Clare Bartholomaeus

Transgender young people’s narratives of intimacy and sexual health: implications for sexuality education

Abstract Sexuality education as pedagogy is often fraught by the perceived requirement to balance the informational needs of young people with an investment in notions of childhood ‘innocence’. Nowhere is this perhaps more evident than in sexuality education that seeks to be inclusive of transgender young people, often resulting in the failure of such education to address the needs of such students. In an attempt at addressing the relative dearth of information about what transgender young people would like to see covered in sexuality education, in this paper we explore transgender young people’s accounts of intimacy and sexual health and consider what this means for school-based sexuality education. To do this, we analyse discussions of intimacy from the perspectives of transgender young people as narrated in a sample of YouTube videos. We conclude by advocating for an approach to sexuality education that largely eschews the gendering of body parts and gametes, and which instead focuses on function, so as to not only address the needs of transgender young people (who may find normative discussions of genitals distressing), but to also provide cisgender young people with a more inclusive understanding of their own and other people’s bodies and desires.

“It’s just what you do”: Australian middle-class heterosexual couples negotiating compulsory parenthood

A distinction is often made between the “choice” of not having children and the claim that having children is “natural”. What disappears in this distinction is the fact that having children is most often a choice. This choice, however, is rendered invisible through the naturalisation of parenthood as a normatively expected aspect of adulthood. Whilst this argument is not new, the topic of how heterosexual couples come to decide to have children has received relatively little attention within the academic literature. This paper reports on findings from the first stage of a longitudinal interview study focused on Australian middle-class heterosexual couples planning for a first child. A thematic analysis of interviews conducted with 10 couples found that a paired contrast was often made between what were constructed as “childless others”, and a “natural” or “innate” desire to have children. The naturalisation of a desire to have children, however, was problematised when participants spoke about expectations from family members that participants should have children. The paper concludes by considering how the relationship between parenthood and adulthood may be a specifically class-based narrative.

Masculinities at the Margins of “Middle Adulthood” What a Consideration of Young Age and Old Age Offers Masculinities Theorizing

The intersections of masculinities and age have attracted relatively little theorizing. This article examines the theoretical implications of young/old age and masculinities by bringing together two bodies of literature (young age and masculinities and old age and masculinities) and two research studies (one with pre-teenage school students in Australia and one with grandfathers in the United Kingdom). We focus on two key themes: caring practices and relations and the divide between physical activity and intellectual pursuits. Drawing on these themes, we show how age allows for gender transgressions and practices of gender equality and how young boys and old men can also uphold a discourse of hegemonic masculinity, despite age-related tensions. We conclude by arguing that a consideration of age has much to offer in terms of thinking about how gender is socially constructed and illuminates the complex power relations of age and gender categories.

The desire for a child among a sample of heterosexual Australian couples

Abstract Objective: To understand the desire for children among heterosexual couples planning for a first child. Background: In Australia, almost two-thirds of all pregnancies are planned, and over 40% of all children born each year are to first-time mothers. Methods: Semi-structured interviews were undertaken as part of a longitudinal study on planned first-time parenthood among Australian heterosexual couples. Ten couples who were planning for a pregnancy were interviewed, men and women separately. Results: An inductive thematic analysis identified four modes of decision-making: (1) female partner-directed, (2) male partner-directed, (3) joint-directed due to circumstance, and (4) joint-directed, and three themes related to the desire to have a child: (1) having children is a natural progression, (2) there is an innate drive to want to have children, and (3) a desire to see oneself reflected in another human being. Conclusions: The paper concludes by exploring the implications of the findings for service provision. Specifically, intending parents may be better supported by services that provide gender-specific information during the planning stage, including about infertility.

Accounting for Gender in the Sociology of Childhood: Reflections From Research in Australia and Brazil

The (new) sociology of childhood has contributed much to thinking about childhood as a social construction and recognizing the diversity of childhood(s). However, age and generation are often the primary focus of sources in the field. We argue that attention to gender is rare in the sociology of childhood and, when it is mentioned, is under-theorized. Although there is now a growing amount of feminist research with pre-teen children, there is a lack of discussion between the broad field of feminist studies and the sociology of childhood. In this article, we draw on our own research studies in Brazil and Australia, as well as previous key studies about gender and children, to consider the ways in which gender and age can be conceptualized together, and to demonstrate the significance of gender in children’s lives.

A systematic review of research on psychiatric mother-baby units

Psychiatric mother-baby units (MBUs) are currently viewed as best practice, particularly in the UK, Australia and France, for improving outcomes for mothers and babies when the former are experiencing severe forms of mental illness. A growing number of publications have examined MBUs, but to date, there has not been a comprehensive review of these studies. As such, the systematic review reported in this paper sought to address this gap. A systematic search was conducted for peer-reviewed research and grey literature published in English between 2000 and 2015. A final sample of 44 publications were identified that reported on empirical findings with regard to MBUs. Three quarters of the studies focused on individual MBUs and most studies were quantitative. A thematic analysis of the studies identified three major themes: (1) admissions data, (2) outcomes for mothers, and (3) programmes and interventions. The analysis also identified four secondary themes: (i) follow-up after discharge, (ii) separation of mothers and babies after discharge, (iii) client satisfaction with MBUs, and (iv) partners of women admitted to MBUs. The findings of the review highlight gaps in knowledge about MBUs and provide suggestions for future research.

Australian mental health professionals’ competencies for working with trans clients: a comparative study

Growing numbers of trans people require access to mental health services; however, previous research suggests that many trans clients have negative experiences with mental health professionals. This paper reports on an Australian survey of 304 counsellors, mental health nurses, psychiatrists, psychologists and social workers with regard to their clinical knowledge, comfort and confidence in working with trans clients. The findings suggest that training and previous experience in working with trans clients are related to increased levels of accurate clinical knowledge and confidence; that psychiatrists had the lowest levels of accurate knowledge; that female participants had higher levels of accurate knowledge than did male participants; that counsellors had the highest levels of confidence and that there was a negative relationship between religiosity and comfort in working with trans clients. The paper concludes by advocating for the development of more nuanced measures to assess the attitudes and skillsets of mental health professionals in regards to working with trans clients and the need for further upskilling of the Australian mental health workforce.

Australian mental health nurses and transgender clients: Attitudes and knowledge

As increasing numbers of transgender people access mental health services, so with this comes the requirement that mental health professionals are capable of providing inclusive and informed care. In Australia, mental health nurses play a key role in the mental health workforce, and are increasingly likely to engage with transgender people across a range of practice contexts. The research reported in this paper sought to explore the experience, knowledge and attitudes of a sample of Australian mental health nurses with regards to working with transgender people. A total of 96 mental health nurses completed a survey that included an attitudinal measure and a measure of clinical knowledge. Our findings indicated that a majority of the sample had worked with a transgender client before, but only a minority had undertaken training in working with transgender clients. Training was related to more positive attitudes; and both training and experience were related to greater clinical knowledge. Female and/or older participants had greater clinical knowledge, whilst more religious participants had less positive attitudes. The paper concludes by commenting on the dearth of competency and practice documents specific to mental health nurses working with transgender people, and it outlines the Australian standards that would mandate their development.

‘Girls can like boy toys’: junior primary school children's understandings of feminist picture books

Few studies have examined childrens understandings of feminist picture books, and thus their potential usefulness for disrupting dominant discourses and providing alternate storylines. This article draws on research conducted in Australia with a class of 6- and 7-year-olds, examining students’ responses to four feminist picture books. The students provided diverse responses to the books, at times reflecting what I viewed as the (feminist) messages of the books and sometimes picking up on other themes or (re)interpreting them as supporting dominant gender discourses. The challenges to understanding the books in straightforward ways related both to the books themselves as well as the gender discourses available to the students. This article argues that there are three key challenges to the feminist potential of these books: a reliance on categories of ‘girl’ and ‘boy’, childrens lack of identification with book characters, and the influence of intertextual knowledge.

Public and private families: a comparative thematic analysis of the intersections of social norms and scrutiny

ABSTRACT Despite the increased diversification of Australian families, the nuclear family formed through reproductive heterosex continues to be treated as the norm. This paper argues that this norm impacts negatively upon families formed in other ways, by exposing them to increased scrutiny. Drawing on interviews with 60 participants from four cohorts (families formed through reproductive heterosex, intercountry adoption, long-term foster care, or surrogacy), a comparative thematic analysis is presented in which two key themes are elaborated: (1) the impact of government policies and practices, and (2) the degree to which families are treated as public property. Findings suggest that families formed through reproductive heterosex were the least regulated and scrutinised; families formed through either adoption or surrogacy received a considerable degree of regulation and scrutiny; and foster families were the most scrutinised and negatively impacted by government policies. The paper concludes by considering what is required to engender more inclusive and supportive responses to all families.