PH 101 Lecture Notes - Lecture 17: Trans Woman, Governmentality, Erving Goffman
29 Apr 2018
School
Department
Course
Professor
Lecture 17: LGBTQ Health
-between 20 and 30 percent of gay and trans people abuse substances, compared to 9% of the
general population
-trans people are less likely to have health insurance than cis people
-elderly LGBT people face additional barriers to health because of isolation and lack of social
services
-lesbians are 10% less likely to get pelvic examinations and mammograms
-many LGBTQ people don’t discuss their sexual health with their doctors because they don’t
want to be discriminated against
-many STIs go undiagnosed for LGBTQ people
-1 in 6 gay and bi men will have HIV in their lifetime, 1 in 2 black MSM, 1 in 4 latino MSM
-trans women are 49x more likely to get HIV than all adults of reproductive
-20-25% of lesbian and gay people experience hate crimes within their lifetime
-LGBT people are more likely to be attacked by people they don’t know
-LGBT youth are 2-3x more likely to attempt suicide, also more likely to be homeless
-street harassment, increased violence, shame, internalized hatred
-barriers to healthcare for LGBT people bc of stigma
-stigma: ancient Greek, physical marking of a slave or criminal
-Erving Goffman was the one who applied the concept of stigma to modern life
-stigma is the reduction of a person to one negative attribute...this marks them as diseased,
criminal, or as an “other”
-biopolitics: shift in thinking about governmentality from you will die for your king/nation to
you will live for your nation
-thus, the government has a vested interest in people’s health and sexuality...they need to learn
what is “normal” or “average”....birth of the medical understanding of the normal
-normal sexuality is a sexuality that leads to the betterment of the nation’s future (reproduction)
-crusade against masturbation
-idea that gay people need to be “fixed”
-distrust of women’s sexuality, banishment of children’s sexuality
-sexual essentialism: sex is innate and unchanging, sex is ahistorical and outside of culture
-sex negativity: sex as a negative and destructive desire
-the domino theory of sexual peril: if we allow one “deviant” sex act to be accepted, then
everything will be accepted and society will fall apart
-lack of concept of benign sexual variation….difference=bad
Document Summary
Between 20 and 30 percent of gay and trans people abuse substances, compared to 9% of the general population. Trans people are less likely to have health insurance than cis people. Elderly lgbt people face additional barriers to health because of isolation and lack of social services. Lesbians are 10% less likely to get pelvic examinations and mammograms. Many lgbtq people don"t discuss their sexual health with their doctors because they don"t want to be discriminated against. 1 in 6 gay and bi men will have hiv in their lifetime, 1 in 2 black msm, 1 in 4 latino msm. Trans women are 49x more likely to get hiv than all adults of reproductive. 20-25% of lesbian and gay people experience hate crimes within their lifetime. Lgbt people are more likely to be attacked by people they don"t know. Lgbt youth are 2-3x more likely to attempt suicide, also more likely to be homeless.
