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Monthly Archives: October 2012

Recognition Not Pathologisation- how bad could it be?

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Originally posted at Consider the Tea Cosy

With tomorrow’s International Day of Action for Trans* Depathologisation, there’s a lot of talk going around about why and how we need to recognise trans* people’s legal rights. And I’m struck by how much of a big deal is being made over what is, in essence, the simplest thing.

Ally?

What do we want?

It’s been five years today since Lydia Foy won her case for gender recognition. Five long years. In those five years, we’ve seen the publication of the GRAG report and, uh, very little else. By the sounds of it, gender recognition must be a complicated thing, right? Requiring all sorts of intricate legislative bits and bobs (the technical term) to sort out?

That depends. As with so many things, what it depends on is perspective. It turns out, the complexity of gender recognition legislation seems to depend mainly on whether you see being trans* as a tragic medical condition, or a normal part of human variation that should be recognised. On whether you’re determined to Other trans* people or to acknowledge that gender is a thing that lives between our ears that we get to define any which way we like. Turns out that if we go with the second definition, things get simple really, really quickly.

Legalise Trans*

Medical Tragedies or Self-Definitions

So what is being trans*? Is it a bizarre medical tragedy, an affliction that a small minority of people have to live with? Something a little bit scary that some people ust can’t help but that we should absolutely not be encouraging? Or is it a perfectly normal, if a bit less common than being cis, way to define yourself? And how does the answer to that question change what laws we put in place?

The recommendations of the GRAG report indicate that it tends toward the former definition. Here’s Maman Poulet:

The FF/Green Government formed the Gender Recognition Advisory Group in May 2010 to look at the issues which presented themselves following the Foy case. The group was entirely composed of Civil Servants and even though they received submissions and met with many groups from the rights and LGBT communities it is very evident that they really didn’t get it if an unnamed expert hadn’t told them.

Why was there no Trans rep on committee to at least provide an alternate view if even dissenting one? When the Government formed a group to look at the options for recognition of same sex relationships GLEN got a seat at the table….

The report recommends that Trans People applying for their gender to be recognised will have to have a formal diagnosis of Gender Identity Disorder with evidence of medical treatments or will have to have had Gender Reassignment Surgery. This means that one has to have had hormones and mental health treatment and assessment or gender surgery (and hormones and mental health assessment/treatment and everything else)… There is no understanding of the issues facing InterSex here at all..

…The report proposes that there is a panel which people will have to appear before made up of medical and legal representatives and one other where the applicant will will be told if they are a man or woman in the eyes of the state.

I know Trans people who are married and happily so, I know others who are divorced or separated. The report recommends that those applying for Gender Recognition be required to divorce or end their Civil Partnership before they can apply.

Let’s go over that again. In order to change their legal gender, a person would have to:

  • Present a formal diagnosis of GID (defined as a mental illness)
  • Have had medical treatments and/or surgical intervention
  • Appear before a panel of medical and legal representatives to make their case
  • If married, divorce.
  • Oh, and also, because of the definition of GID, you can’t be intersex.

That’s a lot of barriers. You have to be diagnosed as mentally ill. You have to chemically or surgically change your body- which means that gender recognition would be denied to those who, for financial or medical reasons, can’t do this. Never mind bodily integrity. You have to convince a panel of strangers. And if you are happily married, you need to split up your family. And, most bizarrely of all, you need to have a binary-sexed body.

Can I diagnose you too?

I could go into why this is ridiculous, but I’m going to trust that my lovely readers can work that out for yourselves. Instead, I want to show you a different model that is in place right now in Argentina. Let’s check out what TENI have to say about it:

The Argentinian Law is based on self-determination and provides full recognition of self-defined gender identity. Transgender people in Argentina will not need to prove they have had surgical procedures, hormonal therapy or other psychological treatment such as a diagnosis of a mental illness. This law clearly separates a legal right from medical interventions.
This law has been heralded as the most progressive in the world and signals a new era for transgender human rights. Justus Eisfeld, Co-director of Global Action for Trans Equality told press, “The fact that there are no medical requirements at all — no surgery, no hormone treatment and no diagnosis — is a real game changer and completely unique in the world. It is light years ahead of the vast majority of countries.”
However, while clearly separating medical interventions from the legal recognition process, the Argentinian law also provides a right to access any desired medical treatment which firmly enshrines the importance of transgender healthcare.

Huh. Well. Um. That was easy. So in order to get your gender legally recognised in Argentina you have to:

  • Fill out a form. Probably take it in to be stamped by someone because this is a bureaucracy we’re talking about. I’ll bet there’s some queueing involved, so you might want to bring a book.
  • Receive new documentation with correct gender.
  • Continue to be able to freely access whatever medical transition you need to. THIS BIT IS IMPORTANT. Gender diversity is awesome. Gender dysphoria is really, really not, and depathologisation without ensuring access to treatment for dysphoria for everyone who needs it is worse than useless.
  • Have a cup of tea, read the paper, give out about things on the internet, watch TV, go for a run, get on with your life, etcetc.

That last bit, by the way, is optional and can be adapted to your own preferences. As is the first bit. You might prefer a few podcasts to a book.

Note, by the way, how this involves vastly less hassle for everyone than the proposed Irish model. And how it also guarantees any trans* person the right to the transition-related healthcare that they want or need. So what, precisely, is getting in the way of Ireland doing the same? What are we so scared of? What’s the worst that could happen?

Time to do a poodle

If we make it easy to change your gender, everyone will want to do it!

Fearmongers envisage a society where you, me, your ma and your entire secondary school history class are changing our genders like we change our shoes. In my case, that would be as rarely as possible, when the old ones are worn out and full of holes, with an awful lot of grumbling. But I gather that I’m not representative of everyone.

So there we are, with everyone changing their genders whenever the mood strikes them. Down is up, left is right, nobody knows what to call anybody and everyone’s in such a panic that they can’t even remember how to make a nice cuppa anymore.

Shocked woman with a cup of tea
It’s okay, scared lady from the internet. It’ll be fine, I promise.

What nobody seems to have explained is why this would be such a bad thing in the first place. If gender is all about how we identify ourselves, then why shouldn’t we get to change it? Why shouldn’t you, me, your ma and your entire secondary school history class get to cheerfully toddle down to the relevant department, sign a couple of dozen forms, hand over the inevitable fee and then do it all again a few weeks later when they change their mind? Why on earth would that be so terrible?

In fact, it might be pretty great.

For one thing, we’re in a recession here, and changing documents always costs money. Wouldn’t the hordes of people changing their gender markers be a fantastic source of revenue?

For another thing, this scenario inevitably means that people are going to magically forget that they live in a world filled with cissexism and transphobia and instead cheerfully (and with legal recognition) explore all the gender possibilities that they can. Nobody would get to assume just by looking, or by having known what it was last week, that they knew a person’s gender! Asking “what’s your pronoun?” would become as ordinary a question as “Jaysus, will this rain ever stop?”.

Of course, this scenario- as delightful as it is- is ridiculous. I’m sure there are some people in the world who like filling out forms for the lulz. I’m equally sure that it’s a minority sport.

So with that scenario out of the way, what else is there to be scared of?

Dogs And Cats Living Together

Did you notice that in Argentina, there’s no requirement to divorce the person you love in order to get your gender markers changed? That’s because in Argentina, they’ve reinforced their buildings from falling skies and reinforced their umbrellas for downpours of (literal) cats and dogs. All necessary precautions in order to allow same-sex marriage.

Terrifying gays getting married
Under your very nose!

That’s right. If you let trans* people’s genders be recognised without forcing them to get divorced first, you’re going to have a situation where perfectly normal het couples, through a magical process probably involving radioactive spiders, start morphing into gay marrieds. Before your very eyes! WHO WILL BE SAFE? YOUR OWN NEIGHBOURS COULD TURN INTO THE GAYS AT ANY MOMENT.

So, uh, that’d be scary, right? Right? …….right?

What’ll we gain?

Oh, you know. Just little things. Dignity. Trans* people not being forced to out themselves whenever they have to present legal documents. Embracing people for who they are. Honouring bodily integrity and the sovereignty of each of us. Massive symbolic recognition throughout the country.

Little things like that.

Why’re you telling me all this now?

You can’t have forgotten, can you? Tomorrow is the International Day of Action for Trans* Depathologisation! If you’re in Dublin or can get here, and you’re even half as sick as I am of ridiculous, unnecessary barriers put in the way of trans* people’s legal rights, get that (remarkably attractive) ass of yours out to Kildare Street for 2.30pm.

Rally for Recognition Saturday 20th October 2012, 2.30pm


Edited to add a Very Important Thing:

In writing this, I’ve realised- almost instantly after hitting ‘post’- that something that I’ve left out here is anything about gender dysphoria. As I’m running out the door right now, I’m going to leave you with some quotes from the wonderful Quarries & Corridors. Listen up, because this bit’s important!

There’s an incredibly important distinction that needs to be made clearly, front and centre in any debate about depathologising trans people. Having a gender that differs from that assigned to you at birth isn’t illness, it’s the gender dysphoria resulting from this that is. That may seem like semantics, but there is nothing wrong with me for having a nonbinary gender, I used to have gender dysphoria, now treated. Similarly, no one is ill for being a trans man or a trans woman, but the gender dysphoria from not having that recognised and affirmed hurts. The DSM-5 is already removing ‘Gender Identity Disorder’ & replacing it with ‘Gender Dysphoria’, pathologising our dysphoria not our genders. I think this is the right approach. It lets me be transgender without that being seen as disordered, it maintains access to medical care. Anyone making a lot of noise about depathologising trans* without making these important distinctions up front’s likely to do serious damage.

So let’s not forget that, k?

Callout culture, tone trolling and being the Perfect Ally

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This morning, I was linked to a couple of interesting articles, Liberal bullying: Privilege-checking and semantics-scolding as internet sport at the Offbeat Empire, and Pyromaniac Harlot’s The Unicorn Ally. As social justice, communication and the idea of being an ally have been on my mind a lot lately, these provided food for thought. Both authors are people who, like me and like most people, intersect on both sides of the oppressed/ally fence. Both raise some important questions to which I don’t have any easy answers. I’d love a conversation.

Callout culture versus tone trolling- How important are semantics?

In Liberal Bullying, Ariel Meadow Stallings argues that callous culture has become a form of bullying. She sees callout culture as having become a

“new form of online performance art, where internet commenters make public sport of flagging potentially problematic language as insensitive, and gleefully flag authors as needing to check their privilege”

Stallings continues:

“It’s a kind of trolling, with all the politics I agree with, but motivations and execution that turns my stomach. It’s well-intended (SO well-intended), but when the motivations seem to be less about opening dialogue about the issues, and more about performance, righteousness, and intolerance for those who don’t agree with you… well, I’m not on-board.”

There’s so much to unpack here. For one thing, where do we draw the line between tone-trolling and legitimate expressions of anger? People in marginalised groups are often pissed about their marginalisation, and rightly so. Where do we create spaces for safe expression of that anger, and where do we create spaces that are safer for (potential) allies who might need a bit of 101? Whose comfort matters, and where?

I feel uncomfortable expecting perfect behaviour from marginalised people at all times. Holding people to a higher standard is, after all, itself a mechanism of marginalisation. Marginalised folks are expected to be exemplars at all times, to avoid ‘letting the side down’ and showing up the entire group. Additionally, marginalised people are generally subject to far more punitive sanctions for any misbehaviour than their more privileged counterparts.

This doesn’t mean that someone should be let off the hook if they turn out to be a member of a marginalised group. But it does mean that I’m a little uncomfortable with statements like this:

“This is where it starts to feel like the “GOD HATES FAGS!” sign-wavers. While the political sentiments are exactly opposite, the motivations are remarkably similar.”

You don’t get to compare people to a vile hate-group just because you don’t like how they’re acting in your comments section. Doing so feels like godwinning the entire thing.

But I can’t deny that we have a major problem with bullying online. And I can’t deny that internet-pile-ons can get incredibly ugly and disproportionate. If we want to grow our movements and welcome allies among the relatively-privileged, which every movement needs to do, we’ve got to make spaces where people can figure things out.

The ‘Perfect Ally’?

This is where Pyromaniac Harlot’s article comes in. Harlot writes about having a difficult time navigating allyhood and being under immense pressure to be perfect the entire time- something which she feels has been constructed as an impossible standard:

As an ally, my job is to not impose my own beliefs of what’s ‘right’, but instead amplify the voices of the oppressed people that I’m trying to be an ally for. Except that I shouldn’t bug them about educating me, because that’s not what they’re there for. And it’s my duty to talk about the issue of oppression in question, because it’s the job of all of us, rather than the oppressed people, to fix it. Except that when I talk, I shouldn’t be using my privilege to drown out the voices of the oppressed people. Also, I should get everything right, 100% of the time. Including the terminology that the oppressed people in question themselves disagree on.

Should we be really trying to be perfect allies? If there’s one thing that intersectionality teaches us, it’s that things are complicated. We don’t get a nice simple world with easy definitions of right and wrong, privileged and marginalised, ally and enemy. If someone wants me to be their perfect ally all the time, then I’m sorry. It’s not going to happen.

On the other hand, these are questions I ask myself all the time. When I’m working as an ally- which I try to devote a reasonable amount of time to- I’m incredibly conscious of all of the above. I don’t take it personally, though. I don’t choose to be privileged in some respects any more than I choose to be marginalised in others. Things like disagreeing while being an ally are always going to be complicated and difficult.

Privilege and allyhood

A thing I hear a lot is that even if dealing with being called out on privilege sucks, it sucks a hell of a lot less than oppression. A truer statement has rarely been said. But many of our allies also come from marginalised groups. How do we call out people who are relatively privileged but who might also be tired from dealing with their own oppressions, without either being assholes or censoring ourselves? Pyromaniac raises this question:

“I happen to be educated enough to understand varying levels of heavy jargon. I don’t have any conditions that prevent me from reading for hours. I happen to have the luxury of sufficient free time in which to do this. So telling me to go read up on something is kind of ok. But you know what? Most people don’t have that level of luxury. People are busy, you know, surviving themselves. They don’t necessarily have laptops, broadband, and ample time in which to make use of those things.”

This seems like one hell of a question to me, and possibly the most important that I’ve seen in these posts. If our allies are- like most people- oppressed/marginalised themselves in other ways, how do we deal with expectations of perfection or call-out culture? How do our obligations change? This isn’t something that I have any easy answers for.

How about you? What do you think about allyhood, about callout culture, about tone-trolling, about navigating intersections of privilege and oppression in our activism(s)?

Originally posted at Consider the Tea Cosy

March for TEA this Saturday!

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After #meteorshame, who’s feeling like it’s time that we all stood up to be counted in support of Irish trans people’s rights? I sure as hell am. So’s Aisling from Gaelick:

Hey, quick question, what are all you guys doing on the 20th of October? I know where I’m going to be. I will be outside the Dáil from 2.30, getting my protest on. That’s the day of the Rally for Recognition: Identity NOT Disorder.

The rally marks the International Day of Action for Trans* Depathologisation. If that seems like a paragraph full of made up words to you, don’t worry, sit down, I’ll explain it to you..

Rally for Recognition poster

Trans* Education and Advocacy, the organisers of the rally, have this to say:

Being gay used to be a mental illness… being trans* still is.

In 2012, trans* people are still not recognised by the Irish State.

Join TEA at the Rally for Recognition to mark International Day of Action for Trans* Depathologisation on Saturday 20 October 2012 at 2.30pm outside Dáil Éireann, Kildare Street, Dublin 2.

For those of you who can’t get enough of waving clever slogans around, TEA will be making placards from 6.30 tomorrow (Wednesday) evening at the Exchange. Come along! There’ll be tea and biscuits!

 

Originally posted at Consider the Tea Cosy

#MeteorShame

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You know Meteor? They’re a mobile phone company here. They have some.. interesting ideas about how it’s appropriate to advertise data plans.

There’s a lot of ways to advertise data plans, I’m sure. Advertising is plainly not my thing, but I’ve seen enough of it to be well aware that there are many creative ways to sell just about anything. Which is why I’m not certain why Meteor decided to do what they did. When you’ve a world of possibilities to choose from, why would it seem like a good idea to mock marginalised groups of people? I can’t say I get it.

And so begins my latest post at Gaelick, Meteoric Mistake. Turns out that, according to Meteor, making a mockery of trans people is absolutely a-okay as long as it reminds people to pick up their new all-you-can-eat data plans. Charming.

Many people who I love- dear friends, people I consider family, my gorgeous partner- are trans. People I love have been attacked, forced out of jobs, denied housing, and been driven to suicidal ideation and self-harm. While this ad is one little thing, it is a piece in a massive puzzle that combines to make a world where trans people are looked down on, villified, and victimised. The world is a more dangerous place for people I love because of things like this advertisement.

Let’s let Meteor know this isn’t okay. Tweet them at @Meteor_Mobile with the hashtag #meteorshame. Make this mistake into one they won’t forget.

 

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Just a note, before you read on: Writing this was easy. Posting it is not. This is the first time I’ve been open about this in a space as public as this. It’s a scary thing to do, especially when surveys suggest that almost 2/3 of people have trouble accepting people with mental illness as close friends, and over 40% think that getting treatment is a sign of personal failure. It’s difficult when it’s seen as making a fuss and drawing attention to yourself. So just for this one, please do go gentle on me. After all, it is my first time. Okay?

If you met me, you’d say I’m a pretty damn cheerful person. You’d be right. I’m incredibly lucky in so many ways. I get to spend my time doing things I enjoy. I get to see the benefits of lots of the things I do. I get to be creative and playful in my everyday life. And I get to share my life with some of the most inspiring, genuine and generous people I’ve ever met. I’ve got it good. And every night before I go to bed I take a tiny little pill. That little pill lets all of it happen.

The thing about having depression is that people expect you to be, well, depressed. Same for anxiety. It seems logical, doesn’t it? Depressed people are depressed. People with anxiety are anxious. And so on.

I have depression, and I’m happy.

Continued on my personal blog, Consider the Tea Cosy. Normally I’d just cross-post, but for this one I’d like to keep it in my own space. 

Islamophobia at Dublin’s ‘March For Choice’

Islamophobia at Dublin's 'March For Choice'

POSTER READS: ‘Last time I checked I was not living in a sharia state. Religion has no place in legislation! Pro choice”

I saw a picture of this poster in an album of Dublin’s prochoice march.

I don’t understand what the Sharia law has to do with Ireland, the main religion which is catholicism? Why couldn’t it say something about how Catholicism still dominates irish customs?

What does the Sharia law have to do with a catholic country? What’s it to do with Ireland not giving its people access to abortion and aftercare support?

Nothing at fucking all.

Just an excuse to criticize anything to do with islam and/or countries that practice islam. Just another excuse to remind people that there’s something apparently worse out there; sure shouldn’t Westerners be happy we aren’t like ‘those’ countries at least?

Fair enough if Ireland was an islam country whose laws are influenced by its religion which results in restriction to abortion, the poster would then make perfect sense. BUT the sharia law has nothing to do with Ireland so what on earth is the point of this poster exactly?

This sad belief that ‘The West’ is better and more civilized than those barbaric countries with their barbaric religions have got to stop. Dare I say that irritating phrase? ‘I can’t believe this still happens in 2012!’

Awful things happen in the west too; the West isn’t some magical land where all the good lovely stuff exists and all the terrible yucky, racist, sexist, restrictive-laws-influenced-by-religion-which-affects-women only exists in places outside the West.

Where did this idea come from that you should expect great things in a western country that doesn’t have sharia law and if a western country behaves like ‘those’ cultures with the crude religions, it’s something really REALLY bad? Get over this western imperialism, the west is no better in terms of treating it’s people with respect as anywhere else in the world.

I might as well make a sign that reads “Mitt Romney is a racist, legalize abortion now!” for all the sense it makes since some American dude in the US has nothing to do with Irish law and politics.

No one is saying there’s nothing problematic about Romney or the Sharia law but to derail a march to talk about something completely different is tacky and pathetic. I can write about some of the crude, uncivilized, tasteless, primitive things about Ireland- being a state that doesn’t have sharia law doesn’t exempt this country from the unfair ways it treats it’s citizens. Get it together.

Anti-Deportation Ireland launch

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(Note: In this post, I’ll be sharing things raised and spoken about at the ADI launch. Because of the risk this could pose to the people in question, however, I’m not going to give their names or any details about them unless I get explicit permission to do so.)

Anti-Deportation Ireland was officially launched on Wednesday morning. ADI is “a national, multi-ethnic grassroots network/alliance of activists, asylum seekers, refugees, community workers, trade unionists, and academics who have come together to campaign against forced deportation in Ireland, and for the abolition of the direct provision system.”. They have three demands:

  1. An immediate end to all deportations
  2. The immediate abolition of the direct provision system.
  3. The right to work for people seeking asylum.

So why these demands? How do direct provision and deportation work in Ireland, and why is it so important to end them?

Direct Provision

Direct provision is how asylum seekers’ basic needs- for food and shelter- are provided in Ireland. Asylum seekers are placed in hostels. Food is provided by these hostels. Because food and shelter are directly provided, the only money people are given is an allowance of €19.50 per week. Until people’s claims have been decided, they do not have the right to work or education in Ireland. The amount of time it can take for a claim to be decided varies hugely- people can spend years waiting for a decision.

Despite the name, direct provision isn’t, well, directly provided by the State. It’s outsourced privately, and because of this becomes a for-profit enterprise. Despite being outsourced, it’s unregulated. Can you see where this is going? People are accommodated three, four, five to a room, with different families sharing a room. The standard of food can be atrocious. Not only is it extremely bad, but in many cases utterly unlike what people are used to in their home countries. And because of direct provision, asylum seekers don’t have the facilities or the rights to even cook their own food.

Complaining about conditions is rarely an option. People who complain about overcrowding are told that they should be grateful that they are not homeless. That they’re taking up room that Irish homeless people don’t have- pitting two extremely vulnerable minorities in this country against each other.

Several people talked about raising their families in direct provision. One woman spoke of how one of her children is too young to remember anything else. How she doesn’t know the difference between a bedroom and a living room and a kitchen. How happy her child is whenever they leave the hostel, and how she hates having to go back ‘home’. Another speaker talked about the particularly Irish way in which cases of child abuse within hostels are dealt with. Perpetrators can be, in a cruel echo of so many other institutions in this country, simply moved from hostel to hostel. This is happening now. And those who complain are often moved themselves, without any right to protest, to other hostels around the country, disrupting any fragile sense of community they might have created where they are. People are denied the right to privacy, to cook their own food, to have a home where they feel safe and where they know how long they can stay.

Right to Work

As well as being forced to live in specific hostels, asylum seekers in Ireland are denied the right to work and education while their claims are being processed- which can take years. On the one hand, this is immensely wasteful. Ireland is in a recession! How many skilled, educated, qualified people are languishing in hostels unable to work, when they could be contributing to society? This also shows the lie of the idea that asylum seekers and migrants are ‘draining’ the system. These people are not permitted to work, even when they want to. On the other hand, years of enforced, stultifying idleness can be devastating for asylum seekers. Not being able to work means that people’s skills get rusty. Work and education are also two of the major ways that people integrate and find a place in communities. Direct provision and the denial of the right to work and study keep asylum seekers separate from Irish society. They mean that people can be here for years with no ability to put down roots and make a home. That Irish people don’t get to work and study beside asylum seekers. That we see asylum seekers as other.

Deportation

Asylum seekers, however, don’t just have to live with direct provision. They also face the constant threat of deportation. On World Refugee Day this year, the 20th of June, 18 people were deported from this country. Twelve of them were children. People are not deported during the day. They are taken from their beds in the middle of the night. When neighbours don’t notice. When people who could help them to appeal are out of work, are asleep. Without notice.

Several people spoke of the constant threat of deportation. About staying awake through the night, sacred this would be the night they’d be forced out. One speaker remarked that even criminals in prison in this country know what they have been sentenced to. They know how long they’ll be there. Asylum seekers don’t have even this security. Another speaker remarked that for asylum seekers, the normal rights accorded people by the legal system are turned upside-down. Asylum seekers are assumed guilty and lying until proven otherwise. The burden of proof is on them, and it is made incredibly difficult to prove themselves innocent. But, as several people asked, why would someone put themselves through this system without good reason? Why would they live like this, for years on end, if they didn’t absolutely need to?

Not okay.

Direct provision, night-time deportations, denial of basic human rights- these things are done by the state to asylum seekers. But as one speaker said, there is a thing line between a refugee and a citizen. Our government has shown that it is willing to trample basic human rights, to engage in a deliberate campaign to other and alienate a group of people. The ‘asylum seeker’ is constructed as scapegoat and a subject for deportation. As Irish people, we need to contest this construction. We need to reach out to people seeking asylum, to hear their stories, to share these stories every way we can. We need to bring the lives of asylum seekers into the light. As one speaker said, “No more secrets. No more lies. No more lying awake every night waiting to be taken away”.

More info on the launch at Cedar Lounge RevolutionPoliticoMillstreet.ie and Irish Left Review. Follow ADI on Facebook to find out more about what they are doing and how you can get involved.

Myself and Ariel Silvera also livetweeted this meeting. A summary of these is available here.

Originally posted on my personal blog, Consider The Tea Cosy.

Trans Health Forum

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TENI banner

On Monday, TENI, the Irish Transgender Equality Network,  hosted a trans health forum in the Civic Offices in Dublin. This forum’s purpose was to discuss the current context and situation of trans health in Ireland. It was divided into two parts. To start, TENI’s Vanessa Lacey presented some prelimiary results from the recent Trans Mental Health And Well-Being  Survey, which was carried out in July and August of this year, as well as a survey of HSE workers of their knowledge and opinions regarding trans health and working with trans people. After this, attendees were divided into groups to talk about different health issues facing trans people.

The results showed, above everything, the magnitude of issues that need to be dealt with, the impressive work being done largely by volunteers as well as paid staff, and the limits of what can be done without getting the wider community and health service providers on board.

The numbers here are stark. Preliminary results show that over three quarters of trans respondants have considered taking their own lives. Between a third and a half have attempted suicide, and most of these people have made more than one attempt.

And these, of course, are just the people who survive. Over 80% of respondants said that they had thought of ending their lives more before transition than during or after. Our society stereotypes and demonises trans people so much. How many more people would be here today if they had known that transition was a possibility? That meaningful, happy trans lives are possible here in Ireland? We don’t know. Researching suicide is notoriously difficult. But it’s certain that there are people whose lives would have been saved by transition, and that self-harm and suicide among trans people is a major health crisis right now. Something needs to be done. But what?

Discussions at the forum centred on three major areas- trans specific support groups and community, health service providers, and society as a whole. Each of these has its own part to play, as well as its own specific needs and issues.

Trans support groups and community has developed and expanded hugely in recent years, thanks in no small part to the work of TENI. There are now trans support groups, online communities, and social and lobbying groups working throughout the country. The trans community is more connected and visible than ever before. This kind of networking- going beyond simply support groups into forming real, deep community and connections, bringing in families, partners and other allies- was emphasised throughout the room yesterday. Because support and community groups are largely volunteer-driven, however, there are gaps in provision. For example, in many areas there is an age gap between youth groups and support groups mainly attended by older people. Consistent support is difficult to provide, since busy volunteers don’t always have the time and energy to keep up with running groups. Groups can hinge on the work of one or two people, and as people’s lives go on and they have other commitments, support groups can disappear. Keeping up long-term momentum is so difficult in what are often very small local groups. But these groups can be a lifeline.

Health services for trans people in Ireland are a mixed bag. While not everyone who identifies as trans goes through medical transition, for those who do it can be immensely important to their well-being. Unlike in the UK, there is no specific transition pathway in Ireland. We don’t have a gender clinic. There are very few medical professionals here who provide transition services. This means two things- firstly, many people have to travel long distances, taking time off of work or college to access services only available in Dublin. Secondly, a person’s ability to access these services, which may be urgently necessary, can depend on the whims of one or two professionals. There isn’t scope to get a second opinion, or to choose who you deal with. This means that regardless of the professionalism and ethics of the medical care providers involved, they have ended up in a gatekeeper position to transition in this country. This disempowers trans people, leaving them immensely vulnerable.

The lack of a dedicated clinic specialising in all aspects of transition in Ireland is also problematic. People not only often have to travel considerable distances to access medical care, but this is compounded by the different services being provided in different places. Some services, such as laser hair removal, are officially considered ‘cosmetic’. This means that people have to find trans-friendly providers  themselves, as well as paying out-of-pocket.

In addition to the lack of dedicated services and service providers outside Dublin, awareness of the transition needs of non-binary people was raised. Even professionals who deal with trans people can be stuck on a particular binary idea of gender as well as specific ideas of who trans people are and what medical pathways they will follow. Non-binary people often seek and need medical transition services too, though. Their needs- and their existence- need to be understood.

But trans people don’t only access medical care for transition-related treatment. They- of course- have to access general medical care as well, and these providers are often utterly unaware of how to deal with trans patients. Over 90% of HSE staff surveyed said that they’d received absolutely no training relating to trans people. They also reported that most of their contact with trans people was as rthe result of unprovoked attacks in public places. While a person might be normally capable of giving their doctors and nurses Trans 101, is it really okay that they would have to do this af ter being assaulted? That victims of assault then have to face even more stress, to have to worry about ignorance or transphobia in the A&E?

After trans communities and healthcare providers, the third group that needs to be educated on trans people is, of course, our society at large. Trans people don’t just show up from nowhere. We all live in local communities, go to schools and colleges, live in neighbourhoods, go to jobs. Trans kids growing up should know that there are other trans people out there, and so should the cis kids growing up with them. They need to know that they’re not the only one out there. The media have a huge role to play here in providing positive and varied non-stereotyped portrayals of trans people. Trans people are part of our society, and it’s time our society started acting like it.

To find out more, read Gaelick’s report on the forum. An overview of preliminary results of the Trans Mental Health and Well-being Survey is available at TENI.ie