Binary Gender Identity Research Articles

Associations Between Gender Diversity and Eating Disorder Symptoms in Early Adolescence.

To assess associations between multiple dimensions of gender diversity with eating disorder symptoms in a national cohort of U.S. early adolescents. This cross-sectional study utilized data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 10,092, Mage = 12.9 years, 2019-2021). Gender diversity was measured using multiple dimensions, including categorical gender identity (e.g., transgender, cisgender), categorical and continuousfelt gender (congruence between gender identity and assigned sex), ordinal gender non-contentedness (dissatisfaction with one's gender), and ordinal gender expression (communication of gender through appearance and mannerisms). Multivariable logistic regression models were used to analyze the associations among gender diversity measures and eating disorder symptoms, adjusting for potential confounders. Greater felt gender diversity was associated with self-worth tied to weight (OR 1.30, 95% CI 1.11-1.53), binge eating (OR 1.24, 95% CI 1.06-1.46), and distress with binge eating (OR 1.32, 95% CI 1.09-1.59). Greater gender expression diversity was associated with self-worth tied to weight (OR 1.16, 95% CI 1.02-1.33), distress with binge eating (OR 1.26, 95% CI 1.04-1.51), and characteristics of binge eating episodes (OR 1.33, 95% CI 1.06-1.66). Gender non-contentedness was associated with self-worth tied to weight (OR 1.38, 95% CI 1.20-1.58) and compensatory behaviors related to weight gain (OR 1.12, 95% CI 1.01-1.26). Transgender identity was not significantly associated with any eating disorder symptoms. We found that greater gender diversity across multiple dimensions was associated with various eating disorder symptoms, and that measures beyond binary gender identity may be important to assess gender diversity in early adolescence.

‘Harsh’ SoMa vs ‘Beige’ Castro: The cross-modal construction of contrasting femininities in queer San Francisco

The study of gender in sociolinguistic variation has long concerned the ways linguistic variables pattern with binary gender identities like male and female, with the implicit assumption that masculine individuals will use variants that index masculinity, and feminine individuals will use variants that index femininity. The emerging field of trans linguistics has built upon insights from queer linguistics and challenged the idea that there must be a one-to-one correspondence between linguistic variants and gender identities. Studies of transgender speakers have illuminated that indexing gender is a process of bricolage, where multiple variables collaborate, and only one needs to index gender in a particular way for the speaker's overall semiotic construction to carry that gendered meaning. Here, I investigate cross-modal bricolage, by exploring how visual gender presentation and three different linguistic variables come together to construct contrasting feminine styles among San Francisco drag queens. Linguistic patterns and aesthetic choices illuminate that bricolage involves a semiotic division of labor, in which only some signs (or modalities) need to index gender to give the overall style that gendered meaning. Concurrently, other signs can contribute qualia to a style's overall qualic cloud, that distinguish the style from others in the semiotic landscape. This exploration illuminates the role of the body in conditioning the indexical potential of linguistic signs, destabilizes monolithic essentializations of trans linguistic practice, and acknowledges the varied ways that gender non-normative identity can manifest across communities.

"They're not my daughter, and yet…they're also not my son": Parents negotiating their adult child's nonbinary gender identity.

Scholars are increasingly recognizing that substantial gender heterogeneity exists among transgender populations; that is, gender identities that defy the ubiquitous binary categories of male and female. However, the developing research base on the families of transgender adults focuses almost exclusively on the family members of transgender persons with binary gender identities, a noteworthy shortcoming considering the prevalence of nonbinary gender identities among transgender populations and the pervasive assumption that only two genders exist. To address this gap, the current study sought to uncover how the parents of transgender adults with nonbinary gender identities come to understand, make sense of, and negotiate nonbinary gender identities in their families. Fourteen parents-12 mothers and 2 fathers-completed in-depth, semi-structured interviews, and the collected data were analyzed using reflexive thematic analysis. Analyses generated three broad themes that best-described these parents' experience with their child's gender, which was heavily shaped by the pervasiveness of cisnormativity: (a) varied attempts to understand nonbinary gender; (b) a nonbinary "double-edged sword"; and (c) familial resilience. Directions for future research, clinical practice, and policy change are discussed, including the therapeutic benefit of dialectical thinking and the need for legislation that legally affirms and protects nonbinary persons.

Integrating Gender Identity and Sexual Orientation in Population-Based Administrative Data

Information regarding biological sex is collected for administrative and clinical purposes, and often is conflated with gender in clinical encounters as well as in population-based data studies. Sex is collected as either ‘male’ or ‘female’, adhering to the colonial notion of binary sex and gender identities. Meaningful information on sexual/romantic orientation is also absent from these datasets. Sex, gender, and sexual/romantic (SR) orientation are key aspects informing how people experience the world and how we interpret administrative data. SOGI-HE (Sexual Orientation and Gender Identity – Health Equity) will be the first 2SLGBTQIA+ dataset at the Manitoba Centre for Health Policy by using a novel survey tool to collect information on gender identity, and SR orientation. The data from this survey will be linked into the Population Health Data Repository housed at the Manitoba Centre for Health Policy, enabling analyses that incorporate constructs of sex, gender, and SR orientation. These data will make visible the experiences of the 2SLGBTQIA+ community that have been historically absent from population-based data studies. Data equity and 2SLGBTQIA+ visibility within data play an important role in advancing the field and lays the groundwork for future data linkage projects. In this presentation we will discuss the development of SOGI-HE through community-based research principles and the implications it has on future 2SLGBTQIA+ research conducted in the province of Manitoba (Canada). Further, we will discuss the ethical implications associated with queer data sovereignty in a precarious political climate for 2SLGBTQIA+ people and their rights.

Receipt of Gender-Affirming Surgeries Among Transgender and Gender Diverse Veterans.

Gender-affirming surgery (GAS) can be an important part of comprehensive care for transgender and gender diverse (TGD) individuals, but this care is not provided by the Department of Veterans Affairs (VA) because of an exclusion in the medical benefits package. To describe the receipt of GAS by veterans and assess the associations between key sociodemographic characteristics and receipt of chest ("top") and genital ("bottom") surgeries. Cross-sectional national survey (the GendeR Affirming Care Evaluation (GRACE)), among TGD Veterans conducted between September 2022 and July 2023. A total of 6653 Veterans (54% response rate) completed the survey. Self-reported "top" and "bottom" GAS were key outcomes. Covariates included gender identity, sex assigned at birth, age, race, ethnicity, income, employment status, education, relationship status, sexual orientation, and geographic region. Among all respondents, 39% had ≥ 1 GAS. Among the 4430 veterans interested in top surgery, 38% received it; 23% of 3911 veterans interested in bottom surgery had received it. In multivariable models, older age (50 + vs. 18-39) was associated with higher receipt of top and bottom surgery while nonbinary gender identity (vs. binary gender identity), lower household income (< $50,000 vs. > $75,000), less education (less than a college graduate vs. Master's degree or more), sexual orientations other than heterosexual, and residing in a region other than the Pacific were associated with lower receipt of top and bottom surgery. Individuals assigned male (vs. assigned female) at birth had lower receipt of top surgery and higher receipt of bottom surgery. GAS receipt was low and there were important disparities by gender, sex, income, education, sexual orientation, and region. By removing the exclusion to providing GAS, VA could reduce barriers to accessing GAS and decrease disparities among TGD veterans.

Pathways to parenthood among transgender men and gender diverse people assigned female or intersex at birth in the United States: analysis of a Cross-Sectional 2019 Survey

ObjectiveTo assess pathways to parenthood, pregnancy outcomes, future pregnancy desire, and fertility counseling experiences among a cross-sectional sample of transgender men and gender diverse individuals assigned female or intersex at birth in the United States MethodsParticipants were recruited from The Population Research in Identity and Disparities for Equality (PRIDE) Study and the general public. Eligible participants for this analysis were able to read and understand English, assigned female or intersex at birth, US residents, 18+ years old, and identified as transgender, nonbinary, or gender diverse. We analyzed responses to close-ended survey questions, overall and stratified by gender identity, race/ethnicity, and testosterone use. We also qualitatively assessed open-text responses on fertility counseling. ResultsAmong the 1694 participants, median age was 27 years (range: 18–72), 12% had ever been pregnant, and 12% were parents. Carrying a pregnancy where the individual was the egg source (36%) was the most common pathway to parenthood. Individuals with an exclusively binary gender identity (ie, transgender man or man) more often reported becoming parents through adoption than individuals with gender diverse identities (19% vs 12%). A third of individuals did not receive fertility counseling prior to initiating testosterone; individuals who exclusively reported nonbinary identities were recommended to investigate fertility preservation options less often (36%) compared to transgender men (50%). ConclusionTransgender men and gender diverse individuals who were assigned female or intersex at birth build their families through a variety of pathways, including pregnancy, stepparenting, and adoption. Clinicians should avoid making assumptions about reproductive desires in these populations based on gender identities or testosterone use and should provide consistent fertility counseling prior to and after hormone initiation.

'Are We Gonna Have to Pretend to Be a Straight Couple?': Examining the Specific Detriment that Cisgenderism Places on Non-Binary Adoption and Fostering Applicants in the United Kingdom.

This exploratory qualitative study aimed to find out more about how the children's social work system interacts with non-binary parents. It highlights the specific detriment that can be faced by non-binary people hoping to adopt or foster in the United Kingdom. Three key themes emerged: (1) Barriers for non-binary carers, (2) Prejudice in adoption and fostering matching processes and (3) Intersectional disadvantage. The study found that non-binary people experience specific detriment when endeavouring to start or grow their families, examining how cisgenderism operates to privilege some identities over others. Multiple barriers affect the way non-binary people try and navigate how their family lives in a society that is organised around binary gender identities. Cisgenderism can subtly and pervasively exert a devaluing of identities that sit outside of entrenched binary gender norms, influencing how people can understand and express their gender identities within society.

Gender equity in physics labs

[This paper is part of the Focused Collection on Instructional labs: Improving traditions and new directions.] This review article provides an overview of research on the topic of gender equity in educational physics labs. As many institutions and instructors seek to evolve or transform physics lab learning, it is important that changes are made that improve equity for all students along multiple axes of identity, including gender. The studies highlighted in this review article describe the existence of complex gender-based differences, e.g., in opportunities to tinker with lab equipment, as well as differences in grades, conceptual understanding, and motivational outcomes across a broad range of lab curricula and contexts. The studies also illustrate and explore social interactions and structures that can impact students’ experiences based on their gender identities. Although there has been less scholarship focused on proposals to reduce gender-based inequities in labs, this review article also provides an overview of some relevant proposals as well as associated research results. This overview of research on gender equity in physics labs helps to make clear that future scholarship on equity in physics labs should adopt gender frameworks that allow researchers to transcend binary gender identities and student deficit framing of research results. Likewise, a case is made that future research is needed on equity along other axes of identity, as well as research that accounts for the intersectionality of different identities, in the physics lab context. Published by the American Physical Society 2024

Christine and the Queens, Chris, Redcar, and navigating gender identity

Gender identity expression continues to be the subject of public discourse. In the past few decades, scholars and members of the general public have questioned the idea of a stable and binary gender identity, which has caused debates in both the anglophone and francophone worlds. Redcar, also known as Christine and the Queens, as well as Chris, is a particularly interesting public figure concerning gender identity and expression because his relationship has evolved throughout his career. The artist has been remarkably open about his relationship with gender throughout the last decade, which has been in the public eye. Redcar is also someone who has found himself between the anglophone and francophone worlds – he expresses a cultural identity that is neither altogether French nor anglophone, but hybrid. As a musician whose journey with gender has been more or less public, it raises the question: How does Redcar use his music, videos, and persona to navigate and express his evolving relationship with gender? Through the use of gender and queer theories, this article demonstrates how Redcar has used these elements to examine and redefine his own gender. This essay will look specifically at the construction of his celebrity persona, followed by a lyrical analysis of the song “iT” from his first album Chaleur humaine (2014) and a scenic analysis from the music video for “5 dols/5 dollars” from his second album Chris (2018) to demonstrate how Redcar’s public experience of gender exploration works to deconstruct the idea of a static gender and instead demonstrates how gender is always in a process of renegotiation.

Social Support for Rural Gender Diverse Youth Compared to Cisgender Peers

PurposeGender diverse youth (GDY) experience higher rates of mental health concerns than their cisgender peers, but these can be ameliorated by feeling support from family, school, and community. Little is known about how youth perceptions of support vary by gender identity, especially for younger adolescents and those living in rural areas. MethodsYouth ages 12–19 years completed anonymous surveys including measures of perceived support and a two-step gender identity question. GDY (n = 206) were further categorized into binary and nonbinary gender identities. An additional 500 randomly selected cisgender youth were included for comparison. Multivariate analyses of variance with Tukey post hoc tests were employed to test GDY group differences while accounting for the interaction between scaled measures. ResultsCisgender youth had the highest perceived support across all support measures while youth who shared both binary and nonbinary aspects of their gender identity had the lowest rates of perceived support. The F tests for between-subject effects were statistically significant (p <.001) for all six support measures, and multivariate group testing was statistically significant with Wilks' λ 6.38(18,1621.17) = 0.82; p <.001. DiscussionDespite research demonstrating a strong association between perceived support and improved mental health outcomes, GDY in our sample had lower rates of perceived support at the family, school, and community levels. GDY with both binary and nonbinary gender identities had the lowest levels of perceived support. Further research is needed to see if this finding is consistent in other populations and to develop targeted interventions to improve perceived support for this population.

Fluidity in Gender Identity and Sexual Orientation Identity in Transgender and Nonbinary Youth

ABSTRACT Changes in sexual orientation identity (SOI) and gender identity (GI) have rarely been studied in transgender and/or nonbinary youth (TNBY), but documenting such changes is important for understanding identity development and gender transition and supporting the needs of TNBY. This study examined the frequency and patterning of changes in GI and SOI across 3 months (T1-T2) and 1.5 years (T1-T4) among 183 TNBY (baseline age 14–17 years; 83.6% White, 16.9% Hispanic/Latinx) who participated in a longitudinal US study. Participants completed online surveys including measures of GI and SOI. The most common gender identity selected at T1 (with or without another gender identity) was nonbinary (56.3%), and more than half (57.4%) of youth identified with a plurisexual identity (e.g., bisexual, pansexual). GI fluidity from T1-T2 was 13.2% and from T1-T4 was 28.9%. It was equally common to move toward a nonbinary gender identity as toward a binary gender identity. SOI fluidity was more common (30.6% from T1-T2; 55.8% from T1-T4) than GI fluidity. Shifts toward plurisexual identities were more common than shifts toward monosexual identities (e.g., straight, gay). Findings highlight the need to assess changes in GI and SOI in research and clinical practice to address the unique needs of TNBY accurately and effectively.

Binary and Non-binary Gender Identities, Internalizing Problems, and Treatment Wishes Among Adolescents Referred to a Gender Identity Clinic in Germany

Clinical research on transgender and gender-nonconforming (TGNC) adolescents has focused on binary individuals or often not differentiated among gender identities. Recent studies suggest that a considerable proportion of TGNC adolescents identify as non-binary and that these youth report more internalizing problems as well as different transition-related medical treatment wishes than binary adolescents. However, the results are inconclusive, and data for the German-speaking area are lacking. Therefore, the present study aimed to assess the percentage of binary and non-binary gender identities in a German sample of clinically referred TGNC adolescents and examine associations of gender identity with internalizing problems and transition-related medical treatment wishes. The sample consisted of 369 adolescents (11–18 years, Mage = 15.43; 305 birth-assigned female, 64 birth-assigned male) who attended the Hamburg Gender Identity Service for children and adolescents (Hamburg GIS) between 2013 and 2019. Gender identity and treatment wishes were assessed using study-specific items and internalizing problems using the Youth Self-Report. In total, 90% (n = 332) of the sample identified as binary and 10% (n = 37) as non-binary. Having a non-binary gender identity was significantly associated with more internalizing problems and with wishing for no transition-related medical treatment or only puberty-suppressing hormones. The results underscore that non-binary adolescents represent a specifically vulnerable subgroup within TGNC adolescents with unique mental health needs and treatment wishes. Future research should differentiate among various gender identities. In clinical practice, it is crucial to create an inclusive space for non-binary youth and provide mental health care if needed.

Like Parent, like Child: General and Specific Associations Between Parents’ and Children’s Binary Gender Identity in a Gender Egalitarian Context

There is ample scientific evidence for the importance of parental gender socialization in children’s binary gender development. Surprisingly, little is known about the role of parents’ own gender identity in the binary gender identity development of their children. Therefore, the present study investigated the association between parents’ and children’s binary gender identity (i.e., similarity to same- and other-gender individuals) in a sample of 142 Dutch families with a child between the ages of 6 and 12 years old. The Dutch context is characterized by relatively high gender equality. Both parents and their children answered questions about their similarity to same-gender and other-gender individuals. Generalized estimating equations revealed that parents’ same-gender similarity and parents’ other-gender similarity were positively associated with their children’s same- and other-gender-similarity, respectively. In addition, more other-gender similarity in parents was associated with less same-gender similarity in girls, but more same-gender similarity in boys. Parents who reported high similarity with both genders were more likely to have children who also reported higher similarity with both genders. These findings indicate that parents’ own binary gender identity is related in general and specific ways to their children’s binary gender identity development. Parents should be made aware of their role in children’s binary gender identity development. Yet, more research on different types of gender identity in parents and their children is necessary.

The link between centrality, gender identity, and sexual pleasure

This manuscript aims to study the effect of having high centrality on the commitment to heterosexual norms and heterosexual scripts. Centrality is the level of importance of one's gender is to an individual's identity which has been traditionally prescribed by stereotypical gender traits. Also, this study will evaluate whether gender identity plays a role in determining an individual's choice of sexual partners’ gender. This study focuses on an individual's gender makeup (on the scale of masculine and feminine) and the participants’ own view of importance for how gender identity plays a role in the way the individual feels about themselves. Previous research has focused on sex roles and gender stereotypes as it pertains to pleasure and intimacy, but these studies have only focused on binary gender identity categories (male/female). The researchers conducted a secondary data analysis using survey data, from the 2020 and 2021 Pleasure Study, on human sexuality that was collected online. There were a total of 1183 respondents in the study of various gender identities. The data shows strong correlations between highly masculine individuals with high centrality choosing sexual partners with high femininity and not individuals with high masculinity. This study showed that cismen with nonbinary partners and ciswomen with nonbinary partners had the lowest average centrality out of all the gender partner combinations.

Cis- en transgender. Performativiteit als lichamelijke en sociale gewoonte

Cis and transgender. Performativity as bodily and social habit In this article, I argue that habit formation provides a good starting point to understand gender identity. Judith Butler’s concept of ‘performativity’ indicates that gender identity comes about through a process of social and linguistic repetition of normative representations of gender. The phenomenological notion of ‘habitual identity’ that Maren Wehrle (2021) suggests, complements this notion of performativity, but should be complemented with a psychic aspect to attain a completer notion of performativity. Understanding performativity in terms of habit formation seemingly also has a downside: does it not lead to repetition of the same in an environment of predominantly cis and binary gender identities? What does this mean now that more and more people identify as trans or non-binary? I argue that performativity does not necessarily involve the reproduction of cis and binary gender identities, because it includes the possibility of variation from the norm. While cis implies that body, identity and social ascriptions coincide, in the case of trans there are discontinuities between these three. Rather than considering cis and trans as opposites, performativity means understanding both as variations, of which the discontinuities between body, self and social ascriptions are more difficult to live.

Assessing invariance of cannabis use motives by veteran status and binary gender identity among college students

ABSTRACT Student service members/veterans (SSM/V) are distinct from non-veteran students in a variety of ways, including in their cannabis use patterns and potentially their motives for cannabis use. Additionally, previous research has shown that men and women endorse different motives for their cannabis use. The present study was designed to assess whether a popular measure of cannabis use motives is invariant across veteran status and gender identity. Based on previous research, we hypothesized that cannabis motives would show invariance across SSM/V men, SSM/V women, non-veteran men, and non-veteran women (n = 1,011, SSM/V = 553) among those who indicated using cannabis at least once in their lifetime. Results from the four-group invariance testing procedure revealed metric invariance. This suggests that while the factor structure and factor loadings are invariant, there are differences at the intercept level for cannabis motives across groups. The same items load onto the same latent constructs and the strength of the items loading onto the latent factors was also the same across groups. The demonstrated invariance has implications for use in SSM/V and non-veteran clients. As this scale is brief, it could easily be used as a screening tool or used to guide intervention content.

Youth-specific sexual and gender minority state-level policies: Implications for pronoun, name, and bathroom/locker room use among gender minority youth.

While research that investigates the importance of school-level promotive factors (e.g., teacher support) for sexual and gender minority youth (SGMY) well-being has proliferated, less research has focused on state-level climate and policy implications for gender minority youth-specific experiences. This study investigated the impact of two youth-specific SGM state-level laws (i.e., "anti-LGBT laws" and conversion therapy bans) on social transition experiences (i.e., name/pronoun use and using desired bathroom/locker rooms) of GMY (n = 4000) aged 13-17. Through a series of multivariable regression models, it was determined that the absence of laws that restricted rights for sexual and gender minority people was associated with greater use of the correct name and correct pronouns for transgender youth. These differences were further explained by binary gender identity (transgender binary or nonbinary) status, region, and age in multivariable models. Findings highlight the importance of enacting more uniform protections for SGMY, especially to protect transgender youth that live in the southern region of the U.S.

Effect of race, gender identity, and their intersection on career satisfaction: A cross-sectional survey of academic physicians

Purpose Ensuring a representative workforce is a matter of equity and social justice and has implications for patient care and population health. We examined the relationship of the binary gender identity and race of physicians who felt comfortable to self-identify, with workplace experiences and career satisfaction in academic medicine. Methods The outcome of interest of a cross-sectional survey of full-time clinical faculty members within the Department of Medicine, University of Toronto, was physician’s self-reported career satisfaction. Using logistic regression, we examined relationships of binary gender identity (female/male) and race [under-represented minority (URM) versus over-represented in medicine (ORM)] to: workplace experiences (respectful interactions, perception of having to work harder, exclusion from social networks, witnessing/experiencing unprofessionalism, and confidence in taking action to address incivility without reprisal); and career satisfaction, controlling for age, rank, protected time, and workplace experiences. Results Female gender and URM status were associated with younger age, lower rank, and less positive workplace experiences. 132 respondents (44.4%) strongly agreed they had career satisfaction. Compared with ORM men, career satisfaction was significantly lower for URM and ORM female physicians (OR 0.30, 95% CI 0.14–0.65, and 0.48, 95% CI 0.27–0.85, respectively) and non-significantly lower for URM male physicians (OR 0.62, 95% CI 0.32–1.19). Adjustment for academic rank and workplace experiences fully attenuated these relationships. Conclusions URM female academic physicians had lower career satisfaction than their ORM male counterparts, largely explained by systematic differences in workplace experiences, particularly perceptions of exclusion from social networks and having to work harder to be perceived as legitimate scholars. This suggests a role for institutions and leaders to build inclusive, anti-racist, and anti-oppressive cultures to support the flourishing of all faculty.

Toward a Transgender Critique of Media Representation

Toward a Transgender Critique of Media Representation Thomas J Billard (bio) and Erique Zhang (bio) Shifts in media production and consumption along with the emergence of digital technologies have facilitated quantitative increases and (per some critics) qualitative improvements in transgender representation across print media, film, and television.1 The biggest influence on trans media representation has come via social media and other platforms for sharing usergenerated content, which now provide the lion's share of trans media representations. Unlike those of newspapers, studio films, and broadcast television, however, social media representations are not produced by members of the cisgender majority, for members of the cis majority; they are overwhelmingly trans produced. As such, to critique these digital media representations is not to critique regimes of representational power or the machinations of hegemonic media systems. Rather, it is to critique how transgender people choose to represent themselves and the identities they hold. Studies of trans media thus far have tended to employ perspectives from feminist theory and queer theory to analyze transgender representation.2 [End Page 194] However, doing so has posed analytic problems for the burgeoning field of trans media studies. To articulate these problems, we draw on Cáel M. Keegan's analysis of trans studies' position vis-à-vis women's and queer studies, as well as TJ Billard's extensions of that analysis in the specific domain of trans media studies.3 By no means do we assume either feminist theory or queer theory to be monolithic in their approaches; rather, we endeavor to describe the central tendencies of these broad interdisciplines as they exist in their institutionalized forms. Moreover, we draw from sociology of culture frameworks to propose a mode of transgender representational critique that attends to the specificities of trans identity and experience rather than evaluating representation in terms of "good" or "bad." Feminist approaches to media studies often maintain a model whereby men dominate women and patriarchy works through media narratives to maintain male dominance.4 Misogynist representations are "bad" and those that oppose it are "good."5 Trans media representations challenge this thinking by disrupting the hierarchy of domination that feminist theory posits. Where does the trans man fall in the hierarchy of patriarchal domination? Does he now dominate women by virtue of his transition? Where does the trans woman fall? Is she now dominated by men, or—as trans-exclusionary radical feminists have argued—does she dominate "real" (i.e., cis) women by virtue of the sex she was assigned at birth?6 Where does the nonbinary person fall, whose existence challenges the binary required for this hierarchical understanding of power? While much feminist theory is invested in a model of binaristic sexual subordination, queer theory is invested in deconstructing the binary gender system as a means of "unravel[ing] heteronormativity."7 Queer theorists often interpret transness either as "some 'ultimate form' of queerness that manifests literally the metaphor of gender transgression" or as an anti-queer impulse toward binary conformity.8 From a queer theoretical perspective, [End Page 195] then, transgender representations should be evaluated as "bad" to the extent they uphold the validity of binary gender identity and "good" to the extent they disrupt the binary gender system.9 Trans identity disrupts this theoretical model, as trans people variously identify with and against a binary gender system in a complex field of valid identities.10 Accordingly, transgender media representations cannot be simply read through the queer political fantasy of counter-normativity. Beyond their theoretical limitations, both approaches also present methodological shortcomings: feminist and queer theories claim to offer a "more rigorous excavation of subjectivities" than sociological accounts, but they have tended to do so via analyses that superimpose the anti-patriarchal and antinormative political investments of the theorist onto the objectified trans figure.11 Put differently, these theorists project their own universalized interests onto the trans figures whose identities they claim to excavate. Consider, for instance, two competing readings of the film Paris Is Burning (Jennie Livingston, 1990) by Black feminist theorist bell hooks and queer theorist Judith Butler. For her part, hooks reads the representations of trans women in Paris as "bad" because they uphold the subordination of Black women...

Testicular Cancer in Trans People Using Feminising Hormone Therapy– A Brief Review

The number of transgender (or trans) individuals, including those who have a binary and/or non-binary gender identity, seeking gender-affirming hormone therapy is increasing.1 In this brief review, we aim to provide an overview of gender affirmation and synthesise current literature describing case reports and management of testicular cancer in trans people using feminising hormone therapy.