The doctors and psychiatrists treating trans people in primary care through to transitioning health services in Gender Clinics are often influenced by a pervasive trans narrative of moving from one gender to another as if this is representative of all trans people and understood equally by all concerned. This narrative is of course how some trans people feel and how they often express their transitioning experiences. The narrative articulated by many transpeople in Western contexts consist mainly of the ways in which the original body through the trope of the ‘wrong body,’ distresses them for many years, and which prior to transition they are compelled to live a gender that is not truly them. Following, often many years of ‘living a lie’ the body is sometimes refashioned to align better with their gender identities. What this simplistic narrative may imply to different healthcare, and other professionals, providing care and services to transpeople, is that trans people all desire the same things in relation to their bodies, that they experience their transition equally, and that the transitioning technologies required are the same. Transitioning technologies here refers to hormone therapies and surgical interventions…….
I provided a keynote address at University of Strathclyde: TransForming Research Practice: Towards ‘Best Practice’ in Transgender and Non-binary Inclusive Social Research.
My paper started with a practical recognition that is required of researchers is to be able to choose the best form of methodology for the job at hand. Or for researchers to understand by choosing one methodology over another will inevitable produce different results. I want to draw on Fox and Alldred’s recent paper by paraphrasing their understanding of ‘doing and producing research.’ I think their concept of research machines as part of a ‘research-assemblage’ allows us to begin to recognize research as a process of territorialization. Research territorialization is the often momentary settling of all the research’s constituent parts into a whole that shapes knowledge production. The knowledge that research produces manifests according to the particular flows of affect produced by any researcher’s methodology and methods, analysis and write-up and the people involved. This materialist analysis of research-as assemblage is pivotal to my more recent understanding of research integrity, and will form the basis for a critical framework for this talk around qualitative and indeed it’s often quoted nemesis quantitative social inquiry surrounding trans and non-binary people.
to see PowerPoint click Trans and Non-binary
Davy, Z. (2015). Trans Intelligentsia: A Western Pictorial? TSQ: Transgender Studies Quarterly, 2(4), 676-678.
Katie Herzog’s Transtextuality (Senate Bill 48), an installation “depicting 48 portraits of transgender men and women of letters,” took on the mammoth task of displaying portraits of trans pioneers who represent transgender intelligentsia. The celebration of her Western “sitters” is an impressive display, and their academic work has no doubt contributed vast and wide-reaching insights into mine and the lives of some of my trans sisters, brothers, and others. However, her wall of fame, while potentially innocent in its creation, neglects the class, ethnicity/race, sexuality, and other situational aspects of trans writers’ lives that may have impacted the performative aspects of knowledge production about (trans) gender beyond the Western imaginary. Although this trans celebration may feel subversive because it challenges the status quo of those whose knowledge counts vis-à-vis cisgender people, we must be constantly drawn to ask, does the subversion suppress others?
Davy, Z. (2015). The DSM-5 and the Politics of Diagnosing Transpeople. Archives Of Sexual Behavior, 44(5), 1165-1176.
In the DSM-5 there has been a change in the diagnosis for transpeople of all ages from Gender Identity Disorder (GID) to Gender Dysphoria (GD), in part to better indicate the distress that transpeople may experience when their gender identity feels incongruent. The Workgroup for Sexual and Gender Identity Disorders, chaired by Kenneth J. Zucker, was employed by theAmericanPsychiatricAssociation (APA) to update the DSM-5’s GID diagnosis reflecting contemporary scientific knowledge. Additionally, in a pre-publication report to the APA, members of the Workgroup suggested that they would also be concerned with the destigmatization of transpeople while preserving a diagnosis that medical insurance companies would accept for issuing payments for transitioning treatments (Drescher, 2013). The aims of this article are, firstly, to question whether changing the diagnosis lessens the stigmatization of transpeople. I will suggest that the semantic change from GID to GD marks ‘‘inverted’’ gendered expressions as pathological and, thus, continues to stigmatize transpeople. Secondly, the article explores the development of the GD diagnosis, and illustrates how the scientific data this were founded on are contentious. The article then demonstrates how the trans anti-pathologization movement has challenged the perceived pathologizing effects of the DSM-5 classification of GD. The article examines a selection of Western transgender community advocates’ websites, forums, and blogs. From these sources, the article then explores the different narratives of transpeople and political groupswho offer details of their praxis, and evidences how the trans anti-pathologization advocates use the available science and human rights discourses to contest the role of psychiatry in the treatment of transpeople.
Davy, Z., Amsler, S., and Duncombe, K. (2015) Facilitating LGBT Medical, Health and Social Care Content in Higher Education Teaching. Qualitative Research in Education, 4 (2) pp. 134-163
Increasingly, Lesbian, Gay, Bisexual, and Transgender (LGBT) health care is becoming an important quality assurance feature of primary, secondary and tertiary healthcare in Britain. While acknowledging these very positive developments, teaching LGBT curricula content is contingent upon having educators understand the complexity of LGBT lives. The study adopted a qualitative mixed method approach. The study investigated how and in what ways barriers and facilitators of providing LGBT medical, health and social care curricula content figure in the accreditation policies and within undergraduate and postgraduate medical and healthcare teaching. This paper illustrates opposing views about curricula inclusion. The evidence presented suggests that LGBT content teaching is often challenged at various points in its delivery. In this respect, we will focus on a number of resistances that sometimes prevents teachers from engaging with and providing the complexities of LGBT curricula content. These include the lack of collegiate, colleague and student cooperation. By investing some time on these often neglected areas of resistance, the difficulties and good practice met by educators will be explored. This focus will make visible how to support medical, health and social care students become aware and confident in tackling contemporaneous health issues for LGBT patients
A new commentary on my (and colleagues) latest research about LGBT curricula content for medical, health and social care students is available at
For open access of the full article please go to
Davy, Z & Siriwardena, A. N (2012) ‘To be or not to be LGBT in primary health care: health care for lesbian, gay, bisexual, and transgender people.’ British Journal of General Practice. 62(602),
Niro Siriwardena and I will be publishing a Analysis and Comment piece in the British Journal of General Practice concerning LGBT health care.
Lesbian, Gay, Bisexual and Transgender (LGBT) primary healthcare will become a feature of the primary care repertoire.1 Pride in Practice, which is supported by the RCGP,provides a rating system that judges primary care surgeries on a welcoming environment, access, the general practitioner (GP) – patient consultation, staff awareness and training and health promotion for LGB people. For those surgeries signed-up to the initiative, action plans to address shortfalls in GP surgeries or any area of healthcare in need of improvement will be developed in consultation with the Lesbian and Gay Foundation. Another initiative, Transgender Awareness, is attempting to address a number of issues that are important to a phenomenologically diverse group of transgender patients.2 While acknowledging this very positive development, it is important to understand what we mean by ‘LGBT primary healthcare’. In what follows, we will draw on the concept of LGBT healthcare to explore the benefits and potential harms that this term can engender; we will draw on the different ways that the relatively sparse LGBT health literature has addressed and accounted for the different foci of LGBT healthcare over the years; in doing so we will argue for a more nuanced approach to LGBT primary healthcare.
Siriwardena, A. N., Middlemass, J., Davy, Z., Cavanagh, K., Linehan, C., Lawson, S. and Morgan, K. (2012) ‘Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study.’ British Journal of General Practice.
some members of the ENACT project have will soon be published in the British Journal of general Practice.
Background: Insomnia is the most commonly reported psychological complaint in Britain. Cognitive behavioural therapy for insomnia (CBT-I) has been shown to be effective, but is not widely used because of lack of trained providers. Computerised Cognitive Behavioural Therapies (CCBT) for insomnia may be a solution to this access shortfall.
Aim: We explored patient and health professional perspectives to inform the development of a novel computerised cognitive behavioural therapy programme for insomnia (CCBT-I) that includes social networking.
Design: We used a qualitative approach underpinned by the Theory of Planned Behaviour.
Setting: Primary care in Lincolnshire and Nottinghamshire
Method: Interviews and focus groups with health professionals and adults with insomnia were used to elicit attitudes, beliefs and behavioural intentions about online interventions for insomnia.
Results: We interviewed 23 health professionals and 28 patients. Features designed to increase confidence in CCBT-I; engender trust in professional relationships; provide online support and improve programme functionality were perceived to increase the successful uptake and adherence. User interactions via integrated social networking would provide mutual support but concerns included apprehension about online ‘strangers’ and information security. Patients wanted mobile applications; access in short periods; self-assessment; more interactive, personalised information on sleep and moderated contact with other users.
Conclusion: Uptake and adherence to online programmes for insomnia requires design features to focus on trust and functionality. Although computerised therapies for insomnia would allow more people to access treatment, patients’ control over CCBT-I and interactions with other users and professionals may stimulate a more positive experience of online therapy.
Following a wonderful British Sociological Conference at the University of Leeds, that consisted of a Gender Study Group Roundtable, featuring Prof. Sasha Roseneil, Prof. Ruth Holliday, Dr Surya Monro, prof Stevi Jackson and Prof Yvette Taylor (disguised as me) that considered the future of gender studies, research, gender and the REF, and activism, I then presented my paper entitled
Bodily aesthetic affects in trans erotica: towards a wider ‘spectra of desire.’
The sexualisation of trans people is a thorny issue due to the pathologizing undertones within sexological literature. After many years of being on the one hand, silenced about sexuality or on the other hyper-sexualized, for fear of being pigeon-holed as unworthy recipients of medical interventions by the medical teams providing healthcare, both transsexual and transgender people have started to explore and produce their “sexual bodies” and represent them in novel ways through prose, poetry and pornographic film. ’The political move to illustrate the wider ‘spectra of desire’ (Stryker, 2006) and experiences of trans-sexuality was announced to be politically important as a way of shifting stereotypical associations surrounding trans embodiment and sexuality generally. These projects of sexual representation rely on transforming spaces and discourses within cultural mediums in which transpeople explore their sexuality. Using trans erotica texts, I will illustrate that ‘transsexualism’ and ‘transgenderism’ are not solely about gender, as a core characteristic, and suggest that sexuality is part of trans subjectivity too. I will suggest further that new representations of trans-sexuality within the erotic representations pose challenges to the medical policy and practices surrounding trans medicalization and the sedated ideas surrounding transpeople as either non-sexual or hyper-sexual. This focus on erotica allows for new analyses and conceptualizations of trans-sexuality that incorporate bodily aesthetic affects of the transitioned and transitioning body. Simultaneously, understanding trans bodily aesthetic affects helps us move away from territorialized identitarian markers, such as gay, lesbian and bi and explore a wider spectra of trans desire.
I was then awarded the prestigious BSA Philip Abram’s Memorial Prize 2012 for best first, sole-authored book in Sociology published in the UK for Recognizing Transsexuals. I received this award as Joint winner alongside Michael Rey.
A truly momentous day and conference.
I have included a CV on my blog to encourage contact with those working with Transgender Embodiment in the Medicolegal system of any country, who may wish to collaborate on research projects.