Growing up trans

On this page you'll find all the publications, conference replays and information relating to growing up trans project.

Growing up as a trans youth:

AN INTERNATIONAL LONGITUDINAL QUALITATIVE SURVEY OF YOUNG TRANS PEOPLE'S ACCESS TO CARE, SELF-AFFIRMATION AND WELL-BEING.

Researchers : Annie Pullen Sansfacon, Denise Medico, Sabra Katz-Wise, Damien Riggs, Matthew Carlile, Jason Schaub, Anne-Emmanuelle Ambresin, Manvi Arora. Research assistant and coordinator : Charles-Antoine Thibeault, , Naomie-Jade Ladry, Samuel Champagne, Morgane A. Gelly, Chase Staras, Eli Godwin, 'Kork' Korkodilos, Salem Skelton, Patrick Schmitt.   Advisors : Shuvo Ghosh, Nicholas Chadi, Lyne Chiniara, Edward Ou Jin Lee In collaboration with Organisme Jeunes Identités Créatives; Mermaids; Transcend; SAYFTEE; Fondation Agnodice ; The Association for Transgender Health in India (ATHI);  funded by  Canadian Institutes of Health Research (CIHR)

The aim of this project is to produce longitudinal, prospective and contextualised knowledge about the experiences of trans and non-binary young people and the changes in their gender identity, affirmation and medical needs, paying particular attention to their relationships with family and social dynamics. The aims of the study are:

  1. To trace the paths taken by young trans and non-binary people in their quest to access gender-affirming medical care.
  2. Produce a nuanced and contextualised understanding of the factors that facilitate or constrain young trans and non-binary people's process of accessing gender-affirming medical care.
  3. To trace how trajectories of care affect their experiences of gender affirmation in various dimensions of their lives.
  4. Understand how their well-being evolves as a result

Articles

“I have been thinking about this for a long time” : Navigating gender affirming medical care decisions for trans and nonbinary youth and their families in six countries.

Thibeault, C.-A., Katz-Wise, S. L., Schmitt, P. A., & Pullen Sansfaçon, A. (2025). 

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Coalition and Multi-Positionality Research Teams: A Nuanced Approach for Anti-Oppressive Research.

Chibaya, N. H., Arora, M., Thibeault, C.-A., & Pullen Sansfaçon, A. (2024)

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‘It just feels really nice when people call me by my name’ : Accounts of gender euphoria among Australian trans young people and their parents.

Skelton, S., Riggs, D. W., Pullen Sansfacon, A., Katz-Wise, S. L., Arora, M., & Thibeault, C.-A. (2024).

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Infographics & posters

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Rebroadcast of conferences

Transnormativity and Its Impact on Transgender Identity and Embodiment (Arora, 2024)

Manvi Arora (she, her, hers or they) is a Post-Doctoral Research Fellow who has recently finished her term at University of Montreal. She’s a volunteer Researcher with Association for Transgender Health in India (ATHI) and is also associated with Simone De Beauvoir Institute, Concordia University as Affiliated Assistant Professor. She holds a Ph.D degree in Education, from the University of Delhi, along with three post-graduate degrees in the disciplines of Psychology, Sociology and Education respectively.

This conference was organised in the context of short lunch conferences by the CRC ReParE for the fall semester of 2024.
The impact of colonisation on the Indian education system and attempts to decolonise education
(Arora,  2023)
Summary:
India was a colony of the British Empire for two centuries. During these two centuries, the impact of colonial rule was not limited to politics or economics, but extended to all spheres of Indian society, including the education system. This conference will attempt to shed light on the impact of colonisation on the Indian education system by exploring the ideological roots of the colonial rulers' indulgence of mass education and its continuing impact on the mode of teaching, the curriculum and pedagogy, the assessment system, the identity of the teacher and the funding of education. The conference will also address the conflicts between the indigenous and colonial education systems and their enduring impact on the current model of institutionalised education in Indian classrooms. Finally, the conference will focus on India's methodical response over the last century to decolonise education.


Biography:
Manvi Arora is a postdoctoral researcher at the School of Social Work. A volunteer researcher with the Association for Transgender Health in India (ATHI), she holds a PhD in Education from the University of Delhi. After starting her career as a secondary school English teacher, she has worked closely with national and international NGOs and community organisations fighting for education and identity rights in India.
Deliberate Absence: Situating Transgender and Gender Diverse Youth (TGDY) in Indian Road Map for Transgender Health and Human Rights (Arora, 2023)

India, largest global democracy also has the largest population of transgender people in the world. Despite sizable number and a visible form of conventional-transfeminine population, Transgender and Gender Diverse individuals of the country have been marginalized and ostracized by a society that once worshipped gender fluidity. Transgender community lacked legislative protection, social acceptance, means to social mobility, claims to civil rights and to life of dignity until last couple of decades.

Recent progressive legislations, such as the landmark Supreme Court Judgement of 2014 (popularly known as the NALSA judgement), The Transgender Persons (Protection of Rights) Act, 2019, are miniscule but unprecedented attempts to redress century long discrimination towards the community.

However, in strong political will and realization of urgency of empowering the long neglected community the focus on socio-medical, legal and educational rights of TGDY are completely absent from Indian Trans-rights discourse. Thus, representation of an entire community who do not conform to hegemonic ways of performing gender and have not attained majority is deliberately invisiblized.

This session will deconstruct the attitude of Indian society towards youth in general and Transgender and Gender Diverse youth in specific, situated within the characteristic diversities of India. The influence of social nexus on TGDY’s identity development, psychological and physiological well-being will be highlighted. Attempt will also be made to examine the scope provided to TGDY in implementations of recent administrative and legislative initiatives in the field of education, human rights and health. The discussion is based on first hand experiences of Indian youth who have been in the space where idealistic socialization comes face to face with non-normative instinctual existence and results in negotiation, conflict, resistance, transformation and possibilities for spectrum of existence within Indian context.

About our speaker

Manvi Arora (elle) is a postdoctoral researcher at the Université de Montréal and a volunteer researcher with the Association for Trans Health in India (ATHI). She holds a doctorate in education from the University of Delhi. She also holds three postgraduate degrees in psychology, sociology and education. For over a decade, she has worked closely with Indian trans communities to defend their rights to education and recognition of their identities. She is one of the authors and members of the committee responsible for developing national guidelines and training materials for the inclusion of trans children in the Indian school system, focusing on their concerns and the way forward, with the National Council of Educational Research and Training (NCERT) of the Indian government. Her interdisciplinary knowledge helps her to unravel the lived realities and social challenges associated with non-conformity to prescribed gender norms, an area of research neglected by Indian academics and one that is currently focused on making the voices of Indian trans and non-binary people heard. She heads up the Indian component of the CIHR-funded international longitudinal research project entitled ‘Growing up trans’, of which she is one of the co-authors, and in which the Research Chair on trans children and their families is also participating to testify.

Seeking gender-affirming medical care: decision-making process and impact on the well-being of trans and non-binary young people and their families in Canada and Australia (Thibeault, Arora,  Pullen Sansfaçon, 2023)
Charles-Antoine Thibeault (UdeM - Université de Montréal), Manvi Arora (UdeM - Université de Montréal), Annie Pullen Sansfaçon (UdeM - Université de Montréal)

It is frequently reported that there are various barriers to accessing gender-affirming medical care (GAMC), including lack of parental support (Clark et al., 2020), distance, lack of knowledge of care providers and lack of social support (Taylor et al., 2020). While these studies provide a bleak picture of access to SMAGs for young people in New Brunswick, they offer little information about the factors influencing the decisions of young people in New Brunswick and their families in the decision-making processes faced by parents and children in New Brunswick as they approach puberty.


To meet this need, a team of researchers conducted semi-structured interviews in 6 countries (Canada, Switzerland, England, Australia, India and the United States) to find out more about the impact of the SMAG search process on the well-being of 8-14 year-old TNB children and their families. The preliminary results of this study provide an overview of the factors influencing medical decisions and the well-being of Canadian and Australian families. We will first present the factors influencing families' decision-making process (fear of medical procedures, fertility preservation, importance of dysphoria, barriers to access, and medical recommendations), and then discuss the impact of access, refusal of access, or delay in access, on the well-being of young NBDs and their families.

Tools & resources

Standards of Care 
for the Health of Transgender and Gender Diverse People, Version 8 (SOC8)

ABSTRACT 

Background: Transgender healthcare is a rapidly evolving interdisciplinary field. In the last decade, there has been an unprecedented increase in the number and visibility of transgender and gender diverse (TGD) people seeking support and gender-affirming medical treatment in parallel with a significant rise in the scientific literature in this area. The World Professional Association for Transgender Health (WPATH) is an international, multidisciplinary, professional association whose mission is to promote evidence-based care, education, research, public policy, and respect in transgender health. One of the main functions of WPATH is to promote the highest standards of health care for TGD people through the Standards of Care (SOC). The SOC was initially developed in 1979 and the last version (SOC-7) was published in 2012. In view of the increasing scientific evidence, WPATH commissioned a new version of the Standards of Care, the SOC-8. 


Aim: The overall goal of SOC-8 is to provide health care professionals (HCPs) with clinical guidance to assist TGD people in accessing safe and effective pathways to achieving lasting personal comfort with their gendered selves with the aim of optimizing their overall physical health, psychological well-being, and self-fulfillment.

Methods: The SOC-8 is based on the best available science and expert professional consensus in transgender health. International professionals and stakeholders were selected to serve on the SOC-8 committee. Recommendation statements were developed based on data derived from independent systematic literature reviews, where available, background reviews and expert opinions. Grading of recommendations was based on the available evidence supporting interventions, a discussion of risks and harms, as well as the feasibility and acceptability within different contexts and country settings. 

Results: A total of 18 chapters were developed as part of the SOC-8. They contain recommendations for health care professionals who provide care and treatment for TGD people. Each of the recommendations is followed by explanatory text with relevant references. General areas related to transgender health are covered in the chapters Terminology, Global Applicability, Population Estimates, and Education. The chapters developed for the diverse population of TGD people include Assessment of Adults, Adolescents, Children, Nonbinary, Eunuchs, and Intersex Individuals, and people living in Institutional Environments. Finally, the chapters related to gender-affirming treatment are Hormone Therapy, Surgery and Postoperative Care, Voice and Communication, Primary Care, Reproductive Health, Sexual Health, and Mental Health. 

Conclusions: The SOC-8 guidelines are intended to be flexible to meet the diverse health care needs of TGD people globally. While adaptable, they offer standards for promoting optimal health care and guidance for the treatment of people experiencing gender incongruence. As in all previous versions of the SOC, the criteria set forth in this document for gender-affirming medical interventions are clinical guidelines; individual health care professionals and programs may modify these in consultation with the TGD person.
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