“Beautiful and Lofty Things”: Queer Appeals to Power and Turn of the Century Sexology

A presentation given at the trans/forming feminisms conference in Dunedin, New Zealand, on the 25th of November 2015. An expanded version of an earlier essay.


 

“How could it be unhealthy, that which makes a man happy and inspires in him beautiful and lofty things! His only misfortune is that social barriers and penal codes stand in the way of ‘naturally’ expressing his drive. This would be a great hardship.”[1]

The turn of the twentieth century is widely regarded as an extremely important era for sexology and the formation of the queer identities we know today.[2] It’s acknowledged as the period from which we get the labels, categories, and identities ‘homosexual’ and ‘heterosexual’, and sexological literature and discourse from the era has a pervasive impact on queer discourse today. However, sexology’s relationship with homosexuality is more ambiguous and complex than a simple and clear-cut categorisation into the homo/hetero binary, and its agents of influence have been heavily criticised both within academia and in queer circles. Today’s talk is in two parts: the first is a focus on Richard von Krafft-Ebing and his work and influence; the second continues a more general look at developments within sexology and their continuing influence on discourse.

In public discourse as well as areas of academia today, Eve Kosofsky Sedgwick’s homo/hetero binary dominates. This model, a “presiding master term” as she calls it, is one in which heterosexuality relies on homosexuality for its own existence and definition.[3] It is often interpreted as a strict, mutually exclusive binary, and Sedgwick does not question exactly how binarised this model is.[4] The model is still useful, however, in noting a particular shift at the turn of the century: “every given person, just as he or she was necessarily assignable to a male or a female gender, was now considered necessarily assignable as well to a homo-or hetero-sexuality”.[5] This now significant shift was the result of many smaller changes in ideological thought at the time: from deviance, to inversion, to finally the shift in focus from sexual act to sexual object choice.

In 1886 Richard von Krafft-Ebing published the first edition of Psychopathia sexualis, a psychiatric text intended for lawyers and use in the justice system in distinguishing between crime and disease – the primary way same-sex attraction and behaviour was discussed in the era. Psychopathia sexualis categorised many forms of non-normative non-procreative sexuality, including sadism, masochism, fetishism, and ‘contrary sexual feeling’ or inversion – that is, same-sex attraction and behaviour. The work has been heavily criticised by many people from many backgrounds. Presentist historians, antipsychiatrists, queer theorists and historians alike have criticised Psychopathia sexualis for a form of medical colonisation and for medicalising sexuality and queerness. Thomas Szaz criticised Krafft-Ebing for aiming to “supplant the waning power of the church with the waxing power of medicine” and claimed that Psychopathia sexualis was full of unscientific falsehoods.[6] Some of these are not necessarily unfair critiques, but early sexology and Psychopathia sexualis in particular remains especially worthy of study considering its extensive autobiographical content and its pervasive influence on queer community and discourse as well as on the shaping of our model of sexuality.

Psychopathia sexualis’ significance, for me, comes from the extensive amount of autobiographies within the text and the relative freedom under which they were given. Earlier in his career Krafft-Ebing worked in places such as the overcrowded Feldhof Asylum, with generally poor and uneducated patients who were institionalised more for custodial care than treatment and who had no choice but to conform to medical standard and rule and share their stories involuntarily and surely with less respect and agency. But later and later editions of Psychopathia sexualis contained more and more volunteered autobiographical content from queer men. Unfortunately, these men were from a very singular and homogenous social and cultural class and experience – white, educated, wealthy, aristocratic, bourgeoisie. Krafft-Ebing eventually established a clinical ward in the university hospital as well as a private sanatorium led to more and more wealthy, educated, upper-class patients whose case histories were a lot more autobiographical and who would have had a lot more agency in telling their stories. Oosterhuis notes that homosexual men particular seized this opportunity.[7] Krafft-Ebing as well as Albert Moll, writing soon after, worked with both upper class clients with agency as well as lower class patients and those with otherwise lessened agency. Oosterhuis points this out nicely: “Lower class men, prosecuted sexual offenders, the hospitalised and most female patients were generally not in a position to escape the coercion which undeniably was part of psychiatric practice.”[8]

The primary focus of critiques of Krafft-Ebing and Psychopathia sexualis is one of medicalization. As Foucault claims, the delegating of sexuality to the realm of medicine started with the sexologists of the late 19th century. Our model of sexuality is medicalised because of them, and hard work has been done and continues to be done to undo this influence. However, a brief look at the alternative contemporary models of sexuality and queerness in particular reveals that we perhaps could have had it a lot worse. Urlich’s contemporaries in Britain were also advocating for decriminalisation and acceptance, but the prevalent model and experience of queerness among the British upper class was one of age difference. The ‘accepted’ queer among this class was an older aristocratic man who slept with much younger boys, both aristocratic and from lower classes. Although there were other factors in play, if the influence of this British aristocratic queer had been more pervasive than the German sexological influence, it could have resulted in a very different model to the medicalised Born This Way archetype we have today.

I am not as ready to defend Krafft-Ebing and sexology as a whole as historians such as Oosterhuis, nor am I as ready as Oosterhuis to dismiss the idea that sexuality was comprehensively medicalised by sexology and psychiatry in the era. Oosterhuis, in multiple papers on the subject, seems to believe that medicalization requires the complete, overt, and explicit domination of its subjects, and that as a result the subjects must have zero agency in the process. It seems to be his belief that because of the autobiographical content and because of the way at least those upper-class men were able to tell their stories freely and with agency that the concept of medicalization does not apply. It is true that Psychopathia sexualis and its autobiographies enabled ‘perverts’ and queer men to speak and be heard, and that it enabled voices usually silenced to be seen, and it is necessarily true that such autobiographical content exemplifies a level of agency not typically seen in some interpretations of Foucault’s theories of medicalisation. However, I assert that theorists like Oosterhuis are critically misunderstanding these theories, and suggest that the existence of a modicum of agency does not negate nor preclude the domination or hegemony of medicine and medicalisation. While the subjects may be given a voice, the medical field then utilises that voice to its own advantage – the agency of the autobiographies given by queer men of the time is used to strengthen the hold of medicalisation in the same way that queer men used the medicalisation of their sexuality to challenge the rule of law over their identity.

Because it is very clear that these men knew what they were doing in sending Krafft-Ebing their autobiographies; their appeal to power and the legitimacy of medicine is often made explicit in the autobiographies themselves. A ‘highly placed man from London’ (Oosterhuis’ words) wrote to Krafft-Ebing and said: “I believe that your perspective [that of same-sex attraction being an illness or disease instead of moral corruption] is most advantageous for us” even as in the same paragraph he rejected the word ‘unhealthy’ and indulged in “giving you some more relevant explications”.[9] In appealing to medicine, they strove to shift same-sex attraction and behaviour from the realm of crime and law to the realm of health and medicine – the primary drive in activism of the time, even as the men themselves vehemently denied being sick. In these autobiographies we see a very early example of the phenomenon made explicit by Lady Gaga in 2011: the ‘born this way’ archetype of queerness, or, in more academic terms, the innate or biological model of sexuality. Later editions of Psychopathia sexualis contained many letters discussing the fact that their perceived illness stemmed not from their nature or their sexual identity, but from the social barriers to that identity.

One man wrote in 1890: “Unfortunately, we are considered sick for a completely valid reason, namely, that we really became sick and that one then confuses cause and effect…”[10] These appeals surely had at least a modicum of success: by the 1890s Krafft-Ebing himself was putting his name to petitions to repeal laws criminalising same-sex behaviour; the early protest movements of the end of the century referred to Krafft-Ebing as a scientific authority; and after signing Magnus Hirschfeld’s petition in 1897 Krafft-Ebing contributed his last article on homosexuality in which he stated that there was truth to the opinion of his queer correspondents, argued that it was a condition that had to be accepted, and even attributed an equal ethical value to same-sex and heterosexual love.[11]

The appeals to power we see in the autobiographical content in Psychopathia sexualis are not a thing of the past – today we would probably refer to them as respectability politics, playing to the desires and norms of those in power in order to obtain a modicum of that power – or more likely simply a modicum of humanity – ourselves. The case for gay marriage is a significant example of this kind of appeal to power; moulding ourselves and our relationships to a heterosexual standard to the detriment of those who do not wish to conform or play to respectability. Instead of extending the rights of the married – such as immigration policies, adoption, healthcare and insurance coverage, even simple things such as visitation rights to a hospitalised partner – to those who are unmarried or not in a civil partnership, the gay marriage campaign has simply extended the right to marry. It is worth noting that this particular appeal to power gained so much popularity and focus within the community and without that other issues, such as the wellbeing of queer and trans youth, the treatment of transgender prisoners, the life expectancy and death rates of trans women of colour – have fallen to the wayside.

Money also plays a big part in the gay marriage issue – in California, gay marriage campaigners spent $48 billion opposing prop 8 when California’s provisions for domestic partnership provide almost the exact same benefits – $48 million on essentially symbolic acceptance.[12] It’s also interesting to note that in countries that have legalised gay marriage, funding to queer organisations and activists has dropped significantly – there’s an obvious pattern in the states of once multimillion dollar statewide equality organisations either shutting down or being rendered useless due to a lack of funding.

Appeals to power and respectability politics can be utilised positively, however, even in radical queer activism. For example, No Pride in Prisons is a resolutely abolitionist organisation, but that aspect of our politics is necessarily played down in media releases and social media communications in order to gain the support of the more liberal majority and especially in order to successfully communicate and negotiate with the officials we desperately despise and wish did not exist at all. It has results; during our hunger strike for Jade Follett, a trans woman being held against her will in a men’s facility, No Pride in Prisons remained in the media well beyond the 24 hour cycle that typically decimates activism, making it to the front pages of Stuff, TVNZ, 3 News, and the Herald three times that week and obtaining a significant-length report on the 6 o’clock news. The strike was quickly successful, and this can be attributed to the amount of pressure on the Department of Corrections that stemmed from both extensive media coverage and significant online support. Such coverage and support would not have been possible if we instead sat on K Rd with signs saying “move Jade Follett and close down Rimutaka” – in this case, the appeal to power is not the end game, but rather a step towards full abolition. The goal is not immediately feasible, so we must make sure that those subjected to the violence of the prison system are kept as safe as possible until the prison system no longer exists.

Unfortunately, there is no sign of the ‘born this way’ appeal to power of queer men at the turn of the century being a step in a larger plan, and it is only in relatively recent years that the medicalisation of queerness and transness in particular has begun to be addressed in queer activism; for example in the challenges to the placement of homosexuality and the shift from ‘gender identity disorder’ to ‘gender dysphoria’ in the DSM. Current activism seeks to remove transness from the DSM completely, instead focussing on its placement in the more extensive International Classification of Diseases, where it could be placed in a category of health conditions instead of disease or illness.

Sexology’s initial discussion of same-sex attraction and behaviour in terms of deviance and disease in order to argue that conditions such as inversion, or contrary sexual feeling, were pathological and thus in the realm of medicine as opposed to law or religion lead to the early medico-sexological position that same-sex attraction had two forms: congenital and acquired, as Krafft-Ebing called it, forms of antipathic sexual instinct.[13] Krafft-Ebing also made a distinction between perversity and perversion: acquired antipathic sexual instinct was temporary and contextual; the determining factor was “the demonstration of perverse feeling for the same sex; not the proof of sexual acts with the same sex”.[14] He warned against confusing perversity and perversion, acquired and congential, and stated that there was “an immediate return to normal sexual intercourse as soon as the obstacles to it are removed”.[15] In contrast, congenital antipathic instinct stemmed from a pre-existing taint in particular individuals. In these cases, the ‘homosexual instinct’ overwhelmed the ‘heterosexual instinct’, a concept that prefigures later discourse on the subject.[16] Krafft-Ebing’s model of same-sex attraction included some notions of hereditary taint as well as influences such as masturbation and seduction.

His model was one of morality, “the eternal struggle between a bestial sexual nature and the demands of civilized culture”.[17] This particular area of Krafft-Ebing’s thought was verified by Albert Moll, writing eight years later, who agreed that same-sex desires could stem from either hereditary or contextual causes. Moll however did not agree with or make use of Krafft-Ebing’s distinction between congenital and acquired inversion. Significantly, Moll expanded the contextual causes of inversion to include individuals who may experience temporal same-sex desires: someone “‘seized from time to time with homosexual desires’, even when a ‘heterosexual urge’ predominates within him”.[18]

The next major development came three years later in 1896 with Havelock Ellis’ Sexual Inversion. Ellis did not conceive of same-sex desire as pathological, and heavily questioned the notions of pure or exclusive masculinity and femininity, arguing that everyone possessed ‘male’ and ‘female’ characteristics, and that the proportions of these varied in individuals. Ellis also proposed a new distinction between inversion and homosexuality, in which inversion was innate and homosexuality was the result of sociocultural context (for example, rates of homosexuality would increase in homosocial contexts such as boarding schools or prisons).[19] This new distinction replaced the model of congential vs acquired in his work, as Ellis found it had “ceased to possess significance”.[20] Ellis already was questioning the usefulness of homo/hetero categorisations, calling them “scarcely a scientific classification”, instead breaking down his notion of homosexuality into two forms, one ‘strong’ and one ‘weak’, including men who may have relationships with women.[21][22]

Ellis’ work led naturally to the work of Freud, even though they worked in different fields. Freud built on Ellis’ work and took it further, arguing against the existence of congenital attraction, due to his tripartite model of sexual attraction including ‘occasional inversion’, a preference for same-sex partners under certain contextual conditions.[23] Significantly, Freud believed in a polymorphous model of attraction, under which individuals can potentially desire any sex: “it is something which is congenital in all persons”.[24] This universality challenged existing thought around inversion: if the potential for perversion was universal, then there could be no easy physical indication of inversion, and as such an individual’s sexual object choice was unlinked from their gender presentation. Freud also introduced a distinction between sexual aim and sexual object choice.[25] Prior to this, sexual aim was inextricably linked to social and gender role – if a man’s sexual aim was passive, he must be effeminate – and was of equal importance to object choice in classifying and categorising sexuality.

Chauncey lays it out succinctly: “’men,’ whether biologically or male or female, necessarily chose passive women as their sexual objects.”[26] By the turn of the century object choice became the focus of classification, and due to the universality in Freud’s model, the passive or active sexual aim was no longer indicative of social role. This is an important and large step toward the model of object choice homosexual identity we are familiar with today.

There is a link, as Chauncey points out, between distinction of object choice and sexual aim and the increasing use of the term ‘homosexuality’.[27] During this time the term’s definition also crystallised, referring only to homosexual object choice without automatically implying gender variance or inversion of the normative male sexual role. It is interesting and important to note that this shift occurred significantly slower for women – Freud explicitly stated that social role inversion was a normal feature of female sexual inversion in his Three Essays, the same work in which he unlinked social role from sexual role for men.[28]

Earlier sexology, when studying relationships between a ‘masculine’ woman and a normative woman, tended to focus on the ‘masculine’ woman as the invert, considering the normative woman to be performing her proper social role under the heterosexual paradigm of the Victorian era, as Chauncey called it.[29] Under this paradigm the normative woman, who was passive and “decidedly feminine” according to Hamilton in 1896, was fulfilling her expected social role by acting as wife to someone of masculine character – as if she were married to a man.[30] As such the ‘feminine’ agent did not challenge the heterosexual paradigm and was not a major subject of study until the late nineteenth century. It is interesting to note that this relationship paradigm described the ‘masculine’ partner as the ‘offender’, and referred to the ‘feminine’ partner as “the weak victim”, mirroring and potentially influencing more current discourse and ideas around lesbians and lesbian partnerships: that is, the trope in public discourse of the ‘predatory’ lesbian, and intra-community discussions around butch/femme relationships.

By the late nineteenth century these women began to concern the medical profession, and Ellis stated “we are accustomed to a much greater familiarity and intimacy between women than between men, and we are less apt to suspect the existence of any abnormal passion”.[31] This is another area in which sexology’s influence has perhaps remained in more current discourse, or at least in which it can continue to provide an insight. Such ideas are commonly seen in tabloid-like news articles about celebrities, in which any pair of women showing affection are labelled “gal pals” and assumed to be friends. Headlines in such articles can read as ludicrous, such as “Kristen Stewart gets touchy-feely with her live-in gal pal Alicia Cargile”.[32]

Study of these ‘invert/normative’ relationships began to break down the heterosexual paradigm, as both partners were pathologised as lesbians due to object choice instead of sexual aim. The ‘wife’s role was no longer of victim but of active and complicit – however it was not until the late 1920s that it was ‘discovered’ that neither partner in these relationships was ‘playing the role of the man’ when a study performed by Lura Beam and Robert Latou Dickinson revealed that no lesbians in their study thought of themselves as performing the male part.[33] This challenge to the heterosexual paradigm served to highlight the shift toward object choice as the focus in classifying female sexual identity alongside male.

When considering sexology’s ambiguous relationship to homosexuality it is also important to examine possible cultural influences on the literature and vice versa – whether societal or medical shifts in thinking came first. Chauncey offers three developments in American society that he considers were an influence on sexological thinking: the visibility of urban gay male subcultures, the challenges posed to Victorian norms by women, both in the form of suffragettes and in women entering the wage-labor workforce, and the resexualisation of women in mainstream thought that stemmed from these challenges. Chauncey also cites medicine’s rise to ideological superiority over religion and law as influential.[34]

The entrance of women into the workforce led to a higher degree of social and economic independence, at the same time that marriage and birth rates in the middle-class were declining. In the 1880s onward this led to a crisis of masculinity of some sort as women were no longer reliant on men for economic support as well as other unrelated factors such as declining autonomy in men’s workplaces.[35] These challenges and the resulting crisis, Chauncey argues, led to a “sudden growth in the medical literature on sexual inversion” as a way to defend the existing sex/gender system and potentially stigmatise women who were performing a non-normative social role of independence as inverts and deviants. Ellis, in Sexual Inversion, quoted an unnamed “American correspondent” who stated that one of the reasons for the rise in inversion was “the growing independence of the women” and “their lessening need for marriage”.[36] Despite these challenges from medical literature, women in the early twentieth century were gaining more freedoms and experiencing a resexualisation in popular thought – likely due to the increased economic necessity of marriage. If women no longer needed to get married to support themselves, then there should be another draw to it: sexual desire. This shift occurred alongside homosexual object choice being increasingly condemned for women, likely again as a means to protect heterosexual marriage.

An increase in concern about gender non-conforming men is linked to case histories of queer men indicating existing subcultures which were increasing in visibility, especially in New York, and as early as the 1880s.[37] It is important to note that the men in these case histories were identifying themselves as part of these subcultures, a significant step toward identity formation, and that these subcultures pre-dated the medical literature about them – as Chauncey states, “[t]hey were investigating a subculture rather than creating one”.[38]

As such, it is clear that medical and sexological literature was not acting alone or in a vacuum, but was influenced by and even responded to shifting social norms. These areas of sexology in particular are worthy of note and study as they relate heavily to current discourse: heterosexual marriage is still viewed as ‘under warfare’ by the conservative right, for example, and queerness is still overwhelmingly thought of in the ‘born this way’ paradigm exemplified in the pathologisation and medicalization of same-sex desire as well as in the case notes and autobiographies in both Krafft-Ebing and Moll’s work.[39]  

Additionally, as current discourse around sexuality encounters more and more fluidity beyond the hetero/homo binary and indeed beyond the additions of bisexuality, pansexuality, and so on, such as the existence of “gay for play” men, which refers to men who self-identify as straight but submit Casual Encounter listings on Craigslist looking for men to have sexual interactions with, and the “g0y” movement, an identity claimed by men who love men but do not identify as gay, queer, or homosexual, and who abhor anal sex, thorough analysis on the construction of hetero and homosexual identities and the fluid possibilities that preceded their dominance is especially significant.[40]

 

 

 

 

Bibiolography

Brickell, C., ‘Sexology, the Homo/Hetero Binary, and the Complexities of Male Sexual History’, Sexualities, 9, 4, 2006

Chauncey, G., ‘From Sexual Inversion to Homosexuality: Medicine and the Changing Conceptualisation of Female Deviance’, in K. Peiss and C. Simmons, eds, Passion and Power: Sexuality in History, Philadelphia, 1989

Dettmer, Lisa. Beyond Gay Marriage, Weaving the Threads, 17, 2, 2010 http://reimaginerpe.org/node/5822

Ellis, H. ‘Sexual Inversion in Women’, Alienist and Neurologist 16, 1895

Ellis, H., Studies in the Psychology of Sex, Volume II: Sexual Inversion (3rd edn). Philadelphia, PA: F.A. Davis, 1918 (1896)

Freud, S. Three Contributions to the Theory of Sex, (2nd edn, trans. A.A. Brill.) New York: Nervous and Mental Disease Publishing, 1920 (1905)

Hamilton, A. M., ‘The Civil Responsibility of Sexual Perverts’, American Journal of Insanity 52, 1896

Krafft-Ebing, R., Psychopathia Sexualis. New York: Physicians and Surgeons Book Co., 1932 (1902)

Krafft-Ebing, Psychopathia sexualis, 5th ed., 1980

Krafft-Ebing, R., Psychopathia Sexualis, 14th ed., 1912

Krafft-Ebing, R., “Zur ‘conträren Sexualemfindung’ in klinishc-forensicher Hinsicht”, 1882

Mailonline Reporter, “Kristen Stewart gets touchy-feely with her live-in gal pal Alicia Cargile as they celebrate star’s 25th birthday at Coachella”, Daily Mail Online, accessed 13 October, 2015, http://www.dailymail.co.uk/tvshowbiz/article-3046645/Inseparable-Kristen-Stewart-enjoys-Coachella-live-gal-pal-Alicia-Cargile-three-days-25th-birthday.html

Moll, A., Perversions of the Sex Instinct (trans. Maurice Popkin). Newark: Julian Press, 1931 (1893)

Oosterhuis, H., ‘Richard von Krafft-Ebing’s “Step-Children of Nature”: Psychiatry and the Making of Homosexual Identity’, in K.M. Phillips and B.Reay, eds, Sexualities in History: A Reader, New York, 2002

Oosterhuis, H., ‘Sexual Modernity in the Works of Richard von Krafft-Ebing and Albert Moll’, Medical History, 56, 2 (2012), pp. 133-155.

Sedgwick, E. K., Epistemology of the Closet. London: Penguin, 1994

Szaz, T., Sex by Prescription. New York: Garden City, 1980

[1] Krafft-Ebing, R., “Zur ‘conträren Sexualemfindung’ in klinishc-forensicher Hinsicht”, 1882, pg 213-14.

[2] I use ‘queer’ and ‘queerness’ throughout this essay as shorthand for same-sex attractions and behaviour; however it is important to note that this term is anachronistic and may often pre-date any queer, homosexual, or same-sex attracted identity.

[3] Sedgwick, E. K., Epistemology of the Closet. London: Penguin, 1994, 11.

[4] Brickell, C., ‘Sexology, the Homo/Hetero Binary, and the Complexities of Male Sexual History’, Sexualities, 9, 4, 2006, 427.

[5] Sedgwick, Epistemology of the Closet, 2.

[6] Szaz, T., Sex by Prescription. New York: Garden City, 1980, pg 19-20

[7] Oosterhuis, H., ‘Richard von Krafft-Ebing’s “Step-Children of Nature”: Psychiatry and the Making of Homosexual Identity’, in K.M. Phillips and B.Reay, eds, Sexualities in History: A Reader, New York, 2002, pg 279

[8] Oosterhuis, H., ‘Sexual Modernity in the Works of Richard von Krafft-Ebing and Albert Moll’, Medical History, 56, 2 (2012), pp. 133-155.

[9] Krafft-Ebing, R., Psychopathia Sexualis, 14th ed., 1912, pg 430 (quoted in Oosterhuis, ‘Step-Children of Nature’, pg 281)

[10] Krafft-Ebing, Psychopathia sexualis, 5th ed., 1980, pg 129-30. (Quoted in Oosterhuis, ‘Step-Children of Nature’, pg 281)

[11] Oosterhuis, ‘Step-Children of Nature’, pg 283.

[12] Dettmer, Lisa. Beyond Gay Marriage, Weaving the Threads, 17, 2, 2010 http://reimaginerpe.org/node/5822

[13] Chauncey, G., ‘From Sexual Inversion to Homosexuality: Medicine and the Changing Conceptualisation of Female Deviance’, in K. Peiss and C. Simmons, eds, Passion and Power: Sexuality in History, Philadelphia, 1989, pg 129.

[14] Krafft-Ebing, R., Psychopathia Sexualis. New York: Physicians and Surgeons Book Co., 1932 (1902), 188

[15] Ibid.

[16] Brickell, ‘Sexology’, 429.

[17] Ibid, 431.

[18] Moll, A., Perversions of the Sex Instinct (trans. Maurice Popkin). Newark: Julian Press, 1931 (1893), 139. Quoted in Brickell, ‘Sexology’, 432.

[19] Brickell, ‘Sexology’, 433.

[20] Ellis, H., Studies in the Psychology of Sex, Volume II: Sexual Inversion (3rd edn). Philadelphia, PA: F.A. Davis, 1918 (1896), 83.

[21] Ibid, 87.

[22] Brickell, ‘Sexology’, 434.

[23] Ibid.

[24] Freud, S. Three Contributions to the Theory of Sex, (2nd edn, trans. A.A. Brill.) New York: Nervous and Mental Disease Publishing, 1920 (1905), 6.

[25] Chauncey, G., ‘From Sexual Inversion to Homosexuality’, 123.

[26] Ibid.

[27] Ibid, 124.

[28] Freud, Three Contributions, 8.

[29] Chauncey, ‘From Sexual Inversion to Homosexuality’, 125.

[30] Hamilton, A. M., ‘The Civil Responsibility of Sexual Perverts’, American Journal of Insanity 52, 1896, 505. Quoted in Chauncey, ‘From Sexual Inversion to Homosexuality’, 126.

[31] Ellis, H. ‘Sexual Inversion in Women’, Alienist and Neurologist 16, 1895, 142. Quoted in Chauncey, ‘From Sexual Inversion to Homosexuality’, 127.

[32] Mailonline Reporter, “Kristen Stewart gets touchy-feely with her live-in gal pal Alicia Cargile as they celebrate star’s 25th birthday at Coachella”, Daily Mail Online, accessed 13 October, 2015, http://www.dailymail.co.uk/tvshowbiz/article-3046645/Inseparable-Kristen-Stewart-enjoys-Coachella-live-gal-pal-Alicia-Cargile-three-days-25th-birthday.html

[33] Chauncey, ‘From Sexual Inversion to Homosexuality’, 128.

[34] Ibid, 139.

[35] Ibid.

[36] Ellis, Sexual Inversion, 261. Quoted in Chauncey, ‘From Sexual Inversion to Homosexuality’, 140.

[37] Chauncey, ‘From Sexual Inversion to Homosexuality’, 142.

[38] Ibid, 143.

[39] Oosterhuis, H., ‘Sexual Modernity’

[40] “Gay for play” refers to men who self-identify as straight but submit Casual Encounter listings on Craigslist looking for men to have sexual interactions with. “g0y” is an identity claimed by men who love men but do not identify as gay, queer, or homosexual, and who abhor anal sex. For more, see http://g0y.org. For more analysis on the significance of non-queer identifying men engaging in same-sex behaviour, see Shields, J., Para: A Working of Contemporary Parasexuality, Auckland: Artspace NZ, 2015, http://artspace.org.nz/doclibrary/public/JenniferKatherineShields_para.pdf.

Ministry of Health Release Information About GRS Funding

The Ministry of Health this morning responded to an Official Information Act request made in August by A.D Tait requesting “any correspondence, briefings, summaries or presentations related to changing the current level of funding for Sexual Reassignment Surgery (SRS)” as well as “any assessments, briefings or correspondence between the Ministry of Health, DHBs and overseas providers of Male-to-Female SRS, in regards to sending patients overseas for treatment,” as discussed in the Ministry’s response to another OIA request in April.

The outlook is bleak. First off, the Ministry is withholding three emails (falling under the second half of the request, about overseas treatment) between them and ‘the DHB’ on the grounds of “maintain[ing] the effective conduct of public affairs through the free and frank expression of opinions” (OIA Section 9(2)(g)(i)). What does ‘free and frank expression of opinions’ mean in this context and why do they need to be withheld? Considering Andrew Little and co’s comments earlier this year and the fact that in the Ministry’s own communications released in this OIA they refer to trans surgeries as ‘elective’ I don’t have high expectations. Hopefully a complaint to the Ombudsman gets them to release those emails, or at least give some detail as to the content of them.

The first email in the release is to the Chairperson of the Health Select Committee, Simon O’Connor, from Dr Don Mackie, Chief Medical Officer, about the petition recently delivered by Tom Hamilton and 435 others. The first section is basically a summation of how crap we have it – services aren’t standardised, they’re sparse, and we’re often forced into the expensive private sector for what should be basic healthcare. The second talks about surgeries, overseas options, and the waitlist, and is basically what we already know – 73 people are on the combined AMAB/AFAB waitlist; 5 on the AMAB waitlist who have been already approved will be sent overseas “as soon as the Ministry can confirm an overseas provider”. The final section admits that “there has been little consideration of the provision of a comprehensive gender dysphoria service nationally” and “acknowledges that it is time to review the numbers publicly funded for GRS, and how these may be managed in a timely manner” (though it’s worth noting that in a later email in this release they state they have no timeline for this review).

The second email is, quite frankly, pretty horrific. It’s from a surgeon in Australia (Brisbane from the looks of it) who the MoH are considering as their overseas provider for AMAB GRS. He spends 99% of the email talking about his AFAB GRS experience and practice, stating only that he is “interested to expand this service for MtF [sic] patients at a later stage”. He makes zero mention of any experience performing AMAB GRS. If this is the Ministry’s choice, how can they justify it? A surgeon with no experience who currently doesn’t even perform the procedure they’re looking for? Are they willing to accept an even longer wait for trans fem people? An even longer wait for those 5 people already approved waiting for a provider?

The last email from MoH is in response to a doctor requesting information and clarification for a client about the waitlist and its criteria. The client made a complaint about the “lack of action on making a referral” for GRS. The doctor asks:

“I am aware that the only surgeon in NZ performing this surgery has now retired. In this context, can you please tell me exactly what level of gender reassignment surgery is currently funded via the SHCTP [Special High Cost Treatment pool]? Can you also tell me how you manage the referrals for such surgery and the large waitlist that I suspect must inevitably result. Assuming we are funding some small number of surgeries (in Australia perhaps?), are we able to share what number of people are already on a wait list for surgery so that a newly referred person knows that the wait will be a very, very long time and is [sic] public health funding is probably not a realistic solution for them.

“I am keen and it would be very helpful to be able to give this client accurate information and a realistic account of what she can expect from the public health system, assuming she meets all eligibility criteria (which I’m not confident she does anyway).”

Before even getting into the Ministry’s response the attitude towards GRS and trans healthcare in this email really unsettles me. The eligibility criteria referenced is pretty fucked – requiring 2 psychiatric reports, one psychologist report, and “demonstration of progress in transition” including “dealing with work, family, and interpersonal issues as well as significant improvement/stability in mental health”. Aside from the gatekeeping and hoop-jumping required by that many psych reports (as Megan says on twitter, does any other population need 3 psych reports to get on a funding waitlist?) the “demonstration of progress” shows a real lack of understanding as to trans experiences. My mental health hasn’t improved after coming out and starting transition, and it’s not because transition isn’t right for me. My MH was bad before, it’s bad now. While for the most part dysphoria is lesser and HRT has helped with gender issues, being an out trans woman means I have to face transmisogyny and violence on a daily basis. Show me any other population that faces daily aggression, micro and macro, without that having an impact on mental health. Same goes for “dealing with work, family, and interpersonal issues” – what about those with unsupportive families? Unsupportive workplaces? A social circle that refuses to accept them? What happens to those who end up isolated and alone after coming out? Does this render them ineligible for what is a lifesaving surgery?

Then there’s the super cavalier attitude to how long the waitlist is – realism is good, most of us already know what the wait will be like, but this email shows little to no concern as to this wait and the impact it has.

The response from the Ministry to this is the one where they talk about the timeframe for the waitlist review – “due to the increasing W/L we are looking to review these numbers, but no time frame yet”. Interestingly, they also state that they “should be able to send the first of the W/L off to the preferred provider this year”. This doesn’t align with the single provider they claim to have contacted (seeing as the scope of the request included any correspondence with overseas providers) who doesn’t even perform the procedure yet and likely has zero experience. Unless contact with another provider is in the three emails they withheld (not likely, considering they state these emails are between MoH and DHB) this timeframe seems unlikely, if not irresponsible.

At the very least the Ministry recommend to “always inform the patient fully [about waitlist times] and place them on the W/L anyway”.

Overall, the information included in this release is disappointing at best, worrying at worst. They seem to have made little progress as to an overseas provider, have no timeframe for reviewing the forty year long wait list, and discuss an overzealous, gatekeeping, and misinformed set of criteria for funding. The Ministry of Health need to do better, but while attitudes in this country – both public and political – consider GRS ‘nutty’ and ‘elective’ I don’t hold much hope. I don’t think I’ll ever get the surgery I need, publicly or privately.

Update 30/09: Thanks to some rumours from Oz and some quick detective work (squinting real hard at redacted names in their OIA release and cross-checking where he studied) we’ve found the name of the surgeon MoH are in touch with in Brisbane – Hans Goosser, a urologist with special interests in men’s health, erectile dysfunction, male infertility, and prosthetic surgery. He currently only sees ‘FtM’ patients but plans to expand – we’re still waiting to hear back from MoH about how this fits with their “later this year” timeline for sending ‘MtF’ patients off for surgery, or why this is the only surgeon they claim to have contacted about this.

NO PRIDE IN PRISONS: HUNGER STRIKE FOR JADE FOLLETT

Copied and pasted press release from No Pride in Prisons.

Transgender and queer activists are planning a hunger strike, demanding the transfer of an incarcerated trans woman to a women’s facility. Jade Follett is currently being held in the Rimutaka men’s prison, despite requesting more than two months ago to be transferred to a women’s prison.

According to the group, No Pride in Prisons, Jade is in a precarious situation. ‘We’ve received correspondence from Jade saying she requested transfer to a women’s facility in June, and has yet to see any action taken on behalf of the Department of Corrections,’ says spokesperson Jennifer Katherine Shields.

‘We are very worried about Jade. Although she’s a very strong woman, we know that a men’s prison is not a safe place for a trans woman.’

The group has pointed to a 2007 study which shows that trans women were 13 times more likely than the general population to be sexually assaulted in men’s prisons.

‘However,’ Shields says, ‘the reality of the problem for trans people in the New Zealand prisons cannot be fully known. Corrections refuses to collect and release adequate information about trans women in prison, despite numerous Official Information Act requests.’

‘We are also calling on Corrections to release information regarding the number of trans prisoners across the country, including what facilities they are being held in.’

The group has informed the Department of Corrections that if she is not moved before the 27th of August 2015, they will stage a hunger strike.

‘Everyone deserves to be treated with dignity. The fact that Corrections hasn’t done anything about this for two months shows their complete lack of respect for trans people.’

‘We are calling on corrections to immediately transfer Jade to a women’s facility for her to serve out the rest of her sentence.’

According to Movement 03.05.04 of the Department of Corrections’ Prison Operations Manual, all this requires is approval from the Corrections CEO, Ray Smith.

‘Ray Smith must give immediate approval for Jade’s transfer.’

Strikers include prominent community figures and advocates, such as Jennifer Katherine Shields, Emilie Rākete, Aaliyah Zionov, Chase Fox and others.

‘We will hold daily vigils on Auckland’s K’Road until Jade has been transferred.’

‘We will not allow corrections to continue its transphobic disregard of Jade’s safety.’

Silence from Corrections: Ongoing OIA Requests and Evasive Answers About Incarcerated Transgender People

Over the last few months a few of us – specifically Sophie Buchanan and Emilie Rākete – have been putting in Official Information Act request after request to the Department of Corrections to try figure the fuck out what’s going on with transgender people who are incarcerated. I wrote about this before Corrections marched in Pride – that post has a handy but harrowing list of facts about the current (so-called ‘updated’) policy on trans prisoners.

A quick summary:

  • currently trans people are imprisoned according to their birth certificate; to change your birth cert you gotta go through Family Courts, a long and pricey process not available to most.
  • A trans prisoner can be moved if any Corrections staff has “doubts” about their sex/gender; ‘doubts’ includes strip searches.
  • If a trans prisoner has been convicted of “serious sexual assault” (more on that term later) they can never be put in the correct facility, despite studies proving that 53% of transgender people in prisons experience sexual assault (compared to only 4.4% in the general population)

The OIA Requests:

  • May 21st: “Information about transgender prisoners
    • This request was for relatively simple information about how many transgender prisoners there are, where they are, and why they were placed there. It also asked about procedures in place to protect trans prisoners, as well as rates of abuse.
    • The Department of Corrections refused to answer this request, stating “we cannot readily extract statistics about numbers of current and former transgender prisoners from our records, as this information is noted on individual prisoner records, which are de-activated when they are released from custody. In order to identify this type of specific information, we would be required to manually review a large number of files” and that this would not be “an appropriate use of our publicly funded resources”. They restated this twice in response to all three parts of this OIA request.
    • In response to the question about why this information is not requested, DoC stated “we only obtain personal information to help meet our legal functions to improve public safety and reduce reoffending”.
    • To try get DoC to actually give us some information, Sophie complained to the Ombudsman and put in 4 more specific requests.
  • June 20th: “Current number of transgender and intersex inmates
    • This was a simple request: “please provide the number of transgender and intersex prisoners currently in the prison system, to the best of your knowledge.”
    • Department of Corrections responded a full 12 days after the legal due date for their response. Again, DoC refused the request, once more stating “we cannot readily extract statistics about numbers of current transgender prisoners from our electronic records, as this information is noted on individual prisoner records. In order to identify this type of specific information, we would be required to manually review a large number of files” and that it would not be “an appropriate use of our publicly funded resources”.
    • In response, Sophie Buchanan specifically requested the number of “transgender” flags affixed to individual prisoner files as required by Prison Operations Manual M.03.05.01.05, which states:
      • “The custodial systems manager or on-call manager must: a) update IOMS with “Transgender” Alert, and b) record in the Alerts Comment Box the decision on initial placement and all the information that was available to inform that decision.”
    • and that if DoC deemed this once again too difficult, that individual prison managers (or equivalent) give an estimate of the number of trans and intersex prisoners in their individual facilities. This request was made on the 17th of August and it is my understanding that DoC have a month to legally respond. They have not yet.
  • June 20th: “Conditions of segregation in prisons
    • This was another simple request:
      • “please go into detail about the conditions of segregation in New Zealand prisons. If this request is too general, please specifically explain the conditions under which someone would be held who was considered by themselves and/or prison staff to be at risk from the mainstream prison population.”
    • Corrections extended their due date for this request by an additional 20 working days, then responded. They outlined two forms of protective segregation, Directed Segregation, where a prisoner is placed in segregation when the Prison Director fears for their safety and kept in segregation until the Director no longer has this fear, or when three months is up, at which point the decision must be reviewed by a Visiting Justice. The second form is Voluntary Segregation, in which a prisoner fearing for their own safety is placed in segregation for protection. Corrections states that prisoners in either directed or voluntary segregation are usually permitted to mix freely with other segregated inmates, and that the vast majority of prisoners are segregated at their own request. However, Corrections then refused to respond to the specific questions of the request, stating that
      • “The Department does not compile or collect data on the segregation of prisoners due to their sex, gender, or sexuality.”
    • The Department did provide numbers of how many prisoners are segregated: in June 2015, 96 inmates are in directed segregation and 2169 are in voluntary segregation, for a total of 2265.
  • June 20th: “Number of prisoners currently segregated due to sex/gender/sexuality
    • Corrections have entirely ignored this request, sending zero responses even after two follow-up emails from Sophie. This request is legally long overdue and is eligible for a complaint to the Ombudsman.
  • June 20th: “Number of appeals against prison placement to date
    • This is possibly the most frustrating request and response. Sophie was very specific in her request, asking for
      • “the number of appeals against prison placement that have been made to the Chief Executive of the Department of Corrections to date under the 10 February 2014 amendment to the Corrections Regulations 2005″
    • as well as any documentations or guidelines referred to in the decision making process. It’s important to note the request to the CE of DoC as well as the specific amendment, because DoC ignored these details to totally dodge the question.
    • Corrections once again extended the deadline by 20 working days. They then responded by totally ignoring the specific question, talking about an entirely different policy, the Prisoner Placement System and a new facility in South Auckland. They also stated that no appeals have been made in reference to this policy and facility. No Pride in Prisons is in contact with a trans woman in a men’s facility who has requested a transfer and been waiting two months, so it is clear that this response is not related to the information request.
    • Sophie Buchanan responded to this question-dodging by pointing out their failure to comply:
      • My June 20th 2015 request for the “number of appeals against prison placement that have been made to the Chief Executive of the Department of Corrections to date under the 10 February 2014 amendment to the Corrections Regulations 2005” and their outcomes was referring to section M.03.05 in the Prison Operations Manual, which was put in place on February 10th, 2014, and regulates the placement and movement of transgender and intersex prisoners between facilities. The response I received, after 55 days, seems to refer to a completely different policy, the Prisoner Placement System which takes place at Auckland South Corrections Facility.

        Therefore I wish to clarify: under the Official Information Act, please disclose the number of appeals against prison placement that have been made under section M.03.05 in the Prison Operations Manual; that is, how many transgender people have requested to be moved to a different facility under the Department of Corrections’ purview for reasons of sex/gender. With respect to the privacy of the individuals involved, please also provide the outcomes of those appeals, i.e. the number of successful movements or refusals. Please include any documentation or guidelines consulted by the the Department in the process of making such decisions, and where possible please give details such as the nominated gender of the inmates and the facility they were in/requested to move to.

    • This request was made on the 17th of August; Corrections have not responded yet.
  • August 14th: “POM M.03.05.Res.01 Schedule of Serious Sexual Offences
    • I put this request in for Correction’s list of what qualifies as a “serious sexual offence” that renders a trans person ineligible to be transferred to the correct facility. Resources 2 and 3 were available on the site, but this was not. Just checking now they have made it available, but have not responded to my request.
  • August 21st: “Requests for Prison Transfer for Transgender Prisoners
    • Another NPIP member, Tim, asked for details on transfers: how many have been made, how many are pending, how many have been accepted and rejected, and how long the average waiting time is. Corrections are legally required to respond to this request by September 18th.

Overwhelmingly, Corrections’ attitude has been one of silence and evasion. As Emilie says on twitter: “Corrections is actively smokescreening all attempts to actually check if they’re housing trans ppl safely. What are we meant to conclude from this behaviour other than that they have something to hide? like, massive human rights abuse, perhaps? In her letter to No Pride In Prisons, Jade Follett said she applied for transfer in June. As of 31 July [note: as at 21 August this is still true], she is still in a men’s facility. To be clear: The only data we have on Corrections treatment of trans inmates shows that they ARE NOT reassigning us to the right facilities. if this was not the case, Corrections would be leaping to demonstrate that. Instead they are actively obstructing all efforts to check. So what are they hiding? From the context we can only conclude a massive failing to implement policies designed to protect trans safety.”

Statistics NZ’s ‘Gender Diverse’ Decision

Today Statistics NZ released their decision on creating a new standard for gender identity classification, including “gender diverse” alongside “male” and “female”. You’ll remember that they held extensive discussions with the community via loomio, but today, coincidentally timed, those discussions are no longer publicly available, and the loomio group that gender identity fell under, “ethnicity, culture, and identity” has been closed off. Luckily, I never turned off email notifications from Loomio, so I have most of the discussion archived in my inbox.

The original issue was one of potential confusion, and I’m glad to see that StatsNZ has got past that very very weak excuse. However, the standard they have developed is insufficient and ignores concerns voiced by the community in the loomio discussion process.

(image via GayNZ)

As you can see, this standard separates anyone who identifies as gender diverse from the cis population, only othering us further. As Megan pointed out on twitter, it will capture data on the non-binary population relatively well, but is insufficient for capturing actual data on gender identity overall. It also relies on terminology many in the community refuse to use – such as the typical and frustrating MtF/FtM. It leaves no space for trans women to identify as women, but instead as something Other that relies heavily on “born a man” rhetoric.

Kelly Ellis makes a relevant point on GayNZ: a binary trans woman may elect to tick ‘female’ to not Other herself or invalidate her gender, while someone who, for example, does not experience transmisogyny may tick one of the gender diverse options and thus “skew the picture of poverty that transgender people face.” Essentially, this system would require many of us to marginalise ourselves and our identities by selecting an Othered category in order for important data about our lives and experiences to be collected.

Duncan Matthews, General Manager of Rainbow Youth spoke in the discussion about the importance of accurate data:

duncan

[“A key thing that prevents organisations that are supporting gender diverse communities (RainbowYOUTH, Agender, Genderbridge, OUTLine, to name but a few) is a lack of nationally representative data on the gender identity of New Zealanders.

We have some nationally representative data from the Youth’12 report – where young people were asked the question ‘Are you transgender?’. This provides some information, such as 1.2% of high school students self identify as transgender. But does not provide a broader picture of the gender diverse community across all ages, and ‘transgender’ may not be a term all gender diverse people identify with.

Government organisations, such as DHBs, because of a lack of data around gender diverse people do not allocate funding to services for gender diverse people, and DHBs that are being progressive in attempting to provide services for gender diverse people struggle to determine the demand for the service they will receive. 

In short, until we collect data around gender identity, these populations will continue to remain invisible and not receive the services and support needed.“]

Another important point brought up in the discussion that has not been addressed by this classification standard is one of culturally specific identities. This is especially relevant considering the history of the settler state we live in and the impact colonialism has had on indigenous queer identities. Under this standard, non-Western identities are marginalised further and lumped under “gender diverse not further defined” or “gender diverse not elsewhere classified”. Kiran Foster said it better than I ever could in the discussion:

key

[“Aside from what everyone including myself has already said, I’ll speak here as a person of color and a migrant: I have lived experiences of gender systems and understandings of gender that are different from the pākehā one. Many of my friends are Māori and other people of color whose gender is, similarly, something not adequately documented by the current system or recognised in any way.

Especially as this relates to Māori, I feel that there is an obligation to expand the understanding of gender and the collation of gender data in order to more accurately represent the needs of the people that this colonist state has marginalised.

I don’t think the census can claim to have an accurate result if it does not account for this very fundamental way in which a lot of people of color are alienated and unable to discuss their experience of gender (which is so fundamental to our society), and I think it’s very important for basically every organisation which focusses on especially young people of color or queer people or other marginalised groups to have this information and know how best to support the demographics they are targetting.“]

These concerns all were brought up in the discussion thread and sadly seem to have been ignored. Statistics NZ, the media, and now also the NZ Human Rights Commission are all hailing this as a success, a world first. All this shows is that our concerns have not been heard. The standard, as far as I understand, has only been recommended to be included in the 2018 census (which is also when the next standard review is) so it’s likely it won’t be fixed and included properly until 2023 at the earliest. That’s another 8 years of potentially flawed and insufficient data – data that could save lives.

Update 7:00pm 17/07: Stats NZ have responded to GayNZ’s questions about inclusion in the census and more details on how the standard will be used: they are keeping very vague about its inclusion and say “public submissions on the topics for the 2018 Census closed on 30 June so Statistics New Zealand now has to assess all topics to see what should be included. We have criteria against which all topics are assessed, before testing, and then making a final decision.”

Stats NZ also states that this is a standard and not mandatory for people to use – “so we can’t say how people will apply it.” This leaves the standard open to harmful misuse or misinterpretation – but it may also lessen the harm if organisations allow for people to check multiple boxes in this question – being able to check “female”, “gender diverse not further defined,” and “transgender male to female” as I would. However this does not solve either the wording problems, the Othering problems, nor the problems of culturally specific identities.

Update 7.14pm: A friend just pointed out that StatsNZ’s questionnaire module document states “multiple responses are acceptable” in the standard requirements. StatsNZ also state that a write-in option is preferable, although not mandatory.

Statistics NZ has also confirmed that the loomio discussion is now visible again.

Update 7.49pm: The same friend has pointed out this section on a “synonym report”, which “lists all variations of gender identities, and popular and similar gender identity terms used by the population. This can include abbreviations, slang, and some common misspellings.” We are currently waiting on a copy of this report to examine its scope and see what it includes: my concern is that it will count many identity terms toward a simplistic umbrella such as “diverse”.

Where Andrew “quite happy with my gender” Little Went Wrong

Today Labour voted on and passed a policy for free gender reassignment surgery for the second time at a regional conference. Seeing as the current waitlist is longer than our average lifespan, this sounds like good news!

Until you read the coverage, and how the higher-ups in the party responded.

“I’m quite happy with my gender” – Andrew Little

Andrew Little apparently hasn’t given the policy any thought, and stated that he was happy with his gender. Okay, great for you, so am I, but just because you don’t have any problems doesn’t mean the rest of us have to go without surgery that’ll save lives and significantly improve mental health and living conditions.

Then there was Stuart Nash, MP for Napier, pulling the “we just don’t have those people here” we’re all too familiar with:

“To be honest, never once in Napier has anyone ever said they’re not going to vote for Labour because we’re not funding gender reassignment surgery.”

The thing is, Nash, there are definitely transgender people in Napier. In fact, with an electorate population of about 70,000, there are probably at least 500 transgender people in your electorate (judging from the 1.2% gained from the Youth12 data). And even if there somehow weren’t, does that mean that transgender people outside your electorate don’t deserve access to healthcare? Would you do this for every group of people with specific healthcare needs? If they’re not in your electorate, they don’t matter? Would you ignore the needs of at least 500 of your constituents if it were any other group of people?

Little and Nash’s views reflect a very serious problem: they don’t care about our healthcare needs, not when it’ll come at the cost of votes. Nash was quoted saying “I don’t think it’s an issue that’s important to the people of New Zealand”. Because public popularity is more important than our lives.

This issue is important to those affected by it. This ‘issue’ is our lives and our well-being. This is a human rights issue, not a policy popularity one.

Cheers to those within Labour who are pushing for this. To the rest: sharpen the fuck up.

I wrote about trans healthcare, lives, and safety in reference to state violence last month: read here

I also spoke about this issue and Labour’s response with GayNZ: read here

Finally, read my appeal for fundraising help here

Census 2018 and Gender Identity

Statistics NZ are considering including a question on gender identity in the next census. This is great! What’s not so great is their current recommendation is to exclude it on the basis that it could be a confusing question, because to most people the distinction between sex and gender is confusing.

Here’s the wording:

Due to a lack of a classification, we have not tested possible questions on gender identity. Whether a standalone question would work on a self-completed form such as the census is not well understood. People may confuse or not understand the difference between ‘sex’ and ‘gender’ which are conceptually different, and not interchangeable.

Stats are important. They’re incredibly useful for advocacy work. The Youth12 data has been incredibly useful to many of us for pushing for a hard line. They tell us that our trans and gender diverse youth are suffering from mental illness, self-harm, suicide, bullying, abuse. We’re able to put this data to universities, schools, and other institutions to prove to them that they need to do better.

That’s why I’m upset about this. The Youth12 data was helpful but this would be an even bigger step forward. Having relatively concrete data on the amount of trans and gender diverse people in the country would help significantly for many advocates pushing on the government and NGOs for change. Letting that go just because the question may cause confusion seems a weak response compared to the potential improvement in living conditions and the lives saved.

So I’m going to be pushing for this to be changed on the Census’ Loomio, and I ask that others do too.