The Forgotten History Of The World’s First Transgender Clinic

The Forgotten History of the World’s First Transgender Clinic

I finished the first round of edits on my nonfiction history of trans rights today. It will publish with Norton in 2025, but I decided, because I feel so much of my community is here, to provide a bit of the introduction.

[begin sample]

The Institute for Sexual Sciences had offered safe haven to homosexuals and those we today consider transgender for nearly two decades. It had been built on scientific and humanitarian principles established at the end of the 19th century and which blossomed into the sexology of the early 20th. Founded by Magnus Hirschfeld, a Jewish homosexual, the Institute supported tolerance, feminism, diversity, and science. As a result, it became a chief target for Nazi destruction: “It is our pride,” they declared, to strike a blow against the Institute. As for Magnus Hirschfeld, Hitler would label him the “most dangerous Jew in Germany.”6 It was his face Hitler put on his antisemitic propaganda; his likeness that became a target; his bust committed to the flames on the Opernplatz. You have seen the images. You have watched the towering inferno that roared into the night. The burning of Hirschfeld’s library has been immortalized on film reels and in photographs, representative of the Nazi imperative, symbolic of all they would destroy. Yet few remember what they were burning—or why.

Magnus Hirschfeld had built his Institute on powerful ideas, yet in their infancy: that sex and gender characteristics existed upon a vast spectrum, that people could be born this way, and that, as with any other diversity of nature, these identities should be accepted. He would call them Intermediaries.

Intermediaries carried no stigma and no shame; these sexual and Gender nonconformists had a right to live, a right to thrive. They also had a right to joy. Science would lead the way, but this history unfolds as an interwar thriller—patients and physicians risking their lives to be seen and heard even as Hitler began his rise to power. Many weren’t famous; their lives haven’t been celebrated in fiction or film. Born into a late-nineteenth-century world steeped in the “deep anxieties of men about the shifting work, social roles, and power of men over women,” they came into her own just as sexual science entered the crosshairs of prejudice and hate. The Institute’s own community faced abuse, blackmail, and political machinations; they responded with secret publishing campaigns, leaflet drops, pro-homosexual propaganda, and alignments with rebel factions of Berlin’s literati. They also developed groundbreaking gender affirmation surgeries and the first hormone cocktail for supportive gender therapy.

Nothing like the Institute for Sexual Sciences had ever existed before it opened its doors—and despite a hundred years of progress, there has been nothing like it since. Retrieving this tale has been an exercise in pursuing history at its edges and fringes, in ephemera and letters, in medal texts, in translations. Understanding why it became such a target for hatred tells us everything about our present moment, about a world that has not made peace with difference, that still refuses the light of scientific evidence most especially as it concerns sexual and reproductive rights.

[end sample]

I wanted to add a note here: so many people have come together to make this possible. Like Ralf Dose of the Magnus-Hirschfeld-Gesellschaft (Magnus Hirschfeld Archive), Berlin, and Erin Reed, American journalist and transgender rights activist—Katie Sutton, Heike Bauer. I am also deeply indebted to historian, filmmaker and formative theorist Susan Stryker for her feedback, scholarship, and encouragement all along the way. And Laura Helmuth, editor of Scientific American, whose enthusiasm for a short article helped bring the book into being. So many LGBTQ+ historians, archivists, librarians, and activists made the work possible, that its publication testifies to the power of the queer community and its dedication to preserving and celebrating history. But I ALSO want to mention you, folks here on tumblr who have watched and encouraged and supported over the 18 months it took to write it (among other books and projects). @neil-gaiman has been especially wonderful, and @always-coffee too: thank you.

The support of this community has been important as I’ve faced backlash in other quarters. Thank you, all.

please hear us.

64K notes View Post

fuck-julian

1 year ago

Here is what Stephen Whittle has said on twitter (X)

this is the first of twelve tweets

1. (a) Patient data is patient data. It is not the Health secretary’s data, nor even NHS England’s data.
Clinics were correct in not disclosing data without having the express permission of the patient.
(b) In a letter to Adult GIC’s this week, NHS England’s National & .., https://t.co/LNDl4jIyz9

— Prof. Stephen Whittle OBE, PhD, DLaws, FAcSS, (@stephenwhittle) April 11, 2024

9K notes View Post

fuck-julian

1 year ago

Man do i love frozen stawberries that i crushed up in sugar

A general cane guide for writers and artists (from a cane user, writer, and artist!)

Disclaimer: Though I have been using a cane for 6 years, I am not a doctor, nor am I by any means an expert. This guide is true to my experience, but there are as many ways to use a cane as there are cane users!

This guide will not include: White canes for blindness, crutches, walkers, or wheelchairs as I have no personal experience with these.

This is meant to be a general guide to get you started and avoid some common mishaps/misconceptions, but you absolutely should continue to do your own research outside of this guide!

[Image text] Arm bends a little. Cane height at hip joint. Many canes have adjustable height. Cane sits within the natural center of balance. Causes stress on: Triceps, upper back, wrist (pressure) fingers (grip). Helps with: Joints (lower back, hip, knee, ankle, foot), weakness, balance, pain.

The biggest recurring problem I've seen is using the cane on the wrong side. The cane goes on the opposite side of the pain! If your character has even-sided pain or needs it for balance/weakness, then use the cane in the non-dominant hand to keep the dominant hand free. Some cane users also switch sides to give their arm a rest!

A cane takes about 20% of your weight off the opposite leg. It should fit within your natural gait and become something of an extension of your body. If you need more weight off than 20%, then crutches, a walker, or a wheelchair is needed.

Putting more pressure on the cane, using it on the wrong side, or having it at the wrong height will make it less effective, and can cause long term damage to your body from improper pressure and posture. (Hugh Laurie genuinely hurt his body from years of using a cane wrong on House!)

A General Cane Guide For Writers And Artists (from A Cane User, Writer, And Artist!)

(an animated GIF of a cane matching the natural walking gait. It turns red when pressure is placed on it.)

When going up and down stairs, there is an ideal standard: You want to use the handrail and the cane at the same time, or prioritize the handrail if it's only on one side. When going up stairs you lead with your good leg and follow with the cane and hurt leg together. When going down stairs you lead with the cane, then the good leg, and THEN the leg that needs help.

Realistically though, many people don't move out of the way for cane users to access the railing, many stairs don't have railings, and many are wet, rusty, or generally not ideal to grip.

In these cases, if you have a friend nearby, holding on to them is a good idea. Or, take it one step at a time carefully if you're alone.

Now we come to a very common mistake I see... Using fashion canes for medical use!

[Image text] 4 Major Handle Shapes (significant variation and uses). Tourist/Crook/Hook. Classic shape, fashion and medical, easy to hook on things (arm, door, chair, etc), generally solid wood (stronger, heavier). Offset. Newer design, not a fashion handle, only handle for quad-bases, generally better balance, usually aluminum (light + cheap), soft handle, adjustable (rattles/clicks when swinging). Derby/Fritz/Anatomical/Contour. Classic medical shape, many fashion variants, some fashion + medical, varies in many ways, sometimes contoured to hand, comes in foldable styles, many aluminum styles, many customizable styles. Knob/Decorative. Fashion exclusive, knob shape hurts the hand after prolonged pressure (especially with designs), tend to be heavy, "sword canes" have the same issues.

(These are 4 broad shapes, but there is INCREDIBLE variation in cane handles. Research heavily what will be best for your character's specific needs!)

The handle is the contact point for all the weight you're putting on your cane, and that pressure is being put onto your hand, wrist, and shoulder. So the shape is very important for long term use!

Knob handles (and very decorative handles) are not used for medical use for this reason. It adds extra stress to the body and can damage your hand to put constant pressure onto these painful shapes.

The weight of a cane is also incredibly important, as a heavier cane will cause wear on your body much faster. When you're using it all day, it gets heavy fast! If your character struggles with weakness, then they won't want a heavy cane if they can help it!

This is also part of why sword canes aren't usually very viable for medical use (along with them usually being knob handles) is that swords are extra weight!

However, a small knife or perhaps a retractable blade hidden within the base might be viable even for weak characters.

[Image text] 4 Major base shapes (significant variation and uses). Adjustable base. Aluminum, standard modern medical, adjustable height, rubber base, wears down over time. Tripod/ quad base. If you need extra balance. Terrain attachment (varies, this is for ice). Removable, helps stop slipping on ice/snow/sand/etc, some canes have a retractable tip for ice. Classic base. Non-adjustable, custom only, modern standard still has a rubber base.

Bases have a lot of variability as well, and the modern standard is generally adjustable bases. Adjustable canes are very handy if your character regularly changes shoe height, for instance (gotta keep the height at your hip!)

Canes help on most terrain with their standard base and structure. But for some terrain, you might want a different base, or to forego the cane entirely! This article covers it pretty well.

Many cane users decorate their canes! Stickers are incredibly common, and painting canes is relatively common as well! You'll also see people replacing the standard wrist strap with a personalized one, or even adding a small charm to the ring the strap connects to. (nothing too large, or it gets annoying as the cane is swinging around everywhere)

Two canes side by side. The one on the left is painted a light pink, and the one on the right is painted black with a fire/lava pattern.

(my canes, for reference)

If your character uses a cane full time, then they might also have multiple canes that look different aesthetically to match their outfits!

When it comes to practical things outside of the cane, you reasonably only have one hand available while it's being used. Many people will hook their cane onto their arm or let it dangle on the strap (if they have one) while using their cane arm, but it's often significantly less convenient than 2 hands. But, if you need 2 hands, then it's either setting the cane down or letting it hang!

For this reason, optimizing one handed use is ideal! Keeping bags/items on the side of your free hand helps keep your items accessible.

When sitting, the cane either leans against a wall or table, goes under the chair, or hooks onto the back of the chair. (It often falls when hanging off of a chair, in my experience)

When getting up, the user will either use their cane to help them balance/support as they stand, or get up and then grab their cane. This depends on what it's being used for (balance vs pain when walking, for instance!)

That's everything I can think of for now. Thank you for reading my long-but-absolutely-not-comprehensive list of things to keep in mind when writing or drawing a cane user!

Happy disability pride month! Go forth and make more characters use canes!!!

92K notes View Post