Using in-depth interviews with 20 transgender and gender non-conforming (TGNC) young adults (aged 18-24) in Florida, I examine how TGNC people navigate accountability structures to meet gendered expectations in the US healthcare system. While a growing body of sociological literature has expanded West and Zimmerman's "doing gender" and social accountability concepts, gaps remain in understanding how transgender populations encounter accountability structures, and the navigation of such structures by TGNC youth. Utilizing thematic analysis, I examine how TGNC people manage a practice I call "cisnormative accountability." Specifically, I demonstrate how the majority of respondents were often held accountable to a cisgender standard of accessing and utilizing health services through the gendered expectations of 1) enforcing a cisnormative standard of care through medical notions of binary gender and 2) upholding the medical model of transgender identity. Further, I outline the process of and consequences of "cisnormative accountability" and its potential implications for sociological studies of transgender experiences in healthcare.
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Master of Arts (M.A.)
College of Sciences
Length of Campus-only Access
Masters Thesis (Campus-only Access)
Lampe, Nik, "Accountability Structures in Transgender Healthcare Experience" (2019). Electronic Theses and Dissertations. 6856.
Restricted to the UCF community until February 2025; it will then be open access.