
Contents
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Introduction: writing about trans ageing Introduction: writing about trans ageing
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Vulnerability, robustness and resilience Vulnerability, robustness and resilience
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Transition pathways and possibilities Transition pathways and possibilities
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Experiences of formal health services Experiences of formal health services
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Experiences of community, campaigning and care Experiences of community, campaigning and care
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Conclusion Conclusion
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Summary learning points Summary learning points
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References References
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3 “You know what? I’m not agreeing”: older trans people’s experiences of navigating, building and refusing care
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Published:July 2024
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Abstract
Studies of older trans people often emphasise potential vulnerability and discrimination when accessing services in later life. While acknowledging the very real challenges faced, this framing can unintentionally create the impression of older trans people as being a passive population, awaiting intervention and outreach from community and health services. This chapter explores the accounts of 13 trans people aged 60–82 in the UK. While many participants did indeed describe facing challenges from systems and services not configured for their needs, they also outlined a variety of proactive choices and responses to care barriers experienced. These included strategic compliance, lobbying for change, building alternative support networks and in some cases rejecting services that did not meet their needs. Practitioners and service providers need to be aware of this diversity in life experience and responses and consider how service provision can support resilience and autonomy.
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