A5071800035- LGBTQ Health, Identity, and Policy
- Reproductive Health and Technologies
- Sexuality, Behavior, and Technology
- African Sexualities and LGBTQ+ Issues
- Feminist Epistemology and Gender Studies
- Law, Rights, and Freedoms
- Ethics and Legal Issues in Pediatric Healthcare
- Gender Roles and Identity Studies
- Gender, Feminism, and Media
- Sex and Gender in Healthcare
- Marriage and Sexual Relationships
- Criminal Justice and Corrections Analysis
- Gender Politics and Representation
- HIV/AIDS Research and Interventions
- Discrimination and Equality Law
- Feminism, Gender, and Sexuality Studies
- Canadian Identity and History
- Adolescent and Pediatric Healthcare
- Social and Intergroup Psychology
- American Constitutional Law and Politics
- Foucault, Power, and Ethics
- Hate Speech and Cyberbullying Detection
- Patient Dignity and Privacy
- Sex work and related issues
- Sexual Assault and Victimization Studies
University of Alberta
2023-2025
University of Toronto
2017-2023
Simon Fraser University
2022
Center for Health and Gender Equity
2022
BC Centre for Disease Control
2022
McGill University
2017-2020
Although informed consent models for prescribing hormone replacement therapy are becoming increasingly prevalent, many physicians continue to require an assessment and referral letter from a mental health professional prior prescription. Drawing on personal communal experience, the author argues that requirements dehumanising unethical, foregrounding ways in which these evidence mistrust of trans people, suppress diversity their experiences sustain unjustified double standard contrast other...
Abstract There are over 1 million transgender people living in the United States, and 33% report negative experiences with a healthcare provider, many of which connected to data representation electronic health records (EHRs). We present recommendations common pitfalls involving sex- gender-related collection EHRs. Our leverage needs patients, medical providers, researchers optimize both individual patient efficacy reproducibility EHR population-based studies. also briefly discuss adequate...
The term ‘rapid-onset gender dysphoria’ (ROGD) was coined in 2016 to describe an alleged epidemic of youth coming out as trans ‘out the blue’ due social contagion and mental illness. reflects a deliberate attempt weaponise scientific-sounding language dismiss mounting empirical evidence benefits transition. This article offers introduction theory ROGD its history, presents detailed critique theoretical claims associated with theory, highlights structural concerns discourse. argues that ROGD,...
<h3>Importance</h3> Medical education, research, and clinical guidelines are available to support the initiation of gender-affirming care for transgender nonbinary people. By contrast, little is known about experiences those who discontinue or seek reverse medical surgical interventions due a change in gender identity, often referred as<i>detransition</i>. <h3>Objective</h3> To examine physical mental health people initiated detransition inform practice. <h3>Design, Setting,...
Background: Transgender health care is a subject of much debate among clinicians, political commentators, and policy-makers. While the World Professional Association Health (WPATH) Standards Care (SOC) establish clinical standards, these standards contain implied ethics but lack explicit focused discussion ethical considerations in providing care. An chapter SOC would enhance guidelines.
Abstract How to account for participants’ psychological and emotional exhaustion with research has been under‐explored in the ethics literature. Research fatigue, as it is known, significant impacts on patients’ well‐being their ongoing future participation studies. From perspective of researchers researched communities, fatigue also creates selection bias opportunity costs, negatively impacting collective scientific enterprise. Institutional Review Boards should systematically consider...
The notion of gender dysphoria is central to transgender health care but inconsistently used in the clinical literature. Clinicians who work must understand difference between diagnosis Gender Dysphoria as defined and described fifth edition Diagnostic Statistical Manual Mental Disorders this term assess eligibility for transition-related interventions such hormone-replacement therapy surgery. Unnecessary diagnoses due belief that a clinically required access can contribute stigma...
When a person openly "regrets" their gender transition or "detransitions" this bolsters within the medical community an impression that transgender and non-binary (trans) people require close scrutiny when seeking hormonal surgical interventions. Despite low prevalence of "regretful" patient experiences, scant empirical research on "detransition", these rare outcomes profoundly organize gender-affirming care enterprise. Informed by tenets institutional ethnography, we examined routine...
Opposition to gender-affirmative approaches care for transgender youths by some clinicians has recently begun consolidate around “gender exploratory therapy” as a proposed alternative. Whereas follow the client’s lead when it comes gender, gender-exploratory therapy discourages gender affirmation in favor of exploring through talk potential pathological roots youths’ trans identities or dysphoria. Few detailed descriptions approach’s parameters have been offered. In this article, I invite...
In recent years, opponents of the gender-affirmative approach to trans youth have argued that it bears homophobic roots and may be tantamount conversion therapy. This argument is mistaken. this article, I first argue there no evidence social and/or medical transition motivated by homophobia. Contrary critique's tacit premise, many if not most people are LGBQ following transition. Furthermore, despite progress in last decade, transphobia remains more common than Second, fundamentally...
Gender assessments are often required to access gender-affirming medical interventions. These typically defended as a way of preventing regret, offering compromise between the interests trans and detrans people. Whether they do is integral ongoing debates about models care in transgender health. Building on previous work demonstrating inefficacy gender assessments, this article explores impact argues that detrimental Assessments appear be people because disincentivize honesty authenticity,...
The question of judicial protection trans people has come to the fore in recent years, culminating Bill C-16 which added gender identity and expression federal anti-discrimination hate crime laws. In this article, author contests notion that laws are effective mitigating anti-trans harassment, discrimination, violence. Suggesting model acts underlies is erroneous, argues law’s impact on well-being will be modest a careful analysis attitudes enables us identify number more governmental...
Using the 'Informed Consent Model' (ICM), clinicians prescribing hormone therapy to trans patients do not require a letter from mental health professionals attesting their gender identity and/or dysphoria (and/or equivalent diagnostic or assessment category). Patients who are have that does correspond they were assigned at birth. A reaction paternalism and pathologization of people plagued healthcare, proliferation ICMs echoes growing commitment autonomy patient-centred care by working with...
In this article, I argue that adolescent medical transition is ethical by analogizing it to abortion and birth control. The interventions are similar insofar as they intervene on healthy physiological states reason of the person's fundamental self-conception desired life, their effectiveness defined ability achieve patients' embodiment goals. Since evidence mental health benefits comparable between transition, abortion, control, disallowing transition-related would betray an unacceptable...
Drawing on the principle of subsidiarity, this article develops a framework for allocating medical decision-making authority in absence capacity to consent and argues that decisional paediatric transgender healthcare should generally lie patient. Regardless patients’ capacity, there is usually nobody better positioned make decisions go heart patient’s identity than patients themselves. Under only be held by higher level decision-maker, such as parents or judges, if lower decision-makers are...
Abstract By attending to how people speak about their gender, we can find diverse answers the question of what it is like have a gender identity. To some, little more than having body whereas others may report as attitudinal or dispositional—seemingly contradictory views. In this paper, I seek reconcile these disparate by developing theory individual identity comes about. simplest possible terms, propose that make sense our subjectivity, totality gendered experiences ourselves. Gender...