Fordham University’s Dr. Celia Fisher Discusses Transgender Healthcare on WFUV

 

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Transgender and gender non-conforming communities face a number of various healthcare challenges, both social and medical, including “stigma, discrimination and lack of access to quality healthcare.”

Fordham Conversations Host Robin Shannon talks with Dr. Celia Fisher, Marie Ward Doty University Chair in Ethics, Professor of Psychology, and founding Director of the Fordham University Center for Ethics Education, about these disparities on WFUV.

Please visit WFUV to listen to the full interview, “The Troubles with Transgender Healthcare.”


For LGBT resources, please visit RELAY (Research and Education for LGBT and Allied Youth). RELAY is a project of Fordham University’s Center for Ethics Education which looks to advance the conversation about health for lesbian, gay, bisexual, and especially trans youth. Please also visit the resource page for creating an LGBTQ-inclusive classroom.

Celia B. Fisher, Ph.D. is the Fordham University Marie Ward Doty University Chair in Ethics and Director of the Center for Ethics Education and the HIV and Drug Abuse Prevention Research Ethics Training InstituteFisher’s  Decoding the Ethics Code: A Practical Guide for Psychologist, is now in its fourth edition from Sage Publications.

The National Transgender Study is a Start – But More is Needed to Protect the Sexual Health of Transgender Teens

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On Thursday, December 9th, the largest survey of transgender people ever conducted was published by The National Center for Transgender Equality. The anonymous online survey had nearly 28,000 participants and found transgender people are twice as likely to live in poverty and three times more likely to be unemployed, according to an article in TIME Magazine. Other findings included that one-third of respondents reported issues in finding healthcare and 42%  reported higher rates of mistreatment by health care providers.

Fordham University Center for Ethics Education Director, Celia B. Fisher, Ph.D., lauded the recent national study highlighting the healthcare needs of transgender people in the United States. “More is needed on the health care experiences of transgender adolescents, especially their experiences with family physicians who often do not have the training to provide necessary gender affirming care,” she noted.

Fisher’s research with colleagues from Northwestern University, supported by the National Institute on Minority Health and Health Disparities (NIMHD), has highlighted the critical need for physicians who are trained and open to providing gender minority youth with not only transitioning information, but also gender and sexual orientation specific sexual health information and services to prevent HIV and related STIs.

Continue reading “The National Transgender Study is a Start – But More is Needed to Protect the Sexual Health of Transgender Teens”

Medical Training for Transgender Patients Needs to Include Sensitivity to Social Stigmas for both Gender and Sexual Orientation

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The recently published article on doctor’s lack of expertise in treating transgender patients in The Guardian is an important step forward in highlighting current disparities in healthcare services for this population.  The study, based on interviews with sample of 23 physicians and psychologists who chose to work with transgender patients, focused on current challenges in providing gender affirming care for individuals who are seeking medically supported transitioning treatments, such as hormonal replacement therapies (HRT).

A recently completed study by Celia B. Fisher, Ph.D. and her colleagues, funded by the National Institute for Minority Health and Health Disparities (NIMHD) confirms the need for greater medical training, based on the reports of 228 transgender males, females and gender non-conforming youth ages 14 – 21.  “Fear of stigmatization is a significant barrier to healthcare among these youth,” notes Fisher, Director of Fordham University’s Center for Ethics Education, “and in our study, 51% reported they did not discuss their transgender identity with their primary health care providers out of fear that the provider would not be accepting.”

Continue reading “Medical Training for Transgender Patients Needs to Include Sensitivity to Social Stigmas for both Gender and Sexual Orientation”

New WHO diagnostic labels perpetuate transgender stigma

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The movement of the World Health Organization (WHO) to declassify transgender identity as a mental disorder is simultaneously a step forward in affirming the personhood of gender minority individuals, and a step backward in diagnoses that adequately reflect their health needs. The solutions posited by the WHO reveal the systemic influence of health insurance policies in defining not only medical disorders, but also social categories.

Currently, in the United States and abroad, in order to qualify for health insurance coverage for gender affirming surgery or hormone replacement therapy (HRT), mentally healthy transgender individuals must receive a diagnosis indicating a gender-related mental disorder based on either the WHO classification or the “gender dysphoria” diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders (DSM). In the hopes of fostering greater acceptance while still satisfying insurers, after 25 years, the WHO is considering a new diagnostic category: “Conditions related to sexual health.”

According to Dr. Celia B. Fisher, Director of the Center for Ethics Education and Professor of Psychology at Fordham University, the new terminology, while well-intentioned, “runs the risk of perpetuating stereotypes that conflate gender identity and sexual orientation and lead to continued misclassification of transgender personhood as a sexual problem.”

Continue reading “New WHO diagnostic labels perpetuate transgender stigma”

Ethics & Society Newsfeed: February 26, 2016

 

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Apple vs. FBI is a sign of a dangerous divide
Rogers and Grumet examine Apple’s decision to fight a court order to unlock an iPhone belonging to one of the terrorists involved in the San Bernardino, California, attack last year. They look at the ethical restraints on the FBI wanting software to unlock these devices.

Is Legalizing Prostitution the Best Way to Tackle Sex Trafficking
Bodenner discusses sex trafficking and the ways to combat it through different policies. He looks at the moral complexity of sex work, and the failure to protect many men and women involved.

UN: Zika-hit nations should allow access to contraception
The UN has released a video stating Zika hit nations should be allowed access to contraception.

Continue reading “Ethics & Society Newsfeed: February 26, 2016”

Ethics & Society Newsfeed: February 19, 2016

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Participants in the Tuskegee Syphilis Experiment. | Photo via National Archives Catalog

Voices for Our Fathers Keeping Memory of Horrific Study Alive
The Tuskegee syphilis experiment recruited poor men with “bad blood” from rural Macon County, Ala., as test subjects. The study went on for decades, despite its ethical issues.

‘Government only pays for the positive outcomes.’ A strikingly new approach to social problems.
Two states announced Tuesday that they would experiment with an unusual method of financing human service programs that allows governments to pay nothing unless the programs are successful.

Needle Exchanges Can Now Get Federal Funding
Lifting the ban underscores a growing recognition that needle exchange programs can help reduce the the spread of infectious diseases

A First-Aid Class for Mental Health
Most people know how to help someone with a cut or a scrape. But what about a panic attack?

Continue reading “Ethics & Society Newsfeed: February 19, 2016”

Fit to a “T”: Addressing the Unique Needs of Transgender Students

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For more information, please visit & “like” RELAY: Resources & Education for LGBT & Allied Youth: www.facebook.com/lgbtrelay

On Monday, August 3, several organizations, including the Human Rights Campaign, the National Education Association, and the American Civil Liberties Union released “Schools in Transition: A Guide for Supporting Transgender Students in K-12 Schools.” The report, which addresses issues such as names and pronouns, dress codes, and puberty and medical transition “represents an important milestone in reducing health disparities among transgender youth, something that we are also working toward at the Fordham University Center for Ethics Education,” stated Dr. Celia Fisher, Center Director.

Continue reading “Fit to a “T”: Addressing the Unique Needs of Transgender Students”