ORCID Profile
0000-0002-3705-4577
Current Organisations
Deakin University
,
University of Melbourne
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Sociology and social studies of science and technology | Sociology | Sociology of inequalities | Sociology of health |
Publisher: SAGE Publications
Date: 30-03-2017
Abstract: This article traces the multiple enactments of sex in clinical practices of transgender medicine to argue against the presumed singularity of ‘transexuality’. Using autoethnography to analyse my own experience as a trans patient, I describe my clinical encounters with doctors, psychiatrists and surgeons in order to theorise sex as multiple. Following recent developments in science and technology studies (STS) that advance the work of Judith Butler on sex as performatively reproduced, I use a praxiographic approach to argue that treatment practices produce particular iterations of what sex (and transexuality) ‘is’ and how these processes limit and foreclose other trans possibilities. I consider the ethical, political and material-discursive implications of treatment practices and offer a series of reflections about the effects and effectiveness of current clinical practices and the possibilities for intervening in such processes in order that, following Annemarie Mol, we might (re)make sex (and transexuality) differently.
Publisher: Unpublished
Date: 2016
Publisher: SAGE Publications
Date: 30-01-2018
Abstract: This article argues that medicine misunderstands the necessarily complex ways trans people experience sexuality. Despite revisions to treatment guidelines and diagnostic descriptions, transgender medicine continues to be based on a paradigmatic narrative of ‘being born in the wrong body’. This narrative performatively reproduces sex, gender and ‘gender dysphoria’ as static, predetermined and independent of medical encounters. It also constructs trans sexualities as limited by and dependent on gender/genital ‘alignment’, which necessarily neglects many trans people’s sexual lives. By mobilising critiques of singularity from science and technology studies (STS), which emphasise how discourses and practices produce both what is knowable and materially possible, this article explores how medicine understands and constitutes ‘transexuality’ as a singular phenomenon that limits trans sexualities. By analysing contemporary medical guidebooks alongside the foundational text of trans medical treatment – Harry Benjamin’s (1999 [1966]) The Transsexual Phenomenon – I argue that medicine constitutes transexuality and understands trans sexualities via four axioms: 1) Transexuality is a disjuncture between mind and body 2) Transexuality is hating having the wrong genitals 3) Transexuality is painful and debilitating and 4) Transexuality is resolvable with hormonal and surgical body modifications. In so doing, medicine flattens out the complexities of trans people’s experiences of gender and sexuality, and simultaneously disavows many trans people’s sexual lives.
Publisher: Informa UK Limited
Date: 16-01-2014
Publisher: Unpublished
Date: 2015
Publisher: Elsevier BV
Date: 2020
DOI: 10.1016/J.DRUGPO.2019.10.016
Abstract: Australia's ambitious aim to 'eliminate' hepatitis C as a public health concern by 2030 requires researchers, policy makers and health practitioners to engage with populations rarely identified as a priority. Men who inject performance and image-enhancing drugs (PIEDs) are one such population, yet research suggests they have low rates of knowledge about hepatitis C. Although rates of needle-sharing in this group are thought to be low, other risks of blood-to-blood contact exist due to the use of large-gauge needles, intramuscular injecting, hard-to-reach injection sites, repeated injecting and peer-to-peer injecting. How should health initiatives engage people who might not customarily consider themselves vulnerable to hepatitis C? Drawing on the work of body theorist Margrit Shildrick, this article considers how men who inject PIEDs understand their bodies, with a particular focus on injecting practices, blood awareness and infection control, in order to inform hepatitis C prevention efforts. In our analysis, we draw on qualitative interviews with 60 men who inject PIEDs, which we conducted for an Australian Research Council-funded project focused on better understanding PIED injecting to improve health and minimise hepatitis C transmission. The interviews suggest that men who inject PIEDs closely monitor potential external infection risks, such as dirt and bacteria that might intrude upon the 'purity and security' of the body. However, less attention appears to be paid to what might be transferred out of the body and potentially to others, such as blood. Notions of trust and cleanliness, and normative perceptions of intravenous drug use, also shaped injecting practices and cursory attention to blood management. While environmental transmission poses a smaller transmission risk than needle-sharing, educating PIED consumers about it is nevertheless warranted. Focusing targeted health promotion materials on environmental blood as a potential route of hepatitis C transmission may help engage this population in prevention, and encourage more frequent hepatitis C testing.
Publisher: SAGE Publications
Date: 03-2016
Abstract: Clinical expectations that trans people will be so filled with self-loathing that sexual interactions will be limited if possible at all fail to take into account the heterogeneous ways trans people experience their own bodies and sexualities. In this essay, I extend recent work in science and technology studies (STS) that attends to material practices by examining the work of narrative and argue for a new paradigm in situating trans sexualities. I analyse trans men's autobiographical stories to show some of the many ways that trans men make sense of themselves (and enact maleness) as sexual subjects. By focusing on how sex-gender is enacted and hangs together in narrative-practices, we can more fully understand and appreciate the realities of trans lives and the inadequacies of clinical diagnosis.
Publisher: Wiley
Date: 10-2015
DOI: 10.1111/AJAG.12275
Publisher: Deakin University
Date: 2021
Publisher: No publisher found
Date: 2015
Publisher: Informa UK Limited
Date: 02-09-2019
Publisher: Springer Science and Business Media LLC
Date: 15-03-2013
Publisher: Duke University Press
Date: 05-2018
Abstract: This article examines the various possibilities for making an analogy or disanalogy between cosmetic and trans surgeries, focusing on the suggestion that trans surgeries are medically necessary while cosmetic surgeries are not—a position that has a great deal of rhetorical force. The authors argue that this disanalogy both fails to understand the complexity of the justifications used by recipients of these erse surgeries and should be seen as symptomatic of various attempts in medical practice to impose particular understandings of suffering, gender identity, and gender politics on trans patients. The appeal to the intense and intrinsic suffering of the trans patient because they cannot become the normatively gendered person they always believed themselves to be, the authors argue, elides the ersity of trans experience as well as coerces trans patients into a politics of ressentiment.
Publisher: MDPI AG
Date: 02-11-2020
Abstract: Healthcare and disability support services are increasing their efforts towards inclusion and recognising the needs of different groups. This research project was conducted by academic and peer researchers (LGBTIQA+ people with disability) in Victoria, Australia using four focus groups with LGBTIQA+ people with disability. We report on two overarching themes relating to participants’ experiences of accessing health services as LGBTIQA+ people with disability: difficulties in managing multiple identities and the impacts of community services and supports. Participants described having to repeatedly ‘come out’ in a range of ways and contexts as complex and layered processes in which it was difficult to present their full range of needs and experiences to services. We also found that the role of community in promoting a sense of belonging and resilience increased capacity to manage health service use and advocacy. Services and communities aiming to be inclusive to all have the opportunity to recognise and respond to the issues faced by LGBTIQA+ people with disability as a way to pay attention to how overt and subtle practices of discrimination continue to operate despite repeated attempts at or claims of being ‘inclusive.’ Our research suggests actual inclusive, accessible services can be achieved in part through policy and practice that actively responds to the specific needs of LGBTIQA+ people with disability, in addition to LGBTIQA+ education for disability services and disability and accessibility education for LGBTIQA+ focused services. As we do in this article, we argue that this work must be done by prioritising authentic participation of LGBTIQA+ people with disability in the services and research that is about them.
Publisher: Wiley
Date: 10-2015
DOI: 10.1111/AJAG.12271
Abstract: To outline the experiences and needs of lesbian, gay, bisexual and trans (LGBT) Australians living with dementia - and their partners. In-depth interviews were conducted with LGBT people, their partners and service providers. LGBT people living with dementia experience unique challenges including the failure of some families of origin and service providers to understand and value their sexual orientation or gender identity. The fear of discrimination by service providers results in greater reliance on intimate partners for care and compounds social isolation. The unique experiences of LGBT people with dementia are not well understood. There is a need to recognise historical experiences, including familial relationships, and provide advocacy to ensure sexual and gender rights are not violated. There is also a need to ensure that the experiences and perspectives of LGBT people living with dementia inform the development of services.
Publisher: Springer Science and Business Media LLC
Date: 12-12-2019
Publisher: Wiley
Date: 10-2015
DOI: 10.1111/AJAG.12270
Abstract: This paper outlines the development of culturally safe services for older lesbian, gay, bisexual, transgender and intersex people. It draws on a framework for cultural safety, developed in New Zealand which incorporates an understanding of how history, culture and power imbalances influence the relationship between service providers and Maori people. This has been adapted to the needs of older lesbian, gay, bisexual, transgender and intersex Australians.
Publisher: University of Toronto Libraries - UOTL
Date: 07-11-2020
Abstract: Assemblages of sex are continuously being enacted by policymakers, scientists, and medical providers across a range of settings, resulting in multiple and often contradictory notions of what “sex” is and how it is expressed in the body. As feminist scholars have shown, such enactments are mutable yet resilient, often with the net effect of restricting how “sex” can emerge as a material dimension of our embodied, lived experiences. What happens when feminist scholars seek to intervene in order to promote more complex, entangled, dynamic, and just enactments of “sex” in policy and practice? This lab meeting gathers interdisciplinary scholars to reflect on their experiences of pursuing change in the laboratory, the gender clinic, and on the athletics track.
Publisher: Australian Institute of Family Studies
Date: 2017
Publisher: La Trobe University
Date: 2019
Publisher: Informa UK Limited
Date: 03-04-2019
Publisher: Informa UK Limited
Date: 30-11-2016
Start Date: 04-2024
End Date: 03-2027
Amount: $393,488.00
Funder: Australian Research Council
View Funded Activity