A new study finds that one of the most significant challenges faced by nonbinary people in Iceland is a lack of visibility, as well as difficulty and discomfort in accessing even basic medical care. RV reports that Birta sk, a masters student in gender studies at the University of Iceland, is currently conducting a study on behalf of the Icelandic Womens Rights Association to determine what obstacles nonbinary people regularly face in their daily lives, as well as how the government can better serve this communitys needs.
When I talk about obstacles, that can mean both obstacles in general and systemic ones, says Birta sk. But in general, what colours the lives of all nonbinary people is this invisibility. Society doesnt take nonbinary people into account.
There is a great deal of awareness-building taking place in Iceland right now, says Birta sk, and the general public is still learning how to speak in gender neutral language, for instance. But the issues faced by nonbinary people in Iceland has not yet been researched much, particularly in regards to sexism and gender inequality. [Nonbinary people] have been somewhat left out of reports on gender equality, says Birta sk, whose research specifically aims to rectify this disparity.
Birta sk says that space is rarely made for nonbinary people. Restrooms are frequently gendered for men and women, and registration and profile systems do not often offer gender-neutral or genderqueer options. The situation extends into interpersonal interactions: when meeting someone for the first time, Birta sk says people rarely consider that that individual theyre meeting could be nonbinary.
See Also: Icelands Gender Autonomy Act is a Step Forward for Trans and Intersex Rights
Iceland passed a landmark law on gender autonomy in 2019, which Birta sk says was an important step forward. A lot of things have gotten better but theres still a lot that needs improvement in both the healthcare and school systems.
Trans and nonbinary individuals can seek assistance from the so-called trans team, which, per Trans Iceland, is a loose team of doctors (a psychiatrist, endocrinologists, and a plastic surgeon), psychologists, and a social worker within Landssptali (the national hospital) that oversees trans-specific care. The team can help individuals access hormone replacement therapy, all standard surgeries, and therapy. But Birta sk says theres a lot that needs to change about the team and its diagnosis process in particular.
People have to undergo four diagnostic interviews with a psychiatrist and a psychologist before anything can begin. So they feel a bit like they have to convince doctors that this is something that they want and that they are really nonbinary. These interviews are particularly onerous because there can be a very long waitup to a months wait for the first interview, for instance. So it can be a really long wait before you start on hormones, for instance, explains Birta sk.
A nonbinary person could have potentially been in this process for a year and a half, then on hormones for six additional months, and then decide they need to have an operation. Then the process has to start all over again. They have to go through four diagnostic interviews again, says Birta sk, go through the same wait before they can book themselves for a procedure which theres maybe another long wait for.
Nonbinary people can never completely relax
Birta sk says their interviewees also spoke about the difficulties they generally experience in basic interactions with healthcare professionals, from dentists to GPs. These doctors ask a lot of questions about their nonbinary patients gender and often dont know how they are supposed to speak to them, even when gender is not relevant to the medical service being provided. This makes nonbinary people feel insecure about accessing even basic medical care.
Theres a pressing need, Birta sk continues, for a general awareness-raising in both the healthcare and school systems about what it means to be nonbinary how to use pronouns correctly. I think its a serious thing that healthcare professionals dont really know and even within the Trans Teamthat they dont exactly understand the experience of nonbinary and trans people.
In the course of their research, Birta sk has interviewed nonbinary people of all ages. My interviewees have explained to me how they have to constantly be on the lookout for risks in their environmentthey can never completely relax because they dont know how people will receive them. Nonbinary people continue to have to justify their right to existence, Birta sk continues, and are often put in the position of having to educate people themselves when this responsibility rightly belongs elsewhere.
When people use hate speech against nonbinary people, it suppresses all the good awareness building and makes people feel even more insecure about being themselves.
Birta sks report will be published in September, at which point they will have suggestions for measures the government can implement to better serve the nonbinary population of Iceland, such as better enforcement of the 2019 Gender Autonomy Law, increased visibility for nonbinary people, and more educational outreach.
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'What colours the lives of all nonbinary people is invisibility' - IcelandReview
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