Glossary
We recognize that language is always changing and shifting, and that people may use different words to describe themselves. When in doubt, we believe the most respectful approach is simple: listen to the words people use to identify themselves and follow their lead.
Use this glossary as a starting point for understanding common terms related to gender, sexuality, and gender-affirming care.
Affirming Care Alberta Glossary
These definitions have been taken from glossaries curated by trusted resources and expanded on by the Queer and Trans Health Collective (QTHC).
Cultural Context
Gender Beyond the Binary. This list offers a small selection of culturally specific terms related to gender diversity.
Affirming Care Alberta Glossary
These definitions have been taken from glossaries curated by trusted resources and expanded on by the Queer and Trans Health Collective (QTHC).
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An acronym that serves as an umbrella term. It stands for 2-Spirit, lesbian, gay, bisexual, transgender, queer, intersex, and asexual, as well as a plus sign that indicates the numerous unique identities not directly named here. The plus sign is also intended to include the ever-changing and expanding language used to describe identities.
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An English term for a wide variety of identities and experiences of sexual and gender diversity within Indigenous communities. It is an umbrella term; every Indigenous community will have different terms and definitions for the specifics of what sexual and gender diversity looks like in their community context.
Two-Spirit may refer to a cross-gender or mixed-gender person. Two-Spirit people may identify as having both masculine and feminine characteristics. Other times it can denote a non-binary identity outside of the masculine and feminine binary.
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A lack of sexual attraction or interest in sexual expression. An asexual person’s sexual and romantic orientations may differ (e.g. biromantic asexual), and they may have sexual and/or romantic partners.
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The sex recorded for an individual at the time of a person's birth, usually based on an infants external physical reproductive characteristics.
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Sexual and/or romantic attraction to two or more genders.
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Cisgender is used when a person's gender identity is in line with or "matches" the sex they were assigned at birth. Cis can also be used as a prefix to an assortment of words to refer to the alignment of gender identity and the assigned at birth sex status including; cisnormativity, cissexual, cisgender, cis male, and cis female.
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Traditionally, men who are romantically and/or sexually attracted to other men. More inclusively, gay refers to non-women attracted to other non-women.
Gay is also used as an umbrella term, sometimes referring to the broader 2SLGBTQ+ community (ie. the gay community).
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Gender-affirmative care can include any single or combination of a number of social, psychological, behavioural, medical, surgical or legal interventions designed to support and affirm an individual’s gender identity.
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A term that refers to children who identify and express their gender in ways that differ from societal and cultural expectations. Some gender creative children grow up to be trans and some do not.
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Refers to gender roles and/or gender expression that do not match social and cultural expectations.
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A psychiatric diagnosis from the Diagnostic and Statistical Manual of mental disorders. Gender dysphoria is defined as a “marked incongruence between [a person’s] experienced or expressed gender and the one they were assigned at birth.”
Source: National Library of Medicine
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An alternative to the linear idea of a gender transition, gender embodiment is the non-linear process of how a person understands, experiences and expresses their gender.
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Gender euphoria is a term that emerges from trans and gender-diverse communities to describe a spectrum of positive emotions associated with one’s gender. It can include emotions such as intense joy accompanying the attainment of milestones in gender transition through to a more consistent sense of calmness and relief occurring later in transition. Gender euphoria has political connotations in that it resists the stigmatizing characteristics of the term “gender dysphoria.”
Source: Amended from Jacobsen and Devor
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Gender-expansive is an umbrella term that includes any person whose gender identity or expression does not comply with the socially defined gender norms and roles of their culture. The language of gender continues to evolve, and global differences require us to use language that is as accessible as possible. Gender expansive can be differentiated from gender-inclusive in that it provides specific space for new genders and identities to emerge.
Source: Amended from Chicken & Egg Films
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How a person publicly presents their gender. This can include behaviour and outward appearance such as dress, hair, make-up, body language and voice. A person’s chosen name and pronoun are also common ways of expressing gender.
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Change over time in a person’s gender expression or gender identity, or both. That change might be in expression, but not identity, or in identity, but not expression, or both may change together. Not everyone who experiences changes in their gender expression or identity identifies as gender-fluid. Nor does everyone desire gender-affirming medical treatment to change their body to better align with their gender identity.
Source: Amended from Harvard Health Publishing
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A person's internal and individual experience of gender. It is a person's sense of being a woman, a man, both, neither, or anywhere along the gender spectrum. A person's gender identity may be the same as or different from their sex assigned at birth. A person's gender identity is fundamentally different from and not related to their sexual orientation.
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Being gender inclusive means acting and communicating in a way that does not discriminate against, nor excludes a particular sex, social gender or gender identity, and does not perpetuate gender stereotypes. Given the key role of language in shaping cultural and social attitudes, using gender-inclusive language is a powerful way to promote gender equality and eradicate gender bias. This includes promoting equality for and eradicating bias against all genders including those beyond the man/woman or boy/girl binary.
Source: Amended from the United Nations definition
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The idea that gender is something learned and performed based on cultural norms of femininity and masculinity. That is to say, there are no inherent ways of being masculine or feminine. Rather, masculinity and femininity are culturally-specific, and change through time and place. This idea was popularized by American philosopher Judith Butler. It’s important to note that some patients may “perform” the gender they were assigned at birth when accessing healthcare in order to avoid discrimination or violence.
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Traditionally, women who are romantically and/or sexually attracted to other women. More inclusively, lesbian refers to non-men attracted to other non-men.
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Umbrella term that refers to people whose gender does not fall within the binary gender system of woman/girl or man/boy. Some individuals identify as non-binary while others may use terms such as gender non-conforming, genderqueer, or agender. Non-binary people may or may not conform to societal expectations to varying degrees for their gender expression and gender role, and they may or may not seek gender-affirming medical or surgical care. Individuals who seek medical gender-affirming care may do so to differing extents.
Source: Trans Care BC
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Sexual and/or romantic interest is not limited by sex, gender identity or gender expression.
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A word to identify oneself as part of the community without having a set identity (umbrella term for “queer community”). Often refers to a fluidity in gender and/or attraction beyond cisgender or heterosexual identity. Queer can also hold political significance for those who identify with it.
It should be noted that this is a slur the community has reclaimed; not everyone will be comfortable with or identify with the term.
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Umbrella terms that describe people with diverse gender identities and gender expressions that do not conform to stereotypical ideas about what it means to be a girl/woman or boy/man in society. “Trans” can mean transcending beyond, existing between, or crossing over the gender spectrum. It includes but is not limited to people who identify as transgender, transsexual, cross-dressers or gender non-conforming (gender variant or gender-queer).
Trans identities include people whose gender identity is different from the gender associated with their birth-assigned sex. Trans people may or may not undergo medically supportive treatments, such as hormone therapy and a range of surgical procedures, to align their bodies with their internally felt gender identity.
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The process through which trans people may change their gender expression and/or bodies to reflect their gender, including changes in physical appearance (hairstyle, clothing), behaviour (mannerisms, voice, gender roles), identification (name, pronoun, legal details) and/or medical interventions (hormone therapy, gender-affirming surgery).
(Source: QMUNITY)
Transitioning may include social transition, such as changing name, pronouns, and appearance; medical transition, which may include hormone therapy or gender affirming surgeries; and legal transition, which may include changing one’s legal name and sex on government identity documents. Transgender people may choose to undergo some, all, or none of these processes.
There is no one way to transition.
CULTURAL CONTEXT
Gender Beyond the Binary
The gender binary that has been normalized today is a colonial system, erasing many cultures' unique gender identities. For example, the term "Two-Spirit" is a modern term used by many Indigenous nations/tribes across Turtle Island (colonially known as North America) to encompass their varied words and beliefs around gender identity outside the colonial gender binary.
This list offers a small selection of culturally specific terms related to gender diversity. These identities, roles, and terms are not interchangeable, and may not align with Western categories such as transgender, non-binary, or third gender.
*This list is non-exhaustive and includes terms that may be outdated, contested, or derogatory depending on the context.
| Culture | Terminology |
|---|---|
| Albania | burrnesha |
| Hawaiian | māhū |
| India | Hiijra |
| Indonesia | Waria |
| Japan | X-gender/Xジェンダー |
| Latin America | Travestis |
| Maori | Akava’ine |
| Navajo | nádleehí |
| Oman | Xanith/Khanith |
| Samoa | Fa’afafine |
| Southern Mexico | Muxe |
| Sulawesi | Buhis |
| Teotitián | Biza’ah |
| Warao Peoples | Tida wena |