| 1. |
- Alm, Erika, 1975
(författare)
-
A State Affair?: Notions of the State in Discourses on Trans Rights in Sweden
- 2021
-
Ingår i: Pluralistic Struggles in Gender, Sexuality and Coloniality. - London : Palgrave Macmillan. - 9783030474324 ; , s. 209-237
-
Bokkapitel (refereegranskat)abstract
- Departing from previous scholarly work that has studied the effects of state violence and conditional state recognition on the living conditions of gender-variant people (Beauchamp 2019; Linander 2018), this chapter explores the function of narratives of the state in discourses on trans rights in Sweden. It provides insights into the relation between state and civil society, and the practicalities of governance, through an examination of how activists interpellate the state and hold it accountable. With a critical inquiry into the hegemonic narrative that the Swedish state has a responsibility to alleviate the suffering of gender-variant citizens as a background, it addresses and situates the tension between liberal rights discourses of trans rights on the one hand and transformative politics asking for restorative justice on the other hand (Spade 2011). The argument is that the interpellation of the state can be understood as a strategy to repoliticise the violent effects of governance in times of neoliberalism.
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| 2. |
- Alm, Erika, 1975, et al.
(författare)
-
Anti-gender Politics and Queer Theory
- 2022
-
Ingår i: Lambda Nordica: Tidskrift om homosexualitet. - : Foreningen Lambda Nordica. - 1100-2573. ; 27:3-4, s. 7-19
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 3. |
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| 4. |
- Alm, Erika, 1975
(författare)
-
Contextualising Intersex: Ethical discourses on Intersex in Sweden and the US
- 2010
-
Ingår i: Graduate Journal of Social Science. - 1572-3763. ; 12/2010, Volym 7,:2, s. 95-112
-
Tidskriftsartikel (refereegranskat)abstract
- ␣␣␣ ␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣ ␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣ ␣␣␣␣␣ ␣␣␣␣ ␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣ ␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣ ␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣␣
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| 5. |
- Alm, Erika, 1975, et al.
(författare)
-
Cultural products in flux: an introduction
- 2016
-
Ingår i: Culture Unbound. Journal of Current Cultural Research. - 2000-1525. ; 8:3, s. 187-192
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Alm, Erika, 1975, et al.
(författare)
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Den normkritiska vändningen och förstahetens genealogier
- 2017
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Ingår i: Samtider: Perspektiv på 2000-talets idéhistoria / redaktörer Anders Burman & Lena Lennerhed. - Göteborg : Daidalos. - 9789171735157 ; , s. 137-160
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Bokkapitel (refereegranskat)
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| 7. |
- Alm, Erika, 1975, et al.
(författare)
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Editorial
- 2023
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Ingår i: Lambda Nordica: Tidskrift om homosexualitet. - 1100-2573. ; 28:1, s. 7-12
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 8. |
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| 9. |
- Alm, Erika, 1975-
(författare)
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”Ett emballage för inälvor och emotioner” : föreställningar om kroppen i statliga utredningar från 1960- och 1970-talen
- 2006
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This dissertation focuses on the polyphonic body politics of modern society, as activated in three Swedish Government Official Reports from the 1960s and 1970s. The analysis takes as its point of departure the assumptions about embodiment and identity uncovered in these reports. I argue that the reports – which concern the establishment of juridical sex, the right to abortion, and sterilization – all deal with the question of the individual’s right to decide on issues relating to his or her own body. The commissioners themselves claim that their proposals are formulated in the name of individual rights; and that they are progressive and modern. Although the importance to uphold the individual’s right to autonomy is thus emphasized, there are other values that need to be accounted for. The individual’s sovereignty in these matters is per definition a question open for discussion, and it actualizes a conflict of interest between the individual on one hand and the state or the public interest on the other, or between the individual and professional experts. Who is to decide in matters of the body? What assumptions are made in relation to sex, gender and desire? In addition to the historical approach – the attempt to reconstruct the discourses on sex, gender, and desire, individual autonomy and public interest, generated in the mentioned reports – I initiate a theoretical line of inquiry that draws from the conviction that we need to seek new ways to approach the body; ways that challenge dichotomies that are taken for granted, such as the distinction between body and mind, inner and outer, biological and social, nature and nurture etc. Focusing on Judith Butler’s reformulation of Aristotle’s concepts form and matter into the dynamic concept of materialization, I argue that the concept form has analytic qualities that make it especially useful when analyzing discourses of the body.
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| 10. |
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| 11. |
- Alm, Erika, 1975, et al.
(författare)
-
Greetings from the new editors
- 2020
-
Ingår i: Lambda Nordica: Tidskrift om homosexualitet. - : Foreningen Lambda Nordica. - 1100-2573. ; 25:2, s. 7-13
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 12. |
- Alm, Erika, et al.
(författare)
-
Introduction
- 2020
-
Ingår i: Pluralistic struggles in gender, sexuality and coloniality. - London, New York : Palgrave Macmillan. - 9783030474324 - 9783030474317 ; , s. 1-18
-
Bokkapitel (refereegranskat)abstract
- The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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| 13. |
- Alm, Erika, et al.
(författare)
-
Introduction
- 2021
-
Ingår i: Pluralistic Struggles in Gender, Sexuality and Coloniality. - Cham : Palgrave Macmillan. - 9783030474324 ; , s. 1-18
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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| 14. |
- Alm, Erika, 1975, et al.
(författare)
-
Introduction (Pluralistic Struggles in Gender, Sexuality and Coloniality)
- 2021
-
Ingår i: Pluralistic Struggles in Gender, Sexuality and Coloniality. Challenging Swedish Exceptionalism. - London, New York : Palgrave. - 9783030474317 ; , s. 1-18
-
Bokkapitel (refereegranskat)abstract
- The focus of this book is on the many far from predictable transformative political processes on gender, sexuality and coloniality that grow out of the broad range of bodies and actors engaged in politics outside the hegemonic order and in everyday activities. These processes are not conducted by states, governments or transnational nongovernmental organisations; rather, they are examples of politics in-between states, organisations and national imagined communities. In this first chapter we will introduce some of the main themes, regarding these processes we in our joint research programme have worked on over the last couple of years.
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| 15. |
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| 16. |
- Alm, Erika, 1975
(författare)
-
Kroppen som form
- 2006
-
Ingår i: Kvinnovetenskaplig tidskrift. - 0348-8365. ; :2, s. 45-57
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Tidskriftsartikel (refereegranskat)
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| 17. |
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| 18. |
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| 19. |
- Alm, Erika, 1975
(författare)
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Make(ing) room in transnational surges: Pakistani Khwaja Sira organizing
- 2018
-
Ingår i: Dreaming global change, doing local feminisms: visions of feminism : global North/global South encounters, conversations and disagreements / edited by Lena Martinsson and Diana Mulinari.. - London : Routledge. - 9781138555990 ; , s. 118-137
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Bokkapitel (refereegranskat)
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| 20. |
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| 21. |
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| 22. |
- Alm, Erika, 1975, et al.
(författare)
-
Parenting the nation : state violence and reproduction in Nicaragua and Sweden
- 2023
-
Ingår i: Struggles for reproductive justice in the era of anti-genderism and religious fundamentalism. - London : Palgrave Macmillan. - 9783031312595 - 9783031312625 - 9783031312601 ; , s. 213-240
-
Bokkapitel (refereegranskat)abstract
- Reproduction is a core question for the state, a site of struggle between the reproduction of the nation and the reproduction of liveable lives, especially for those citizens whose rights are rarely recognized in the first place. What role does the exceptionalisation of reproductive rights play in the reproduction of the nation-state? Nicaragua and Sweden are countries where debates about reproductive justice highlight tensions in the projection of a state that cares for its citizens. Nicaragua, the second-poorest country in the Western hemisphere with one of the most repressive and punitive legislations on abortion in the world. Sweden with its reputation as a pioneering nation in matters of gender equality and reproductive justice. This chapter draws on a particular formulation of the centrality of the state in theories and practices of reproductive justice: the notion of the state as a parent with a particular responsibility to protect and foster, but also discipline and subjugate, its citizens. Political leaders, Fathers and Mothers of the Nation, form the discourse within which the state regulates its imagined children’s, the citizens, reproductive rights. As such the governance of reproduction is a vital aspect of the political fantasy about the nation-state and its futuriority.
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| 23. |
- Alm, Erika, 1975, et al.
(författare)
-
Queer- och transforskning
- 2016
-
Ingår i: En introduktion till genusvetenskapliga begrepp / red. Anna Lundberg och Ann Werner. - Göteborg : Nationella sekretariatet för genusforskning. - 9789198080254 ; , s. 61-67, s. 61-67
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Bokkapitel (refereegranskat)
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| 24. |
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| 25. |
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| 26. |
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| 27. |
- Alm, Erika, 1975, et al.
(författare)
-
Sexuell orientering
- 2012
-
Ingår i: I framtidens skugga. (Red.) Lennart Weibull, Henrik Oscarsson, Annika Bergström. - Göteborg : SOM-institutet. - 9789189673243 ; , s. 557-571
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 28. |
- Alm, Erika, 1975
(författare)
-
Somatechnics of Consensus: Situating the Biomedicalisation of Intersex
- 2013
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Ingår i: Somatechnics. - : Edinburgh University Press. - 2044-0138 .- 2044-0146. ; 3:2, s. 307-328
-
Tidskriftsartikel (refereegranskat)abstract
- This article makes an inquiry into how the orientation towards consensus shapes the somatechnics of intersex (Ahmed 2006, 2007; Sullivan 2009a, 2009b). The article takes its departure in the concept of somatechnics and the theoretical framework of biomedicalisation (Clarke et al 2003), two theoretical perspectives that transgress the standoff between discursive and material approaches and challenge the notion that there is such a thing as pre-discursive, purely material bodies that discourses act upon, pointing towards the fact that ‘modes and practices of corporeality are always-already, and without exception, in-relation and in-process’ (Sullivan 2009a). In order to explore the complexity of the somatechnics of intersex, encompassing networks of organisations, communication channels, alliances, narratives, clinical protocols, surgical interventions, feminist critique and activist resistance, this inquiry tries to situate somatechnical practices by means of exploring local somatechnics of intersex, using the differences and similarities between US and Swedish contexts as a case study. The article also explores how the somatechnics of consensus as expressed within activist organisations sets boundaries for how feminist critique is formulated and enacted.
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| 29. |
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| 30. |
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| 31. |
- Alm, Erika, 1975, et al.
(författare)
-
The Rainbow Flag as Friction: Transnational, Imagined Communities of Belonging among Pakistani LGBTQ Activists
- 2016
-
Ingår i: Culture Unbound. Journal of Current Cultural Research. - : Linkoping University Electronic Press. - 2000-1525. ; 8:3, s. 218-239
-
Tidskriftsartikel (refereegranskat)abstract
- is article analyzes the frictions the rainbow ag creates between transnational, national and translocal discourses and materialities. It focuses on the ambivalent role that the transnational ‘rainbow’ space plays for community building for LG- BTQ activists in in Pakistan. e rainbow ag can function as a way to mobilize an imagined transnational community of belonging, enabling people to politicize their experiences of discrimination as a demand of recognition directed at the sta- te. But it can also enable homonationalism and transnational middle class forma- tions that exclude groups of people, for example illiterates and people perceived of as traditional, such as Khwaja Siras. e article is based on auto-ethnographic re ections on encounters with activists in Pakistan, and critically discusses the problem of feeling ‘too comfortable’, as white, Western, middle-class researchers, exploring ‘imperial narratives’ dominating the feminist and LGBTQ activist trans- national imagined community of belonging. It argues for the importance of recog- nizing the transnational space as a space in its own right, with di erent positions, communities and con icts stretching around the globe.
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| 32. |
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| 33. |
- Berg, Linda, 1974-, et al.
(författare)
-
A conversation about the state in pandemic times : Necropolitics and the legacy of social democracy in Sweden and Nicaragua
- 2021
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Ingår i: Kulturella perspektiv - Svensk etnologisk tidskrift. - : Publicera, Kungliga Biblioteket. - 1102-7908 .- 2004-0288. ; 30:2-3
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Tidskriftsartikel (refereegranskat)abstract
- Established ideas about state responsibility and state violence are placed in a new light in times characterized as states of emergency. The following conversation addresses the role of the state in the safeguarding of public health, taking its departure in media debates and political debates about state responsibility in two countries that have been criticized for not taking strong enough measures to protect the very futuriority of the nation in times of a pandemic Sweden and Nicaragua. Both countries have been castigated for avoiding total lockdown and for having taken a passive approach to what Wendy Brown has called “the political management of the virus” (Brown 2020). At the same time, the rhetoric used to describe their respective strategies has differed vastly in dialogue we explore notions about governance, biopolitics and necropolitics as they are articulated and negotiated in national contexts that claim the label social democracies. One of the points of departure is that while the response to Covid-19 is often described in war metaphors, and hence as a state of emergency, the unjust and unequal distribution of life and death is by no means exceptional.
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| 34. |
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Cisnormativitet och feminism
- 2016
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Ingår i: Tidskrift för Genusvetenskap. - : Tidskrift för genusvetenskap. - 1654-5443. ; 37:4
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Proceedings (redaktörskap) (refereegranskat)abstract
- Detta nummer av TGV samlar texter som på olika vis undersöker förhållandena mellan å ena sidan akademisk feminism och feministiska rörelser, och å andra sidan transstudier och transaktivistiska rörelser genom att ta utgångspunkt i begreppet cisnormativitet.Numret är tänkt att initiera samtal som överskrider en förenklad dikotomi mellan å ena sidan exkluderande eller transfobiska feminismer och å andra sidan inkluderande eller transbekräftande feminismer (Stryker och Bettcher 2016). På samma gång som det behövs kompetens om transfrågor inom feministiska rörelser, inom och utom akademin, och därtill ett ökat intresse för varför transfrågor också är feministiska frågor, behövs det en form av transstudier som arbetar aktivt med arvet från feministiska analyser, teorier och diskussioner genom historien och i nutid.Transstudier, transaktivism och inom- och utomakademiska feminismer är samtliga rörelser som grundas i en önskan om att bekämpa könsbaserad diskriminering. Transstudier och feministisk forskning är även intimt förbundna med varandra i strävan att analysera och förstå epistemologier, diskurser och praktiker som konstituerar kön. Fälten förenas i ett intresse för hur betydelser av begrepp som kön, genus, trans, cis, kvinna, man och queer är i kontinuerlig förändring.Med utgångspunkt i begreppet cisnormativitet diskuteras förhållandena mellan feminismer och transstudier. Numret fokuserar på några av de samtal som redan existerar såväl inom som utanför akademin: Hur ser förhållandena ut mellan feminismer och transstudier? Vad betyder fälten för varandra? Hur kan de utmana och informera varandra?Det här numret av TGV samlar alltså delar av den skandinaviska forskning som arbetar med frågor kring cisnormativitet och feminismer, och som pågår i överlappningarna mellan transstudier, feministisk forskning, och queer teori.
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| 35. |
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| 37. |
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| 38. |
- Fjordkvist, Erika, 1985-, et al.
(författare)
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First-line managers' experience of guideline implementation during the COVID-19 pandemic
- 2024
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Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648.
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Tidskriftsartikel (refereegranskat)abstract
- AIM(S): To explore first-line managers' experience of guideline implementation in orthopaedic care during the COVID-19 pandemic.DESIGN: A descriptive, qualitative study.METHODS: Semi-structured interviews with 30 first-line nursing and rehabilitation managers in orthopaedic healthcare at university, regional and local hospitals. The interviews were analysed by thematic analysis.RESULTS: First-line managers described the implementation of guidelines related to the pandemic as different from everyday knowledge translation, with a swifter uptake and time freed from routine meetings in order to support staff in adoption and adherence. The urgent need to address the crisis facilitated guideline implementation, even though there were specific pandemic-related barriers such as staffing and communication issues. An overarching theme, Hanging on to guidelines for dear life, is substantiated by three themes: Adapting to facilitate change, Anchoring safety through guidelines and Embracing COVID guidelines.CONCLUSION: A health crisis such as the COVID-19 pandemic can generate enabling elements for guideline implementation in healthcare, despite prevailing or new hindering components. The experience of guideline implementation during the COVID-19 pandemic can improve understanding of context aspects that can benefit organizations in everyday translation of evidence into practice.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Recognizing what enabled guideline implementation in a health crisis can help first-line managers to identify local enabling context elements and processes. This can facilitate future guideline implementation.IMPACT: During the COVID-19 pandemic, the healthcare context and staff's motivation for guideline recognition and adoption changed. Resources and ways to bridge barriers in guideline implementation emerged, although specific challenges arose. Nursing managers can draw on experiences from the COVID-19 pandemic to support implementation of new evidence-based practices in the future.REPORTING METHOD: This study adheres to the EQUATOR guidelines by using Standards for Reporting Qualitative Research (SRQR). No Patient or Public Contribution.
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| 39. |
- Fjordkvist, Erika, 1985-, et al.
(författare)
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First-line managers’ experience of guideline implementation in orthopaedic nursing and rehabilitation : a qualitative study
- 2024
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Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: First-line managers have a unique role and potential in encouraging the use of evidence-based clinical practice guidelines (CPGs) and thus serve the provision of safe patient care. In acute and planned hospital care, effective yet safeguarded nursing procedures are a necessity. Little is currently known about how first-line managers engage in supporting the adoption of evidence-based nursing care and about what barriers and enablers there are for implementation of CPGs in the orthopaedic care context.Purpose: To investigate first-line managers' experience of clinical practice guideline implementation in orthopaedic care.Methods: This qualitative interview study included 30 first-line nursing and rehabilitation managers in 17 orthopaedic units in Sweden. A deductive content analysis, with the Ottawa Model of Implementation Leadership as a guide, was employed.Results: To the first-line managers, any guideline implementation required them to balance contexts, including their outer context (signified by the upper-level management and decision-makers) and their inner context, including staff and patients in their unit(s). Acting in response to these contexts, the managers described navigating the organization and its terms and conditions; using relations-, change-, and task-oriented leadership, such as involving the staff; motivating the change by emphasizing the patient benefits; and procuring resources, such as time and training. Even though they knew from past experience what worked when implementing CPGs, the first-line managers often encountered barriers within the contexts that hampered successful implementation.Conclusions: Although first-line managers know how to effectively implement CPGs, an organization's terms and conditions can limit their opportunities to fully do so. Organizational awareness of what supports and hinders first-line managers to offer implementation leadership can enhance opportunities to alter behaviours and conditions for the benefit of CPG implementation.Trial registration: The study was registered as NCT04700969 with the U.S. National Institutes of Health Clinical Trials Registry on 8 January 2021.
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| 40. |
- Fjordkvist, Erika, et al.
(författare)
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First-line managers' experience of guideline implementation in orthopaedic nursing and rehabilitation: a qualitative study
- 2024
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Ingår i: BMC Health Services Research. - : BMC. - 1472-6963. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundFirst-line managers have a unique role and potential in encouraging the use of evidence-based clinical practice guidelines (CPGs) and thus serve the provision of safe patient care. In acute and planned hospital care, effective yet safeguarded nursing procedures are a necessity. Little is currently known about how first-line managers engage in supporting the adoption of evidence-based nursing care and about what barriers and enablers there are for implementation of CPGs in the orthopaedic care context.PurposeTo investigate first-line managers' experience of clinical practice guideline implementation in orthopaedic care.MethodsThis qualitative interview study included 30 first-line nursing and rehabilitation managers in 17 orthopaedic units in Sweden. A deductive content analysis, with the Ottawa Model of Implementation Leadership as a guide, was employed.ResultsTo the first-line managers, any guideline implementation required them to balance contexts, including their outer context (signified by the upper-level management and decision-makers) and their inner context, including staff and patients in their unit(s). Acting in response to these contexts, the managers described navigating the organization and its terms and conditions; using relations-, change-, and task-oriented leadership, such as involving the staff; motivating the change by emphasizing the patient benefits; and procuring resources, such as time and training. Even though they knew from past experience what worked when implementing CPGs, the first-line managers often encountered barriers within the contexts that hampered successful implementation.ConclusionsAlthough first-line managers know how to effectively implement CPGs, an organization's terms and conditions can limit their opportunities to fully do so. Organizational awareness of what supports and hinders first-line managers to offer implementation leadership can enhance opportunities to alter behaviours and conditions for the benefit of CPG implementation.Trial registrationThe study was registered as NCT04700969 with the U.S. National Institutes of Health Clinical Trials Registry on 8 January 2021.
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| 41. |
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| 42. |
- Grennberg, Helena, et al.
(författare)
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Functionalization and Area-Selective Deposition of Magnetic Carbon-Coated Iron Nanoparticles from Solution
- 2011
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Ingår i: Journal of Nanotechnology. - : Hindawi publishing. - 1687-9503 .- 1687-9511. ; , s. 342368-
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Tidskriftsartikel (refereegranskat)abstract
- A route to area-selective deposition of carbon-coated iron nanoparticles, involving chemical modification of the surface of the particles, is described. Partial oxidative etching of the coating introduces carboxylic groups, which then are esterified. The functionalized particles can be selectively deposited on the Si areas of Si/SiO2 substrates by a simple dipping procedure. Nanoparticles and nanoassemblies have been analyzed using SEM, TEM, and XPS.
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| 43. |
- Liinason, Mia, 1973, et al.
(författare)
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Ungendering Europe: critical engagements with key objects in feminism
- 2018
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Ingår i: Gender, Place and Culture. - 0966-369X .- 1360-0524. ; 25:7, s. 955-962
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Tidskriftsartikel (refereegranskat)abstract
- © 2018, © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This introduction presents the points of departure for the themed section ‘Ungendering Europe: Critical Engagements with Key Objects in Feminism’ and introduces the eight articles included in the collection.
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| 44. |
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| 45. |
- Linander, Ida, 1987-
(författare)
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“It was like I had to fit into a category” : people with trans experiences navigating access to trans-specific healthcare and health
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Trans issues have received increased attention over the last couple of years and important changes have been made in the legislation relating to gender reassignment and in trans-specific healthcare practices. At the same time, many people with trans experiences report poor mental health, bad experiences when encountering the healthcare and a tendency to postpone seeking care due to being badly treated. Previous research has also shown that gender norms guide the evaluation that precedes access to gender-confirming medical procedures. Critical studies examining practices within trans-specific healthcare in the Swedish context and health among people with trans experiences are limited, especially qualitative interview studies involving people with trans experiences.Aim: To analyse how constructions of trans experiences and gender can affect trans-specific healthcare practices, experiences of navigating access to gender- confirming medical procedures, inhabitancy of different spaces and, ultimately, health.Conceptual framework: Three areas of theory are used for the conceptual framework: trans studies, queer phenomenology and Foucauldian theories of power and governmentality.Methods: The thesis includes three sub-studies (generating four articles): two interview studies that build on interviews with 18 people with trans experiences, and a policy analysis of the guidelines for trans-specific healthcare published by the Swedish National Board of Health and Welfare. For the interview studies, grounded theory and thematic analysis were used as the analytical method. The guidelines were analysed using Bacchi’s method: “What’s the problem represented to be?”.Results: The participants experienced trans-specific healthcare as difficult to navigate due to waiting times, lack of knowledge and/or support and relationships of dependency between healthcare users and providers. In the evaluation, gender is reconstructed as linear – stereotypical, binary and stable – and the space for action available to care-seekers is affected by discourses existing both inside and outside trans-specific healthcare. The difficulties in navigating access to care were experienced as creating ill-health. In order to negotiate access to gender-confirming medical procedures, the participants took responsibility for the care process by, for example, ordering hormones from abroad, acquiring medical knowledge and finding alternative support. The linear gendered positioning was variously resisted, negotiated and embraced by the participants.The analysis of the guidelines showed that gender identity is constructed as a fixed linear essence but that the guidelines also open up space for a non-linear embodiment. Gender dysphoria is closely constructed in relation to psychiatric knowledge and mental health and the gate-keeping function among mental healthcare professionals is reconstituted in the guidelines. Hence, care-seekers are constructed as not competent enough to make decisions concerning access to gender-confirming medical procedures.The participants experienced several different spaces, such as bars, public toilets and changing rooms, gyms and cafés, as unsafe and as contributing to ill-health. In order to overcome the barriers to comfortably inhabiting spaces, the participants performed a kind of labour; for example, preparing in order to visit public baths and to answer transphobic comments and questions. Some spaces, such as trans-separatist, feminist and queer spaces, were experienced as safer and contributed to improved health through experiences of belonging, being able to share bad experiences and being able to relax.Conclusions: Trans-specific healthcare practices need to become more affirming and change so that care-seekers have more space for self- determination. Trans-specific healthcare needs more resources in order to decrease waiting times, improve knowledge and support, and hence to improve access to gender-confirming medical procedures. Actions need to be initiated to make spaces safer in order to improve the health of people with trans experiences.
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| 46. |
- Linander, Ida, et al.
(författare)
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'It was like I had to fit into a category': Care-seekers' experiences of gender regulation in the Swedish trans-specific healthcare.
- 2019
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Ingår i: Health (London, England : 1997). - : SAGE Publications. - 1461-7196 .- 1363-4593. ; 23:1, s. 21-38
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Tidskriftsartikel (refereegranskat)abstract
- The few previous studies investigating regulation of gender in trans-specific healthcare are mainly based on text material and interviews with care-providers or consist solely of theoretical analyses. There is a lack of studies analysing how the regulation of gender is expressed in the care-seeker's own experiences, especially in a Nordic context. The aim of this study is to analyse narratives of individuals with trans experiences (sometimes called transgender people) to examine how gender performances can be regulated in trans-specific care in Sweden. The conceptual framework is inspired by trans studies, a Foucauldian analysis of power, queer phenomenology and the concept of cisnormativity. Fourteen interviews with people with trans experiences are analysed with constructivist grounded theory. The participants' experiences indicate that gender is constructed as norm-conforming, binary and stable in trans-specific healthcare. This gendered position is resisted, negotiated and embraced by the care-seekers. Norms and discourses both inside and outside trans-specific care contribute to the regulation and limit the room for action for care-users. We conclude that a trans-specific care that has a confirming approach to its care-users, instead of the current focus on gender norm conformity, has the potential to increase the self-determination of gender performance and increase the quality of care.
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| 47. |
- Linander, Ida, et al.
(författare)
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Negotiating the (bio)medical gaze - Experiences of trans-specific healthcare in Sweden
- 2017
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Ingår i: Social Science & Medicine. - : Elsevier BV. - 0277-9536 .- 1873-5347. ; 174, s. 9-16
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden as well as in other western countries persons with trans experiences have to go through a clinical evaluation in order to get access to gender-confirming medical procedures. The aim of this study is to analyse care-users' experiences of navigating and negotiating access to gender-confirming medical procedures in Sweden. Biomedicalisation is used as a theoretical framework in order to analyse how technoscientific and neoliberal developments are parts of constructing specific experiences within trans specific care. Constructivist grounded theory was used to analyse 14 interviews with persons having experiences of, or considering seeking, trans-specific healthcare. The participants experienced trans-specific healthcare as difficult to navigate because of waiting times, lack of support, provider ignorance and relationships of dependency between healthcare-users and providers. These barriers pushed the users to take responsibility for the care process themselves, through ordering hormones from abroad, acquiring medical knowledge and finding alternative support. Based on the participants' experiences, it can be argued that the shift of responsibility from care-providers to users is connected to a lack of resources within trans-specific care, to neoliberal developments within the Swedish healthcare system, but also to discourses that frame taking charge of the care process as an indicator that a person is in need of or ready for care. Thus, access to gender-confirming medical procedures is stratified, based on the ability and opportunity to adopt a charge-taking role and on economic and geographic conditions. Based on the results and discussion, we conclude that trans-specific care ought to focus on supporting the care-seekers throughout the medical process, instead of the current focus on verifying the need for care. There is also a need for increased knowledge and financial resources. A separation between legal and medical gender reassignment could contribute to a better relationship between care-providers and care-users and increase the quality of care. (C) 2016 Elsevier Ltd. All rights reserved.
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| 48. |
- Linander, Ida, 1987-, et al.
(författare)
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The gender minority stress model and/or cisnormativity? : The need for pluralistic theoretical perspectives in improving trans health and medicine
- 2024
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Ingår i: Social Science & Medicine. - : Elsevier. - 1873-5347 .- 0277-9536. ; 351
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Tidskriftsartikel (refereegranskat)abstract
- The minority stress model has become a well-used framework to explain and analyse health among LGBTQ people, and specifically among transgender and gender-diverse people (TGD), when it is sometimes called ‘the gender minority stress model’. Scholars have argued the need for critical discussions about some of the assumptions underlying the gender minority stress model and how it has been used and discussed. Drawing on a pluralistic understanding of theories and employing a Foucauldian understanding of critique, we discuss implicit assumptions and epistemological standpoints of the gender minority stress model and the connected limitations. We also ask what the concept of cisnormativity can give rise to in comparison with the minority stress framework. We make four arguments: 1) the calls for extensions to the model could be seen as a desire to understand and analyse TGD people's health from an all-encompassing perspective, resulting in theoretical vagueness and the silencing of excluded aspects; 2) in the gender minority stress literature, identity is largely taken for granted and there is no consideration of how power is constitutive for all subjects; 3) the model risks individualising the effects of social norms, and internalisation could be further theoretically developed in relation to the repression hypothesis; 4) in the translation process from LGB minorities to TGD, as well as in thinking about cisnormativity, the issue of gender-affirming care has largely been neglected. By initiating a critical discussion around these issues and illustrating how different theories and frameworks can illuminate different possibilities for thinking and knowing, we aim to open up new routes for thinking about TGD health and medicine.
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| 49. |
- Linander, Ida, 1987-, et al.
(författare)
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Two Steps Forward, One Step Back: A Policy Analysis of the Swedish Guidelines for Trans-Specific Healthcare
- 2021
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Ingår i: Sexuality Research and Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; 18, s. 309-320
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Sweden has one of the world's longest histories of providing subsidized gender-confirming medical procedures for people with trans experiences. However, until 2015, Swedish trans-specific healthcare lacked formal guidelines. Methods In this study, we analyse the Swedish guidelines for trans-specific healthcare from 2015 using Bacchi's approach: "What's the problem represented to be?" Following this approach, we analyse problem representations in the guidelines with special focus on evaluation, diagnosis of gender dysphoria and criteria for access to care. Results Three problem representations were identified in our analysis: "the problem of (non)linear gender", "the mental health paradox" and "gender dysphoria as a psychiatric, psychological and psychosocial problem". Together, these problem representations construct gender dysphoria as a psychopathology and allocate the decision-making power to mental health care providers. Hence, the guidelines reconstruct the gatekeeping function among care providers while undermining care seekers' ability to attain self-determination. While the guidelines do allow for non-linear embodiment, they simultaneously reconstruct a linear relationship between gender identity and social gender role. Mental healthiness and, for migrants, having a residence permit seem to be favoured in the evaluation of gender dysphoria and for access to gender-confirming medical procedures, while aspects of gender euphoria are silenced. Conclusions We conclude that the guidelines resemble, and have similar effects to, the psychomedical understandings of gender dysphoria prevalent in medical research and practice. At the same time, the guidelines attempt to depathologize trans experiences and open up space for new subjectivities to be eligible for access to gender-confirming medical procedures. Policy Implication The knowledge from this study can be useful when constructing, revising or analysing guidelines for trans-specific healthcare in several contexts.
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| 50. |
- Linander, Ida, 1987-, et al.
(författare)
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(Un)safe spaces, affective labour and perceived health among people with trans experiences living in Sweden
- 2019
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Ingår i: Culture, Health and Sexuality. - : Routledge. - 1369-1058 .- 1464-5351. ; 21:8, s. 914-928
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Tidskriftsartikel (refereegranskat)abstract
- Lack of safe space has been connected to ill health among people with trans experiences. This study analyses trans people’s experiences of being in public, semi-public and community spaces using the analytical concept of safety/unsafety in relation to perceived health. The analytic framework draws on the concepts of cisgenderism, orientation, lines and comfort. The material analysed consisted of 18 individual interviews with people with trans experiences, which were analysed using constructivist thematic analysis. The analysis resulted in the identification of three themes: straightening devices creating limited living space, orienting oneself in (cis)gendered spaces and creating safer (?) community spaces for healing. Experiences of unsafety ranged from incidents and fear of different kinds of violence in public and semi-public spaces to the lack of a transpolitically informed agenda in, for example, feminist spaces. Safer spaces helped participants to feel a sense of belonging, to share their experiences and to heal. Experiences of unsafety and discomfort are important as they will help us to understand the health situations of people with trans experiences. It is important to facilitate the creation of safer spaces to improve the health of members of this group.
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