyze the differences between sexual and gender minorities versus sexual minorities only. Results indicated that TGNC individuals had significantly higher levels of anticipated discrimination (M = 3.56, SD = .86 compared to M = 3.30, SD = .92), lower levels of social support (M = 4.66, SD = 1.26 compared to M = 5.20, SD = 1.24), and higher levels of depression (M = 31.81, SD = 12.97 compared to M = 25.32, SD = 12.80). Further, anticipated discrimination and fewer support resources explain the increase in depression for TGNC individuals (bootstrapped indirect effects = -.4111 SE = .1720 95%CI = -.8675, -.1634). Overall TGNC individuals showed to have worse experiences and outcomes than their gender conforming, cisgender peers. These results may suggest that future counselling methods for TGNC individuals could benefit by focusing on fostering social support through methods such as interpersonal psychotherapy.