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Feminism: Sex and gender discussions

Good ways of using inclusive language without excluding women etc

120 replies

Slythermum · 26/10/2021 13:29

Anyone got examples?
So for things like periods, menopause, prostate cancer etc - what would be examples of easily understandable (for non English speakers) and that can make sure that trans people are also getting the healthcare access they need whilst keeping the words women, men, mother, father etc in the descriptions? Would be good to include some examples.

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Helen8220 · 30/10/2021 22:22

@EmbarrassingHadrosaurus

It reminded me a lot of this article from 2015, which I think is similarly insightful and articulate, but it’s just so refreshing (and rare) to see this talked about in an intelligent and balanced way.

www.newstatesman.com/politics/2015/09/what-s-matter-talking-about-pregnant-people

EmbarrassingHadrosaurus · 29/10/2021 12:33

[quote Helen8220]@EmbarrassingHadrosaurus

www.theatlantic.com/ideas/archive/2021/10/pregnant-women-people-feminism-language/620468/

That’s a really good article, thank you for sharing it[/quote]
I always appreciate good writing and it was especially heartening to see this in the Atlantic .

PrincessNutella · 29/10/2021 02:05

Kitten Kong--good point. If it is so complicated for trans people to figure out whether they need a pap smear or not by themselves, they should bring along a trusted smart person who can help them figure complicated shit like this out to their next doctor's appointment. And if they really find this too complicated, maybe they should not undergo complicated wrong-sex surgeries that will confuse them further.

NCBlossom · 29/10/2021 01:12

@Artichokeleaves accessibility is centred around the people who the information needs to get to though. It would be ridiculous to offer an alternative leaflet for men for cervical cancer screening for example and a waste of NHS resources, or trans women. They do not need cervical cancer screening and shouldn’t be asked for come forward for it. And targeting should be more than an offer of a leaflet online - it’s reaching out to those people who need it, so if say trans men were not coming forward for cervical cancer screening then accessibility would be something like going to where those trans men communicate most, and asking them how they want to be communicated with which may have lots of different factors not just language it might be style, anything. I can’t see any justification for adapting messaging for those who don’t need it.

Helen8220 · 28/10/2021 23:50

@EmbarrassingHadrosaurus

www.theatlantic.com/ideas/archive/2021/10/pregnant-women-people-feminism-language/620468/

That’s a really good article, thank you for sharing it

Funnylittlefloozie · 28/10/2021 23:10

Do NHS publications that have been translated into different languages use the same "women and ...." construction, or do they just say "women" ?

Artichokeleaves · 28/10/2021 22:56

@Whatinthelord

Yes I agree with just using women and men in literature, policy and general\public communications. They’re sex based terms, so are accurate and understandable as they are. I think once you start adding or qualifying those words they start to loose their original meaning and once that happens it will become a lot more difficult to send clear health messages.

on a personal care level if a patient wants to be referred to as parent instead of mother, I would think that’s fine.

This.

If it is not tolerable or comfortable for TW, TM and those of other chosen identities to see biological terms present at all then the obvious answer is that as with additional language options, options of all written materials should be available specifically for each group using the language of their choice. That's accessibility.

NCBlossom · 28/10/2021 21:44

Quote from intro to pdf above
Weak health literacy skills are associated with riskier behaviour, poorer health, less self-management and more hospitalization and costs. Strengthening health literacy has been shown to build individual and community resilience, help address health inequities and improve health and well-being.

NCBlossom · 28/10/2021 21:43

These are some of the key reports on Health Literacy
www.euro.who.int/__data/assets/pdf_file/0008/190655/e96854.pdf

NCBlossom · 28/10/2021 21:40

A good health service is one that checks regularly that it’s message is being understood by the right people, whether that is from national data of who is not coming forward for screening, who we are missing, or good research into who isn’t picking up messages about their care eg diabetes.

Sometimes that means outreach work. I did work which was specifically about going to those not accessing or understanding such as homeless people or people where English isn’t their first language.

I’m not sure how it got to a stage where lobbying took precedence over accessibility.

timeisnotaline · 28/10/2021 15:38

@Slythermum

This has all been really interesting reading. I think if I'm having to write inclusive aspects into any of the work I'm doing I will just continue to use the words woman/female and man/male and then add a separate component regarding trans care that I can discuss if it ever gets raised in a session.

I suppose I now see it as the third space in language and I think it's the only way to not confuse issues whilst ensuring trans people understand they need to speak to their GP as their particular hormonal setup i.e - if they are on medication, had surgery etc is unique to them. And this way it's not obscuring or erasing the actual biological reality of everyone else.

In most cases I think they understand perfectly well, but taking women as an example, transmen don’t want to be included under that term women and transwomen are offended the term women is used and explicitly doesn’t mean them for eg cervical checks. It’s mostly not about helping them understand.
Whatinthelord · 28/10/2021 15:29

Yes I agree with just using women and men in literature, policy and general\public communications. They’re sex based terms, so are accurate and understandable as they are.
I think once you start adding or qualifying those words they start to loose their original meaning and once that happens it will become a lot more difficult to send clear health messages.

on a personal care level if a patient wants to be referred to as parent instead of mother, I would think that’s fine.

Slythermum · 28/10/2021 15:07

@NCBlossom

I used to work in the NHS and it is critical that the health message / advice / campaigning is in the most plain English possible and understood by the people it is being targeted too.

So women and men or children or girls/boys and if there are ethnic minorities or hard to reach groups then specifically targeted to them in their own language / cultural way. Accessibility is KEY.

The World Health Organization and NHS and worldwide organizations have identified that Health Literacy is extremely important. It can mean the difference between life and death, of not understanding how and when to take your medication, or how to prevent getting an STI, or how to check lumps for cancer, what a prostate is and who has one, who needs to be aware of cervical cancer checks…

It’s a huge issue with estimates varying but 40% not understanding what their GP tells them for example say about their diabetes care.

So in the nicest of ways, sensitivities about using the word woman or man can go take a hike. I’m amazed not more healthcare trusts or public health realize the total contradiction here. Fudging the message will literally cost lives. Who cares honestly is someone is hurt that a poster says women aged 18 to 50 need to turn up to their cervical cancer check ups - the important message is that women need to go to their cervical cancer check ups. Seeing ‘person with a cervix’ throws that added confusion when we already know that even clear messages aren’t always picked up is totally against medical health literacy targets.

THis has been so useful, I'be been looking at health literacy documentation www.hee.nhs.uk/our-work/knowledge-library-services/improving-health-literacy and it's really helping. It also makes you wonder how so many departments are then obfuscating the issues and who are driving them and who ultimately it helps in the end as it just becomes confusing for everyone if nothing means anything anymore.
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StandUpStraight · 28/10/2021 11:45

I think that’s a good point spartacus. I think it is sometimes used by people who don’t really buy into the ideology and are just frightened of being attacked. But health care providers should think carefully about the message it sends to women about the possibility that their clinical needs are going to subjugated to ideology.

YetAnotherSpartacus · 28/10/2021 10:34

I personally feel huge relief and thankfulness when the word “women” is used. Which is pathetic, but here we are. When “and trans etc” is added, I always think it means “and please don’t hurt me”

I always think it means I'll actually really be sidelined and others' needs put before mine even if the service was designed to meet my needs as a woman.

KittenKong · 28/10/2021 09:35

I can’t imagine anyone - sitting in a doctors surgery, being giving a devastating diagnosis, and replying in response to ‘X% of men with prostate cancer...’ ‘You are insulting me! Persons with prostate, PERSONS!’.

You’d be too busy contemplating months of treatment and your possible demise surely. Wouldn’t the that just knock the rainbow sprinkles off your ice cream?

FrancescaContini · 28/10/2021 09:10

@NCBlossom

I used to work in the NHS and it is critical that the health message / advice / campaigning is in the most plain English possible and understood by the people it is being targeted too.

So women and men or children or girls/boys and if there are ethnic minorities or hard to reach groups then specifically targeted to them in their own language / cultural way. Accessibility is KEY.

The World Health Organization and NHS and worldwide organizations have identified that Health Literacy is extremely important. It can mean the difference between life and death, of not understanding how and when to take your medication, or how to prevent getting an STI, or how to check lumps for cancer, what a prostate is and who has one, who needs to be aware of cervical cancer checks…

It’s a huge issue with estimates varying but 40% not understanding what their GP tells them for example say about their diabetes care.

So in the nicest of ways, sensitivities about using the word woman or man can go take a hike. I’m amazed not more healthcare trusts or public health realize the total contradiction here. Fudging the message will literally cost lives. Who cares honestly is someone is hurt that a poster says women aged 18 to 50 need to turn up to their cervical cancer check ups - the important message is that women need to go to their cervical cancer check ups. Seeing ‘person with a cervix’ throws that added confusion when we already know that even clear messages aren’t always picked up is totally against medical health literacy targets.

Thank you for posting this - I don't work for the NHS but agree with everything you say.

I've just contacted my GP surgery about an issue related to this and am awaiting a reply - not holding my breath...

Clarity is key when imparting medical advice; in addition, there should be no place for an unscientific ideology in a medical setting that's run entirely by public funds. Facts, facts, facts only.

KittenKong · 28/10/2021 09:00

Of you are a grown adult who does not understand/accept that sex is pretty important when it comes to a lot of things (healthcare especially) then you need to bring along someone with you surely?

Otherwise you are just stirring for the sake of it and wasting people’s time arguing.

Slythermum · 28/10/2021 08:36

This has all been really interesting reading. I think if I'm having to write inclusive aspects into any of the work I'm doing I will just continue to use the words woman/female and man/male and then add a separate component regarding trans care that I can discuss if it ever gets raised in a session.

I suppose I now see it as the third space in language and I think it's the only way to not confuse issues whilst ensuring trans people understand they need to speak to their GP as their particular hormonal setup i.e - if they are on medication, had surgery etc is unique to them. And this way it's not obscuring or erasing the actual biological reality of everyone else.

OP posts:
NCBlossom · 28/10/2021 00:23

I used to work in the NHS and it is critical that the health message / advice / campaigning is in the most plain English possible and understood by the people it is being targeted too.

So women and men or children or girls/boys and if there are ethnic minorities or hard to reach groups then specifically targeted to them in their own language / cultural way. Accessibility is KEY.

The World Health Organization and NHS and worldwide organizations have identified that Health Literacy is extremely important. It can mean the difference between life and death, of not understanding how and when to take your medication, or how to prevent getting an STI, or how to check lumps for cancer, what a prostate is and who has one, who needs to be aware of cervical cancer checks…

It’s a huge issue with estimates varying but 40% not understanding what their GP tells them for example say about their diabetes care.

So in the nicest of ways, sensitivities about using the word woman or man can go take a hike. I’m amazed not more healthcare trusts or public health realize the total contradiction here. Fudging the message will literally cost lives. Who cares honestly is someone is hurt that a poster says women aged 18 to 50 need to turn up to their cervical cancer check ups - the important message is that women need to go to their cervical cancer check ups. Seeing ‘person with a cervix’ throws that added confusion when we already know that even clear messages aren’t always picked up is totally against medical health literacy targets.

PrincessNutella · 27/10/2021 22:01

Trans women are adults. So are trans men. So they should be capable of adult powers of reasoning. When it comes to their health careALL of their health carethey should proceed as if their health is connected to their bodies. That's what the rest of us do. So if they have male bodies, as all trans women do, get your prostate checked. And if you have a neo vagina created from your male genitalia, that is a man plumbing problem, not a lady plumbing problem. Nothing indeed could be more willfully male. If you are a trans man and find a baby squeezing through your vaginal canal one day, you might want to understand that your efforts at becoming male fell short--you are a woman. We don't need to change the English language for trans people to get decent health care. They need to take responsibility for themselves.

SirVixofVixHall · 27/10/2021 12:54

@Babdoc

And as a pedant, I object to the nonsensical term “women and people who menstruate”. It is only women who menstruate. Who are these other people? Men don’t menstruate. If you menstruate, you are a woman, whatever you identify as or wish you were instead. We need to stop confusing sex with “gender identity”.
Agree. Everyone knows what sex they are, and this push to pretend that trans identifying people will not be able to access sex appropriate medical care, appears to me to be a tactic to erode the use of female sex based terminology.
JellySaurus · 27/10/2021 12:50

How often do you get asked for your Christian name these days? You don’t - you get asked for your first name. Forms used always to ask for your Christian name. The change to first name was to take into account the substantial percentage of UK population who were not Christian. (Even more substantial now, something like 45% non-Christian.)

That was an inclusive change that worked well. It did not disenfranchise Christians in any way, did not require them to deny their reality or affirm a different belief. It did not change the meaning of Christian by pretending that the meaning could be decided by any Jew, Muslim, Hindu, atheist etc who chose to label themselves Christian, and then demand that Christians changed their Christianity to accommodate them.

It is not the same as replacing ‘women’ with ‘people’, or by adding ‘and…’ . Those wordings deny the physical reality of being a woman. They pretend that it is possible for anyone to experience things that only women can experience. Those wordings pretend that anyone can decide what defines a woman and label themselves women, and demand access to women’s services regardless of how that affects actual women.

Reptar · 27/10/2021 12:43

Maybe its time to remind your place of work that The Plain English Campaign is still going, and they still give out the Crystal mark for clarity and honesty.

plainenglish.co.uk/

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