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Intersex-Inclusive Progress Pride Flag
Image by Neo_Artemis from Pixabay

As Pride Month 2024 draws to a close, we want to take this opportunity to look back at some of our favorite LGBTQ+ blog posts. Whether you’re new to Himmelfarb Library or have been following our blog for years, this retrospective look at Himmelfarb’s Pride posts can serve as an opportunity to reflect on the history of Pride, celebrate the progress that’s been made towards LGBTQ+ equality and those who have fought for this progress, and recommit to the work that still needs to be done.

LGBTQ+ History

Most people don’t associate October with Pride Month, but October is LGBTQ History Month. In an October 2023 post titled The History Behind LGBTQ History Month, we took a look at the history behind LGBTQ History Month starting from its origins in 1994 when high school history teacher, Rodney Wilson addressed a lack of LGBTQ representation in school curriculum and worked with organizations such as the Human Rights Campain to have LGBTQ History Month recognized at the national level. October has additional significance within the LGBTQ community as the first March on Washington for Lesbian and Gay Rights took place in October of 1979, and a second March on Washington took place on October 11, 1987. In 1988, October 11th was recognized as National Coming Out Day. If you’d like to learn more about the 1979 and 1987 March on Washington for Lesbian and Gay Rights, read the full post!

LGBTQ+ Profiles

At GW, we are lucky to have many influential members of the LGBTQ+ community who have been members of our faculty for many years! We’ve profiled some prominent GW faculty and one prominent national figure on our blog.

Picture of Dr. Deyton and Dr. Fauci standing in front of a GW Medicine & Health Sciences logo.
(GW SMHS Facebook Page, 2017)

In June 2021, we posted a piece titled “Just Speak:” Lawrence “Bopper” Deyton. This in-depth profile of Dr. Deyton explores an influential experience Dr. Deyton had as a patient that would have a profound impact on the course of his career and inspire him to work to be a positive influence for change within the field of medicine and healthcare for his entire career. In 1978, Dr. Deyton co-founded what is now Whitman-Walker Health as “a health clinic for gay men and lesbians before AIDS redefined everything and the clinic became a hub for HIV treatment” (Sullivan, 2011). After attending medical school at GW and completing his residency at the University of Southern California Los Angeles County Medical Center, Dr. Deyton began working at the NIH, where he became friends with Dr. Anthony Fauci, and together they would play a crucial role in HIV/AIDS research during the early 1990s epidemic. Dr. Deyton was instrumental in overseeing the “clinical research on the development and approval of antiretroviral drugs and treatment strategies, including the first trials of combination therapies, the cornerstone of current HIV treatments” (GW SMHS, 2017). Read the full post to learn more about Dr. Deyton’s fascinating and impactful career!

Picture of Dr. Carlos Rodriguez-Diaz.

In September of 2021, we posted a profile titled Dr. Carlos Rodriguez-Diaz: Aim for What You’re Passionate About. In this post, Dr. Rodriguez-Diaz discusses what inspired him to go into public health and get involved with HIV care and prevention. He discusses the privilege of being a “young Latino gay man and to have access to education and contribute to my community by engaging in public health training, practice, and research” (Puro, 2021).

Dr. Rodriguez-Diaz talks about how he ended up at GW, what lessons scientists can learn from the spread of misinformation related to the COVID-19 vaccine, and how to make research more transparent and accessible. Included in his answer, he explains that “we should facilitate those scientists from minority populations (e.g. Latinos, Black, LGBTQ, Native Americans) to have access to mass media and platforms to reach out to their communities. No one else can speak to a community like a community member” (Puro, 2021). Read the full article to learn more about Dr. Rodriguez-Diaz.

In June of 2021, our post titled PRIDE: Dr. Rachel Levine: Physician and LGBTQ+ Health Advocate profiled Dr. Rachel Levine, the first openly transgender woman to be confirmed for federal office by the United States Senate in 2021. Dr. Levine is still serving as the 17th Assistant Secretary for Health (ASH) at the Department of Health and Human Services. Dr. Levine served as the Pennslyvania Physician General from 2015 to 2018, during which time she was responsible for an initiative that allowed law enforcement agents to carry Naloxone, an anti-overdose drug, and also allowed Pennsylvanians to purchase Naloxone from a pharmacy without a prescription. Levine has used her platform to highlight health inequality issues impacting marginalized communities, including the LGBTQ+ community. In a 2020 interview with Philadelphia magazine, Dr. Levine said “One of my goals, being a state health official…is that people will see me. … it’s about letting people put a face to something they might not understand, so they aren’t fearful, so that they don’t get angry, so that it doesn’t lead to hate.” 

Picture of Dr. Rachel Levine standing in front of a podium and US flag.

Resources

We’ve also posted about LGBTQ+ resources and local organizations. A 2023 post titled Celebrate Pride: LGBTQ+ Healthcare Resources highlighted selected books, journals, and streaming videos that are part of Himmelfarb’s collection. A more recent post from earlier this month titled Pride in the Collection shared more books from our Diversity and Disparities in Health Care collection relevant to the LGBTQ+ community. 

References:

George Washington University School of Medicine & Health Sciences. (June, 12, 2017). Lawrence “Bopper” Deyton installed as Murdock Head Professor of Medicine and Health Policy. SMHS News. https://smhs.gwu.edu/news/lawrence-%E2%80%9Cbopper%E2%80%9D-deyton-installed-murdock-head-professor-medicine-and-health-policy

Puro, A. (2021, September 29). Dr. Carlos Rodriguez-Diaz: Aim for what you’re passionate about. Himmelfarb Library Blog. https://blogs.gwu.edu/himmelfarb/2021/09/29/dr-carlos-rodriguez-diaz-aim-for-what-youre-passionate-about/

Sullivan, P. (2011, September 7). Lawrence Deyton, award nominee, heads FDA campaign against smoking. The Washington Post, https://go.openathens.net/redirector/gwu.edu?url=https%3A%2F%2Fwww.washingtonpost.com%2Flocal%2Flawrence-deyton-award-nominee-heads-fda-campaign-against-smoking%2F2011%2F08%2F15%2FgIQABsMYAK_story.html

Gender-affirming care has been a topic within mainstream media for the past several years. While some people think of surgical interventions during these discussions, health care providers and organizations classify a range of treatments as part of a gender-affirming care routine. Research shows that transgender and nonbinary individuals who receive gender-affirming care experience greater health outcomes such as decreased levels of depression, anxiety and suicidality. Dr. Arjee Javellana Restar’s paper Gender-affirming care is preventative care, examines the relationship between mental health and access to gender-affirming care. “While there are established treatments available outside of GAC, preventing negative mental health outcomes before they occur requires widening the tools of prevention, and calling in medical, insurer, and policy communities to value GAC in improving mental health for trans people.” (Restar, 2023, pg. 2) In order to address the mental health outcomes of trans and nonbinary individuals, it is important that barriers to gender-affirming treatment options are eliminated and the patient’s autonomy is prioritized. 

Gender-affirming care are treatment options that aim to affirm a person’s gender identity. Treatments may include speech therapy, hormone therapy, or surgical interventions. Gender-affirming care options are frequently discussed and created by patients, healthcare providers and if the patient is a minor, parental or legal guardians are also present. The Association of American Medical Colleges states that “For children in particular, the time of the interventions is based on several factors, including cognitive and physical development as well as parental consent. Surgery…is rarely provided to people under 18.” (Boyle, 2022) 

Research shows that transgender and nonbinary people who receive gender-affirming care often experience improved mental health outcomes than those who do not receive treatment. Dr. Restar writes “Addressing mental health problems among trans people necessitates explicit programmatic and investment goals that allow the equitable provision of not just treatment, but instead, an array of both preventative and treatment tools…” (Restar, 2023, pg. 1) Both Dr. Restar and the Association of American Medical Colleges note that people who receive gender-affirming care experience lower rates of negative mental health outcomes. (Restar, 2023; Boyle, 2022) “GAC is linked to improved quality of life and mental health among trans people…To date, no studies have reported findings that suggest GAC increases negative mental health outcomes.” (Restar, 2023, pg. 1)

There are social and structural barriers that prevent people from accessing the full range of gender-affirming care treatment options. Dr. Restar suggests that the healthcare profession should make changes to the existing structures to allow for more equitable access to care.  “Over the years, the benefits of GAC has become apparent, yet beneficiaries remain exclusive, leaving many trans people to wait until eligible for treatment at the cost of worsened outcomes…To address the high prevalence of mental health problems, GAC must be synergized as part of combined preventative mental health care options and strategies.” (Restar, 2023, pg. 2) 

Building a gender diverse and gender-affirming environment is important because it “allows for frank discussions about the patient’s gender identity and related stress, sexual activity, and potential transition toward a different gender identity.” (Boyle, 2022) Himmelfarb Library’s Diversity and Disparities in Health Care special collection contains materials to help you learn more about transgender and gender diverse healthcare needs. Additionally, Dr. Restar’s article provides suggestions that may lead to healthcare structural changes and improve healthcare access for transgender and nonbinary individuals. 

References: 

Restar, A. J. (2023). Gender-affirming care is preventative care. Lancet Regional Health - Americas (Online), 24. https://doi.org/10.1016/j.lana.2023.100544

Close up image of a rainbow Pride flag.
Photo by Cecilie Johnsen on Unsplash

Last week’s Ways to Celebrate This Year’s Pride Month post highlighted a variety of books, documentaries, local events, and volunteer opportunities available to celebrate Pride Month this year. In today’s post, we’ll focus on LGBTQ+ healthcare-focused resources available through Himmelfarb Library that can deepen your understanding of the LGBTQ+ community. 

Selected Books

This selection of LBGTQ+ focused books is available 

Selected Journals

  • Journal of Health Disparities Research & Practice: This journal explores the problems and challenges created by health disparities among diverse populations including the LBGTQ+ community.
  • Health Affairs: This journal covers a wide range of topics related to health care policy and managed care and often addresses LGBTQ+ related issues.
  • International Journal of Transgender Health: This journal covers gender dysphoria, medical and psychological treatment of transgender individuals, social and legal acceptance of hormonal and surgical sex reassignment, and transgenderism.
  • Journal of Gay & Lesbian Mental Health: This multidisciplinary professional forum covers issues related to psychotherapy for gay, lesbian, and bisexual individuals.
  • Journal of LGBT Youth: This journal contains information on current developments in educational policy, curriculum development, professional practice, and pedagogy involving gay and lesbian studies.
  • Journal of LBGT Issues in Counseling: This journal provides a professional forum for research, best practices, and emerging trends and issues related to counseling the LGBT community.

Streaming Videos

  • Born to Be: This documentary provides an intimate look at the work of Dr. Jess Ting (he/him) and the impact of gender-affirming care on patients and has transformed his own life.
  • Cured: This documentary explores the campaign that led to the removal of homosexuality from the American Psychiatric Association’s list of mental illnesses in 1973.

Are you interested in learning more about influential members of the LGBTQ+ community? Check out Himmelfarb’s profile of Dr. Rachel Levine, the first openly trans woman to be confirmed to a federal position by Congress. Or learn more about one of GW’s own in our profile of Dr. Lawrence “Bopper” Deyton, Senior Associate Dean for Clinical Public Health at GW’s School of Medicine and Health Sciences (SMHS). Dr. Deyton played a crucial role in HIV/AIDS research during the early 1990s.

Are you interested in more general resources available at GW? GW’s LGBTQIA+ Resource Center provides comprehensive educational, support, and advocacy services including workshops, special events, and mentoring opportunities. GW Out for Health is a GW SMHS student-led organization that serves as an advocacy group and as a place to build relationships and a sense of community within the LGBTQ+ community within SMHS. Learn more about Out for Health by emailing gwofh@gwu.edu. You can also learn more by exploring the resources available on GW’s Gender and Sexuality Resources page.