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six - The politics of trans health: negotiating credible knowledge

Published online by Cambridge University Press:  14 April 2022

Ruth Pearce
Affiliation:
University of Leeds
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Summary

As a spatial marker of possibility, the prefix, trans- does not just signify movement beyond or across a schism. Instead, it is also evocative of the transgressions, transmogrifications, and transmutations of established norms. (Nael Bhanji, 2013, emphasis in original)

A Trip To The Clinic

Okay, well it tells me here that you have a complaint about your arm. Why don't you tell me about yourself?

You seek help for an injury at the fracture clinic. Unfortunately, the doctor isn't interested in your arm. He wants to know a lot more, asking in an increasingly disparaging manner for irrelevant details from your childhood, and probing your emotional response to the accident. At one point, he insists that you tell him about your sex life. It seems that the burden of proof is on you to demonstrate not simply that you have indeed broken your arm, but that you are also in a great deal of pain and therefore require treatment.

I feel I should tell you now that, in your notes, I’ve been writing ‘pain’ in inverted commas. I’m not yet convinced that you have actually experienced any pain.

This narrative can be found in the short ‘choose your own adventure’ text-based browser game A Trip To The Clinic. It was released for free on the internet by indie game creator Wojit in January 2013, in the immediate wake of #transdocfail. The game, which was shared widely on trans and feminist blogs and social media spaces, is a transparent satire of gender clinic appointments. To ‘win’, thereby gaining access to treatment, the player must present the correct narrative to the doctor, and respond in a deferential manner to his requests. This can be done by clicking on the ‘correct’ response to questions where an option is available. A failure to provide enough ‘correct’ responses may result in the player character waiting longer for treatment, or being denied treatment altogether.

A Trip To The Clinic reflects and feeds into prominent discourses of trans health present within community and activist spaces. Firstly, it addresses the fundamental differences of definition and understanding that can sometimes exist between practitioner and patient, as discussed in Chapter Four.

Type
Chapter
Information
Understanding Trans Health
Discourse, Power and Possibility
, pp. 159 - 196
Publisher: Bristol University Press
Print publication year: 2018

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