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Global Trans Medicine

Name: Global Trans Medicine
Brand: NEW YORK UNIVERSITY PRESS
SKU: 9781479839155
Price: 190.0 AUD
Availability: InStock

NEW YORK UNIVERSITY PRESSISBN: 9781479839155

How Knowledge and Culture Shape Gender-Affirming Healthcare

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$190.00

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By Alyssa Lynne-Joseph
Imprint: NEW YORK UNIVERSITY PRESS
Release Date: August 30, 2027
Format: HARDBACK
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Pages: 288

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A postcolonial critique of gender-affirming healthcare Beginning in 2015, the emergence of gender-affirming healthcare as a new approach in transgender medicine seemed to mark a key turning point in the field. Across the globe, clinicians, patients, advocates, and activists articulated visions for care that emphasized shared decision-making and responsiveness to individualized experiences of gender. Yet the promise of gender-affirming healthcare failed to materialize for many trans and gender diverse people. In Global Trans Medicine, Alyssa Lynne-Joseph argues that ideas about expertise, gender, and race forged through colonialism challenge efforts to advance gender-affirming healthcare globally. Adopting a transnational approach that encompasses Thailand and the U.S., Lynne-Joseph argues that two knowledge hierarchies--one between Global North and Global South and the other between professional and lay expertise--converge to sustain dominant ways of knowing related to gender nonconformity and medicine. Examining the movement of medical knowledge across national borders, Lynne-Joseph shows that a multidirectional flow of knowledge between the U.S. and Thailand exists, but that U.S. knowledge is endowed with greater transnational mobility due to perceptions about its universality. The standardization of care around Global North knowledge, and a hegemonic notion of white, binary transgender identity, stymies gender-affirming approaches to care in both the U.S. and Thailand. Drawing on over 80 interviews, observations at transgender health conferences, and content analysis of medical journals and clinical practice guidelines, Lynne-Joseph offers a postcolonial critique that shows how the dominant forms of knowledge in transgender medicine work against the aims of gender-affirming healthcare on a transnational scale. Ultimately, Global Trans Medicine urges us to consider how the institution of medicine could look different if it reckoned with the inequalities in knowledge processes that shape interactions between experts across cultural contexts as well as professional and lay domains.

Alyssa Lynne-Joseph is Assistant Professor in the Department of Sociology at Wichita State University.

"Alyssa Lynne-Joseph takes an innovative approach to trans medicine, using both postcolonial theory and empirical research. Interviews with doctors and trans activists in the USA and Thailand reveal the tensions around professionalism, community-based knowledge, and ideals of gender-affirming care. A valuable study, with lessons for the global North as well as the South."-- "Raewyn Connell, author of Trans Lives: Social Realities across the Globe" "This detailed postcolonial critique of gender-affirming healthcare is what's been missing from trans studies. Lynne-Joseph skillfully shows us how trans medical discourse and practice in the U.S. are privileged throughout the world in ways the perpetuate trans violence in the Global South. It is a powerful must read."-- "Georgiann Davis, author of Contesting Intersex and Five Star White Trash" "Global Trans Medicine offers a sharp account of how power shapes whose knowledge counts in gender-affirming healthcare. Comparing the United States and Thailand, Lynne-Joseph shows how professional authority and global inequalities determine which forms of expertise travel, which are dismissed, and which come to guide medical practice. This incisive book challenges familiar assumptions about medical knowledge and where innovation comes from."-- "stef shuster, author of Trans Medicine: The Emergence and Practice of Treating Gender" "Lynne-Joseph has written an extraordinary ethnography of global transgender healthcare. Following clinicians, patients, advocates, and activists across multiple countries and institutional settings, she uncovers the complex negotiations through which medical authority is constructed, contested, and circulated. Global Trans Medicine is a profound contribution to our understanding of gender-affirming care, demonstrating that questions of healthcare are always also questions of power, coloniality, and whose lives are imagined as possible."-- "TJ Billard, author of Voices for Transgender Equality: Making Change in the Networked Public Sphere"

Global Trans Medicine

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