Queer and Trans Madness: Struggles for Social Justice

Acknowledgments
Contents
1 Introduction: Queer and Trans Madness: Struggles for Social Justice
	Language: Sexuality and Gender Identity
	Language: The Biomedical Model of Mental Illness
	Language: Madness and Mental Health
	Mental Distress Is Real
	Organization of the Book
	References
2 Reclaiming the Lunatic Fringe: Toward a Mad-Queer-Trans Lens
	Race, Sexuality, and Gender Nonconformance in Psychiatric Knowledge Production and Practice
	LGBTQ Resistance to Psychiatric Diagnoses: A Single-Issue Politic
	Intersectional Resistance to Psychiatric Oppression
	Toward a Mad-Queer-Trans Lens
		Queer Madness:: Mad Queerness4
		Queer Madness
		Mad Queerness
		White Supremacy and Heteronormativity in Psychiatric Chart Documentation Practices
		Mad Queer Considerations of Care
	References
3 Expanding the Struggle Against Queer and Trans Pathologization: Challenging Biomedicalism
	Making Oneself Intelligible: The Importance of Language
	Challenging the Mind/Body Dichotomy
	Challenging the Mad/Sane Binary
	Resisting the Pathologization of Marginalized Groups
	Making Sense of Mental Distress Through Psychiatric Diagnosis
	Resisting Diagnosis
	A Mad-Queer-Trans Lens: Resisting Individualization and Understanding Social Context
	References
4 The Biomedical Model in Practice I: Encounters with Mental Health Care Practitioners
	Power Dynamics in Relationships Informed by Biomedicalism
	“Going Back to Gender and Sexuality 101”: Practitioner Lack of Knowledge About Gender Identity and Sexuality
	Racism in Mental Health Care
	Colonialism in Mental Health Care
	Individualizing Distress Through Pathologizing Sexualities
	Pathologizing Sexuality: Diagnosing Promiscuity
	Pathologizing Gender Identity
	Biomedical Methods of Managing Mental Distress: Medication as “Corrective”
	Tacit Coercion in Decision-Making About Psychiatric Medication
	References
5 The Biomedical Model in Practice II: Psychiatric Inpatient Chart Documentation on Trans and Non-Binary People
	Demographics
	Institutionalized Cisnormativity in Health Care
	Cisnormative Institutional Practices for Capturing Patient Demographics
	The Basics: Correct and Respectful Language
	Incorrect and Inconsistent Use of Pronouns
	Deadnaming: Denying Trans Subjectivity and Self-Determination
	Pathologizing (Trans)Gender: Cisnormative and Transmisogynist Patient Descriptions
	Pathologizing Trans and Non-Binary Life: Individualizing Structural Inequities
	Pathologizing Survival: Reconfiguring Experiences and Effects of Marginalization as Delusions and Paranoia
	Why Does It Matter?
	References
6 Creating Social Change: The Emancipatory Promise of Queer and Trans Madness
	Shifting the Paradigm: Allyship and Advocacy in Service Provision
	Shifting the Paradigm Requires Structural Change
	De-Medicalized, Non-Carceral, Non-State Interventionist Responses to Queer and Trans Madness
	The Radical Potential of Collective Care and Mutual Aid
	Intra-Community Oppression in Toronto and Winnipeg
	Responding to Crisis: Resisting Coercion and Carcerality
		Trans Lifeline
		Suicide Intervention for Weirdos, Freaks, and Queers (Carly Boyce)
		Mad Queer Organizing Strategies (Elliott Fukui)
		Project LETS
	References
Appendix
Methods: Queer and Trans Madness (Study One)
Qualitative Interviewing
Demographics
Ethical Research Practice
Methods: Cultural Representations of Gender in Psychiatric Narratives (Study Two)
Retrospective Chart Review
Demographics
References
Index