PROGRAM JULY 30 - AUGUST 1, 2021 - Transgender Professional ...
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PROGRAM JULY 30 - AUGUST 1, 2021
Welcome to Converging Crises: Transgender Health, Rights, & Activism in 2021, the inaugural conference of the Transgender
Professional Association for Transgender Health. This conference, four years in the making, has one overarching goal: Trans Health
by Trans People!
In the following days you will see presentations, posters, and artistic performances by trans health researchers, activists, and
advocates from around the world. Our goal, in all of this, is to highlight the work of transgender people at the forefront of
transgender health, a field in which we have always been central.
You will see that there are no concurrent panels. This is intentional. We have created a program in which you will not be forced to
choose between different presentations. In the same spirit, there are 15-minute breaks between all presentations, interpretation to
Spanish and French, and English captioning. We also hope to upload as many as possible to our YouTube channel so that everyone
can enjoy and learn from them.
We look forward to learning from you in the next days, weeks, and years and welcome you to this groundbreaking event.
Steering Committee
•
Bienvenidxs a Crisis convergentes: salud, derechos y activismo trans en 2021, el congreso inaugural de la Asociación Profesional
de personas Trans para la Salud Trans. Este congreso, que viene siendo preparado hace cuatro años, tiene una finalidad primordial:
¡salud trans por personas trans!
En los próximos días verás presentaciones, pósters y exhibiciones artísticas por investigadorxs, activistas y defensores de la salud
trans de diferentes partes del mundo. Nuestro objetivo, a través de todo esto, es destacar el trabajo de las personas trans en la
vanguardia de la salud trans, un campo en el cual siempre hemos sido centrales.
Notarás que no hay mesas simultáneas. Esto es intencional. Hemos creado un programa en el cual no te verás obligadx a elegir
entre las distintas presentaciones. En el mismo sentido, hay descansos de 15 minutos entre todos los paneles; interpretación entre
inglés, francés y castellano; y subtitulado en inglés. Además, esperamos subir la mayor cantidad posible de presentaciones a nuestro
canal de Youtube para que todxs puedan disfrutar y aprender de ellas.
Ansiamos aprender con ustedes en los próximos días, semanas y años, y te damos la bienvenida a este evento innovador.
Comité Organizador
•
Bienvenue au colloque Convergences des crises : santé, droit et militantisme trans en 2021, la conférence inaugurale de
l’Association Professionnelle des personnes Trans pour la Santé Trans. Ce colloque, dont la préparation a duré quatre ans, a un
objectif primordial : la santé trans par les personnes trans!
Durant les trois prochains jours, vous assisterez à des commmunications, des performances artistiques ou consulterez des affiches
réalisées par des chercheureuses, activistes et/ou militant·es pour la santé trans en provenance du monde entier. Notre objectif,
dans tous les aspects de ce projet, est de mettre en lumière le travail des personnes trans en première ligne pour la santé trans, un
domaine dans lequel nous avons toujours occupé·es une place centrale.
Vous verrez qu’aucune sessions ne se déroule en même temps. C’est intentionel. Nous avons créé un programme dans lequel vous
ne serez pas obligé·es de choisir entre différentes communications. Dans le même esprit, il y a des pauses de 15 minutes entre
toutes les sessions, une interprétation en espagnol et en français, et des sous-titres en anglais. Nous espérons également pouvoir
ajouter à notre chaine YouTube autant de communications que possible afin que chacun·e puisse en profiter et apprendre à tout
moment.
Nous avons hâte d’apprendre avec vous dans les jours, semaines et années à venir et vous souhaitons la bienvenue à cet événement
inédit.
Comité d’organisationFriday, July 30, 2021 ALL TIMES ARE UTC-3
VIERNES 30 de JULIO, 2021 todos los tiempos son utc-3
Vendredi 30 Juillet 2021 toutes des heures sont UTC-3
8:15 AM - 8:45 AM The language of trauma is currently clinical work, clinical supervision,
Opening Remarks in a state of expansion as many use university supervision, the
its mobility to name the everyday university classroom, and time
Palabras de apertura
life of terror that exists for those spent reviewing trauma literature.
Mots d’ouverture who have experienced a great As trauma is deeply imbricated
deal of instability and violence. In with concerns of memory,
9:00 AM - 10:15 AM many ways, the mobility of this reflections consist of both past and
Oral Abstracts language represents a reckoning present experiences at the time of
Presentaciones orales with the ongoing dominant order recording.
of European and settler colonial
Communications
Conquest, founded upon racial Conclusion: Situating her stance
terror, genocide, and social within a recognition of various sites
Reframing Trans Suffering death. At the same time, the of privilege and marginalization
and Oppression: Bodies, medicalized nature of trauma and as a neurodivergent, able-bodied
Identities and Politics its epistemological origin within white queer trans woman with
theories of hypnosis and hysteria educational privilege, this paper
pose hurdles to the capacity of this concludes with a stance that asserts
Reenmarcando el
language to more fully challenge the need for medical professionals’
sufrimiento y la opresión the necropolitical implications of solidarity with a what Malatino
trans: cuerpos, identidades y the project of humanism and its identifies as trans care.
política dissidents.
Significance: Conclusions drawn
Redéfinir la souffrance et Objective: The objective of the from this paper contribute to
proposed paper is to explore the ongoing efforts to resist projects
l’oppression des trans :
utility and drawbacks of the use of of the terrorization of trans
Corps, identités et politiques trauma as a strategic essentialism persons and the policing of gender
which has the capacity to name the expansive embodiments. Strategic
1. Living Trans Trauma / lived and embodied experiences of movements within systems of
Treating Trans Trauma anti-trans violence and terror. governance are considered, with
a critical eye toward processes of
Method: Using autoethnography, approbation of the aforementioned
Viviendo el trauma trans /
the author examines her personal dominant order.
Tratando el trauma trans and professional experiences as
Vivre un trauma trans /
Soigner un trauma trans
a trans mental health counselor
working with trans teens and •
adults, a student and an educator in 2. Tracing The Suffering
counseling spaces, and a researcher Transgender Subject: Mental
on trans trauma. Health, Identity and Futures
Jaimie Cory, University
of North Carolina at in Crisis
Data: Data for this paper consist
Greensboro, USA of personal notes and daily
reflections of her experiences of Rastreando el sujeto
transgénero que sufre: saludFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
mental, identidad y futuros Drawing on on-going multi-
en crisis
Tracer les contours du sujet
sited ethnographic fieldwork in
Scotland/UK and interviews with
medical professionals, mental
•
3. Queer Realism in The
health practitioners, trans
trans en souffrance : santé community support groups,
United Kingdom
mentale, identité et futur en activists, and government officials,
crise this presentation traces the Realismo queer en el Reino
‘suffering transgender subject’ Unido
across different sites, tracing
its impact from the level of the Réalisme Queer au Royaume-
Ellis Kokko, University of
individual to the wider political
Edinburgh Department of arenas where struggles for rights
Uni
Social Anthropology, UK and inclusion take place. I ask,
what happens when narratives of Dr. Matthew J. Cull,
After more than a year of Covid-19, suffering inform medical decisions University of Reading, UK
it is clear the pandemic is not only about care and treatment; when
affecting our physical health, but suffering is the basis on which Unfinished before his death,
experts are increasingly talking claims for political and legal Christopher Chitty’s Sexual
about a ‘mental health crisis’. This equality are made; or when stories Hegemony (2020) traces the
crisis is further accentuated in of suffering become contested by history of bourgeois regulation of
the case of LGBTIQ+ people, and competing claims of victimhood? homosexuality under capitalism,
transgender individuals have been Narratives of suffering and crisis along with the queer social
shown to be particularly vulnerable. can be powerful ways to bring formations that particular modes
These observations come after moral legitimacy to stigmatized of production enabled. I will argue
more than a decade of research groups; yet, rather than neutral that Chitty’s framework provides
studies, public health agendas, and descriptions, they also shape a particularly insightful lens
social justice campaigns calling the very identity categories in through which we can view the
attention to the pernicious impact question by limiting the kind of contemporary situation of trans
of stigma and discrimination on subjects, affects and futures that people in the United Kingdom
the mental health of trans people. are recognizable.
While this narrative is arguably First, I will examine the class
a positive shift away from an I will discuss these issues in the composition of the contemporary
inherently pathologized subject context of the fraught debates UK TERF movement, noting its
towards one whose suffering is around the GRA reform which marked bourgeois character that
reframed as a result of external makes these questions particularly stands in stark contrast to the
factors, in this presentation I will urgent. My research seeks to precarious economic position
call attention to the unintended and contribute critically to both and labour context of most
often paradoxical consequences of academic and activist discussions trans people. I will suggest this
a focus on psychological suffering and strategies to advance radical exemplifies Chitty’s analysis of the
in transgender politics. I propose equality. Most importantly, I hope ‘normal’, and that the actions of
that narratives of suffering leave to expand the scope of trans lives the UK TERF movement precisely
little space for imagining liveable that are liveable trans futures shore up their class position and
trans futures. that are imaginable, beyond serve to keep trans people on the
the parameters of the suffering economic margins.
subject.'
Next, I will examine the
consultations from WestminsterFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
and Holyrood on the Gender 4. Le rapport aux corps des un outil de réappropriation de
Recognition Act. I will suggest homme trans’ dans le sport: son corps par les personnes trans’.
that a Foucauldian reading of the Par la méthode d’entretiens semi-
cissexisme et enjeux de santé
consultations as biopolitical is directif, j’ai pu, au cours du mois
possible, but incomplete, failing d’avril en France, interroger
to account for the ways in which Trans men’s relationship to deux hommes trans’, familiers du
repeated consultations have been their bodies through sport: milieu sportif et le rapport qu’ils
launched. Here I will draw on cissexism and health issues ont entretenu et entretiennent
Chitty’s critique of Foucault to avec le monde du sport, aussi dans
present an argument that we can le cadre de leur transition. J’ai
La relación de los hombres
see the consultations as the latest obtenu les résultats suivants : il y
strategy in the attempt to enforce trans’ con el cuerpo en a une appréhension quant au fait
a particular sexual hegemonic el deporte: cisexismo y de reprendre le sport, en vue d’un
order. cuestiones de salud cissexisme anticipé, mais aussi
en lien avec les réglementations
Finally, using Chitty’s work I Raphaël Szymanski, floues concernant les personnes
will look at the realities of trans Université Claude Bernard trans’ dans le sport. Pour autant,
healthcare in the UK, looking at le sport semble être un bon
Lyon 1, France
the ways in which extreme waiting moyen pour se réapproprier son
lists force already economically corps dans la mesure où il permet
En lien avec le militantisme et
impoverished trans people into des modifications corporelles
la santé, j’ai étudié le rapport
seeking private healthcare. Even sur lesquelles l’individu‧e est
aux corps des personnes trans’
in the private sphere, I will argue plus ou moins maître‧sse. Alors
dans le sport, avec une approche
that bourgeois enforcement of que les conditions d’existence
sociologique, à travers notamment
sexual hegemony attempts to cut des personnes trans’ sont alors
la méthode d’entretien et les travaux
trans access to healthcare, as Bell empruntes de cissexisme, de
théoriques en études trans’ menés,
v. Tavistock demonstrates. discriminations et de violences,
par Karine Espineira, Alexandre
ces derniers sont d’autant plus
Baril, Emmanuel Beaubatie
I will conclude that whilst the saillants dans le monde sportif,
notamment. Mon travail porte
ongoing oppression of trans où les normes de genre sont
sur le traitement des personnes
people in the UK can (following prégnantes. Dans cette mesure, la
trans’ dans le milieu sportif mais
Barker 2017) be described as a mise en avant d’un sport en non-
aussi sur la manière dont iels sont
moral panic, such a description is mixité entre personnes trans’ peut
perçu‧es et perçoivent leur corps,
incomplete: reading the conflict apparaître comme une solution
et l’influence du sport sur cette
with Chitty demonstrates that pour continuer le sport dans un
perception. Le corps, souvent vu
it fails to capture the many cadre sécurisant et en opposition
comme outil dans le sport, prend
material features of the ongoing aux institutions empruntes
donc d’autant plus d’importance
conflict, and that ultimately the de cissexisme à la fois par les
pour les personnes trans’ dont
recognition of such features is règlements et l’invisibilisation des
le corps entre souvent en jeu
a necessary step in developing personnes trans’ et les besoins
dans les différents aspects d’une
strategies to fight back against particuliers que recoupent les
transition. L’objectif de mon travail
such oppression. transidentités.
est de montrer que le sport est
• un milieu où les personnes trans’
sont d’autant plus vulnérables,
mais que le sport peut aussi êtreFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
10:30 AM - 11:45 AM Université Toulouse 2, de la famille et des institutions
Oral Abstracts LISST/Cers, France médicales. Cette recherche illustre
la manière dont ces espaces
Presentaciones orales
sont pensés en réponse à la
Communications Cette présentation se centre sur
psychiatrisation des identités trans,
l’entraide intra-communautaire en
à leur gestion par les institutions
ligne et vise à montrer comment
Community Care Practices les réseaux sociaux numériques
médicales et aux discriminations
qui en découlent. Ces espaces
équipent les personnes trans leur
Prácticas de cuidado peuvent être compris comme
offrant ainsi des perspectives
libérateurs (Haraway, 1991) en
comunitarias critiques et d’empowerment face
raison des ressources importantes
aux institutions. Bien que de
qui y circulent, mais aussi en
Pratiques de soin nombreux travaux aient souligné
raison du potentiel d’alternatives
l’importance des espaces en ligne
communautaires dans la circulation du soutien social,
et d’autonomisation qu’ils offrent
à leurs utilisateur·ice·s face au
peu se sont intéressés aux espaces
bouclier thérapeutique (Espineira,
pensés par et pour les personnes
2011). Cette communication
1. Entre critique des trans. Les contributions du champ
montre finalement comment
institutions et perspectives des études trans ont souligné les
ces espaces participent à la
d’empowerment : L’usage des avantages des médias sociaux pour
construction d’une éthique du care
la communauté trans (Califia, 2003
groupes facebook en non- ; Stryker, 2006, 2013 ; Raun, 2016
trans (Marvin, 2018 ; Malatino,
mixité trans comme outil ; Dame-Griff, 2013). Je propose de
2019). Cette dernière implique
intra-communautaire. de nombreuses sous-pratiques :
prolonger ces travaux en étudiant
création d’outils d’empowerment,
de plus près les expressions de
écoute active, acquisition de savoir
Between critique of solidarité sociale qui circulent
experts, etc. Par ces dernières,
the institutions and sur les groupes Facebook trans
les personnes trans défient les
francophones. Cette recherche
empowerment perspectives: s’appuie sur une ethnographie
institutions, elles expérimentent
The use of trans-only en ligne des principaux groupes
des stratégies et des formes de
facebook groups as an intra- résistance qui favorisent leur
Facebook trans francophones (N =
autonomisation (Hilário, 2017).
community tool 11) réalisée entre septembre 2017
et septembre 2020. L’introduction
Entre la crítica a
las instituciones y
de la communication présente dans
une perspective socio-historique la
croissance progressive des pratiques
•
2. Trans Geographies of Care:
las perspectivas de d’entraide t4t sur internet. Les Normativity, Contradictions,
empoderamiento: el uso résultats sont ensuite divisés
and Intersectionality
de grupos de facebook en deux sections. La première
exclusivos para personas se concentre sur l’échange de
soutien informationnel, à travers la Geografías trans del
trans como herramienta
création de réseaux de soignant·e·s cuidado: normatividad,
intra-comunitaria safe et le partage de connaissances contradicciones e
expertes. La seconde analyse le interseccionalidad
Armangau Yael, soutien émotionnel apporté entre
les membres suite à des actes
de discrimination vécus au sein Géographies trans du soin :
Normativité, contradictionsFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
et intersectionnalité trans people pass as cisgender to inmigrantes durante la
Theodore Davenport, circumvent transphobia through pandemia de coronavirus
the lens of transnormativity. I
University of Washington
argue that exchanging passing
Department of Geography, advice emphasizes contradictions Dans l’ombre de la Cité
USA and tensions between a plurality Sanitaire : Historiser les
of caring priorities. Second, I expériences des migrant·es
Trans and gender nonconforming consider the case of the Transy trans latinx pendant la
populations in the United States are House, owned by a trans couple pandémie du coronavirus
experiencing crises of care. In just in Brooklyn during the 1990s
the first three-and-a-half months of and 2000s that came to serve as
2021, over 100 anti-trans bills were an informal emergency shelter
introduced into state legislatures, for trans people in New York. Leo Valdés, Rutgers
the majority seeking to limit trans I contend that this trans space University, USA
people from either participating in highlights a trans-centered
public life or accessing transition- care ethic while simultaneously
My presentation will draw on
related medical care. Yet, trans revealing the extent to which trans
ongoing research with the trans
people often lack acceptance and people are abandoned by ostensibly
Latinx migrant community of
support in “traditional” spaces of caring agents, including families
central New Jersey. The New Jersey-
care such as the home, medicalized of origin, social workers, housing
New York metropolitan region
spaces, and local communities. authorities, and other state actors.
has the largest concentration of
I trace a recent history of trans- I conclude with emphasized how
undocumented immigrants in
centered care networks to build the gendering of care goes beyond
the United States. Nestled halfway
theory around a trans ethic of care a male/female binary or even a
between Philadelphia and New
by drawing from 25 oral history framework that merely includes
York City lies New Brunswick,
interview transcripts from the trans people. Rather, I articulate
New Jersey, a small city of 55,000
New York City Trans Oral History that trans subjectivities complicate
people, over half of whom are
Project, an open-source archive current understandings of
Hispanic, and close to 30% of
with audio and transcriptions of caring worlds and argue that
whom are Mexican. Known as the
over 150 life history interviews with future scholarship on care must
“Healthcare City,” New Brunswick
trans current or former residents reconfigure gender within an
is home to world-renowned
of New York. Because trans care intersectional framework.hospitals, such as the Robert Wood
is an emergent theoretical area, I
used a Grounded Theory Method to
code and conduct my data analysis.
•
3. In The Shadow of the
Johnson University Hospital, and
the billion-dollar pharmaceutical
conglomerate Johnson & Johnson.
However, the economic and racial
I highlight two vignettes from Healthcare City: Historicizing segregation in the city is so stark
this dataset that reveal productive Trans Latinx Immigrant that the Latinx community is
tensions surrounding trans Experiences During the largely unable to access quality
experiences of community care. Coronavirus Pandemic healthcare. Undocumented or
First, I evaluate one interviewee’s low-income trans immigrants
experiences of online trans websites are especially neglected. Drawing
and forums during the early 2000s. En la sombra de la ciudad on oral histories, quantitative
I consider how such websites de los servicios de salud: demographic and survey data,
often gave advice intended to help historizando las experiencias and archival sources, my research
de personas trans latinas historicizes the experiences of
trans immigrants during theFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
coronavirus pandemic. I examine has exacerbated these existing
the trans Latinx community
through a “social history” lens
emphasizing how labor, migration,
•
4. “The Way We Make
access barriers and intensified
the financial, social, and physical
precarity of trans and nonbinary
survival organizing, and intra- people (Fish, McInroy, Paceley,
Latinx dynamics have changed
Space with Each Other”: Williams, Henderson, Levine, &
over time and shaped the trans Transgender and Nonbinary Edsall, 2020; Salerno, Williams, &
community in the city. A central Communication and Care Gattamora, 2020; Wang, Pan, Liu,
question is, why New Brunswick? I During the COVID-19 Wilson, Ou, & Chen, 2020). When
argue that Oaxacan migrants, who Pandemic formal institutions fail to address
comprise the largest segment of the the needs of already marginalized
Latinx population, have brought populations within the context
important cultural resources that
“La manera en que of a global crisis, how do these
have nurtured the development of a juntxs creamos espacios”: communities respond? What
trans immigrant community in the comunicación y cuidados strategies do trans and nonbinary
city, despite institutional neglect. entre personas trans y no people use to create informal
Oaxacans bring a historical positive binaries durante la pandemia networks of care, and to provide
association with gender variance de COVID-19 emotional and material support for
through popular knowledge of each other outside of institutional
Muxes—a third gender category contexts?
of people within Zapotec culture, « Notre façon de créer des
one of the sixteen indigenous espaces les un·es pour les Data for these analyses were drawn
cultures from Oaxaca. This autres » : Communication et from qualitative interviews with
cultural knowledge plays a role in soins trans et non-binaires 31 transgender and/or nonbinary
fostering community acceptance durant la pandémie de individuals. Interview topics
of gender variance allowing a trans included personal identity and
immigrant community to thrive.
COVID-19 presentation, navigating safety and
Trans immigrants (non-indigenous risk across different environments,
or indigenous) find creative ways to Max Osborn, City University of help-seeking and access to
support their own growth through New York; John Jay College, formal and informal sources of
buying hormones in bodegas, for USA support, interactions with police,
example, or hosting fundraising the COVID-19 pandemic, and
performances for rent, food, or Transgender and nonbinary people the 2020 protests against police
money to buy clothes. My research often experience obstacles accessing violence. Participants described
demonstrates how geography, formal or institutional support strategies they used to receive
class, and race produce variability services, due to a combination of needed resources and to distribute
among trans populations. It limited available resources, lack them to others. These included
also contests understandings of of provider competency, social mutual aid work such as food and
history that erase the presence stigma, and overt discrimination supply donations and fundraising,
of trans migrants and that (Acevedo-Polakovich, Bell, as well as providing emotional
narrowly construes trans activism, Gamache, & Christian, 2011; support on a person-to-person
healthcare, and community Williams & Fish, 2020). Other level. Some participants expressed
through a white, individualized, aspects of identity and context, such an understanding of their
and highly-medicalized model. as race and economic security, also efforts as being part of a broader,
shape access to care (Wagaman, longstanding context of grassroots
2014). The COVID-19 pandemic queer and trans care networks.
Participants connected theirFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
investment in these projects with a construire sécurité et and trans-liberation.
politics that emphasized mutuality résistance
and reciprocity and rejected This three person panel will
formal or hierarchical structures include three BIPOC trans-femme
of support. The COVID-19 Stephanie Luz Hernandez, therapists, and moderated by one
pandemic prompted both the Kaiser Permanente, USA; white trans-feminine therapist,
development of new methods of Mischa Freeman; all from the Northern California
communication (e.g., technology, Amina Elfiki Bay Area. Topics discussed will
dissemination of information) and include various difficulties and
new attitudes toward it, including Historically, transfeminine Black, challenges during graduate
a greater focus on understanding Indigenous and People of Color school, their clinical training, and
and accommodating others’ (BIPOC) have been subject to pathway to licensure. This will
perspectives and an emphasis on scrutiny, gatekeeping, and deep include discussions on the effects
more clearly articulating needs pathologization by mental health of colonization in gender health,
and boundaries. providers and the medical field. pathologizing models, challenges
•
12:45 PM - 2:00 PM
As more transgender people are
entering the field of medicine
and psychiatry, there is a lack of
of transitioning while training,
tokenization, institutional harm
and racism, and difficulties in
challenging hegemonic structures.
representation of BIPOC in these
Mini-Symposium
positions. There is a clear need
Mini-Symposium to help support trans-femme 2:15 PM - 3:30 PM
Mini-Symposio BIPOC to overcome barriers in Panel
academia and becoming licensed Débat
Capacity Building for professionals. There is also a need Panel
Trans-femme BIPOC to support them in navigating
institutional and vicarious racism,
Therapist Development: Trans Rights in an
and trauma, and also the limitations
Building Safety and that licensed providers may have to Anti-Trans World
resist dominant paradigms.
Fortalecimiento de Derechos trans en un
capacidades para In our proposed panel presentation, mundo anti-trans
psicoterapeutas trans- we will discuss three possible
strategies to support trans-femme
femme Negras/xs, Índígenas Droits trans dans un monde
BIPOC to becoming licensed mental
y de Color: construyendo health practitioners. This includes anti-trans
seguridad y resistencia trans-feminine empowerment and
consultation groups; mentoring by 1. Global Action for Trans*
Renforcement des established clinicians (or a support Equality
compétences pour team of BIPOC trans professionals
in the health field); and building a
le développement Mauro Cabral Grinspan,
national network of BIPOC trans-
thérapeutique à destination feminine providers to organize on Executive Director
des trans-femmes racisé·es: a broader and international level.
This presentation will be rooted 2. International Trans Fund
in anti-racism, self-determination,
decolonization, healing justice,
K. Mukasa,
Senior Program OfficerFriday, July 30 / VIERNES 30 DE JULIO / VENDREDI 30 JUILLET
3:45 PM - 5:00 PM commissioned by National Health learned in the process of setting
Mini-Symposium Service England experimenting Indigo up, focusing on the obvious
with what a trans-led, primary and less-obvious benefits to having
Mini-Symposium
care focused, locally provided trans trans-led healthcare services, and
Mini-Symposio health service could look like. We our advice for how others might
are a multi-disciplinary team. follow our lead.
What Happens When Trans Medical services are provided by
People Are In Charge of Indigo GPs and a clinical nurse For more information, go to:
Trans Healthcare: specialist. Each service user has http://indigogenderservice.uk
one of six named Care Navigators
A UK Pilot
(all trans/non-binary) as their
contact, who support them in
Qué sucede cuando las navigating the service as well as
personas trans están a cargo referring to wraparound services
de los servicios de salud and generally supporting in more
trans – Una prueba subtle and holistic ways. We have in-
house Voice and Communication
piloto en el Reino Unido
therapists, and counsellors, as
well as partnering with the LGBT
Ce qu’il se passe lorsque Foundation for referrals to wider
les personnes trans sont en support services, so most of our
charge des soins de santé staff are LGBT, including a trans
des personnes trans - Un service manager.
projet pilote britannique
We’ve only been running since 2nd
December 2020, but the service is
Meg Lightheart, the result of several years of co-
Indigo Gender Service, UK; production with the wider trans
Hannah Wilk, community and creating a shared
Indigo Gender Service, UK; vision with the National Health
Service. We’ve already seen 200
Aimee Linfield,
people to their first assessment,
Indigo Gender Service, UK; and 100 to their second assessment,
Yvy Deluca, which generally means the start
Indigo Gender Service, UK; of treatment. We’re hoping that
Ruth Talbot, our two-year pilot will become the
Indigo Gender Service, UK; national standard of care for trans
healthcare, rolling out to all cities
Jay Neville,
and towns.
Indigo Gender Service, UK;
Nico Dhillon, Our proposal is to bring together
Indigo Gender Service, UK trans people from across the
team (medical, care navigators,
Indigo Gender Service is a pilot counsellors, GP educators, co-
production and leadership) as a
roundtable to discuss what we’veSATURDAY, JULy 31, 2021 ALL TIMES ARE UTC-3
Sábado 31 de julio, 2021 todos los tiempos son utc-3
SAMEDI 31 Juillet 2021 toutes des heures sont UTC-3
9:00 AM - 10:15 AM Dr. Ben Vincent, between primary care contexts and
Oral Abstracts Trans Learning Partnership, UK; GIC care in Wales; and the LGBT
Foundation’s Pride in Practice
Presentaciones orales Jaimie Fletcher
scheme in Greater Manchester that
Communications trains and liaises with primary care
The Integrating Care for Trans around the delivery of LGBTQ-
Development of Clinical Adults (ICTA) project is a 2-year inclusive healthcare.
national project in the United
Practice Guidelines in Kingdom, funded by the National Our data highlights the benefits
Different Health Systems Institute for Health Research that integration between different
(NIHR). The project initially sectors can offer trans patients,
Desarrollo de lineamientos identified a range of models within a wider context of enormous
para la práctica clínica en currently being used to provided healthcare disparities, in part due
diferentes sistemas de salud integrated care in the UK, designed to gatekeeping of healthcare in
to meet the specific health and tertiary centres and reliance upon
wellbeing needs of trans people. a psychopathologising diagnostic
Développement de directives The efficacy of these models model. We briefly present and
de pratiques cliniques dans is being explored through a explore views held by trans service
différents systèmes de santé collection of six case studies, that users about alternative possibilities
involve interviews with service to improve trans healthcare across
1. An Overview of Case Studies users and service providers (n=80). the UK.
Service users were invited to
Examining Integration
Initiatives in Trans Healthcare
in The UK: Findings From The
interview following a national
screening survey (n=>2000), from
which a general interview sample
•
ICTA Project was also collected (n=65). Sample 2. Development of Clinical
sizes correct as of April 2021, with Practice Guidelines on Trans
Una revisión de estudios de recruitment still ongoing, with an
Health in Russia
expected total of interview sample
caso que examinan iniciativas size of approximately 170.
de integración en los servicios Desarrollo de lineamientos
de salud trans en el Reino This paper will focus on para la práctica clínica en
Unido: hallazgos del ICTA contextualising three of these salud trans en Rusia
Project case studies, which centre around
collaborations between primary
Développement de directives
care, third sector (charitable)
Tour d’horizon des études de organisations, and specialist de pratiques cliniques sur la
cas examinant les initiatives gender services. These include santé trans en Russie
d’intégration de la santé trans a collaboration between Leeds
au Royaume-Uni : Résultats du Gender Identity Clinic (GIC) and Yana Kirey-Sitnikova,
projet ICTA the third-sector organisation University of Gothenburg,
Yorkshire Mesmac; the Local
Sweden
Gender Teams model that integratesSATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
Clinical Practice Guidelines (CPG) epidemiological studies, their un libro publicado recientemente
are documents guiding diagnostics core assumptions on the needs (diciembre 2020) por la editorial
and treatment procedures. and identities of trans people, puntos suspensivos en la Ciudad
In Russia, the first CPG on leading to confusing results and Autónoma de Buenos Aires. El
transsexualism were developed lack of external validity. The texto forma parte de una colección
in 1991 (Belkin & Karpov, 1991). author argues that the quality of llamada Justicia Epistémica que
A new version was adopted in evidence will benefit from a more reúne ensayos escritos por personas
1999 following transition to ICD- interdisciplinary perspective, trans, travestis y no binaries. Al
10 (Krasnov & Gurevich, 1999). that would take trans people’s tratarse de la presentación de un
However, in 2012 the Guidelines experience and agenda as a starting libro y no de una investigación en
were repealed, resulting in a point. In the meanwhile, progress particular, los campos referidos al
lack of any recommendations to on using existing evidence for objetivo, los datos, las conclusiones
doctors on provision of trans- drafting CPG will be reported. y los métodos resultan obsoletos
specific healthcare. As part of the para este abstract. Las producciones
reform initiated by the Ministry of Belkin, A. I. & Karpov, A. académicas, estatales, activistas y
Health, all new CPG must follow S. (1991): Transsexualizm artísticas que analizan los procesos
the principles of evidence-based (metodologicheskie rekomendacii de salud-enfermedad-atención-
medicine. po smene pola). Ministry of Health cuidados de las personas trans* son
of the USSR. cada vez más, tanto en cantidad
The present submission seeks como en pluralidad de perspectivas.
to address both opportunities Krasnov, V. Ya. & Gurevich, I. Muchas de ellas se nutren de
and challenges presented by this Ya. (1999). Modeli diagnostiki las experiencias, los miedos, los
innovation for Russian trans i lecheniya psikhicheskikh i deseos, las prácticas de las personas
activists and medical practitioners povedencheskikh rasstroistv: trans*. Si bien se reconoce la
working to provide trans-specific Klinicheskoe rukovodstvo. importancia de esos materiales
healthcare based on the informed Moscow: Moscow Research y lo mucho que colaboran en
consent model. On the one hand, Institute of Psychiatry. mejorar las situaciones concretas
relative openness of the process de existencia, este libro se propone
abandonar la perspectiva que centra
opens the way for trans-led groups
to influence the outcome - an
opportunity they have traditionally
been deprived of. On the other
•
3. Cissexism and Health,
su interés en las experiencias de
las personas trans* y desplazar
ese esfuerzo a medir, calcular,
hand, various barriers, both Some Ideas From The Other describir y analizar el cisexismo.
administrative and scientific, stand Side Específicamente, a encontrarle
in the way. As to the former, los modos de convivencia y
requirement for CPG to be retroalimentación con/en el campo
Cisexismo y salud, algunas de la salud. Desde una perspectiva
submitted by an officially
registered medical association
ideas desde otro lado lésbica transmasculina, desde la
presents a major challenge. As to experiencia de ser residente en un
the latter, poor quality of evidence Cisexisme et santé, quelques hospital nacional de referencia,
showing effectiveness of trans- idées depuis l’autre bord y con la ayuda de más de diez
specific medical interventions años de lecturas y activismos, me
remains a problem. This report interesa compartir algunas ideas en
An Millet torno a las formas que toman las
will examine limitations of existing
alianzas entre el Modelo Medico
Esta ponencia se propone presentar Hegemonico y el cisexismo para, a
partir de ellas, proponer una serieSATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
de movimientos a fin de producir John Moores University, The aim of this paper is to
escenarios más justos. Se destacan Liverpool, UK communicate preliminary findings
entre el contenido de este texto: from the ICTA project national
la presentación del concepto The Integrating Care for Trans screening survey of over 2000
descisexualización, una propuesta Adults (ICTA) project is a 2-year participants and 65 community
de reconocimiento, analisis, national project in the United interviews. Specific focus will
descripción y desaprendizaje del Kingdom, funded by the National be on the unique experiences of
cisexismo; la descripción de las Institute for Health Research older trans people and disabled
particularidades cisexistas de la (NIHR). It is based at The Open and chronically ill trans people.
accesibilidad, y las respuestas del University in partnership with We will relay their experiences
colectivo trans* ante ellas; y una serie the LGBT Foundation and of accessing healthcare and
de preguntas y reflexiones actuales Yorkshire Mesmac. The project highlight the barriers they face.
que surgen de la experiencia de ser initially identified a range of Many of these barriers are a direct
profesional trans en un hospital models currently being used to result of or have been worsened
público (¿qué pasa con el cisexismo provided integrated care in the by the COVID-19 pandemic. We
institucional de los efectores de UK, designed to meet the specific will conclude with some possible
salud cuando irrumpimos lxs health and wellbeing needs of trans strategies for improving trans
trabajadorxs trans*?). people. The next stages, which are healthcare in the U.K.
ongoing, consist of six case studies
•
4. Navigating Multiple
of integrated care (or lack thereof)
and the ‘general sample’. This
general sample includes a screening
10:30 AM - 11:45 AM
Oral Abstracts
Presentaciones orales
survey where respondents give
Barriers to Healthcare for basic demographic information Communications
Trans People in The UK and an outline of their healthcare
experiences. Some of these Navigating Complex
Sorteando múltiples barreras respondents are invited to take Systems and Repressive
al acceso a los servicios de part in in depth interviews about Political Climates
salud para las personas trans their health, their experiences
of transition related and non-
en el Reino Unido transition related healthcare, and Sorteando sistemas
their thoughts on how health complejos y entornos
Naviguer à travers les services could be improved. The politicos represivos
multiples obstacles dans project aims to identify factors
l’accès aux soins de santé which make services more or Naviguer à travers différents
pour les personnes trans au less accessible and acceptable to
the variety of trans adults who
systèmes complexes et
Royaume-Uni need them, and considers what climats politiques répressifs
lessons emerge as to how models
Dr. Evelyn Callahan, for providing integrated care can 1. Transgender Youth
Open University, UK; be successfully implemented and Disproportionality In U.S.
Mx. Michael Petch, LGBT further improved in meeting Child Welfare Systems: What
Foundation, Manchester; the needs of trans people within
limited resources and continuing
We Know, What We Don’t,
constraints, particularly resultant and Why It Matters
from the COVID-19 pandemic.
Desproporcionalidad deSATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
jóvenes trans en los sistemas research exploratory research long-term health and wellness
de bienestar infantil: qué on transgender issues in child outcomes, including mental
welfare systems. Information was health issues and substance
sabemos, qué no, y por qué
included if it contained qualitative abuse, making transgender youth
importa or quantitative findings related disproportionality in child welfare
to the topics of transgender systems a paramount issue for
Disproportionnalité de la youth overrepresentation in social welfare research to address.
jeunesse trans dans les social service settings, dynamics This review produced several
systèmes de protection de of maltreatment of transgender novel conclusions and presently
l’enfance aux États-Unis : Ce children, transgender children and unanswered questions which
child welfare system entry and exit future research should seek to
que nous savons, ce que nous pathways, and health and wellness address.
ne savons pas et pourquoi
c’est important.
outcomes of transgender children
and adults who have experienced
child welfare system entry.
Relevant articles were analyzed
•
2. The Fight For Trans
Ryan Karnoski, Children in Mexico
University of California, USA; for qualitative and empirical
evidence of overrepresentation of
Center for Applied transgender youth in foster care La contienda por las infancias
Transgender Studies systems and child welfare systems trans en México
at large using social welfare
Objective: Emerging research has specific theoretical frameworks for
sought to quantify disproportional conceptualizing this issue. La lutte pour les enfants
overrepresentation of transgender trans au Mexique
youth in United States child welfare Data: The findings of this review
systems. Despite this research, few support the existing consensus Siobhan F. Guerrero
empirically grounded conclusions that transgender youth are McManus,
can be drawn about the causes disproportionally overrepresented
Universidad Nacional
of this phenomenon due to the in U.S. child welfare systems.
overall lack of data on causal factors While there are relatively few Autonóma de México
associated with entry into care, i.e., methodologically rigorous
specific types of maltreatment, age empirical studies to confirm En esta conferencia se
of entry, etc. This paper evaluates qualitative and anecdotal accounts expone el papel que jugó la
the issue of overrepresentation of of this phenomenon, newer, reflexión epistemológica de
transgender youth in United States larger datasets provide substantial corte transfeminista en el
child welfare systems and identifies evidence of rates of transgender replanteamiento de un debate
key areas for further examination youth in child welfare systems be en torno a las infancias trans
by analyzing extant research as high as three to four times the que comenzó hace ya dos años
findings on the subject. rate of transgender youth in the en la Ciudad de México. De
general population. manera general se esbozará en
Methods: Through a scoping qué consistió dicho debate y por
review of the literature, this Significance: As a dually qué se afirma que se hizo un
paper consolidates a body of marginalized population, replanteamiento del modelo mismo
exploratory and confirmatory transgender youth in child welfare de acompañamiento de menores
systems are vulnerable to a unique de edad. Al finalizar se enfatizarán
array of disparate near-term and los aspectos epistemológicos que
guiaron tal replanteamiento.SATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
3. Minority Stress Among and families during that time. Conclusion and Significance:
Transgender Youth and Findings indicate that negative
Methods: Participants completed mental health outcomes associated
Family Members Around the
two online surveys at one week with political events increases
2020 US Election pre- and post-election (n=72). with proximity to marginalization
Pre-election surveys collected status (e.g., being TNBY vs. a family
Estrés de minorías entre demographic data (e.g., gender member of TNBY) in this sample.
jóvenes trans y sus familiares modality); political factors (e.g., Families, clinicians, and advocates
en torno a las elecciones party affiliation); and experiences should consider the role of political
of gender minority stressors (e.g., turmoil in the mental health of
estadounidenses en 2020
gender-related family stressors, TNBY. Future research should
victimization). Both surveys explore potential differential
Le stress des minorités chez assessed three stress-related impacts of exposure to political
la jeunesse trans et leurs outcomes: depression (CES-D-10), events for TNBY with multiple
familles à l’approche des anxiety (GAD-7; scale 0-30), and marginalized social positions (e.g.,
élections états-uniennes de self-reported stress (0 - 100). youth of color).
2020
Jessica Kant, Boston
Data: Of the 29 TNBY, 83% reported
clinically significant anxiety (GAD-
7 >=10) just prior to the election.
For TNBY, this proportion remained
•
4. Trans Organizing and
University; Boston Children’s unchanged post-election, whereas Backlash in Japan
Hospital, USA; for caregivers, it significantly
Eli Glen Godwin, EdM, decreased (from 47% to 26%). Movimiento trans en Japón y
However, the proportion of TNBY sus detractores
Harvard T.H. Chan School of
reporting “severe” (GAD-7 >=15)
Public Health; anxiety dropped significantly from
Neeki Parsa; 52% pre-election to 39% post-
Le mouvement trans au
Ariella R. Tabaac, PhD; election. Paired t-tests showed that japon et le retour de bâton
Allegra R. Gordon, PhD; mean depression scores decreased
Sabra L. Katz-Wise, PhD for TNBY and caregivers from pre- Mameta Endo, IDAHOT-
to post-election. Anxiety symptoms Japan; niji-zu,LGBTQ youth
decreased significantly only for support group, Japan
Objective: Given the Trump
caregivers. Preliminary regression
administration’s attacks on
analyses showed that post-election Japan is a country that has no legal
marginalized groups, including
self-reported stress due to the protection for LGBT individuals.
transgender and/or nonbinary
presidential election was greater We failed to pass LGBT new act this
youth (TNBY), the 2020 U.S.
among participants with prior spring. We are also facing anti trans
federal election was a period
gender-related family stressors and backlash too. This presentation
of great concern among TNBY
among TNBY with gender-related shows difficulty trans community
and their families. The Trans
victimization. Post-election, White facing now and the way how we
Family Election Study recruited
participants experienced a greater fight back.
a nationwide sample of TNBY and
decrease in both anxiety and
caregivers and siblings of TNBY
depression scores than participants
(N=92) to examine the effects of
of color when adjusted for baseline
the sociopolitical climate on TNBY
scores and family member type.SATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
12:45 PM - 2:00 PM 2015). Significantly less studies decision-making, barriers to care,
Oral Abstracts take a look at the way transgender and queer and trans kinship.
Presentaciones orales
Communications
women (people who were labeled a
boy at birth, but are women) and
transgender people of other gender
identities (people who are agender,
•
2. “Your Patients Might Look
Reproductive Health, non-binary, genderfluid people, Like Me, FYI”: Representing
Justice & Rights for example) take up reproductive Trans in Gynecological Exam
journeys (De Sutter 2009; NCTE Medical Trainings
2012; Nixon 2013). There is
Salud, derechos y justicia
also a disproportionate focus “Para que sepas, tus pacientes
reproductiva on perspectives regarding trans
people’s reproduction from mostly
podrían lucir como yo”:
Santé, justice et droits cisgender healthcare providers, representando las personas
reproductifs whereas the focus should be on trans en la formación
the people marginalized by several médica para la realización de
forms of oppression that intersect exámenes ginecológicos
1. For Life & Legacy: Trans
with transphobia. This project is
and Non-Binary People’s an important corrective, because it
Reproductive Journeys centers transgender people as they
“Pour info : vos patients
make meaning of and experience pourraient me ressembler”:
Para la vida y el legado: their reproductive care, fertility, Représenter les personnes
trayectorias reproductivas de infertility, pregnancy, labor and trans dans les formations
the postpartum period. Some médicales aux examens
personas trans y no-binarias
of the questions to be answered gynécologiques
include: how do transgender
Pour la vie et la transmission: people experience healthcare as
Les parcours reproductifs des they go through fertility planning, Bex MacFife, MA,
personnes trans et non-binaires pregnancy, and labor? What are University of Oregon;
some of the differences within Project Prepare, USA
transgender communities and how
Dr. Simone Kolysh, MPH,
are non-binary people’s narratives Trans and gender non-conforming
PhD, Hood College, USA different? What are the intersections people are not widely represented or
of race, class, sexuality, disability taught about in healthcare school
When it comes to reproductive with experiences of transphobia curricula. When present at all, they
journeys of transgender people in healthcare and society? This are often considered “specialty”
in the US, scholarship is pretty is a feminist qualitative endeavor populations and are relegated to
limited. Most of the studies take a involving 100 oral histories and in- elective minority health courses or
look at the way transgender men depth interviews with transgender one-off lectures. However, within
(people who were labeled a girl and non-binary people, their the simulated teaching centers
at birth, but are men) experience partners, healthcare providers, common to many healthcare
abortion, conception, and and birth workers like doulas and schools, some specialized and little-
pregnancy (Currah 2008; Chastine midwives. In this presentation, Dr. known educators have taken it upon
2015; Ellis, Danuta, & Pettinato Kolysh will present results from themselves to insert queer and
the first 15 interviews and cover trans narratives into the medical
the following topics: reproductive education institution in another
way, even offering up their ownSATURDAY, JULY 31 / Sábado 31 de julio / SAMEDI 31 JUILLET
bodies as examples of non-normative and Sex-Dissident Activism nuevas formas de comprender
expression. Gynecological Teaching in the Struggle for Abortion los vínculos de parentesco
Associates (GTAs) have a history que trascienden el modelo cis-
Rights in Argentina
of teaching genital examinations heteronormativo y cómo esto
in healthcare schools from the queda registrado en los marcos
perspective of a trained layperson- Transgresiones al modelo legales del Estado Argentino y en
-placing them between medical cis sobre la reproducción las prácticas sociales cotidianas.
faculty and the “average” patient--
since the late 1960s. They practice
unusual pedagogy in that they teach
using their own bodies as models
y el parentesco: personas
gestantes y activismo
sexodisidentes en la lucha
•
4. Inequalities in Perinatal
even as they instruct as experts. por el derecho al aborto en Healthcare for Trans and
These conditions allow, I argue, for Argentina Non-binary People in
a moment of potent non-evaluative England
small group instruction wherein Transgressions au modèle
educators can bring in social skills cis sur la reproduction et Desigualdades en los servicios
for working with trans and gender
la parenté : les personnes de salud perinatal para
minoritized patients and disrupt
normative (cis, hetero, feminine, enceintes et l’activisme personas trans y no-binarias
white) understandings of the typical des dissidents sexuels dans en Inglaterra
gynecological patient. Following la lutte pour le droit à
in-depth interviews with 25 GTAs, l’avortement en Argentine Inégalités dans les soins
over half who put extra effort into périnataux pour les
including trans perspectives in
Marce Butierrez, Elective personnes trans et non-
their instruction, and 7 of whom
themselves identify as non-binary Chair on Abortion, School of binaires en Angleterre
or transgender, I highlight the Social Sciences, University of
radical potential of GTA work and Buenos Aires, Argentina Mx. Michael Petch, LGBT
the structural limitations on how Foundation, Manchester, UK;
queer the politics can get. I look at Transgresiones al modelo cis sobre John Moores University, UK;
how educators sneak transness into la reproducción y el parentesco:
an examination constrained by the
Tash Oakes-Monger, National
personas gestantes y activismo
“female” context of gynecology and sexodisidentes en la lucha por el Health Service England, UK;
the standardizing (i.e. excluding) derecho al aborto en Argentina / Ruth Pearce, Trans Learning
pressures of the clinical educational Transgressions au modèle cis sur Partnership, UK; Center for
setting and ask how this could or la reproduction et la parenté: les Applied Transgender Studies;
should function as a more widespread personnes enceintes et l’activisme Ash Riddington, Brighton
method of queer advocacy. des dissidents sexuels dans la lutte
and Sussex University
•
3. Transgressions To The Cis
pour le droit à l’avortement en
Argentine Hospitals Trust, UK;
Helen Green, Brighton and
La propuesta de la charla es revisar Sussex University Hospitals
Model on Reproduction and cómo los debates emergidos a partir Trust, UK
Kinship: Gestating Persons de la lucha por el derecho al aborto
en Argentina han constituído The Improving Trans Experiences
nuevos sujetxs reproductivos y of Maternity Services project ran a
survey looking into the experiencesYou can also read
