262
Views
1
CrossRef citations to date
0
Altmetric
Articles

“I Gender Normed as Much as I Could”: Exploring Nonbinary People’s Identity Disclosure and Concealment Strategies in Reproductive Health Care Spaces

ORCID Icon
Pages 531-549 | Received 02 Aug 2022, Accepted 16 Nov 2022, Published online: 19 Dec 2022

References

  • Adrian, S. W. (2015). Psychological IVF: Conceptualizing emotional choreography in a fertility clinic. Distinktion: Journal of Social Theory, 16(3), 302–317. https://doi.org/10.1080/1600910X.2015.1091780
  • Allen, D., & Cloyes, K. (2005). The language of ‘experience’ in nursing research. Nursing Inquiry, 12(2), 98–105. https://doi.org/10.1111/j.1440-1800.2005.00259.x
  • Aronsoon, K. (1998). Identity-in-interaction and social choreography. Research on Language and Social Interaction, 31(1), 75–89. https://doi.org/10.1207/s15327973rlsi3101_5
  • Ashley, F. (2022). ‘Trans’ is my gender modality: A modest terminological proposal. In L. Erickson-Schroth (Ed.), Trans bodies, trans selves: A resource by and for transgender communities (2nd ed., p. 22). Oxford University Press.
  • Ashley, F. (2021). ‘X’ why? Gender markers and non-binary transgender people. In I. C. Jaramillo & L. Carlson (Eds.), Trans rights and wrongs: A comparative study of legal reform concerning trans persons (pp. 33–48). Springer.
  • Baldwin, A., Dodge, B., Schick, V. R., Light, B., Scharrs, P. W., Herbenick, D., & Fortenberry, J. D. (2018). Transgender and genderqueer individuals’ experiences with health care providers: What’s working, what’s not, and where do we go from here? Journal of Health Care for the Poor and Underserved, 29(4), 1300–1318. https://doi.org/10.1353/hpu.2018.0097
  • Bamberg, M., & Andrews, M. (2004). Considering counternarratives: Narrating, resisting, making sense. John Benjamins.
  • Bauer, G. R., Hammond, R., Travers, R., Kaay, M., Hohenadel, K. M., & Boyce, M. (2009). “I don’t think this is theoretical; this is our lives”: How erasure impacts health care for transgender people. The Journal of the Association of Nurses in AIDS Care, 20(5), 348–361. https://doi.org/10.1016/j.jana.2009.07.004
  • Bindman, J., Ngo, Z., Zamudio-Haas, S., & Sevelius, J. (2021). Health care experiences of patients with nonbinary gender identities. Transgender Health, 7(5), 423–9.
  • Brennan, J. M., Dunham, K. J., Bowlen, M., Davis, K., Ji, G., & Cochran, B. N. (2021). Inconcealable: A cognitive-behavioral model of concealment of gender and sexual identity and associations with physical and mental health. Psychology of Sexual Orientation and Gender Diversity, 8(1), 80–93. https://doi.org/10.1037/sgd0000424
  • Bry, L. J., Mustanski, B., Garofalo, R., & Burns, M. N. (2017). Management of a concealable stigmatized identity: A qualitative study of concealment, disclosure and role flexing among young, resilient sexual and gender minority individuals. Journal of Homosexuality, 64(6), 745–769. https://doi.org/10.1080/00918369.2016.1236574
  • Bryson, M., & MacIntosh, L. B. (2010). Can we play Fun Gay? Disjunction and difference, and the precarious mobilities of millennial queer youth narratives. International Journal of Qualitative Studies in Education, 23(1), 101–124. https://doi.org/10.1080/09518390903447150
  • Bryson, M. K., Taylor, E. T., Boschman, L., Hart, T. L., Gahagan, J., Rail, G., & Ristock, J. (2020). Awkward choreographies from cancer’s margins: Incommensurabilities of biological and biomedical knowledge in sexual and/or gender minority cancer patients’ treatment. The Journal of Medical Humanities, 41(3), 341–361. https://doi.org/10.1007/s10912-018-9542-0
  • Cavalcante, A. (2017). Breaking into transgender life: Transgender audiences’ experiences with “first of its kind” visibility in popular media. Communication, Culture & Critique, 10(3), 538–555. https://doi.org/10.1111/cccr.12165
  • Davies, C., Elder, C. V., Riggs, D. W., & Robinson, K. H. (2021). The importance of informed fertility counselling for trans young people. The Lancet Child & Adolescent Health, 5(9), e36–e37. https://doi.org/10.1016/S2352-4621(21):00234-0
  • Denbow, J. (2014). Sterilization as cyborg performance: Reproductive freedom and the regulation of sterilization. Frontiers: A Journal of Women Studies, 35(1), 107–131. https://doi.org/10.5250/fronjwomestud.35.1.0107
  • Friley, L. B., & Venetis, M. K. (2022). Decision-making criteria when contemplating disclosure of transgender identity to medical providers. Health Communication, 37(8), 1031–1040. https://doi.org/10.1080/10410236.2021.1885774
  • Flynn, S., & Smith, N. G. (2021). Interactions between blending and identity concealment: Effects of non-binary people’s distress and experiences of victimization. PloS One, 16(3), e0248970. https://doi.org/10.1371/journal.pone.0248970
  • Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the national transgender discrimination survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf
  • Grzanka, P. R., Adler, J., & Blazer, J. (2015). Making up allies: The identity choreography of straight LGBT activism. Sexuality Research and Social Policy, 12(3), 165–181. https://doi.org/10.1007/s13178-014-0179-0
  • Harper, D. (2002). Talking about pictures: A case for photo elicitation. Visual Studies, 17(1), 13–26. https://doi.org/10.1080/14725860220137345
  • Heng, A., Heal, C., Banks, J., & Preston, R. (2018). Transgender peoples’ experiences and perspectives about general healthcare: A systematic review. International Journal of Transgenderism, 19(4), 359–378. https://doi.org/10.1080/15532739.2018/1502711
  • Hinrichs, A., Link, C., Seaquist, L., Ehlinger, P., Aldrin, S., & Pratt, R. (2018). Transgender and gender nonconforming patient experiences at a family medicine clinic. Academic Medicine, 93(1), 76–81. https://doi.org/10.1097/ACM.0000000000001837
  • Holleb, M. L. E. (2019). The A-Z of gender and sexuality: From ace to ze. Jessica Kingsley Publishers.
  • Holstein, J. A., & Gubrium, J. F. (2012). Narrative practice and the transformation of interview subjectivity. In J. Gubrium, J. Holstein, A. Marvasti, & K. McKinney (Eds.), The SAGE handbook of interview research: The complexity of the craft (2nd ed., pp. 27–43). SAGE Publications.
  • Janesick, V. J. (1994). The dance of qualitative research design: Metaphor, methodolatry and meaning in strategies of qualitative inquiry. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 35–55). Sage.
  • Kamen, C. S., Smith-Stoner, M., Heckler, C. E., Flannery, M., & Margolies, L. (2015). Social support, self-rated health, and lesbian, gay, bisexual, and transgender identity disclosures to cancer care providers. Oncology Nursing Forum, 42(1), 44–51. https://doi.org/10.1188/15.ONF.44-51
  • Kapusta, S. J. (2016). Misgendering and its moral contestability. Hypatia, 31(3), 502–519. https://doi.org/10.1111/hypa.12259
  • Kcomt, L., Gorey, K. M., Barrett, B. J., & McCabe, S. E. (2020). Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirming environments. SSM - Population Health, 11, 100608. https://doi.org/10.1016/j.ssmph.2020.100608
  • Lowik, A. (2018). Reproducing eugenics, reproducing while trans: The state sterilization of trans people. Journal of GLBT Family Studies, 14(5), 425–445. https://doi.org/10.1080/1550428X.2017.1393361
  • Lyotard, J. (1984). The postmodern condition: A report on knowledge (G. Bennington & B. Massumi, Trans.). University of Minnesota Press. (Original work published 1979)
  • Maragh-Bass, A. C., Torain, M., Adler, R., Ranjit, A., Schneider, E., Shields, R. Y., Kodadek, L. M., Snyder, C. F., German, D., Peterson, S., Schuur, J., Lau, B. D., & Haider, A. H. (2017). Is it okay to ask: Transgender patient perspectives on sexual orientation and gender identity collection in healthcare. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 24(6), 655–667. https://doi.org/10.1111/acem.13182
  • Maxwell, E., Mathews, M., & Mulay, S. (2019). More than a biological condition: The heteronormative framing of infertility. Canadian Journal of Bioethics, 1(2), 63–66. https://doi.org/10.7202/1058269ar
  • McKay, T. R., & Watson, R. J. (2020). Gender expansive youth disclosure and mental health: Clinical implications of gender identity disclosure. Psychology of Sexual Orientation and Gender Diversity, 7(1), 66–75. https://doi.org/10.1037/sgd0000354
  • Milligan, L. (2016). Insider-outsider-inbetweener? Research positioning, participative methods and cross-cultural educational research. Compare: A Journal of Comparative and International Education, 46(2), 235–250. https://doi.org/10.1080/03057925.2014.928510
  • Nadler, L. E., Ogden, S. N., Scheffey, K. L., Cronholm, P. F., & Dichter, M. E. (2021). Provider practices and perspectives regarding collection and documentation of gender identity. Journal of Homosexuality, 68(6), 901–913. https://doi.org/10.1080/00918369.2019.1667162
  • Paine, E. A. (2018). Embodied disruption: “Sorting out” gender and non-conformity in the doctor’s office. Social Science & Medicine, 211, 352–358. https://doi.org/10.1016/j.socscimed.2018.06.039
  • Pfeffer, C. (2012). Normative resistance and inventive pragmatism: Negotiating structure and agency in transgender families. Gender & Society, 26(4), 574–602. https://doi.org/10.1177/0891243212445467
  • Roller, C. G., Sedlak, C., & Draucker, C. B. (2015). Navigating the system: How transgender individuals engage in health care services. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing, 47(5), 417–424. https://doi.org/10.1111/jno.12160
  • Rood, B., Maroney, M. R., Puckett, J. A., Berman, A. K., Reisner, S. L., & Pantalone, D. W. (2017). Identity concealment in transgender adults: A qualitative assessment of minority stress and gender affirmation. The American Journal of Orthopsychiatry, 87(6), 704–713. https://doi.org/10.1037/ort0000303
  • Sallans, R. K. (2016). Lessons from a transgender patient for health care professionals. AMA Journal of Ethics, 18(11), 1139–1146. https://doi.org/10.1001/journalofethics.2016.18.11.mnar1-1611
  • Singer, B. (2015). The profusion of things: The pressures trans men negotiate in higher education. TSQ: Transgender Studies Quarterly, 2(1), 58–76. https://doi.org/10.1215/23289252-2848886
  • Sutherland, D. K. (2022). Exploring factors contributing to care-seekers’ level of discomfort discussing a transgender identity in a health care setting. Journal of Gay & Lesbian Social Services, 34(2), 207–226. https://doi.org/10.1080/10538720.2021.1948483
  • Thompson, C. (2005). Making parents: The ontological choreography of reproductive technologies. MIT Press.
  • Thompson, H. M. (2016). Patient perspectives on gender identity data collection in electronic health records: An analysis of disclosure, privacy, and access to care. Transgender Health, 1(1), 205–215. https://doi.org/10.1089/trgh.2016.0007
  • Thornton, M. (2019). Trans/criptions: Gender, disability, and liturgical experience. TSQ: Transgender Studies Quarterly, 6(3), 358–367. https://doi.org/10.1215/23289252-7549456
  • Väyrynen, T., Puumala, E., Pehkonen, S., Kynsilehto, A., & Vaittinen, T. (2017). Choreographies of resistance: Mobile bodies and relational politics. Rowman and Littlefield International.
  • Vermeir, E., Jackson, L. A., & Marshall, E. G. (2018). Barriers to primary and emergency healthcare for trans adults. Culture, Health & Sexuality, 20(2), 232–246. https://doi.org/10.1080/13691058.2017.1338757
  • wallace, j. (2020, January). The first! The very first! Well, the first legally male, legally married trans guy to be pregnant! [Paper presentation]. Trans Pregnancy Conference, Leeds, UK.
  • White Hughto, J. M., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms and interventions. Social Science & Medicine, 147, 222–231. https://doi.org/10.1016/j.socscimed.2015.11.010
  • Wingo, E., Ingraham, N., & Roberts, S. C. M. (2018). Reproductive health care priorities and barriers to effective care for LGBTQ people assigned female at birth: A qualitative study. Women’s Health Issues: official Publication of the Jacobs Institute of Women’s Health, 28(4), 350–357. https://doi.org/10.1016/j.whi.2018.03.002

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.