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Research Article

“What if I’m not trans enough? What if I’m not man enough?”: Transgender young adults’ experiences of gender-affirming healthcare readiness assessments in Aotearoa New Zealand

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References

  • Adams, N., Pearce, R., Veale, J., Radix, A., Castro, D., Sarkar, A., & Thom, K. C. (2017). Guidance and ethical considerations for undertaking transgender health research and institutional review boards adjudicating this research. Transgender Health, 2(1), 165–175. https://doi.org/10.1089/trgh.2017.0012
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
  • Bizic, M. R., Jeftovic, M., Pusica, S., Stojanovic, B., Duisin, D., Vujovic, S., Rakic, V., & Djordjevic, M. L. (2018). Gender dysphoria: Bioethical aspects of medical treatment. BioMed Research International, 13, 1–6. https://doi.org/10.1155/2018/9652305
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  • Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.
  • Butler, J. (1990). Gender trouble. Routledge.
  • Cavanaugh, T., Hopwood, R., & Lambert, C. (2016). Informed consent in the medical care of transgender and gender-nonconforming patients. AMA Journal of Ethics, 18(11), 1147–1155.
  • Clark, B. A., Veale, J. F., Greyson, D., & Saewyc, E. (2018). Primary care access and foregone care: a survey of transgender adolescents and young adults. Family Practice, 35(3), 302–306. https://doi.org/10.1093/fampra/cmx112
  • Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., Monstrey, S., Adler, R. K., Brown, G. R., Devor, A. H., Ehrbar, R., Ettner, R., Eyler, E., Garofalo, R., Karasic, D. H., … Zucker, K. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people (Version 7). International Journal of Transgenderism, 13(4), 165–232. https://doi.org/10.1080/15532739.2011.700873
  • Davy, Z. (2015). The DSM-5 and the politics of diagnosing transpeople. Archives of Sexual Behavior, 44(5), 1165–1176. https://doi.org/10.1007/s10508-015-0573-6
  • Deutsch, M. B. (2019). Hormone therapy. https://transcare.ucsf.edu/hormone-therapy
  • Dhejne, C., Lichtenstein, P., Boman, M., Johansson, A. L. V., Långström, N., & Landén, M. (2011). Long-term follow-up of transsexual persons undergoing sex reassignment surgery: Cohort study in Sweden. PLoS One, 6(2), e16885. https://doi.org/10.1371/journal.pone.0016885
  • Ellis, S. J., Bailey, L., & McNeil, J. (2015). Trans people’s experiences of mental health and gender identity services: A UK study. Journal of Gay & Lesbian Mental Health, 19(1), 4–20. https://doi.org/10.1080/19359705.2014.960990
  • Fraser, G., Shields, J. K., Brady, A., & Wilson, M. (2018). The postcode lottery: Gender-affirming healthcare provision across New Zealand’s District Health Boards [Unpublished manuscript]. Victoria University of Wellington. https://osf.io/f2qkr/
  • Fraser, G. (2020). Rainbow experiences of accessing mental health support in Aotearoa New Zealand: A community-based mixed methods study [PhD thesis]. Victoria University of Wellington. https://researcharchive.vuw.ac.nz/xmlui/handle/10063/9042
  • Frohard-Dourlent, H., MacAulay, M., & Shannon, M. (2020). Experiences of surgery readiness assessments in British Columbia. International Journal of Transgender Health, 21(2), 147–162. https://doi.org/10.1080/26895269.2020.1742842
  • Gender Minorities Aotearoa. (2017). Glossary of gender related terms and how to use them. https://genderminoritiesaotearoa.files.wordpress.com/2016/06/gender-minorities-aotearoa-glossary-gender-minority-words-and-how-to-use-them.pdf
  • Hanna, M. (2017). NZ political parties’ transgender health plans. https://honestuniverse.com/2017/08/30/nz-political-parties-transgender-health-plans/#labour
  • Hine, W. (2016, September 21). Doctor blasts ‘outrageous 40-year waiting list’ for NZ’s transgender patients. One News. https://www.tvnz.co.nz/one-news/new-zealand/doctor-blasts-outrageous-40-year-waiting-list-nzs-transgender-patients
  • Human Rights Commission. (2008). To be who I am: Report of the inquiry into discrimination experienced by transgender people. https://www.hrc.co.nz/files/5714/2378/7661/15-Jan-2008_14-56-48_HRC_Transgender_FINAL.pdf
  • Johnson, A. H. (2015). Normative accountability: How the medical model influences transgender identities and experiences. Sociology Compass, 9(9), 803–813. https://doi.org/10.1111/soc4.12297
  • Ker, A., Fraser, G., Lyons, A., Stephenson, C., & Fleming, T. (2020). Providing gender-affirming hormone therapy through primary care: service users’ and health professionals’ experiences of a pilot clinic. Journal of Primary Health Care, 12(1), 72–78. https://doi.org/10.1071/HC19040
  • Kerekere, E. (2017). Part of The Whānau: The Emergence of Takatāpui Identity - He Whāriki Takatāpui [Doctoral thesis]. Victoria University of Wellington. https://researcharchive.vuw.ac.nz/xmlui/bitstream/handle/10063/6369/thesis_access.pdf?sequence=1
  • Lev, A. I. (2004). Transgender emergence: Therapeutic guidelines for working with gender-variant people and their families. Routledge.
  • Lev, A. I., & Sennott, S. L. (2020). Clinical work with LGBTQ parents and prospective parents. In A. E. Goldberg & K. R. Allen (Eds.), LGBTQ-parent families (pp. 383–403). Springer.
  • Lewis, E., Vincent, B., Brett, A., Gibson, S., & Walsh, R. J. (2017). I am your trans patient. BMJ, 357, 1–3.
  • Lykens, J. E., LeBlanc, A. J., & Bockting, W. O. (2018). Healthcare experiences among young adults who identify as genderqueer or nonbinary. LGBT Health, 5(3), 191–196. https://doi.org/10.1089/lgbt.2017.0215
  • McDonald, E., & Byrne, J. (2015). The legal status of transsexual and transgender persons in Aotearoa New Zealand. In J. M. Scherpe (Ed.), The legal status of transsexual and transgender persons (pp. 527–568). Intersentia.
  • McNeil, J., Bailey, L., Ellis, S., Morton, J., & Regan, M. (2012). Trans Mental Health Study 2012. Scottish Transgender Alliance.
  • Meezan, W., & Martin, J. I. (2003). Exploring current themes in research on gay, lesbian, bisexual and transgender populations. Journal of Gay & Lesbian Social Services, 15(1–2), 1–14. https://doi.org/10.1300/J041v15n01_01
  • Ministry of Health. (2018a). Briefing on gender reassignment surgery: Health report number 20180307. Ministry of Health.
  • Ministry of Health. (2018b). Gender reassignment surgery. http://www.health.govt.nz/our-work/preventative-health-wellness/delivering-health-services-transgender-people/gender-reassignment-surgery
  • Murad, M. H., Elamin, M. B., Garcia, M. Z., Mullan, R. J., Murad, A., Erwin, P. J., & Montori, V. M. (2010). Hormonal therapy and sex reassignment: A systematic review and meta-analysis of quality of life and psychosocial outcomes. Clinical Endocrinology, 72(2), 214–231. https://doi.org/10.1111/j.1365-2265.2009.03625.x
  • Oliphant, J., Veale, J., Macdonald, J., Carroll, R., Johnson, R., Harte, M., Stephenson, C., & Bullock, J. (2018). Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in Aotearoa. Transgender Health Research Lab, University of Waikato.
  • Pitts, M., Couch, M., Croy, S., Mitchell, A., & Mulcare, H. (2009). Health service use and experiences of transgender people: Australian and New Zealand perspectives. Gay and Lesbian Issues and Psychology Review, 5(3), 167–176.
  • PrideNZ. (2011). Phylesha Brown-Acton delivers a keynote presentation. http://www.pridenz.co/apog_phylesha_brown_acton_%0Akeynote.html
  • Professional Association for Transgender Health Aotearoa. (2019). New group advocates for the health of transgender people. https://patha.nz/News/8098805
  • Rachlin, K. (2002). Transgender individuals’ experiences of psychotherapy. International Journal of Transgenderism, 6(1), 97–103
  • Riggs, D. W., Pearce, R., Pfeffer, C. A., Hines, S., White, F., & Ruspini, E. (2019). Transnormativity in the psy disciplines: Constructing pathology in the diagnostic and statistical manual of mental disorders and standards of care. American Psychologist, 74(8), 912–924. https://doi.org/10.1037/amp0000545
  • Rowe, W. (2014). Auditioning for care: Transsexual men in Ontario accessing health care. In D. Irving & R. Raj (Eds.), Trans activism in Canada: A reader (pp. 209–224). Canadian Scholars’ Press.
  • Russell, G. M., & Bohan, J. S. (2005). The gay generation gap: Communicating across the LGBT generational divide. Angles: The Policy Journal of the Institute for Gay and Lesbian Strategic Studies, 8(1), 1–8.
  • Schulz, S. L. (2018). The informed consent model of transgender care: An alternative to the diagnosis of gender dysphoria. Journal of Humanistic Psychology, 58(1), 72–92. https://doi.org/10.1177/0022167817745217
  • Serano, J. (2016). No desistance, detransition and disinformation: A guide for understanding transgender children debates. https://medium.com/@juliaserano/detransition-desistance-and-disinformation-a-guide-for-understanding-transgender-children-993b7342946e
  • Sperber, J., Landers, S., & Lawrence, S. (2008). The health and social services needs of transgender people in Philadelphia. International Journal of Transgenderism, 8(2–3), 31–47.
  • Stop Trans Pathologization. (2012). Manifesto: International network for trans depathologization. https://www.stp2012.info/old/en/manifesto
  • Taylor, E. T. (2013). Transmen’s health care experiences: Ethical social work practice beyond the binary. Journal of Gay & Lesbian Social Services, 25(1), 102–120. https://doi.org/10.1080/10538720.2013.750575
  • Temple Newhook, J., Pyne, J., Winters, K., Feder, S., Holmes, C., Tosh, J., Sinnott, M.-L., Jamieson, A., & Pickett, S. (2018). A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children. International Journal of Transgenderism, 19(2), 212–224. https://doi.org/10.1080/15532739.2018.1456390
  • Trevett, C. (2015, May 20). Sex-change funding not a priority. New Zealand Herald.https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11451289
  • Vance, S. R., Jr., Cohen-Kettenis, P. T., Drescher, J., Meyer-Bahlburg, H. F., Pfäfflin, F., & Zucker, K. J. (2010). Opinions about the DSM gender identity disorder diagnosis: Results from an international survey administered to organizations concerned with the welfare of transgender people. International Journal of Transgenderism, 12(1), 1–14. https://doi.org/10.1080/15532731003749087
  • Veale, J., Byrne, J., Tan, K., Guy, S., Yee, A., Nopera, T., & Bentham, R. (2019). Counting ourselves: The health and wellbeing of trans and non-binary people in Aotearoa New Zealand. Transgender Health Research Lab, University of Waikato.
  • Vipond, E. (2015). Resisting transnormativity: Challenging the medicalization and regulation of trans bodies. Theory in Action, 8(2), 21–44. https://doi.org/10.3798/tia.1937-0237.15008
  • White Hughto, J. M., & Reisner, S. L. (2016). A systematic review of the effects of hormone therapy on psychological functioning and quality of life in transgender individuals. Transgender Health, 1(1), 21–31. https://doi.org/10.1089/trgh.2015.0008
  • Wi-Hongi, A., Greig, A., & Hazenburg, E. (2017). Towards a model of informed consent: Trans healthcare in Aotearoa New Zealand. In E. Hazenberg & M. Meyerhoff (Eds.), Representing trans: Linguistic, legal and everyday perspectives (pp. 153–170). Victoria University Press.

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