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1.
J Anal Psychol ; 69(2): 246-269, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38469928

RESUMO

This is a two-part paper: in the first one, a personal story serves as a conceptual prism through which I address the issue of how a queer analyst can be a problem for analytical psychology; in the second, I present some readings and images-mostly from decolonial feminisms-that have been of interest to me lately in my path to queer Jungian psychology, that is, to de-essentialize and de-individualize its theory and practice. By borrowing (and altering) the title from Gloria Anzaldúa's (1991/2009a) essay "To(o) queer the writer", this paper explores some themes she has elaborated there on solidarity, theorization and ways of writing and reading from othered points of view. In dialogue with Donna Haraway's (2016) Staying with the Trouble and Ursula K. Le Guin's (1989/2000) The Carrier Bag Theory of Fiction, together with the imagery of bags, weaving and string figures game, this paper aims to explore the potential of what I have called "woven onto-epistemologies". By imagining and developing this new condition of knowledge, other stories and theories in analytical psychology may have an opportunity to be told.


Cet essai est composé de deux parties : dans la première, une histoire personnelle sert de prisme conceptuel à travers lequel j'aborde la question de savoir comment un analyste queer peut être un problème pour la psychologie analytique ; dans la seconde, je présente quelques lectures et images ­ principalement issues des féminismes décoloniaux ­ auxquelles je me suis intéressée ces derniers temps, afin de rendre la psychologie jungienne plus queer, c'est­à­dire désessentialiser et désindividualiser cette théorie et cette pratique. En empruntant (et en modifiant) le titre de l'essai de Gloria Anzaldúa « To(o) queer the writer ¼, cet article explore certains thèmes qu'elle y a développés sur la solidarité, la théorisation et les manières d'écrire et de lire à partir du point de vue d'autrui. En dialoguant avec Staying with the Trouble de Donna Haraway et Carrier Bag of Fiction d'Ursula K. Le Guin, ainsi qu'avec l'imagerie des sacs, du tissage et du jeu avec des figurines en ficelle, cet article vise à explorer le potentiel de ce que j'ai appelé les onto­épistémologies tissées. En imaginant et en développant cette nouvelle condition de la connaissance, d'autres histoires et théories de la psychologie analytique auront peut­être l'occasion d'être racontées.


Este ensayo consta de dos partes: en la primera, una historia personal sirve como prisma conceptual a través del cual abordo la cuestión de cómo una analista 'queer' puede ser un problema para la psicología analítica; en la segunda, presento algunas lecturas e imágenes ­principalmente de los feminismos decoloniales­ que me han interesado últimamente, con el fin de 'queerizar' la psicología junguiana, es decir, des­esencializar y des­individualizar esta teoría y práctica. Tomando prestado (y alterando) el título del ensayo de Gloria Anzaldúa "To(o) queer the writer", este artículo explora algunos temas allí elaborados acerca de la solidaridad, la teorización y las formas de escribir y leer desde otros puntos de vista. En diálogo con 'Staying with the Trouble' de Donna Haraway y 'Carrier Bag of Fiction' de Ursula K. Le Guin, junto con las imágenes de bolsas, tejidos y juegos de cuerdas, este artículo busca explorar el potencial de lo que he denominado onto­epistemologías tejidas. Imaginando y desarrollando esta nueva condición para el conocimiento, otras historias y teorías en psicología analítica pueden tener la oportunidad de ser contadas.


Assuntos
Teoria Junguiana , Feminino , Humanos , Psicoterapia
2.
J Nurs Scholarsh ; 56(1): 31-41, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38228565

RESUMO

PURPOSE: The purpose of the study was to provide a transgender narrative on healthcare interactions to increase visibility and awareness of transgender-identified issues in accessing care. This study aimed to: (a) examine how transgender individuals perceive and experience interactions with trained healthcare professionals, such as nurses, physicians, and mental health professionals, (b) identify common issues related to transgender individuals' barriers to care, and (c) identify how these barriers affect a transgender individual's ability to access health care. DESIGN: A phenomenological approach was used. METHODS: The nine transgender-identified participants received a demographic questionnaire followed by a virtual semi-structured interview. Thematic analysis was used to analyze the interview data. FINDINGS: The themes that emerged from the data were (a) challenges with accessing health care, (b) inconsistent healthcare information, and (c) disenfranchised versus empowered experiences. CONCLUSION: The results of this study not only provided an opportunity for the transgender participants to share their experiences, but also provides educational information for healthcare providers to improve their future interactions with transgender patients. CLINICAL RELEVANCE: Identifying the transgender patient with the correct name and pronoun, providing a welcoming and open healthcare environment, and knowing where to locate transgender health resources will improve the transgender patient's healthcare experience.


Assuntos
Pessoas Transgênero , Humanos , Pessoas Transgênero/psicologia , Pesquisa Qualitativa , Acesso aos Serviços de Saúde , Pessoal de Saúde/psicologia , Recursos em Saúde
3.
J Midwifery Womens Health ; 69(1): 91-100, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37708221

RESUMO

INTRODUCTION: Research on how midwives in North America are trained to provide inclusive care to Two Spirited, Lesbian, Gay, Bisexual, Transgender, Queer, Questioning, Intersex, or Asexual (2SLGBTQQIA+) clients is limited. The objective of this study was to define 2SLGBTQQIA+ inclusive midwifery care in the Canadian context and to explore the experiences of graduates of Ontario's Midwifery Education Program (MEP) to determine how midwives are trained to provide inclusive care. METHODS: Ethics approval was obtained for this qualitative study to perform semistructured interviews with graduates from the MEP hosted by McMaster, Toronto Metropolitan, and Laurentian University. Eleven midwives were recruited and were required to be (1) graduates of Ontario's MEP, (2) registered midwives under the College of Midwives of Ontario or elsewhere, (3) currently practicing or on leave, and (4) self-identified advocates for 2SLGBTQQIA+ individuals. RESULTS: When defining 2SLGBTQQIA+ inclusive care, midwives described the following principles: using inclusive language, changing the clinical environment, amending documents and websites, and tailoring care for each client. Participants recognized recent efforts by Ontario's MEP to provide 2SLGBTQQIA+ inclusive education while highlighting the need to expand 2SLGBTQQIA+ content across all courses, practicing inclusive care during placement, and ensuring an inclusive environment in the program. DISCUSSION: Midwives in this study helped conceptualize inclusive midwifery care for 2SLGBTQQIA+ clients and underlined remaining gaps in Ontario's MEP toward providing student midwives with this competency by graduation. This study helped to fill a gap in the literature on how Canadian midwives are trained to provide 2SLGBTQQIA+ inclusive care and generated recommendations for Ontario's MEP to support prelicensure education that trains inclusive midwives. Having demonstrated gaps in how birth workers are trained to provide 2SLGBTQQIA+ inclusive care, this study points to the need for other prelicensure health professional programs to evaluate their training and to support 2SLGBTQQIA+ inclusive practice.


Assuntos
Tocologia , Feminino , Gravidez , Humanos , Tocologia/educação , Ontário , Pesquisa Qualitativa
4.
Med Humanit ; 50(1): 12-20, 2024 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-37657911

RESUMO

This article attempts to demonstrate how Charles Burns' graphic novel Black Hole (1995) construes the prevalence of contagion and pathological transformation(s) as metaphors of social contamination operating within a biopolitics of segregation. Through a study of plague, infection and strange mutations in Burns' novel, this article offers a critical evaluation of the monstrous body and investigates how Black Hole portrays the social reception of a sexually contagious virus through conditions of sickness and exclusion, which become biopolitical in quality. It examines, through close reading, how Burns' novel uses metaphors of contagion, abjection and desire, often fusing those in order to foreground the complex intercorporeal state of the segregated subject and in the process dramatises the urgent need to revaluate conventional strategies of isolation and otherisation through a reconsideration of the biopolitical notions around engagement, community and immunity.


Assuntos
Queimaduras , Peste , Humanos , Metáfora , Leitura
5.
Can J Anaesth ; 70(6): 950-962, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37217735

RESUMO

Queer theory is a disruptive lens that can be adopted by researchers, educators, clinicians, and administrators to effect transformative social change. It offers opportunities for anesthesiologists, critical care physicians, and medical practitioners to more broadly understand what it means to think queerly and how queering anesthesiology and critical care medicine spaces improves workplace culture and patient outcomes. This article grapples with the cis-heteronormative medical gaze and queer people's apprehensions of violence in medical settings to offer new ways of thinking about structural changes needed in medicine, medical language, and the dehumanizing application of medical modes of care. Using a series of clinical vignettes, this article outlines the historical context underlying queer peoples' distrust of medicine, a primer in queer theory, and an understanding of how to begin to "queer" medical spaces using this critical framework.


RéSUMé: La théorie queer est une lentille perturbatrice qui peut être adoptée par la communauté de la recherche et de l'éducation, les personnes en clinique et les directions d'établissement pour apporter des changements sociaux transformateurs. Elle offre aux anesthésiologistes, aux intensivistes et aux médecins l'occasion de comprendre plus globalement ce que signifie le fait de penser de manière queer et comment la 'queer-icisation' des espaces d'anesthésiologie et de médecine de soins intensifs améliore la culture du milieu de travail et les devenirs des patient·es. Cet article s'attaque au regard médical cis- et hétéronormatif et aux appréhensions des personnes queer face à la violence dans les milieux médicaux afin de proposer de nouvelles façons de penser les changements structurels nécessaires en médecine, le langage médical et l'application déshumanisante des modes de soins médicaux. À l'aide d'une série de vignettes cliniques, cet article décrit le contexte historique sous-jacent à la méfiance des personnes queer à l'égard du monde médical. Il propose également une introduction à la théorie queer et une interprétation de la façon de commencer à rendre plus queer les espaces médicaux en utilisant ce cadre critique.


Assuntos
Anestesiologia , Minorias Sexuais e de Gênero , Humanos , Mudança Social , Local de Trabalho , Pessoal de Saúde
6.
Am J Psychoanal ; 83(1): 12-21, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36750630

RESUMO

The paper analyzes Ferenczi's contributions to contemporary debates on gender. It does not strictly adhere to what he wrote about masculinity and femininity, where he reveals himself as a man of his time, with the some of the prejudices of his time. Instead, the paper highlights the utraquistic method and the pluralist monism of Ferenczi, whereby he appears as an analyst who remains in synch with current problems. Against the purity of dualisms, Ferenczi embraced multiplicity, mixtures, and the transit between different spaces, beyond divisive frontiers. In terms of method, it resonates with Judith Butler's proposals, with the ideas defended by Paul Preciado and by Queer theory.


Assuntos
Psicanálise , Masculino , Feminino , Humanos , História do Século XX , Teoria Psicanalítica , Masculinidade , Feminilidade
7.
J Homosex ; : 1-23, 2023 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-36716012

RESUMO

This paper considers queer studies in the global geopolitical hotspot of Asia, as well as how we can reimagine queer theories through both the Covid-19 pandemic and the intensified regional and global superpower competition and geopolitical tensions. It argues for a rethinking of queer studies through today's international relations and geopolitical complications in a sociological political economy. The aim is to connect critical studies with analyses of economic and social class structures, an approach that has been substantiated by the current crises, and to present an expanded queer mobility theory with two brief case studies (mini-critiques) of the current socioeconomic conditions facing marginalized people under Covid-19 and the changing geopolitical landscape. In so doing, this paper actively explores what queer studies can do and can be through the current historical turning point of the pandemic and geopolitical rivalry toward potential post-Covid socioeconomic revival and recovery.

8.
J Homosex ; 70(12): 2763-2783, 2023 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-35657201

RESUMO

This paper aims to analyze the U.S. writer and teacher Tom Spanbauer's novel In the City of Shy Hunters by means of theoretical perspectives that embrace both queer and communitarian epistemologies. The novel, set mainly in New York City in the mid-1980s, is narrated in first person by the protagonist and shows how HIV/AIDS, and the elevated social stigma surrounding it, affects different classes and ethnicities, as well as gender, sexual and corporal diversities. It experiments with a particular writing style and teaching method that Spanbauer calls dangerous writing; that is, how to expose our inner life and secrets, which are often related to social taboos. The main objective of this paper is to demonstrate the connection between dangerous writing, queer studies (Judith Butler, Annamarie Jagose) and community theory (Jean-Luc Nancy, Maurice Blanchot and Roberto Esposito) by adopting a multidisciplinary approach to literary critical analysis. The main result of this study demonstrates that the singularities represented in the novel, who are mostly queer and affected by HIV/AIDS, can create inoperative communities and communities of lovers, open to otherness as well as being spontaneous, antisocial and momentary, with a recognition and acceptance of mortality.


Assuntos
Síndrome de Imunodeficiência Adquirida , Infecções por HIV , Minorias Sexuais e de Gênero , Humanos , Idioma , Comportamento Sexual , Redação , Infecções por HIV/epidemiologia
9.
J Homosex ; 70(6): 1011-1029, 2023 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-34928194

RESUMO

As a writer of fiction, D. H. Lawrence spent his career maneuvering between heterosexual and homosexual preferences. In order to make a living, he needed to use mainstream publishers. They encouraged his bold work but only if he censored it. What especially interested Lawrence were the differences between male and female orgasm-not just the mechanics but their meaning. Over his career (1910-1930) his views on orgasm evolved from simple release, to ambivalent forms of lust, to a challenging separation of responses: unfathomable silence for males and articulate expression for females. The sexes are privileged differently, and the categorical separation that Lawrence discovers is a revelation. This essay analyzes five of his most famous novels, from Sons and Lovers to Lady Chatterley's Lover, and, based on revisions in his texts, reaches conclusions that differ from those most readers have held. In revising, Lawrence came to reshape his characters' responses into complex, often-coded narratives.


Assuntos
Minorias Sexuais e de Gênero , Humanos , Masculino , Feminino , Comportamento Sexual , Homossexualidade , Identidade de Gênero , Heterossexualidade
10.
J Homosex ; 70(10): 2072-2095, 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-35254943

RESUMO

This paper examines the relation between nationalism and heteronormativity through the lens of hegemonic masculinity and shows how Turkish nationalism helps to construct the "normal" and thus strengthen heteronormative thinking in Turkish society. Utilizing in-depth interviews in Çanakkale with 16 men who carry the typical features of a privileged Turkish citizen-namely the ones self-identifying as Turkish, Sunni Muslim, heterosexual, and breadwinner-my aim in the paper is to reveal and comprehend attitudes toward non-heterosexual people in Turkey, to challenge the effect of the possible nationalist ideological tendencies on participants' discourses, and to explicate if such tendencies play a part in justifying their attitudes. I suggest that respondents' privileges are obtained in exchange for strict commitment to Turkish nationalistic values. These values not only define what constitutes "normal" but also determine and disparage anyone who deviates from such definition. Greater commitment to such values signals a more powerful heterosexual matrix and thus greater exclusion of queer people in Turkey.


Assuntos
Minorias Sexuais e de Gênero , Masculino , Humanos , Turquia , Masculinidade , Heterossexualidade
11.
J Homosex ; 70(6): 1030-1054, 2023 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-34931937

RESUMO

This article engages with Robert Mizzi's theorization of heteroprofessionalism to describe the experiences of two queer professors in the fields of Education and Psychology. We explore how heteronormative and cisnormative expectations of post-secondary professors impact professional practices and increase the regulation and surveillance of queer professors in academia. We methodologically employ Grace and Benson's queer life narratives approach to retell and ground our personal stories of being queer higher education faculty. To do this, we analyze our experiences teaching and working in higher education through a queer poststructural theoretical lens. We then deconstruct how normative ideas regarding professionalism in higher education have regulated our professional practices as professors, particularly pertaining to our respective embodiments, genders, and sexualities. We focus on two nexuses of heteroprofessionalism: paradoxical (in)visibility and queer relationality. These nexuses are used to illuminate heteroprofessionalism as a neoliberal mechanism in higher education that regulates gender and sexual diversity by promoting respectability politics.


Assuntos
Minorias Sexuais e de Gênero , Humanos , Feminino , Masculino , Comportamento Sexual , Docentes , Política , Sexualidade , Identidade de Gênero
12.
J Homosex ; 70(4): 612-631, 2023 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-34756155

RESUMO

Here, I provide a descriptive account of The Party by Ostbahnhof grounded in interview and ethnographic work. Ostbahnhof is an underground warehouse party that "puts queer people … first." By closely examining a polemic manifesto, calling for the exclusion of "basic white-cis-homo-normal" gays, I document the popular theories of queerness that determine which individuals can participate in Ostbahnhof's project, how, and to what ends. I use the aperture of an the ever-contentious question-who qualifies as a queer person?-to uncover the contradictory and multivalent nature of queerness as theorized in and outside of the academy. Following the party's organizers, I conclude by questioning the political utility of purely "anti-normative" queer ideologies and look to their example if a "positive" definition of queerness as a potential roadmap for navigating a rapidly expanding queer public sphere.


Assuntos
Minorias Sexuais e de Gênero , Masculino , Humanos , Identidade de Gênero , Comportamento Sexual , Política , Organizações
13.
Artigo em Inglês | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1507091

RESUMO

ABSTRACT The present study presents an exercise in a dialogue between queer theory and Dialogical Self Theory (DST) as theoretical support for research on the impacts of the gender positioning of LGBTI+ subjects on the development of the self. Queer theory inspires dialogical psychology to include in its notion of self the radical sociability of the subject together with the individuality that it makes possible, in addition to pointing to the importance of the particularities of the development of subjects considered deviant. In recent studies, DST moves in this direction by proposing a metaphor of the self as a democratic society, considering the obstacles imposed by differences in the social context. This perspective offers tools for investigations into the microgenesis of subversion.


RESUMO Este trabalho apresenta um exercício de diálogo entre a Teoria Queer e a Teoria do Self Dialógico (TSD) como sustentação teórica para investigação sobre os impactos do posicionamento de gênero de sujeitos LGBTI+ no desenvolvimento do self. A Teoria Queer inspira a psicologia dialógica a incluir em sua noção de self a sociabilidade radical do sujeito juntamente com a individualidade que ela torna possível, além de apontar para a importância das particularidades do desenvolvimento de sujeitos considerados desviantes. Em trabalhos recentes, a TSD caminha nessa direção, ao propor uma metáfora do self como uma sociedade democrática, levando em conta os obstáculos impostos pelas diferenças no contexto social. Essa perspectiva oferece ferramentas para investigações sobre a microgênese da subversão.

14.
J Aging Stud ; 63: 100993, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36462926

RESUMO

This article, which takes inspiration from Sandberg and Marshall's (2017) critique of successful ageing futures, considers how dementia is framed, arguing that it needs to be queered beyond a simple challenge of the biomedical model. The article draws on ideas from Queer Theory to demonstrate how dementia is framed within normative tropes around loss, decline and forgetting. Using Membership Categorisation Analysis (MCA) the article undertakes a detailed reading of an advertisement produced by Alzheimer's Society, UK, an important cultural intermediary in framing how dementia is understood culturally. The analysis highlights three key features of categorisation work used in the advertisement: framing the multigenerational family; being isolated and alone with dementia; and recapturing hope/de-queering dementia. The articles show how cultural texts intended to educate the public about dementia, draw on and propagate normative tropes about the condition that frames it in heteronormative, reproductive, futurological terms. The ramifications of this are discussed in the analytic discussion and conclusions section.


Assuntos
Demência , Minorias Sexuais e de Gênero , Humanos , Envelhecimento
15.
Estud. pesqui. psicol. (Impr.) ; 22(4): 1393-1413, dez. 2022.
Artigo em Inglês, Espanhol, Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1428517

RESUMO

Este artigo discute alguns dos questionamentos dirigidos à psicanálise por Paul B. Preciado em uma conferência realizada na Escola da Causa Freudiana em novembro de 2019, bem como alguns de seus desdobramentos. Nosso intuito é reconhecer e acolher as críticas apontadas por Preciado e, de modo mais geral, pelo olhar contemporâneo de outras disciplinas, considerando a possibilidade de construção de uma nova epistemologia que aposte na multiplicidade de corpos e sexualidades em contrapartida a certa leitura empreendida no campo psicanalítico acerca da diferença sexual. Para isso, analisamos criticamente a resposta de três psicanalistas à intervenção de Preciado e discutimos a problemática da epistemologia da diferença sexual, situando-a nos diálogos contemporâneos entre a psicanálise e os estudos queer. Por fim, sustentamos uma leitura da diferença sexual articulada ao conceito de dispositivo, proposto por Michel Foucault; isto é, como uma epistemologia política e como uma gramática das subjetividades historicamente situada, dentre outras possíveis.


This paper discusses the criticism by Paul B. Preciado, as well as some of its ramifications, in respect of psychoanalysis, which was presented at a conference held at the École de la Cause Freudienne, on November 19th, 2019. We intend to recognize and welcome Preciado's commentary and, in a more comprehensive manner, achieve this through the contemporary perspective of other disciplines, while also considering the possibility of the development of a new epistemology that sets the multiplicity of bodies and sexualities in contrast to the reading undertaken regarding the sexual difference within the psychoanalytic field. For this purpose, we critically analyze the response of three psychoanalysts to Preciado's intervention, and we discuss the issue with the epistemology of sexual difference while situating it in the contemporary dialogues between psychoanalysis and queer studies. Finally, we establish an interpretation of the sexual difference linked to the concept of apparatus, which is proposed by Michel Foucault; namely, as a political epistemology, and as a historically contextualized grammar of subjectivities, among others that are also possible.


Este artículo discute algunos interrogantes dirigidos al psicoanálisis a partir de la intervención realizada por Paul B. Preciado en la Escuela de la Causa Freudiana en noviembre de 2019, así como algunos de sus desarrollos. Nuestro objetivo es reconocer y acoger las críticas señaladas por Preciado y, más en general, por la mirada contemporánea de otras disciplinas, considerando la posibilidad de construir una nueva epistemología que apueste por la multiplicidad de los cuerpos y sexualidades en contraposición a una determinada lectura emprendida en el campo psicoanalítico acerca de la diferencia sexual. Para eso, analizamos críticamente la respuesta de tres psicoanalistas a la intervención de Preciado y discutimos la cuestión de la epistemología de la diferencia sexual, ubicándola en los diálogos contemporáneos entre el psicoanálisis y los estudios queer. Finalmente, apoyamos una lectura de la diferencia sexual articulada al concepto de dispositivo, propuesto por Michel Foucault; esto es, como epistemología política y como gramática de subjetividades históricamente situadas, entre otras posibles.


Assuntos
Psicanálise , Conhecimento , Diversidade de Gênero , Performatividade de Gênero , Identidade de Gênero
16.
Integr Psychol Behav Sci ; 56(2): 506-512, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35471474

RESUMO

This commentary reflects on articles by Liu et al., (2022) on the formation of an ethnoburb of Albany, New Zealand and by Liu (2022) on how queer psychology has misrepresented Sinophone queers. Drawing upon a sociological disciplinary standpoint, it identifies a theme of anti-essentialism that these works share, and suggests methods that would be helpful to use in further research that builds upon these articles. Specifically, as the work by Liu et al., (2022) could be the basis for future, deeper examinations of how ethnoburb residents interpret and experience their communities, exemplars are recommended of related qualitative projects using thoughtful sampling designs, attending to reflexivity, and creatively incorporating an immediate experience of space. Turning to Liu (2022), the recommendations flow from first considering how psychology and sociology each take up the term culture. Finding Liu's view of not only culture but also individual agency to sound quite sociological, methods of furthering her project that borrow from the sociological bookshelf are recommended; in particular, these are narrative analysis methods and participatory action research.


Assuntos
Povo Asiático , Sociologia , China , Feminino , Humanos
17.
Adv Health Sci Educ Theory Pract ; 27(3): 817-846, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35412095

RESUMO

Health disparities faced by transgender people are partly explained by barriers to trans-inclusive healthcare, which in turn are linked to a lack of transgender health education in medical school curricula. We carried out a theory-driven systematic review with the aim to (1) provide an overview of key characteristics of training initiatives and pedagogical features, and (2) analyze barriers and facilitators to implementing this training in medical education. We used queer theory to contextualize our findings. We searched the PubMed/Ovid MEDLINE database (October 2009 to December 2021) for original studies that reported on transgender content within medical schools and residency programs (N = 46). We performed a thematic analysis to identify training characteristics, pedagogical features, barriers and facilitators. Most training consisted of single-session interventions, with varying modes of delivery. Most interventions were facilitated by instructors with a range of professional experience and half covered general LGBT+-content. Thematic analysis highlighted barriers including lack of educational materials, lack of faculty expertise, time/costs constraints, and challenges in recruiting and compensating transgender guest speakers. Facilitators included scaffolding learning throughout the curriculum, drawing on expertise of transgender people and engaging learners in skills-based training. Sustainable implementation of transgender-health objectives in medical education faces persistent institutional barriers. These barriers are rooted in normative biases inherent to biomedical knowledge production, and an understanding of categories of sex and gender as uncomplicated. Medical schools should facilitate trans-inclusive educational strategies to combat transgender-health inequities, which should include a critical stance toward binary conceptualizations of sex and gender throughout the curriculum.


Assuntos
Educação Médica , Internato e Residência , Pessoas Transgênero , Currículo , Feminino , Humanos , Masculino , Faculdades de Medicina
18.
Med Humanit ; 48(3): e10, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35288447

RESUMO

To use narrative medicine as a means for action towards social justice in medical education, we need a renewal of our pedagogical methods that grapples not just with the worlds concocted within a text, but also our own world beyond the text. We propose a model for narrative medicine pedagogy that is oriented towards abolition. First, the composition of the classroom and syllabus must employ radical inclusion through recruitment of diverse voices and selection of diverse texts. After a traditional close reading is initiated, conscious expansion should take place through introduction of a text's context and current social structures. Whenever internal and external conflicts arise, active self-interrogation should be encouraged through José Esteban Muñoz's 'disidentification'.We present relevant critiques of narrative medicine, case studies from workshop experiences, and close readings of selected narrative medicine texts to unmask limitations in the standard narrative medicine workshop format and illustrate the utility of our abolitionist model. The model we propose offers methods for disrupting long-standing patterns of inclusion (and exclusion) and radically transforming the structure of spaces and ideas produced within them. When new texts are added to the syllabus, they should be accompanied by hermeneutics that can adequately attend to them. Abolitionist narrative medicine pedagogy should stimulate practitioners to examine their own role in social structures that surround the text and the setting of close reading and, ultimately, to dismantle harmful structures. We offer strategies for confronting discomfort without requiring an abandonment of identity, context or content. Instead, holding complexity works towards the long-term aim of transforming practitioners to think critically about structural violence that prevents universal and equitable access to compassionate healthcare. Using this model for abolition, we hope practitioners of narrative medicine will be equipped with more dynamic tools to engage with texts and patients within and beyond the scope of the narrative medicine workshop.


Assuntos
Educação Médica , Medicina Narrativa , Humanos , Narração
19.
J Aging Stud ; 60: 100999, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35248315

RESUMO

This article explores how older Canadian LGBTQ+ persons' gender and sexual identities evolved over time and were influenced by language, role models, and significant others. We draw on data from a qualitative interview study with 30 LGBTQ+ older adults. We analyze our data thematically, finding three overarching themes, namely: a) Lacking language and role models, b) Drawn and pushed out of the closet, and c) Current fluidities and future concerns. Our participants reported that, earlier in life, they had lacked language or positive frameworks with which to make sense of their identities. Upon finding language and role models, all but one eventually came out or transitioned, often after consulting trusted others, experimenting in secret, leading double lives, and/or finding same-sex love. Many were fearful that as they aged, they might once again lose their abilities to openly claim their gender and sexual identities. We discuss our findings in relation to queer theory and the LGBTQ+ aging literature.


Assuntos
Minorias Sexuais e de Gênero , Idoso , Envelhecimento , Canadá , Identidade de Gênero , Humanos , Pesquisa Qualitativa
20.
J Homosex ; 69(12): 2084-2103, 2022 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-34612799

RESUMO

Heteronormativity, family hegemony, and gender biases in K-12 education threaten child safety, parental dignity, and identity among queer families. While prior research examined the experiences of queer parents-specifically those of lesbian and gay parents-empirical attention to school-related experiences of trans and bi parents is lacking. Hence, this phenomenological study focuses on the PK-12 school-related experiences of bi and trans parents. Using queer theory as a theoretical framework, we review relevant literature on family hegemony, gender biases, and heteronormativity within school settings and its impact on children with queer families. Then, we discuss the methods and analysis used to understand the experiences of bi and trans parent participants. Analysis revealed four themes: (a) concern for the child; (b) value for diversity; (c) heteronormative nature of schools; and (d) importance of inclusivity. Finally, we provide recommendations on ways school personnel can better support trans and bi parents and their children.


Assuntos
Homossexualidade Feminina , Minorias Sexuais e de Gênero , Transexualidade , Criança , Feminino , Identidade de Gênero , Humanos , Pais
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