Please don't gayify!: an autoethnographic account of medicalised relationality for LGBTQI+ safe affirming medical health education and clinical practice.

In this article, the authors, a cis-gender gay man and an Indigenous non-binary, two-spirit person, narrate their past encounters with health professionals and their experiences pursuing allied health care training as students. Taking an autoethnographic approach, the first author re-narrates how medical practitioners and students engage (or fail to engage) with the LGBTQIA+ community. They draw on gray documentation derived from an interaction with a consulting physician that highlighted a telling lack of knowledge about the LGBTQ+ community, including those with diverse sex characteristics and sexualities/manifesting as unconscious bias. This interaction provided the impetus to speak back to the experience of being reduced to a medical prognosis. The second author questions the hegemonic practices underpinning encounters with the medical model of response in tertiary education. Our remit in this paper is to question how adequately the specific needs of the LGBTQI+ population are being addressed by the medical model and to what extent aspiring clinicians understand how their actions can contribute to gender- and sexuality-based discrimination and stigmatization.

Gender, sexuality and cis-heteropatriarchal parental control: navigating the politics of neo-panopticon and the resilience of young Khawaja Sara and Hijra in Peshawar, Pakistan.

Background: Scholarly works have extensively explored the marginalized positions of transgender individuals in Pakistan. However, there is a noticeable gap in literature concerning the profound impact of cis-heteropatriarchal parental control on young Khawaja Sara and Hijra individuals-members of the transgender community-particularly when they reside in their parental homes in Peshawar, Pakistan. Aim: Grounded in Foucault's panopticon concept, this study seeks to illuminate the pervasive surveillance experienced by young Khawaja Sara and Hijra within the confines of their familial environments. Method: The study employed a qualitative methodology, which involved conducting face-to-face interviews with 10 members of the Khawaja Sara and Hijra communities in Peshawar. Findings: The findings demonstrate that trans identities are perceived as a breach of honor in the local Pashtun culture, leading to disrespect and disgrace for the family name. In this way, a meticulous monitoring through regular surveillance creates a neo-panoptic environment within their parental households. This pervasive surveillance not only obstructs their access to quality health services, educational facilities, and employment opportunities but also compels many transgender individuals to abandon their parental homes and migrate to urban areas in Peshawar for their security and protection. Despite grappling with societal pressures, encompassing corporal punishment, sexual abuse, and homelessness, the findings underscore the remarkable resilience and resistance displayed by young Khawaja Sara and Hijra members. Their resilience and resistance serve as a potent challenge against the entrenched cis-heteropatriarchal parental control in Peshawar, Pakistan. Conclusion: The study concludes on highlighting the harsh circumstances confronted by transgender individuals within their parental households in Peshawar, where their trans subjectivities label them as dishonorable. Despite enduring societal pressures, the resilience exhibited by young Khawaja Sara and Hijra emerges as a formidable challenge to the deeply entrenched cis-heteropatriarchal control. This describes the indomitable strength of the transgender community in overcoming systemic adversities in Peshawar.

Girls' experiences of cellphone porn use in South Africa and their accounts of sexual risk in the classroom.

Violence remains a persistent challenge in South African schools, prompting investigations into underlying risk factors and mitigation strategies. However, an under-explored aspect of this violence is the potential link between the consumption of Internet porn via cellphones among girls and boys, and girls' risks to sexual violence inside the classroom. To address this gap, we used focus group discussions with 14-17-year-old South African girls to examine their experiences of porn access via cellphones and their accounts of sexual violence at school. The study illuminates the nuanced ways in which the girls experience risks and express agency. First, the girls illustrate a link between sexual harassment and boys accessing porn on their cellphones during class. Second, the findings show how girls negotiate their sexual agency and safety through contesting sexual violence. Third, there are conflicting views about porn: while some girls admitted liking and viewing porn, others objected to it as harmful and degrading. Finally, this study offers crucial insights into strategies to create safer school environments and gender equality by drawing attention to the intersections between cellphone porn consumption, sexuality, and girls' negotiations of sexual agency amidst sexual risk in the classroom.

Developing the "Oppression-to-Incarceration Cycle" of Black American and First Nations Australian Trans Women: Applying the Intersectionality Research for Transgender Health Justice Framework.

Trans women are disproportionately incarcerated in the United States and Australia relative to the general population. Stark racial and ethnic disparities in incarceration rates mean that Black American and First Nations Australian trans women are overrepresented in incarceration relative to White and non-Indigenous cisgender and trans people. Informed by the Intersectionality Research for Transgender Health Justice (IRTHJ) framework, the current study drew upon lived experiences of Black American and First Nations Australian trans women to develop a conceptual model demonstrating how interlocking forces of oppression inform, maintain, and exacerbate pathways to incarceration and postrelease experiences. Using a flexible, iterative, and reflexive thematic analytic approach, we analyzed qualitative data from 12 semistructured interviews with formerly incarcerated trans women who had been incarcerated in sex-segregated male facilities. Three primary domains-pathways to incarceration, experiences during incarceration, and postrelease experiences-were used to develop the "oppression-to-incarceration cycle." This study represents a novel application of the IRTHJ framework that seeks to name intersecting power relations, disrupt the status quo, and center embodied knowledge in the lived realities of formerly incarcerated Black American and First Nations Australian trans women.

Structural Heteropatriarchy and Birth Outcomes in the United States.

Emerging evidence links structural sexism and structural discrimination against lesbian, gay, and bisexual (LGB) populations to poor health outcomes, but studies have yet to examine the combined effects of these mutually reinforcing systems of inequality. Therefore, we developed a composite measure of structural heteropatriarchy-which includes state-level LGB policies, family planning policies, and indicators of structural sexism (e.g., women's political and economic position relative to men)-and examined its relationship to birth outcomes using data from Waves I to V of the National Longitudinal Study of Adolescent to Adult Health. Multivariate regression analyses demonstrated that higher levels of heteropatriarchy were associated with an increased risk of preterm birth and decreased birth weight, net of important covariates. There was no association between clinical low birth weight and heteropatriarchy, or interactions between heteropatriarchy and individuals' race, ethnicity or sexual identity, suggesting a negative effect of heteropatriarchy on birth outcomes for all pregnant people. This study demonstrates the importance of considering gender and sexuality as mutually reinforcing systems of oppression that impact population health. Future research should examine the impact of heteropatriarchy on additional health outcomes and in conjunction with other structural inequalities such as racism and transgender oppression.

A psicologia do outro: o truque da diversidade e a dificuldade em falar de si mesmo / The psychology of the other: the trick of diversity and the difficulty in talking about one's self / La psicología del otro: el truco de la diversidad y la dificultad de hablar de uno mismo

O objetivo deste artigo é problematizar as ideias de outro e de diferença. Por meio da exploração do uso do termo diversidade, inicia-se um questionamento sobre qual funcionamento psíquico subjaz à exaltação das pessoas, assim chamadas, diversas. Tomando conceitos das ciências sociais, especialmente as ideias de colonialidade e de heteropatriarcado, articula-se uma possibilidade de compreensão das noções de outro e de diversidade na psicologia analítica. Para isso, resgata-se a proposta de complexo cultural e retoma-se a perspectiva da materialidade do outro, desvelando o caráter narcísico em se observar e escutar o outro a partir de um interesse em si mesmo que permanece oculto.

The aim of this article is to problematize the ideas of the other and of difference. By exploring the use of the term diversity, a questioning begins about what psychic functioning underlies the exaltation of so-called diverse people. Taking concepts from the social sciences, especially the ideas of coloniality and heteropatriarchy, a possibility of understanding the notions of the other and of diversity in analytical psychology is articulated. The theoretical frame of cultural complexes is used for this purpose. The perspective of the materiality of the other is affirmed, thus revealing the narcissistic character of observing and listening to the other from an abstract perspective that only benefits one's own development.

El objetivo de este artículo es problematizar las ideas del otro y de la diferencia. Al explorar el uso del término diversidad, se inicia un cuestionamiento sobre qué funcionamiento psíquico subyace a la exaltación de las personas llamadas diversas. Tomando conceptos de las ciencias sociales, en especial las ideas de colonialidad y heteropatriarcado, se articula una posibilidad de comprensión de las nociones del otro y de la diversidad en la psicología analítica. Para tanto, se rescata la propuesta de un complejo cultural y se retoma la perspectiva de la materialidad del otro, revelando el carácter narcisista en observar y escuchar al otro desde un interés por uno mismo que permanece oculto.

O complexo heteropatriarcal: uma contribuição para o estudo da sexualidade na psicologia analítica a partir da teoria social / The heteropatriarchal complex: a contribution to the study of sexuality in analytical psychology based on social theory / El complejo heteropatriarcal: una contribución al estudio de la sexualidad en psicología analítica basada en la teoría social

Este artigo consiste em uma articulação teórica entre a psicologia analítica de C. G. Jung e as referências contemporâneas na teoria social com o objetivo de aprimorar a escuta clínica de psicólogos e de outros profissionais que prestem atendimento à população em relação a questões de gênero e sexualidade. Por meio desta aproximação, pretendo tecer contribuições teóricas que possibilitem uma escuta clínica mais efetiva que considere os aspectos sociopolíticos dos conflitos individuais sem prescindir da perspectiva psicológica.

This article consists in the articulation of the analytical psychology of C.G. Jung and the contemporary references in social theory, with the aim of improving clinical listening of psychologists and other professions working with issues of gender and sexuality. By bringing these two fields of knowledge closer together, I intend to propose theoretical contributions that enable a more effective clinical listening that must consider sociopolitical aspects of individual conflicts, not dismissing the psychological perspective.

Este artículo consiste en una articulación teórica entre la psicología analítica de C. G. Jung y los referentes contemporáneos en la teoría social con el objetivo de mejorar la escucha clínica de los psicólogos y otros profesionales que atienden a la población en temas de género y sexualidad. A través de este enfoque, pretendo realizar aportes teóricos que permitan una escucha clínica más efectiva que considere los aspectos sociopolíticos de los conflictos individuales sin prescindir de la perspectiva psicológica.

The Cauxin-femme binary: Femme performativity as a response to violence in Guyana.

The Caribbean region has a long history of violence and conflict due to colonization and contemporary neocolonial policies and structures. The region's political, economic, and social climate is overshadowed by activism that centers legal repeal of homophobic laws left intact by colonial powers. These movements have created a polarization between the mainstream groups seeking legal changes, and those who are denied and erased from these discourses. This article is an examination of lesbian, bisexual, queer and gay women of mixed-race middle-class status in the city of Georgetown, Guyana as they negotiate racialized heteropatriarchal violence, a space that offers a unique place in which to understand how different queer subjects experience violence within Guyana. This article examines a set of interrelated questions: In what ways do women who love women perceive their gender performances? In what ways is femme-ness embodied to resist violence and yet is a site of violence? The analysis reveals the ways in which women embody a strategic femme-ness in a political, racial, class, and gender hierarchical society. As the country becomes increasingly incorporated into a global queer culture, divisions within the queer community are further sharpened, with racial, class, sexual, gender, and regional boundaries shifting and forging new lived realities for queer subjects.