Search Results (9)

This paper identifies and critiques the way conceptions of fidelity and reproduction shape contemporary approaches to doctrine. As an interdisciplinary work, I draw tools from adaptation studies, queer theory, and theatrical practice. This allows me to demonstrate how, in recent debates over doctrinal expansion or inclusion, both liberal and conservative approaches operate within the logics of the fidelity urge and reproductive futurism. The result of these commitments is an emphasis on handing on the past to the future. The work of Paleo-Orthodox theologian Thomas Oden, and the recent debates over marriage rites in the Uniting Church in Australia serve as illustrations. In suggesting an alternative, I turn again to the theatrical practices of adaptation to resource new conceptions of fidelity (and, in turn, novelty and transgression) that resist a dichotomy between a stable, unified origin and dependent, derivative copies. In their stead, I connect the bisexual epistemology of Marcella Althaus-Reid to the task of doctrine. Such a move brings the present into focus, resisting the allure of reproduction through a doctrinal agenda of confusion, effusiveness, and obscenity. Doctrine, outside of the fidelity urge, is suggested to be an act of non-competitive adaptation, whose horizon is not bound by the past or beholden to the future but is directed to the needs of the present. Full article

Producing knowledge about transgender and gender-diverse (TGD) individuals is a core public health strategy challenge. Yet several systemic limitations arise, notably the exclusion or exploitation of TGD individuals by research systems reproducing systemic discrimination by embedding social norms as self-evident facts of nature. This is particularly worrying in biomedical research, and contributes to the invisibilization of participants’ gender diversity. This trans research illustrates methodological challenges through queering an earlier study by focusing on misgendering as a discursive element. We based our work on discursive materials reported by TGD participants in an ICD-11 study on gender incongruence. We used network analyses to illustrate potential differences between declared gender identity and discourse practices. Our results highlight a gap between declared gender identity and discourse practices, bringing the number of non-binary participants in the sample from 15 (20.8%) to 36 (50.0%). Moreover, misgendering and the use of derogatory terms are more common toward gender-diverse individuals. Sexual orientation shows a similar trend. This study reveals the reproduction of social norms within research processes and medical knowledge, as well as how, from an individual perspective, their non-compliance seems to be a key factor in TGD individuals’ experience. By providing this simple methodological example, we hope to promote better integration of gender and its various dimensions into biomedical and public health research. Full article

Lesbian, bisexual, queer, trans and other gender diverse persons assigned female at birth (heretofore referred to as “LBQT+ persons”) in Western Kenya experience intersectional oppression and stigma. This stigma can manifest in acts of sexual and gender-based violence (SGBV) and sexual and gender minority (SGM)-based violence, as well as various forms of discrimination—all of which have been linked to disproportionately higher levels of negative health outcomes for this group. Despite these challenges, many LBQT+ persons have been able to gain personal and collective power and thrive in this oppressive environment. The Empowerment for Us by Us (E4UBU) project is a mixed methods feminist participatory research study focused on exploring how LBQT+ persons conceptualize and define empowerment for themselves, and to understand their perspectives on how feelings of power and powerlessness influence their physical and mental health. This paper focuses on data from the first phase of the study, in which qualitative in-depth interviews were conducted with 40 LBQT+ persons (ages 19 to 50) from Kisumu and Homa Bay in Western Kenya. A participatory interpretive phenomenological analysis was conducted to understand the lived experiences of LBQT+ persons as they navigate intersectional oppression and its influence on their experiences of empowerment and subsequent health outcomes. Findings from this analysis were presented to two different focus groups composed of participants who had participated in the in-depth interviews to gather their insights on the interpretations of the interviews as a form of member checking. Findings revealed that “empowerment” was not experienced and viewed by LBQT+ persons as a monolithic construct, but rather a process through which LBQT+ persons are able to transform negative forces of intersectional oppression and powerlessness into experiences of power and subsequent individual and collective action and impact—all leading to improved mental health and well-being. This process is facilitated at several junctures by participatory seeking and attainment of community-appropriate resources at multiple socio-ecological levels that, when accessed with sufficient intensity, frequency, and duration, enhance one’s journey through the process of empowerment. These facilitation junctures are viewed as likely points of focus for public health intervention. Analysis also revealed that the process of empowerment is dependent on the context within which the process is occurring, the specific issues being faced, and the population of focus. Recommendations for how this model can be used for future research and practice to improve the lives of LBQT+ persons in Kenya are discussed. Full article

There are ongoing debates and controversies about whether genderqueer individuals have specific sexual-reproductive healthcare services and needs (SRHSNs). This study intended to identify and explore queer-specific SRHSNs among healthcare providers (HCPs) in Gauteng Province, South Africa. This was an exploratory sequential mixed-methods study, and this article focuses on the qualitative findings of that investigation. Thirty-three HCPs were purposively sampled, and semi-structured one-on-one interviews were used to collect data between September and November 2023. The data were analyzed using thematic content analysis (TCA). The results of this study revealed nine main themes: a crucial need for inclusive healthcare facilities; a need for psychological, counseling, and therapeutic support in sexual and reproductive healthcare; access to sexual-reproductive education and integrating support; suggested reproductive health services for queer sexual wellness; improved accessibility and particular queer reproductive healthcare; optimizing services related to human immunodeficiency virus (HIV), pre-exposure prophylaxis (PrEP) access, and sexually transmitted illness (STI) treatment; genderqueer persons’ parenthood aspirations and empowerment; the safe availability of intimacy tools; and navigation transitions. A holistic and inclusive healthcare approach that fits psychological support, comprehensive sexual-reproductive education, and specialized services to accommodate the unique needs of queer individuals should be implemented and made easily accessible. Full article

In most cases, we only hear Lesbians, Gays, Bisexuals, Transgender, Queer, and Intersex (LGBTQI) patients complaining about nurses being the reason for not accessing and utilizing healthcare services; for example, studies reports on the different attitudes of healthcare providers including nurses against LGBTQI patients. However, factors influencing the behavior of South African Primary Healthcare (PHC) Nurses toward LGBTQI patients are rarely reported. The study aimed to explore how PHC nurses experienced and perceived sexual and reproductive health services for LGBTQI individuals in Tshwane, Gauteng Province, South Africa. The study followed qualitative research using an exploratory design approach. The sample included 27 PHC nurses from Tshwane, Gauteng Province, South Africa. In-depth face-to-face interviews were coded and analyzed using Thematic Content Analysis (TCA) which included five interrelated steps. The results revealed three main themes: barriers to the provision of LGBTQI-related SRHS, facilitators for the provision of SRHS to LGBTQI individuals, and strategies to improve LGBTQI individuals’ SRHS accessibility and availability. Common barriers were related to the institutions, PHC nurses, the general public, and LGBTQI patients themselves. Regardless of the challenges faced by PHC nurses, there were some enabling factors that pushed them to continue rendering SHRS to LGBTQI patients who came to their clinics. Almost all PHC nurses suggested the importance of awareness, transparency, collaboration, and the need for training related to LGBTQI healthcare issues. Full article

This essay asks what the figure of the Hollywood dance-in—a dancer who performed in place of a star prior to filming and who assisted the choreographer in the creation of dance numbers—can reveal about the reproduction of corporeality as an operation that is both abstract and material. Focusing on the white film star Gene Kelly and his Mexican-born dance-in Alex Romero, the essay shows how the men functioned as literal and virtual doubles for one another in the rehearsal process and argues for an understanding of their relations of reproduction as queer and racially charged. Full article

This article offers an ecocritical analysis of Ali Smith’s Hotel World (2001) and Ewan Morrison’s Tales from the Mall (2012). Through a combination of the world-ecology paradigm, feminist approaches, and queer theory, I argue that these texts connect normative desires to capitalism’s “organization of nature.” The opening section of the article links Nancy Fraser’s work on social reproduction to Jason Moore’s argument that nature, in world-ecological terms, provides the “free gifts” (of work, energy, and even care) necessary for capitalist productivity. Morrison’s and Smith’s texts register this dynamic, positioning hierarchy, sexism, and the uneven experience of neoliberal violence in relation to enclosure, attacks on women, and environmental destruction. I detail how Hotel World binds suburban ecology to normative regulation, while Tales from the Mall connects land clearance to the geographical organization of class inequality. I then contend that the psychological and physical exhaustion of women in both works can be understood in relation to capitalism’s reduction of nature to an appropriable resource that provides comfort and pleasure for wealthy consumers. The article ends with an examination of how the texts reject liberal fantasies of benevolent capitalist globalization in the context of Scotland specifically, indicating the need for new narratives that challenge capitalism’s ecological regime. Full article

Protecting the rights of the lesbians, gays, bisexuals, transgender, intersex, and queers (LGBTIQ) population requires, first and foremost, a proper understanding of their sexual orientation and gender identity. This study highlights a severe misunderstanding and lack of knowledge among health professionals in Vietnam with regard to the men who have sex with men (MSM) and transgenders. This study uses (i) a survey based on the convenience sampling method among 150 health workers that covered 61 questions and (ii) 12 in-depth interviews in two metropolitan centres in Vietnam, Hanoi and Ho Chi Minh city. Three main topics are explored: (i) the general knowledge of healthcare workers about MSM and transgenders; (ii) their knowledge about the sexual reproductive health and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) risks of MSM and transgenders; and (iii) their attitudes and behaviors towards MSM and transgenders. One of the notable findings is how prevalent the misperceptions are across the board, namely, in staff of both sexes, in both cities, at various kinds of medical facilities, at different work positions and educational levels. Half of the respondents consider transgenders to have a curable mental problem while 45% say MSM only have sex with males. Most remarkably, 12.7% state if they have any choice, they want nothing to do with MSM and transgenders. The study finds there is a considerable percentage of health professionals who lack knowledge about the diversity of sexual orientation, gender identity, and health issues related to the sexual minorities and gender non-conforming population. To improve the clinical process for serving these at-risk groups, the study suggests the continual education for the health workers needs to be added to their formal as well as in-job training. Full article

Life writing scholar Julia Watson critiques the practice of genealogy as “in every sense conservative” (300) because it traditionally charts and enshrines a family’s collective biography through biologistic, heteronormative, and segregated routes. My Americanist contribution, however, zooms in on a recent development of autobiographical works that establish narratives of origin beyond normative boundaries of race and heterosexual reproduction. A number of predominantly white queer parents of black adoptees have turned their family history into children’s read-along books as a medium for pedagogical empowerment that employs first-person narration in the presumable voice of the adoptee. In Arwen and Her Daddies (2009), for instance, Arwen invites the reader into a story of family formation with the following opening words: “Do you know how I and my Dads became a family?” My analysis understands these objects as verbal-visual origin stories which render intelligible a conversion from differently racialized strangers into kin. I frame this mode of narration as ‘adoptee ventriloquism’ that might tell us more about adult desires of queers for familial recognition than about the needs of their adopted children. Full article