Skip to main content

Between Social Rejection and Gender Reaffirmation: An Approach to the Narratives of Trans Women in Colombia

  • Chapter
  • First Online:
LGBTQ+ Affirmative Psychological Interventions

Abstract

This chapter explains how the tensions between the classifications derived from sex and the multidimensional character of gender have an impact on the conceptions and understandings of “sexual identity” and “gender identity” and its impact on social experiences related to the rejection and reaffirmation of identity in the case of women with trans life experiences. It also describes experiences of gender identity awareness and self-determination from the perspective of the trans women participating in the study. Methods: Narrative study conducted with 139 trans women in seven cities in Colombia. In-depth interviews and discussion groups developed between June 2019 and March 2020. Data were analyzed using thematic analysis at Atlas Ti cloud program and Consensual Qualitative Research. Results: The women’s narratives account for some thematic categories regarding: (a) Socio-cultural aspects in the construction and expression of gender identities, (b) Tension between sexual and gender, (c) Awareness and self-determination of identity, and (d) Affirmative pathways and recognition. It reveals socio-cultural aspects in the construction and expression of gender identities corresponding to the hegemonic cis-patriarchal system present in Colombia. Conclusions: Approaches are required to weave in other intersubjective complexities regarding sexual and gender identities in particular contexts, and that urgently allow for the construction of affirmative processes and recognition that expand traditional and hegemonic categories, including language and socio-cultural practices, such as affirmative language, for example, asking and using appropriate pronouns. In the life experiences of the participants, sexual and gender identities are constitutive of human and social processes aimed at possible coexistence. These processes respond to forms of classification consistent with the cis-hetero patriarchal system. As far as this study is concerned, the socio-cultural dimension of the construction of gender identities is the one that alludes to “the disciplining of bodies” based on social practices related to beauty, health, and the binary references of femininity and masculinity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Agana, M. G., Greydanus, D. E., Indyk, J. A., Calles, J. L., Kushner, J., Leibowitz, S., Chelvakumar, G., & Cabral, M. D. (2019). Caring for the transgender adolescent and young adult: Current concepts of an evolving process in the 21st century. Disease a Month, 65(9), 303–356. https://doi.org/10.1016/j.disamonth.2019.07.004

    Article  PubMed  Google Scholar 

  • Aisner, A. J., Zappas, M., & Marks, A. (2020). Primary care for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients. The Journal for Nurse Practitioners, 16(4), 281–285. https://doi.org/10.1016/j.nurpra.2019.12.011

    Article  Google Scholar 

  • Allen, B. J., Coles, M. S., & Montano, G. T. (2019). A call to improve guidelines for transgender health and Well-being: Promoting youth-centered and gender-inclusive care. Journal of Adolescent Health, 65(4), 443–445. https://doi.org/10.1016/j.jadohealth.2019.07.020

    Article  Google Scholar 

  • Austin, A., Craig, S. L., & Alessi, E. J. (2017). Affirmative cognitive behavior therapy with transgender and gender nonconforming adults. Psychiatric Clinics of North America, 40(1), 141–156. https://doi.org/10.1016/j.psc.2016.10.003

    Article  PubMed  Google Scholar 

  • Austin, A., Craig, S. L., & D'Souza, S. A. (2018). An AFFIRMative cognitive behavioral intervention for transgender youth: Preliminary effectiveness. Professional Psychology: Research and Practice, 49(1), 1–8. https://doi.org/10.1037/pro0000154

    Article  Google Scholar 

  • Baldwin, A., Dodge, B., Schick, V., Herbenick, D., Sanders, S. A., Dhoot, R., & Fortenberry, J. D. (2017). Health and identity-realated interactions between lesbians, bisexual, queer and pansexual women and their healthcare providers. Culture, Health & Sexuality, 19(11), 1181–1196. https://doi.org/10.1080/13691058.2017.1298844

    Article  Google Scholar 

  • Baptiste-Roberts, K., Oranuba, E., Werts, N., & Edwards, L. V. (2017). Addressing health care disparities among sexual minorities. Obstetrics and Gynecology Clinics of North America, 44(1), 71–80. https://doi.org/10.1016/j.ogc.2016.11.003

    Article  PubMed  PubMed Central  Google Scholar 

  • Bristol, S., Kostelec, T., & MacDonald, R. (2018). Improving emergency health care workers’ knowledge, competency, and attitudes toward lesbian, gay, bisexual, and transgender patients through interdisciplinary cultural competency training. Journal of Emergency Nursing, 44(6), 632–639. https://doi.org/10.1016/j.jen.2018.03.013

    Article  PubMed  Google Scholar 

  • Budge, S. L., Sinnard, M. T., & Hoyt, W. T. (2021). Longitudinal effects of psychotherapy with transgender and nonbinary clients: A randomized controlled pilot trial. Psychotherapy, 58(1), 1–11. https://doi.org/10.1037/pst0000310

    Article  PubMed  Google Scholar 

  • Castelar, A. F. (2015). Diversidad, identidad, sexualidad (Un palimpsesto). [Diversity, identity, sexuality (a palimpsest)]Universidad Icesi. https://issuu.com/editorial_icesi/docs/castelar-2015-diversidad_identidad_

  • Cedeño Barreto, M. Á., & Alvarado Vilches, H. G. (2019). Visión social: adultas mayores transgéneros femeninas [Social vision: female transgender older adults]. Revista Caribeña de Ciencias Sociales. https://www.eumed.net/rev/caribe/2019/06/vision-social-transgeneros.html

  • Cerezo, A. (2020). Expanding the reach of Latinx psychology: Honoring the lived experiences of sexual and gender diverse Latinxs. Journal of Latinx Psychology, 8(1), 1–6. https://doi.org/10.1037/lat0000144

    Article  Google Scholar 

  • Comisión Interamericana de Derechos Humanos [CIDH]. (2015). Violencia contra Personas Lesbianas, Gay, Bisexuales, Trans e Intersex en América. [Violence Against Lesbian, Gay, Bisexual, Trans, and Intersex Persons in America]. http://www.oas.org/es/cidh/informes/pdfs/violenciapersonaslgbti.pdf

  • Craig, S. L., Austin, A., & Alessi, E. (2013). Gay affirmative cognitive behavioral therapy for sexual minority youth: A clinical adaptation. Clinical Social Work Journal, 41(3), 258–266. https://doi.org/10.1007/s10615-012-0427-9

    Article  Google Scholar 

  • Creswell, J. W., & Poth, C. N. (2017). Qualitative inquiry and research design. In Choosing among five approaches (4th ed.). Sage publications.

    Google Scholar 

  • Cuesta-Benjumea, C. (2011). La reflexividad: un asunto crítico en la investigación cualitativa. [Reflexivity: a critical issue in qualitative research]. Enfermería Clínica, 21(3), 163–167. https://doi.org/10.1016/j.enfcli.2011.02.005

    Article  PubMed  Google Scholar 

  • Edwards-Leepper, L., Leibowitz, S., & Sangganjanavanich, V. F. (2016). Affirmative practice with transgender and gender nonconforming youth: Expanding the model. Psychology of Sexual Orientation and Gender Diversity, 3(2), 165–172. https://doi.org/10.1037/sgd0000167

    Article  Google Scholar 

  • Eribon, D. (2001). Reflexiones sobre la cuestión gay [Refelxions about gay cuestion]. Editorial Anagrama.

    Google Scholar 

  • Eribon, D. (2016). Principes d’une pensée critique [principles of critical thinking]. Fayard.

    Google Scholar 

  • Escalante-Gómez, E., & Páramo, M.A. (2011). Aproximación al análisis de datos cualitativos. Aplicación en la práctica investigativa [Approach to qualitative data analysis. Application in research practice]. Editorial de la Universidad de Aconcagua.

    Google Scholar 

  • Etherington, K. (2007). Ethical research in reflexive relationships. Qualitative Inquiry, 13(5), 599–616. https://doi.org/10.1177/1077800407301175

    Article  Google Scholar 

  • Flick, U. (2004). Introducción a la investigación cualitativa [Introduction to qualitative research]. Morata.

    Google Scholar 

  • Fournier, M. (2018). La voluntad de existir. Historias de violencia en una colectividad de mujeres trans. [the will to exist. Stories of violence in a community of trans women]. Ex aequo, 38, 67–82. https://dialnet.unirioja.es/servlet/articulo?codigo=8158976

    Google Scholar 

  • Galvis Ramos, J. F., Parra Agudelo, P. A., & Rocha Español, A. (2019). Empleabilidad e inclusión laboral de personas transgénero en la ciudad de Bogotá [Tesis de especialización, Universidad Piloto de Colombia]. [Employability and labor inclusion of transgender people in the city of Bogotá]. Archivo digital. https://acortar.link/HnDaLG

  • González-Rey, F., & Mitjáns Martínez, A. (2016). Una epistemología Para el estudio de la subjetividad: Sus implicaciones metodológicas [an epistemology for the study of subjectivity: Its methodological implications]. Psicoperspectivas, 15(1), 5–16. https://doi.org/10.5027/psicoperspectivas-Vol15-Issue1-fulltext-667

    Article  Google Scholar 

  • Granados-Cosme, J. A., Hernández-Ramírez, P. A., & Olvera-Muñoz, O. A. (2017). Performatividad del género, medicalización y salud en mujeres transexuales en Ciudad de México [Gender performativity, medicalization and health in transsexual women in Mexico City]. Salud Colectiva, 13(4), 633–646. https://doi.org/10.18294/sc.2017.1363

    Article  Google Scholar 

  • Guerra López, R. (2016). Persona, sexo y género. Los significados de la categoría "género" y el sistema "sexo/género" según Karol Wojtyła. [person, sex and gender. The meanings of the category "gender" and the system "sex/gender" according to Karol Wojtyła]. Revista de Filosofía open. Insight, 7(12), 139–164. https://www.scielo.org.mx/pdf/rfoi/v7n12/2395-8936-rfoi-7-12-00139.pdf

    Google Scholar 

  • Gutiérrez-Gamboa, D. I., Evangelista-García, A. A., & Anne-Winton, A. M. (2018). Mujeres transgénero trabajadoras sexuales en Chiapas: Las violencias del proceso de construcción y reafirmación de su identidad de género [transgender women sex workers in Chiapas: Violence in the process of construction and reaffirmation of their gender identity]. Sociológica (México), 33(94), 139–168. https://www.scielo.org.mx/pdf/soc/v33n94/2007-8358-soc-33-94-139.pdf

    Google Scholar 

  • Hernández-Sampieri, R., Fernández-Collado, C., & Baptista-Lucio, P. (2014). Metodología de la investigación [Research methodology] (6th. ed.). McGraw-Hill. https://acortar.link/y9DKSn

    Google Scholar 

  • Hosking, D. M., & Pluut, B. (2010). (re)constructing reflexivity: A relational constructionist approach. Qualitative Report, 15(1), 59–75.

    Google Scholar 

  • Hoyos-Hernández, P. A., & Valderrama Obergozo, L. J. (2020). Necesidades en la atención en salud desde la perspectiva de las mujeres trans. [healthcare needs from the perspective of trans women]. In C. A. T. Tovar & M. T. V. Arévalo (Eds.), Ciclos de vida y vulnerabilidad social en el Valle del Cauca (pp. 119–125). Sello Editorial Javeriano. https://acortar.link/QmmbWF

    Google Scholar 

  • Hoyos-Hernández, P. A., Valderrama-Orbegozo, L. J., Correa Sánchez, D., Peláez, M. S., Arce-Leonel, D. E., Concha Valderrama, V., Duarte Alarcón, C., Soto Díaz, L. A., Lozada-Páez, M., Galvis Álvarez, J., Montaño, P., & Gil, M. N. (2021). TranSER: experiencias de vida de mujeres en tránsitos de género en Colombia. [TranSER: life experiences of women in gender transitions in Colombia]. Sello Editorial Javeriano.

    Book  Google Scholar 

  • Israel, T., Matsuno, E., Choi, A. Y., Goodman, J. A., Lin, Y. J., Kary, K. G., & Merrill, C. R. (2021). Reducing internalized transnegativity: Randomized controlled trial of an online intervention. Psychology of Sexual Orientation and Gender Diversity, 8(4), 429–439. https://doi.org/10.1037/sgd0000447

    Article  Google Scholar 

  • Jennings, L., Barcelos, C., McWilliams, C., & Malecki, K. (2019). Inequalities in lesbian, gay, bisexual, and transgender (LGBT) health and health care access and utilization in Wisconsin. Preventive Medicine Reports, 14, 1–7. https://acortar.link/72xZ44

    Article  Google Scholar 

  • Knutson, D., Kertz, S., Chambers-Baltz, S., Christie, M. B., Harris, E., & Perinchery, R. (2021). A pilot test of a text message-based transgender and nonbinary affirmative cognitive-behavioral intervention for anxiety and depression. Psychology of Sexual Orientation and Gender Diversity, 8(4), 440–450. https://doi.org/10.1037/sgd0000438

    Article  Google Scholar 

  • Lamas, M. (1996). La perspectiva de género [Gender perspective]. Revista de Educación y Cultura de la Sección, 47, 216–229. https://acortar.link/xKX8F

    Google Scholar 

  • Langarita-Adiego, J., & Mas-Grau, J. (2017). Antropología y diversidad sexual y de género en España. Hacia la construcción de una especialidad disciplinaria [Anthropology and sexual and gender diversity in Spain. Towards the construction of a disciplinary specialty]. Disparidades. Revista de Antropología, 72(2), 311–344. https://doi.org/10.3989/rdtp.2017.02.001

    Article  Google Scholar 

  • Laqueur, T. (1990). La construcción del sexo. Cuerpo y género desde los griegos hasta Freud [The construction of sex. Body and gender from the Greeks to Freud]. Ediciones Cátedra. https://acortar.link/ZBeowp

  • Laqueur, T. (2015). The work of the dead: A cultural history of mortal remains. Princeton University Press. https://doi.org/10.2307/j.ctvc77h3r

  • Losada Posada, B., Mendoza Ariza, J. N., Reyes, J. J., & M., Sarmiento Muñoz, J. E., Mejía Cortés, L., Cadena Chala M. C., & Cuenca Tovar, R. E. (2018). La mujer trans, Vida y trabajo [the trans woman, life and work]. Editorial Universidad Manuela Beltrán.. https://isbn.cloud/9789585467521/la-mujer-trans-vida-y-trabajo/

  • Maingi, S., Bagabag, A. E., & O’Mahony, S. (2018). Current best practices for sexual and gender minorities in hospice and palliative care settings. Journal of Pain and Symptom Management, 55(5), 1420–1427. https://acortar.link/Nvm4Ie

    Article  PubMed  Google Scholar 

  • Markwick, L. (2016). Male, Famale, other: Transgender and the impact in primary care. The Journal for Nurse Practitioners, 12(5), 130–138. https://doi.org/10.1016/j.nurpra.2015.11.028

    Article  Google Scholar 

  • Mas-Grau, J. (2015). Transexualidad y transgenerismo. Una aproximación teórica y etnográfica a dos paradigmas enfrentados [transsexuality and transgenderism. A theoretical and ethnographic approach to two confronting paradigms]. Disparidades. Revista de Antropología, 70(2), 485–501. https://doi.org/10.3989/rdtp.2015.02.009

    Article  Google Scholar 

  • Matsuno, E. (2019). Nonbinary-affirming psychological interventions. Cognitive and Behavioral Practice, 26(4), 617–628. https://doi.org/10.1016/j.cbpra.2018.09.003

    Article  Google Scholar 

  • McNamee, S., & Hosking, D. M. (2012). Research and social change: A relational constructionist approach (p. 2012). Routledge.

    Google Scholar 

  • Miura-Zucchi, E. M., Dos Santos Barros, C. R., Lara Redoschi, B. R., Alves de Deus, L. F., Veras, S. M., & M. A. (2019). Bem-estar psicológico entre travestis e mulheres transexuais no Estado de São Paulo, Brasil [psychological Well-being among transvestites and transgender women in the state of São Paulo, Brazil]. Cadernos de Saúde Pública, 35(3), 1–13. https://doi.org/10.1590/0102-311X00064618

    Article  Google Scholar 

  • Monteiro, S., & Brigeiro, M. (2019). Experiências de acesso de mulheres trans/travestis aos serviços de saúde: avanços, limites e tensões. [experiences of access by trans/transvestite women to health services: Advances, limits and tensions]. Cadernos de Saúde Pública, 35(4), 1–12. https://doi.org/10.1590/0102-311X00111318

    Article  Google Scholar 

  • Moore, H. L. (1994). ‘Divided we stand’: Sex. Gender and Sexual Difference. SAGE Journals, 47(1), 78–95. https://doi.org/10.1057/fr.1994.23

    Article  Google Scholar 

  • Moore, H. L. (2004). Antropología y feminismo [anthropology and feminism]. Ediciones Cátedra.

    Google Scholar 

  • Muñoz-Najar, M. F. (2017). Percepción de la calidad de vida que tiene un grupo de mujeres transgénero que ejerce la prostitución en el barrio Santa Fe localidad de Mártires [Tesis de maestría, Universidad de La Salle]. [Perception of the quality of life of a group of transgender women who practice prostitution in the Santa Fe neighborhood of Mártires]. Archivo digital. Archivo digital. https://acortar.link/I1ZC7u

  • Oransky, M., Burke, E. Z., & Steever, J. (2019). An interdisciplinary model for meeting the mental health needs of transgender adolescents and young adults: The Mount Sinai adolescent health Center approach. Cognitive and Behavioral Practice, 26(4), 603–616. https://doi.org/10.1016/j.cbpra.2018.03.002

    Article  Google Scholar 

  • Organization of American States [OAS]. (2018). Género, derechos y diversidad en la Secretaría General de la OEA. [Gender, rights and diversity in the OAS General Secretariat]. http://www.oas.org/es/cim/docs/gpap-es.pdf

  • Ortner, S. B. (1979). ¿Es la mujer respecto del hombre lo que la naturaleza respecto de la cultura? [Is woman in relation to man what nature is in relation to culture?]. In O. Harris & K. Young (Eds.), Antropología y feminismo (pp. 109–131). Anagrama.

    Google Scholar 

  • Ortner, S. B. (2016). Dark anthropology and its others. Theory since the eighties. HAU: Journal of Ethnographic Theory, 6(1), 47–73. https://doi.org/10.14318/hau6.1.004

    Article  Google Scholar 

  • Rodrigues, L., Santos-Carneiro, C., & Nogueira, C. (2021). História das abordagens científicas, médicas e psicológicas sobre as transexualidades e suas aproximações críticas. [history of scientific, medical and psychological approaches to transsexualities and their critical approaches]. Saúde E Sociedade, 30(2). https://doi.org/10.1590/S0104-12902021200768

  • Romanelli, M., & Lindsey, M. A. (2020). Patterns of healthcare discrimination among transgender help-seekers. American Journal of Preventive Medicine, 58(4), 123–131. https://www.sciencedirect.com/science/article/abs/pii/S0749379719305070

    Article  Google Scholar 

  • Sadock, B. J., Alcott Sadock, V., & Ruíz, P. (2015). Kaplan & Sadock Sinopsis de psiquiatría (11th ed.). Walters Kluwer.

    Google Scholar 

  • Santiago, J., Gómez, J. M., Etchebarne, I., & Roussos, A. J. (2011). El método de investigación cualitativa consensual (consensual qualitative research, CQR): Una herramienta Para la investigación cualitativa en psicología clínica [the consensual qualitative research (CQR) method: A tool for qualitative research in clinical psychology]. In Anuario de Investigaciones (Vol. XVIII, pp. 47–56).

    Google Scholar 

  • Shaw, R. M., Howe, J., Beazer, J., & Carr, T. (2020). Ethics and positionality in qualitative research with vulnerable and marginal groups. Qualitative Research, 20(3), 277–293. https://doi.org/10.1177/1468794119841839

    Article  Google Scholar 

  • Strauss, P., Morgan, H., Toussaint, D. W., Lin, A., Winter, S., & Perry, Y. (2019). Trans and gender diverse young people’s attitudes towards game-based digital mental health interventions: A qualitative investigation. Internet Interventions, 18, 1–11. https://doi.org/10.1016/j.invent.2019.100280

    Article  Google Scholar 

  • United Nations Development Programme [UNDP]. (2019). Panorama general: Informe sobre Desarrollo Humano 2019. Más allá del ingreso, más allá de los promedios, más allá del presente: Desigualdades del desarrollo humano en el siglo XXI. [The Big Picture: Human Development Report 2019. Beyond Income, Beyond Averages, Beyond Today: Human Development Inequalities in the 21st Century]. https://acortar.link/UuvDUc

  • Walton, H. M., & Baker, S. L. (2019). Treating transgender individuals in inpatient and residential mental health settings. Cognitive and Behavioral Practice, 26(4), 592–602. https://doi.org/10.1016/j.cbpra.2017.09.006

    Article  Google Scholar 

Download references

Acknowledgments

Our sincere thanks to each of the participating women.

Availability of Data and Materials

Qualitative study, the data is restricted to the authors to guarantee confidentiality.

Ethics Approval and Consent to Participate

Ethical approval was granted by the Ethics Committee of the Faculty of Humanities and Social Sciences of Javeriana University in Cali, and the independent Biomedical Scientific Ethics Committee of Corporación Científica Pediátrica (Cali, Colombia). The women accepted their participation verbally and signed the informed consent form.

Consent for Publication

All authors have reviewed and validated the manuscript.

Competing Interests

The authors declare that they have no conflicts of interest.

Funding

TranSER was funded by the Ministry of Science Technology and Innovation (Call for Science, Technology, and Innovation in Health Projects, 807 of 2018, code 125180764234), the Pontificia Universidad Javeriana Cali (INVESTIGARPUJ/SIGI 2378), and the Center for the Study of Pediatric Infectious Diseases, in alliance with Transmujer (NGO).

This chapter was developed in the framework of the call for the Strengthening of CTEI Projects in Medical and Health Sciences with Young Talent and Regional Impact, 850 of 2019, of the Ministry of Science, Technology, and Innovation of Colombia. And within the framework of the Excellence Scholarship Program, Bicentennial (cohort 1) of the Ministry of Science, Technology, and Innovation with the support of the Pontificia Universidad Javeriana, Bogotá.

This chapter has been written with recourses from the Contested Territories project. This has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 873082 https://www.contested-territories.net/

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paula Andrea Hoyos-Hernández .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tovar, C.A.T., Hoyos-Hernández, P.A. (2023). Between Social Rejection and Gender Reaffirmation: An Approach to the Narratives of Trans Women in Colombia. In: Chaparro, R.A., Abreu, R.L. (eds) LGBTQ+ Affirmative Psychological Interventions. Springer, Cham. https://doi.org/10.1007/978-3-031-30644-0_5

Download citation

Publish with us

Policies and ethics