Accessible Requires Authentication Published by De Gruyter Mouton January 29, 2019

The interactional making of a “true transsexual”: Language and (dis)identification in trans-specific healthcare

Rodrigo Borba

Abstract

Can the transsexual subject speak in their own terms? This is the question this article addresses. Grounded on a Foucauldian genealogical approach to discourse analysis and on Goffmanian-inspired interactional analysis, it investigates how knowledge systems that pathologise transsexuality as a mental disorder get gradually embodied (and spoken) in consultations at a Brazilian gender identity clinic. The analysis follows the interactional history a trans woman had with the clinic’s psychologist and traces the intertextual links that connect various consultations in time. This series of encounters constitutes a socialisation trajectory during which the trans client is led to speak a language that is not hers in order to frame an identity performance within the diagnostic criteria for the identification of “true transsexuals”. The article, thus, contributes to three areas for the study of transgender and language: (1) it investigates how transsexual people are led to speak a language that is not their own (the problems of agency and trans-autonomy); (2) it points to the centrality of studying how others speak to transsexual people – a gap identified by Don Kulick but which remains under-investigated; and (3) it highlights the importance of language use for the design of trans-positive and trans-affirmative healthcare practices.

A Appendix

Transcription conventions have been adapted from Jefferson (2004).

.

Falling intonation

?

Rising intonation

,

Continuous intonation

::::

Sound elongation

-

Abrupt interruption of talk

talk= =talk

Latched talk

talk

Emphasis

TALK

Louder voice

°talk°

Lower voice

>talk<

Faster talk

<talk>

Slower talk

ta[lk][ta]lk

Overlapping talk

.hhhhh

Audible inhalation

hhhh

Audible exhalation

tal(hhh)k(hh)

Laugh while talking

@@@@@@

Laughing

(3.5)

Lapse of time in which no speaker takes the turn

XXXXXX

Inaudible speech

(talk)

Dubious transcription

((comments)) Transcriber’s comments

References

American Psychiatric Association. 1994. Diagnostic and statistical manual of mental disorders, 4th edn. Washington, DC: American Psychiatric Association. Search in Google Scholar

Benjamin, Harry. 1999 [1966]. The transsexual phenomenon. Dusseldorf: Symposium Publishing. Search in Google Scholar

Bento, Berenice. 2006. A Reinvenção do Corpo: Sexualidade e Gênero na Experiência Transexual [The re-invention of the body: sexuality and gender in the transsexual experience]. Rio de Janeiro: Garamond. Search in Google Scholar

Billig, Michael. 1999. Conversation analysis and claims of naivety. Discourse & Society 10(4). 572–576. Search in Google Scholar

Borba, Rodrigo. 2014. Sobre os Obstáculos Discursivos para a Atenção Integral e Humanizada à Saúde de Pessoas Transexuais [On the discursive obstacles for the comprehensive and humanized trans-specific healthcare]. Sexualidad, Salud y Sociedad 17. 66–97. Search in Google Scholar

Borba, Rodrigo. 2016. O (Des)Aprendizado de Si: Transexualidades, Interação e Cuidado em Saúde [(Un)learning what one is: transsexualities, interaction, and healthcare]. Rio de Janeiro: Fiocruz. Search in Google Scholar

Borba, Rodrigo. 2017. Ex-centric textualities and rehearsed narratives at a gender identity clinic in Brazil: Challenging Discursive Colonization. Journal of Sociolinguistics 21(3). 320–347. Search in Google Scholar

Borba, Rodrigo & Ana Cristina Ostermann. 2007. Do bodies matter? Travestis’ embodiment of (Trans)Gender identity through the manipulation of the Brazilian portuguese grammatical gender system. Gender and Language 1(1). 131–147. Search in Google Scholar

Brasil. 2010. Conselho Federal de Medicina. Resolução 1.955 de 18 de Agosto de 2010 [Federal Board of Medicine. Ordinance 1.955 August 18th, 2010]. Diário Oficial da União 170. 109–110. Search in Google Scholar

Butler, Judith. 2004. Undoing gender. New York: Routledge. Search in Google Scholar

Coupland, Nicolas, Peter Garret & Angie Williams. 2005. Narrative demands, cultural performance and evaluation: Teenage boys’ stories for their age-peers. In Joanna Thornborrow & Jennifer Coates (eds.), The sociolinguistics of narrative, 67–88. Amsterdam: John Benjamin Publishing Company. Search in Google Scholar

Fabrício, Branca. 2007. Co-Participação Tático-Reflexiva: Formas de (Inter)Ação na Sala de Aula de LE com Potencial Democrático [Tactic-reflexive co-participation: ways of (inter)acting in the EFL class with democratic potential]. Calidoscópio 5. 125–138. Search in Google Scholar

Foucault, Michel. 1972. The archaeology of knowledge. New York: Pantheon Books. Search in Google Scholar

Foucault, Michel. 1976. The birth of the clinic. London: Tavistock Publications. Search in Google Scholar

Foucault, Michel. 1977. Discipline and punish. New York: Vontage Books. Search in Google Scholar

Foucault, Michel. 1978 [2003]. Governmentality. In Paul Rabinow and Nicholas Rose (eds.), The essential foucault: Selection from essential work of foucault 1954–1984, 229–245. New York: The New Press. Search in Google Scholar

Foucault, Michel. 1980. Power/knowledge. New York: Harvester Wheatsheaf. Search in Google Scholar

Foucault, Michel. 1982. The subject and power. Critical Inquiry 8(4). 777–795. Search in Google Scholar

Foucault, Michel. 1988. Technologies of the self. In Luthor H. Martin, Huck Guttman & Patrick H. Hutton (eds.), Technologies of the self: A seminar with Michel Foucault, 16–49. Amherst, MA: University of Massachusetts Press. Search in Google Scholar

Foucault, Michel. 1997. Resumo dos Cursos do College de France – 1970–1982 [College de France coursebook – 1970–1982]. Rio de Janeiro: Zahar. Search in Google Scholar

Foucault, Michel. 2009. O Governo dos Vivos – Curso no Collège de France, 1979–1980 [Governing life – a course at College de France, 1979–1980]. São Paulo: Centro de Cultural Social. Search in Google Scholar

Foucault, Michel. 2013 [1979]. Microfísica do Poder, 27th edn. [Microphysics of power]. São Paulo: Graal. Search in Google Scholar

Goffman, Erving. 1981. Forms of talk. Philadelphia, PA: University of Pennsylvania Press. Search in Google Scholar

Gomes de Jesus, Jaqueline. 2012. Orientações sobre Identidade de Gênero: Conceitos e Termos [Notes on gender identity: concepts and terms]. Goiânia: Ser-tão – Núcleo de Estudos e Pesquisas em Gênero e Sexualidade/UFG. Search in Google Scholar

Hacking, Ian. 2004. Between Michel Foucault and Erving Goffman: Between discourse in the abstract and face-to-face interaction. Economy and Society 33(3). 277–302. Search in Google Scholar

Heath, Rachel Ann. 2006. The praeger handbook of transsexuality: Changing gender to match mindset. New York, NY: Greenwood. Search in Google Scholar

Heritage, John. 2010. Questioning in medicine. In Alice Freed & Susan Ehrlich (eds.), Why do you ask? The function of questions in institutional discourse, 42–68. Oxford: Oxford University Press. Search in Google Scholar

Heritage, John & Rod Watson. 1979. Formulations as conversational objects. In George Psathas (ed.), Everyday language, 83–99. New York, NY: Irvington Press. Search in Google Scholar

Hird, Mira. 2002. For a sociology of transsexualism. Sociology 36(3). 577–595. Search in Google Scholar

Jefferson, Gail. 2004. Glossary of transcript symbols with an Introduction. In Gene Lerner (ed.), Conversation analysis: Studies from the first generation, 13–31. Amsterdam: John Benjamins Publishing Company. Search in Google Scholar

Kendal, Shari. 2008. The balancing act: Framing gendered parental identities at dinnertime. Language in Society 37(4). 539–568. Search in Google Scholar

Koshik, Irene. 2010. Questions that convey information in teacher-student conferences. In Alice Freed & Susan Ehrlich (eds.), Why do you ask? The function of questions in institutional discourse, 159–186. Oxford: Oxford University Press. Search in Google Scholar

Kulick, Don. 1998. Travesti: Sex, gender, and culture among Brazilian transgendered prostitutes. Chicago, IL: The University of Chicago Press. Search in Google Scholar

Kulick, Don. 2000. Transgender and Language. GLQ: A Journal of Lesbian and Gay Studies 5(4). 605–622. Search in Google Scholar

Kulick, Don & Charles Klein. 2010. Scandalous acts: The politics of shame among Brazilian travesti prostitutes. In David Halperin & Valerie Traub (eds.), Gay shame, 313–338. Chicago, IL: University of Chicago Press. Search in Google Scholar

Lima, Fátima. 2011. A Invenção do Dispositivo da Transexualidade: Produções de Verdade e Experiências Trans [The invention of the transsexuality device: production of knowledge and trans experiences]. Em Pauta 9(28). 117–130. Search in Google Scholar

Lima, Fátima. 2017. A Invenção da Transexualidade: Discursos, Práticas e Modos de Subjetividade [The invention of transsexuality: Discourses, practices and subjectivites]. In Elizabeth Sara Lewis, Rodrigo Borba, Branca Fabrício & Diana Pinto (eds.), Queering Paradigms IVa: Insurgências Queer ao Sul do Equador, 35–50. Oxford: Peter Lang. Search in Google Scholar

Martínez-Guzmán, Antar & Lupicinio Íñiguez-Rueda. 2010. La Fabricación del Transtorno de Identidad Sexual. Discurso & Sociedad 4(1). 30–51. Search in Google Scholar

Mehan, Hugh. 1979. Learning lessons. Cambridge, MA: Harvard University Press. Search in Google Scholar

Mishler, Elliot. 1984. The discourse of medicine: Dialectics of medical interviews. Harvard: Greenwood. Search in Google Scholar

Missé, Miquel & Gerard Coll-Planas (eds.). 2010. El Género Desordenado: Críticas en torno a la Patologización de la Transexualidad. Madrid: Egales. Search in Google Scholar

Newman, Louise. 2000. Transgender issues. In Jane Ussher (ed.), Women’s health: Contemporary international perspectives, 394–404. Leicester: BPS Books. Search in Google Scholar

Rampton, Ben. 2016. Foucault, Gumperz, and Governmentality: Interaction, power, and subjectivity in the twenty-first century. In Nikolas Coupland (ed.), Sociolinguistics: Theoretical debates, 303–328. Cambridge: Cambridge University Press. Search in Google Scholar

Red Latinoamericana de Hombres Trans en el Activismo. 2009. Campaña Internacional de Despatologización de la Transexualidad. http://www.notiese.org/notiese.php?ctn_id=3298 (accessed 8 July 2017). Search in Google Scholar

Rose, Nicholas. 1999. The power of freedom. Cambridge: Cambridge University Press. Search in Google Scholar

Schegloff, Emmanuel, Gail Jefferson & Harvey Sacks. 1977. The preference for self-correction in the organization of repair in conversation. Language 53(2). 361–382. Search in Google Scholar

Silverman, David & Ansi Peräkylä. 1990. AIDS counseling: The interactional organization of talk about “Delicate” issues. Sociology of Health and Illness 12(3). 293–318. Search in Google Scholar

Silverstein, Michael & Greg Urban. 1996. Natural histories of discourse. Chicago, IL: The University of Chicago Press. Search in Google Scholar

Sinclair, John & Malcolm Coulthard. 1975. Towards an analysis of discourse: The English used by teachers and pupils. London: Oxford University Press. Search in Google Scholar

Speer, Susan. 2009. Passing as a transsexual woman in the gender identity clinic. In Margaret Wetherell (ed.), Theorizing identities and social action, 116–138. Basingstoke: Palgrave Macmillan. Search in Google Scholar

Speer, Susan. 2010. Pursuing views and testing commitments: The role of ‘Worst Case’ hypothetical questions in the psychiatric assessment of transsexual patients. In Alice Freed & Susan Ehrlich (eds.), Why do you ask? The function of questions in institutional discourse, 133–158. Oxford: Oxford University Press. Search in Google Scholar

Speer, Susan. 2011. On the role of reported, third party compliments in passing as a ‘Real’ woman. In Susan Speer & Elizabeth Stokoe (eds.), Conversation and gender, 155–182. Cambridge: Cambridge University Press. Search in Google Scholar

Speer, Susan. 2013. Talking about sex with patients in the gender clinic: Implications for training and practice. Health 17(6). 622–639. Search in Google Scholar

Stoller, Robert. 1982 [1975]. A Experiência Transexual [The transsexual experience]. Rio de Janeiro: IMAGO. Search in Google Scholar

Stone, Sandy. 2007 [1991]. The empire strikes back: The posttranssexual manifesto. http://sandystone.com/empire-strikes-back (accessed 8 July 2017). Search in Google Scholar

Teixeira, Flávia. 2013. Dispositivos de Dor: Saberes-Poderes que (Con)Formam as Transexualidades [Devices of pain: knowledge-power that (in)form transsexuality]. São Paulo: Annablume. Search in Google Scholar

Vehvilainen, Sana. 2011. Identifying and managing resistance in psychoanalytic interaction. In Anssi Peräkylä, Charles Antaki, Sana Vehvilainen & Ivan Leudar (eds.), Conversation analysis and psychotherapy, 120–138. Cambridge: Cambridge University Press. Search in Google Scholar

Wortham, Stanton. 2006. Learning identity: The joint emergence of social identification and academic learning. New York: Cambridge University Press. Search in Google Scholar

Zimman, Lal. 2009. ‘The other kind of coming out’: Transgender people and the coming out narrative genre. Gender and Language 3(1). 53–80. Search in Google Scholar

Zimman, Lal. 2012. Voices in transition: Testosterone, transmasculinity, and the gendered voice among female-to-male transgender people. Boulder, CO: University of Colorado at Boulder PhD Dissertation. Search in Google Scholar

Zimman, Lal. 2014. The discursive construction of sex: Remaking and reclaiming the gendered body in talk about genitals among trans men. In Lal Zimman, Jenny L. Davis & Joshua Raclaw (eds.), Queer excursions: Rethinking binaries in language, gender, and sexuality research, 13–34. Oxford: Oxford University Press. Search in Google Scholar

Published Online: 2019-01-29
Published in Print: 2019-02-25

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