Intersectional Psychology

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Content note: This episode references transphobic arguments and objections to gender-affirming health care (GAHC) in our discussion and explanation of the guidelines for GAHC. If you’re unable to engage with these topics right now, you are welcome to skip this episode or come back to it when you feel better resourced. 

In this powerful follow-up, host Aurora Brown and Dr Anastacia Tomson, MD, dive deeper into the complexities of gender-affirming healthcare in South Africa. They tackle systemic barriers, debunk pervasive myths, and explore how institutions — from clinics to workplaces — can truly support trans and gender-diverse (TGD) communities. Dr Tomson’s insights blend clinical expertise with lived experience, offering actionable steps towards dignity-centered care.

Connect with Anastacia

📸 @anaphylaxus
🌐 anastaciatomson.com / myfamily.gp

🎁 This extended audio is ad-free and includes Patreon-exclusive bonus content.

⏳ Chapter timestamps

00:00:00 Land acknowledgement
00:00:28 Patreon bonus announcement
00:01:31 Title credits
00:01:52 Welcome and introduction
00:03:15 Health disclaimer
00:04:10 The truth about the access to GAHC (Part 2)
00:08:01 Why GAHC is primary health care
00:14:26 Psychosocial support for TGD people
00:19:05 The truth about GAHC for non-binary people
00:21:59 The truth about TGD people in sports
00:29:16 The uniqueness of every transition pathway
00:32:01 How institutions can support gender transitions
00:36:29 The truth about voice therapy in GAHC
00:40:58 A future for everyone (Part 2) 
00:45:37 End credits

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📌 Featured Resources

Tomson, A., McLachlan, C., Wattrus, C., Adams, K., Addinall, R., Bothma, R., Jankelowitz, L., Kotze, E., Luvuno, Z., Madlala, N., Matyila, S., Padavatan, A., Pillay, M., Rakumakoe, M., Tomson-Myburgh, M., Venter, W., & de Vries, E. (2021). Southern African HIV Clinicians Society gender-affirming healthcare guideline for South Africa. Southern African Journal of HIV Medicine, 22(1). doi:https://doi.org/10.4102/sajhivmed.v22i1.1299
Tomson, A. (2020). Always Anastacia. Jeppestown: Jonathan Ball Publishers. 

📚 References

McKinney, A. Among the Stars, no piano edit. ZapSplat. https://www.zapsplat.com/music/among-the-stars-no-piano-soothing-ambient-choir-portrays-panoramic-space-good-for-landscapes/ 
Miles, D. Shades of Orange. ZapSplat. https://www.zapsplat.com/music/shades-of-orange-a-serene-relaxing-warm-ambient-piece-with-slow-mellow-chords-perfect-for-relaxation-meditation-etc/
Wall, C.S.J., Patev, A.J., & Benotsch, E.G. (2023). Trans broken arm syndrome: A mixed-methods exploration of gender-related medical misattribution and invasive questioning. Social science & medicine (1982), 320, 115748. https://doi.org/10.1016/j.socscimed.2023.115748

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