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UBC Theses and Dissertations
Gendered and reproductive becomings : trans people, reproductive experiences and the B.C. health care system Lowik, A.J. Fenning
Abstract
Prior research has demonstrated that pervasive cisnormativity results in informational and institutional erasure when it comes to the health care needs of trans-identified people. This dissertation mobilizes the metaphors of choreography and improvisation to explore how trans-identified people dynamically navigate reproductive health spaces, specifically, which are built on foundations of cisnormativity as well as other dominant ideologies including heteronormativity, repronormativity and transnormativity. Using the lens of choreography, this research demonstrates that the various elements that come together in reproductive health spaces (namely knowledges, practices, and other actors) do so in ways that anticipate that the patient will be cisgender. As a result, the unanticipated trans-identified patient must employ a variety of improvisational tactics in pursuit of reproductive health care that is safe and affirming, suturing together these choreographic elements in different ways from what was intended by the choreographic systems of power. To identify and document these improvisational strategies, semi-structured interviews were conducted with 14 trans-identified people. Participants were living in either the West Kootenays or the Greater Vancouver Area of British Columbia and were eligible to participate if they had discussed one or more facet(s) of their reproductive life, health, or desires with one or more health care provider(s) within the province. Participants were also invited to engage in a participatory photography exercise, and were interviewed twice – one initial interview, and one follow-up interview after the photography exercise was complete. A small subset of the 119 photographs that were produced for this study have been included in this analysis, along with excerpts from the 28 interviews. This research utilizes a critical discourse analysis approach where master narratives are akin to choreography and alternative narratives are akin to improvisation. The research findings itemize a wide range of improvisational tactics which were undertaken by the participants, and document the emotional, physical, psychological, and health-related consequences of this extensive undue labour. The findings suggest that the onus to address erasure in reproductive health care spaces is placed on trans-identified people and that there are structural forces that prevent this erasure from being addressed more systematically and institutionally.
Item Metadata
Title |
Gendered and reproductive becomings : trans people, reproductive experiences and the B.C. health care system
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Creator | |
Supervisor | |
Publisher |
University of British Columbia
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Date Issued |
2021
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Description |
Prior research has demonstrated that pervasive cisnormativity results in informational and institutional erasure when it comes to the health care needs of trans-identified people. This dissertation mobilizes the metaphors of choreography and improvisation to explore how trans-identified people dynamically navigate reproductive health spaces, specifically, which are built on foundations of cisnormativity as well as other dominant ideologies including heteronormativity, repronormativity and transnormativity. Using the lens of choreography, this research demonstrates that the various elements that come together in reproductive health spaces (namely knowledges, practices, and other actors) do so in ways that anticipate that the patient will be cisgender. As a result, the unanticipated trans-identified patient must employ a variety of improvisational tactics in pursuit of reproductive health care that is safe and affirming, suturing together these choreographic elements in different ways from what was intended by the choreographic systems of power. To identify and document these improvisational strategies, semi-structured interviews were conducted with 14 trans-identified people. Participants were living in either the West Kootenays or the Greater Vancouver Area of British Columbia and were eligible to participate if they had discussed one or more facet(s) of their reproductive life, health, or desires with one or more health care provider(s) within the province. Participants were also invited to engage in a participatory photography exercise, and were interviewed twice – one initial interview, and one follow-up interview after the photography exercise was complete. A small subset of the 119 photographs that were produced for this study have been included in this analysis, along with excerpts from the 28 interviews. This research utilizes a critical discourse analysis approach where master narratives are akin to choreography and alternative narratives are akin to improvisation. The research findings itemize a wide range of improvisational tactics which were undertaken by the participants, and document the emotional, physical, psychological, and health-related consequences of this extensive undue labour. The findings suggest that the onus to address erasure in reproductive health care spaces is placed on trans-identified people and that there are structural forces that prevent this erasure from being addressed more systematically and institutionally.
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Genre | |
Type | |
Language |
eng
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Date Available |
2024-09-30
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivatives 4.0 International
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DOI |
10.14288/1.0406081
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2022-05
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Campus | |
Scholarly Level |
Graduate
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DSpace
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Rights
Attribution-NonCommercial-NoDerivatives 4.0 International