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Nowhere to Go but Out Gender Binary in American Prisons Alexander L Lee 2003

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Alexander L. Lee†
Boalt Hall School of Law
Spring 2003
Nowhere to Go But Out:
The Collision Between Transgender & Gender-Variant Prisoners
and the Gender Binary in America’s Prisons
Summary of Contents


Who Are Transgender & Gender-Variant Prisoners?: Terminology and Characteristics

II. Conditions of Confinement as Gendered Punishment

Men’s Prisons


Women’s Prisons

III. Experiences of Transgender and Gender-Variant Prisoners

Women’s Prisons


Segregated Wards
1. Administrative Segregation or “Going to Jail”
2. Medical Wards
3. “Transgender Only” Wards or Prisons

IV. Immediate Recommendations & Long-Term Solutions

Reform: A Growth Industry in Women’s Prisons


If We Build Them, They Will Come: How They Filled The Prisons Up


Implications of Further Reform to Protect TG/GV Prisoners


Long-Term Solutions

Policies that Address the Root Causes of TG/GV Crime


Existing Services Should Be Made TG/GV Inclusive


Prisoner Rights Activists Bear the Responsibility to Include TG/GV Prisoners

and Ex-prisoners



Boalt Hall School of Law (UC Berkeley) J.D. candidate, ’04. I am also a transgender activist on the female-to-male
spectrum, and a transgender community organizer. I would like to thank Professor Ian Haney Lopez and the Boalt Hall
social justice writing seminar of Spring 2003. I also want to thank the California state prisoners I have worked with, who
have been the best teachers anyone could ask for and who will inspire me for the rest of my days. Additional thanks go to
Cynthia Chandler, Robin Levi, Judy Greenspan and Kevin Weaver, without whose input, support, and generosity this
comment would never have been written. This comment is dedicated to my partner Mordecai Cohen Ettinger and
transgender and gender-variant prisoners everywhere.

In the summer of 2002, Carla Brenner was arrested and jailed in Lorain County, Ohio.1[1]
Carla told his jailers he was actually man and that his name was Lemont Fullers, but the county
insisted that he was a woman and sentenced him to do time in a women’s jail. It was not until
after a complaint from a female cellmate did jail doctors examine Lemont/Carla and concluded
ze2[2] had “no female reproductive organs.”3[3] Eventually, authorities isolated hir4[4] from other
prisoners when “confusion” about hir gender arose.5[5]
Lemont/Carla said ze was a “’gay male with female tendencies,’” a description that
hardly helped hir navigate through the county’s jail system that classified all prisoners according
to whether their genitalia was clearly “male” or “female.” Lemont/Carla’s experience illustrates
a key problem we as transgender6[6] and gender-variant7[7] (TG/GV) people confront when we
enter systems of government-imposed punishment and which this comment will explore: the


Male Inmate Convicted, Jailed as Female: 'Maybe I have some identity issues,’ Cincinnati Enquirer, July 15, 2002, at While this news article describes the housing policy for a
county jail, the policy – and the confusion that results from those who do not easily fit into its categories – is common
throughout nation’s prison systems.
A gender-neutral pronoun in alternative to “he” or “she.” This comment will introduce new vocabulary to readers that
may produce confusion because the new words displace the familiar language of gender. This confusion mirrors the
confusion that prison authorities and the traditionally-gendered public feel when they interact with people whose genders or
bodies and/or bodies do not easily fit into “male” or “female” categories. I encourage readers to embrace this confusion
rather than resist it, as this resistance underlies the marginalization and oppression of transgender and gender-variant people.
Male Inmate Convicted, Jailed as Female: 'Maybe I have some identity issues’, supra note 2.
A gender-neutral possessive pronoun in alternative to “his” or “her.”
Male Inmate Convicted, Jailed as Female: 'Maybe I have some identity issues', supra note 2.
The term “transgender” (TG) is used throughout to describe its common, although not exclusive use in the transgender
communities use as an umbrella term that encompasses the wide variety of ways individuals defy traditional gender norms,
including everyone from butch women (female-bodied and woman-identifying people who prefer to adopt masculine
characteristics) to people who have completed sex reassignment surgery (SRS) and are now living “24-7 in the life” of a sex
different from the one medical professionals assigned to them at birth (often called “transsexuals”). The term also includes
those who locate their gender outside “male” and “female” to some other “third gender.” However, the term – like people’s
genders – is in flux and changes over time. Additionally, “transwoman” or “transgender woman” refers to people on the
male-to-female (MTF) transgender spectrum, while “transman” and “transgender men” refers to people on the female–tomale (FTM) transgender spectrum.
I use “gender-variant” (GV) to encompass the different racial, cultural, and class components of non-traditional gender
identity. For example, many masculine-expressive female-bodied people in the black community will call themselves
“gressors” (short for “aggressives”), “butches,” or “studs” rather than “transgender.” Many of these people do not consider
themselves transgender, but are discriminated against nonetheless because of their transgressive gender expressions.

collision of a system that relies on gender binaries8[8] to function – both physically in terms of
actual concrete and steel structures, and morally as systems of retribution and deterrence – with
people whose bodies and minds defy those binaries.9[9]
Prisoners throughout the U.S. are segregated into male and female institutions, initially
done for the safety of female prisoners. However, such binary segregation produces particular
forms of punishment that enforce stereotypical male and female gender roles, leading to
especially horrific abuse of transgender and gender-variant prisoners whose genders and bodies
do not conform to these stereotypes. While much abuse comes from other prisoners, prison
employees must share the blame because they fail to protect TG/GV prisoners and because they
sometimes are the perpetrators themselves. While non-TG/GV prisoners also undoubtedly suffer
under these regimes of state-imposed (or at least state-tolerated) gendered discipline, transgender
and gender-variant prisoners are especially targeted because our gender identities and non-binary
bodies pose even deeper threats to the gendered (dis)orderliness of state punishment.
As a member of the transgender communities and as a person of color concerned with the
significantly adverse impact the prison industrial complex has had on communities of color, I am
committed to finding a solution to the chamber of horrors my people experience in government
systems of incarceration. The immediate safety of transgender/gender-variant prisoners is an
urgent concern, but so is the long-term liberation of the various oppressed communities I belong

“Gender” as I use it should be understood to refer to behaviors that we understand as “masculine” and “feminine,” and
which are socially-constructed, while alternately “sex” as used here describes our physiology (most commonly the external
reproductive organs). My use of “gender binary” refers to the widespread, systemic societal myth that only two mutuallyexclusive, fixed genders are available, male and female, which are beyond anyone’s control.
Unable to find information on intersexed prisoners, I confine this comment to prisoners who self-identify as transgender
or who experience oppression related to their non-traditional gender expressions. For more information on intersexed
people, please reference the Intersex Society of North America, at However, I acknowledge that just
as TG/GV people with physical characteristics that transgress gender norms experience special abuse and harassment while
incarcerated, intersexed people who are born with bodies not easily categorized as male or female can experience the same
sort of oppression for the same reasons. Therefore, nothing in this comment should be taken to absolutely exclude
intersexed prisoners. Additionally, it is likely that some TG/GV prisoners are also intersexed – information that prison
systems are far from recognizing or tracking.

to, both inside and outside the prison walls. That is why in this comment I insist that although
improving the safety of individual transgender and gender variant prisoners – to the extent
possible in a system where no one is really “safe” – should still be an important policy concern,
so should alternative solutions that reduce poverty, and therefore criminality, among transgender
and gender-variant people. Because this cause is not likely to be taken up by prison and jail
authorities in the near future, the fate of transgender and gender-variant prisoners currently lies
in the collective hands of prison activist communities who already recognize the need for
alternatives to incarceration, but are ignorant of how human rights abuses inside prisons and jails
differently impact transgender and gender-variant bodies and psyches. This comment is both
intended to inform a wider audience of these abuses and their effects on transgender and gendervariant people, and a call for prison activists to make their movements and communities truly
inclusive of transgender and gender-variant people.
I begin by first introducing unfamiliar readers to transgender and gender-variant people,
and why some of us end up in prison (Part I). In Part II, I show that conditions of confinement
produce particular gendered forms of punishment that reinforce gender roles. I argue that prison
systems are so thoroughly gendered that TG/GV prisoners become special targets for abuse
because their genders pose greater threats to penal regimes that inculcate gender roles by force.
Part III delves into the experiences of TG/GV prisoners in a variety of prison housing settings,
and Part IV concludes by offering some immediate recommendations to improve TG/GV
prisoner safety and long-term strategies that will resolve the dilemma of TG/GV prisoner abuse
by reducing rates of TG/GV incarceration.


Who Are Transgender & Gender-Variant Prisoners?: Terminology and Characteristics

Most readers will be unfamiliar with who we transgender and gender-variant people are,
and perhaps even more unfamiliar with those among us who are most at risk to become prisoners
and why. This section will give readers a quick primer on who TG/GV people are in order to
frame our experiences with the criminal justice system as part of other systems of oppression like
white supremacy, capitalism and male supremacy.
There is little formal research on transgender and gender-variant prisoners, complicated no
doubt by many prison systems’ failure to document whether a prisoner is transgender or gendervariant.10[10] However, it has been estimated that transgender prisoners may number in the low
thousands nationwide.11[11] The number may even be greater when gender-variant prisoners are
Despite the dearth of research, some information regarding TG/GV people’s contact with the
criminal justice system is available from local studies in San Francisco, where an estimated 15,000
transgender people live and work.12[12] A 2000 report by the Ella Baker Center for Human Rights, a
San Francisco-based nonprofit advocacy and activist police accountability organization, entitled
“’Walking While Transgender’: Law Enforcement Harassment of San Francisco’s
Transgender/Transsexual Community,” describes some contributing factors leading to high rates of
contact between transgender/gender-variant people and law enforcement in San Francisco. An
additional source of information is a 1997 San Francisco Department of Public Health study of over
500 MTFs and FTMs, which documented rates of participation in the illegal sex economy by study


Kevin Weaver, member of the Transgender/Gender-Variant in Prison Committee of California Prison Focus, 2002,
speaking on California Department of Corrections policy.
Darren Rosenblum, “Trapped” in Sing Sing: Transgendered Prisoners Caught in the Gender Binarism, 6 Mich. J.
Gender & L. 499, 516 (2000).
Margie Mason, Sex Change Benefits Possible for San Fran Employees, Associated Press, February 19, 2001, at (quoting Susan Stryker, Executive Director of the Gay, Lesbian,
Bisexual, Transgender Historical Society of Northern California). This figure does not include gender-variant people, who
may or may not identify as transgender. If gender-variant people were included in this figure, the number would likely be
much higher.

participants, as well as participants’ rates of incarceration.13[13] More recently, the Transgender Law
Center in San Francisco and the National Center for Lesbian Rights released a report in 2002 based on
155 survey responses that also described some characteristics of the San Francisco Bay Area’s
transgender communities.14[14]
The “Walking While Transgender” report is careful to point out that “when discussing law
enforcement treatment of transgender people, it is important to also address police attitudes towards
sex workers and prostitutes, low-income and homeless people, and immigrants and people of color,
since there is a great deal of cross-over between [sic] these groups.”15[15] All these factors contribute
to how and why transgender people are arrested, prosecuted and sentenced, meaning that at least in
part, the reasons why transgender and gender-variant people become prisoners in California are the
same reasons why people of color, low-income people, homeless people, prostitutes and immigrants
become prisoners. Adding discrimination based on gender identity (or based on intersex16[16] status as
the case may be), these multiple layers of oppression can make TG/GV people especially vulnerable
to law enforcement profiling, prosecution and incarceration.
The 1997 San Francisco Department of Public Health study further documented the
combination of race and gender in the transgender population of San Francisco, finding that a
substantial number of transgender people in San Francisco are of color, poor, marginally housed and
immigrants. In fact, almost two-thirds of study’s participants were non-white, nearly a third were born


San Francisco Department of Public Health, Transgender Community Health Project, February 18, 1998, at Hereinafter “SFDPH.”
National Center for Lesbian Rights and Transgender Law Center, “Trans Realities: A Legal Needs Assessment of San
Francisco’s Transgender Communities” (2002), available at Hereinafter “Trans
Realities.” Most survey respondents were found through transgender community groups, and so likely excludes those who
may be gender-variant and/or transgender but who do not identify as such or are isolated.
Ella Baker Center for Human Rights/TransAction, “Walking While Transgender”: Law Enforcement Harassment of
San Francisco’s Transgender/Transsexual Community” (2000). Hereinafter “Walking.”
See supra note 9.

outside the U.S., and another third usually spoke another language other than English.17[17] The largest
non-white ethnicity in the study was Latino/a, at 24%, with African Americans at 16%, Asian Pacific
Islander at 11%, Native Americans at 3%, and mixed race participants at 9%.18[18] The study also
documented extreme poverty in the transgender and gender-variant communities of the city. The
median monthly income of MTF participants was only $744, and for FTMs, it was $1,100.19[19] 64%
of survey respondents to the 2002 “Trans Realities” needs assessment survey reported incomes lower
than $25,000 per year.20[20] Indeed, protection from job discrimination was the first- or second-ranked
priority of all survey respondents. National data show job discrimination against transgender people is
pervasive throughout the nation as well: the national gender advocacy organization GenderPAC found
that 13% of transgender people they interviewed had lost their job because of being transgender, while
39% had experienced general economic discrimination due to being TG.21[21] The nationwide
unemployment rate for transsexuals in 2000 was an astonishing 70%.22[22]
While transgender, transsexual and gender-variant people experience oppression for many of
the same reasons an in many of the same ways that non-transgender people who are poor, of color and
immigrants do, forced participation in the underground sex industry is especially common in the lives
of many in our communities. Forced sex work by TG/GV people is a direct result of severe job,
housing, and education discrimination stemming from our gender status,23[23] exacerbated by racism,
sexism and homophobia. In San Francisco, 80% of MTFs interviewed by the city’s Department of

Kristen Clements, M.P.H. et. al, HIV Prevention and Health Service Needs of the Transgender Community in
San Francisco, Int’l J. Transgenderism (1999) at Hereinafter
San Francisco Department of Public Health, Transgender Community Health Project, February 18, 1998, at Hereinafter “SFDPH.”
“Trans Realities” at 43.
San Francisco Human Rights Commission, “Economic Empowerment for the Lesbian Gay Bisexual Transgender
Communities – November 2000,” citing Casebeer, A.G., “Employing Transgendered Employees,” April 2000, available at
“Walking” at vii; IJT.

Health had participated in sex work for economic reasons, termed in the study as “survival sex.”24[24]
Additionally, 31% of FTM participants reported forced participation in the sex industry in the past.

Indeed, the “Walking” report characterizes people whose gender presentation does not match

their legal sex identification as a form of “‘undocumented’ worker” because of the barriers to legal
employment that the lack of documentation imposes, much in the same manner as undocumented
Transgender women experience especially high rates of criminalization because of at least two
factors: the criminalization of prostitution and drug addiction related to sex work, and the stereotyping
of all transgender women as sex workers.27[27] The former undoubtedly contributes to their arrest,
prosecution and incarceration, while the latter causes police to profile transgender women as
suspected sex workers.28[28] This not only means transgender women who are sex workers are
disproportionately at risk for arrest because they are who the police are looking for, but even
transgender women who are not engaged in sex work are sometimes harassed or solicited by
undercover officers in sting operations under the assumption they are prostitutes.29[29]
The SFDPH study also recorded a strong correlation between drug use (particularly speed use)
and sex work, with some participants reporting that they use drugs to ‘deal with’ sex work, and others
reporting that they engage in sex work to support their drug addiction.30[30] The combination of drug
use and sex work for many participants inevitably led to incarceration, fueling a cycle of engaging in
sex work, being incarcerated, and returning to sex work once released because of a persistent lack of


“Walking” at vii.
Id. at viii.
Id. at ix.

legal employment opportunities sufficient to support themselves.31[31] Many of the participants who
were currently in jail or recently released were HIV positive and desperately wanted to get job training
and into legal employment, but felt unable to escape this cycle of sex work, drugs and incarceration
due to the great difficultly in obtaining such job training.32[32] Therefore in addition to being involved
with illegal sex work, many transgender people are also involved in the illegal drug trade, and suffer
the consequences of our nation’s “war on drugs.”
It is no coincidence that the city’s red light district, known as the Tenderloin, is home and
workplace to a large concentration of transgender women, where tourists fuel the city’s sex
industry.33[33] But despite the symbiotic relationship the underground sex industry has with the city’s
above-ground tourist industry, the city’s numerous attempts over the decades to gentrify the area in
efforts to attract more tourists34[34] have resulted in “repressive public safety policies that target sex
workers and people assumed to be sex workers, homeless people, and drug dealers and people
suspected of being drug dealers,” greatly adversely impacting transgender women who live and work
in the area.35[35] Transgender people, like all people marginalized from the mainstream economy, are
also often caught in the net of “quality of life” police sweeps and crackdowns, as city politicians
attempt to win votes.36[36] “Quality of life” law enforcement criminalizes the homeless and
marginally-housed, which necessarily includes transgendered people, for engaging in survival
activities like sleeping and sitting, which they have no choice but to do in public.37[37] Additionally,


Cassi Feldman, Notorious B.I.D.: Mid-Market Theater District Could Threaten Homeless People, S.F. Bay Guardian,
November 19, 2000 at; Scott Winokur, For Down-And-Out, MATRIX was
the Good Old Days, S.F. Chronicle, May 11, 1999 at
“Walking” at vii.
“Walking” at ix (internal citations omitted).
Id. at x.

larger-scale sweeps and crackdowns coincide with visits by dignitaries and other high-profile political
events like party national conventions.38[38]
Such multiple forms of oppression inevitably lead to high rates of incarceration. The
SFDPH study also asked participants questions regarding their incarceration history, and
conducted one of their focus groups in a San Francisco county jail.39[39] 65% of MTFs
respondents had been incarcerated over one night in a jail or prison, while 29% of FTM
respondents had been. Additionally 31% of MTF respondents had been incarcerated in the past
year, and 5% of FTMs had spent at least one night in jail.40[40]
To summarize, transgender people are at risk for incarceration because they are often
poor, homeless, immigrants, and of color. They are also particularly at risk as a group because
of strong anti-transgender discrimination in employment, housing, and education, which forces
many transgender people – especially low-income transgender women of color who are
additionally discriminated against as poor women of color – to turn to illegal economies like sex
work and the drug trade to survive. Transgender women are also particularly at risk for police
entrapment because of the strongly-held stereotype of transgender women as sex workers. As
poor people they are marginally-housed and homeless, leaving them vulnerable to “quality of
life” crackdowns by law enforcement. While no comprehensive study exists of why transgender
people become prisoners, these two reports from San Francisco reveal at least some of the factors
describing who of the transgender and gender-variant communities are vulnerable to
incarceration, and why.


Conditions of Confinement as Gendered Punishment


In addition to punishment through physical pain and psychological trauma, sex-segregated
prisons are sites of particularly gendered forms of punishment, that is, punishment is also experienced
as the enforcement of traditional gender roles. In men’s prisons, this takes the form of the hypermasculinized and hierarchical world of prison society, where some prisoners and staff victimize other
prisoners who are perceived as “weak,” i.e. feminine. Male prison society obviously puts transgender
and gender-variant prisoners with feminine characteristics at great risk. Prison staff and authorities
must share the blame as well because they create the conditions of confinement that foster and
perpetuate this violent prison society, and even go so far as to collude with perpetrators to victimize
TG/GV prisoners and others for whom they have particular disdain. In women’s prisons, strict
systems of surveillance and control enforce gender roles that both punish women for violating
traditional female gender stereotypes by committing crimes, and to (re)shape women prisoners into
the white, middle class ideals of womanhood. Where this fails because many women prisoners are
neither white nor middle class, “reforming” these women into the white middle class ideal of
compliant working class “minorities” will often do instead.
This section will set out the particular forms of gendered punishment that operate inside our
prison system today and provide a backdrop for my argument in sections III and IV: because modern
systems of state punishment are so thoroughly tied to enforcing traditional gender roles, no incarceral
institution is necessarily safer for transgender and gender-variant prisoners. Acknowledging the
reality of this situation puts additional pressure on developing new alternatives to incarceration that
can meaningfully reduce TG/GV crime rates, and on redesigning existing incarceration alternatives
and drug treatment solutions to be more inclusive of TG/GV people.
A. Men’s Prisons

Male prison society is a hostile one for many prisoners and for TG/GV prisoners in particular
for a number of reasons. One, the seeds of hierarchical prison society that functions through
dominance and power are inherent in masculinity itself. Two, because conditions of confinement
itself strips prisoners of control over their lives, it deprives them of other indicia of masculinity such as
economic success (and importantly, sexual dominance over women), putting enormous pressure on
male prisoners who like everyone else, have been socialized to define themselves according to binary
gender roles.41[41] Three, prison staff and authorities either look the other way when a prisoner is at
risk for attack or is being attacked,42[42] or they actively participate in victimizing certain “weaker”
prisoners43[43] or other prisoners they dislike, like political prisoners and prisoners incarcerated for
particularly opprobrious crimes like child molestation.
Male supremacy has defined masculinity through separation from and domination over the
feminine and over women. In this sense, hierarchy is built into masculinity. But because masculinity,
like all gender expressions, is socially-constructed, individuals and societies can modify expressions
of masculinity to dampen the most extreme expressions of male supremacy by emphasizing more
constructive rather than destructive expressions of masculinity. Fatherhood can be emphasized over
the prize-fighter, for example. However, in the prison world of forced confinement, punishment and
control, these more nurturing expressions of masculinity are often scuttled in the daily struggle to
maintain one’s dignity by holding onto one’s identity, which for male-socialized people often includes
striving to maintain one’s masculinity.44[44] Upon entering systems of incarceration however,
prisoners are given a number for a name, and are made dependent on prison staff for the most basic
survival needs like eating, bathing, and obtaining adequate toiletries. Modern penal systems also cut

Christopher D. Man and John P. Cronan, Forecasting Sexual Abuse in Prison: The Prison Subculture of Masculinity as
a Backdrop for “Deliberate Indifference, 92 J. Crim. L. & Criminology 127, 150. See also supra note 9 and accompanying
text on the gender binary.
Id. at 143, 145-147.
Stop Prisoner Rape, Survivor Stories (2003), at
Man and Cronan at 152.

them off from less violent ways to express masculinity, like economic success.45[45] The state’s
infantalization and dehumanization of prisoners attempts to strip them of whatever power and agency
they had before entering the prison, and many prisoners’ natural instincts are to fight to keep their
sense of themselves intact throughout the ordeal of imprisonment. For prisoners socialized as men,
this means if they cannot be free men, at least they can still be “men.” Unfortunately, this too often
translates into some prisoners dominating other less powerful or less knowledgeable prisoners through
physical and sexual assault and sexual slavery.46[46] TG/GV prisoners who exhibit feminine
characteristics are especially at risk to be forced into victim roles.47[47]
While other prisoners are often the direct culprits in attacks on TG/GV prisoners and other
prisoners perceived as “weak,” like young prisoners, “first-timers” and gay and bisexual prisoners,
prison authorities and prison staff create the conditions of confinement that perpetuate the hypermasculine world of the men’s prison. Although nurturing aspects of masculinity are repressed,
masculinity as forceful dominance is routinely allowed to be expressed, as it goes to the core of our
current theories of “corrections” and control. Inside the prison walls, “traditional moral and
humanistic concerns have little relevance; status and power are based on domination and gratification”

– a description that is reflected both in prison society and our current penal systems that place

overriding emphasis on incarceration as retribution rather than on rehabilitation or even restitution.
One obvious way some prison staff and administrators help foster the hyper-masculinized
prison hierarchy is by facilitating victimizing certain prisoners, either through “deliberate
indifference” to prisoner safety or by actually acting in concert with prisoner-perpetrators to victimize
other prisoners. Numerous lawsuits by prisoners who were physically attacked or raped in prison filed


Id. at 130.
Id. at 150.
Rosenblum at 524.
Id. at 152.

against the prisons themselves for creating conditions that allowed for the assaults have created a
variety of situations where courts will infer that prison officials have ignored the Eighth Amendment
in exposing prisoners to danger they could have reasonably anticipated but ignored.49[49] In fact, the
standard for “deliberate indifference” to prisoner safety, which applies the Eight Amendment to prison
conditions, was clarified by the Supreme Court in a case brought by a MTF transsexual woman who
was beaten and raped by her cellmate when she was housed in a men’s prison.50[50]
Survivors of prison rape and physical assault often point the finger at prison guards who
worked in concert with their attackers.51[51] The prison culture of stronger prisoners dominating
“weaker” ones so pervades prison life that even prison staff participate. Many report that guards
deliberately failed to patrol their cellblocks when they were raped, or that guards opened their cell
doors at night to let their attackers in.52[52] A Louisiana prison guard described the situation inside as
“sex and bodies become the coin of the realm,” where prison staff trade sexual access to some
prisoners for favors from other prisoners.53[53] When prisoners complain to guards of sexual assault by
other prisoners, they are often told they must either fight their attackers no matter how futile, or give in
and assume one of the several passive “victim” prison roles and consent to virtual sexual slavery –
they are told basically to “fuck or fight.”54[54]


Id. at 140-41. The list is long, but some examples are “guards raping or sexually harassing inmates;…prison officials
setting inmates up to be raped or attacked by other prisoners as a form of discipline; knowingly placing an inmate in a cell
with an HIV positive inmate who has a history of rape;…guards watching a rape in progress and not doing anything to stop
it;…where formal requests to be removed from a cell because the inmate is being raped are denied….”
Farmer v. Brennan, 511 U.S. 825 (1994). To show an Eighth Amendment violation, the rape victim must first show
that 1) they were imprisoned under conditions that placed them in a substantial risk of serious harm, and 2) show that prison
officials showed a “deliberate indifference” to the prisoner’s safety. The Court defined “deliberate indifference” to mean
that the prison official “knows of and disregards an excessive risk to inmate health or safety; the official must both be aware
of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the
inference.” Farmer at 837.
Stop Prisoner Rape, supra note 43.
Christian Parenti, Lockdown America: Police & Prisons in the Age of Crisis, 187 (2000).
Man and Cronan at 145.

When officials do investigate allegations of rape, they usually do a poor job. Investigators
disbelieve complaints of sexual assault reported by gay or bisexual prisoners because they assume any
sex they had was consensual.55[55] They also often conclude that no rape actually occurred if the
victim shows no wounds from a fight.56[56] When they do conclude a rape occurred, they often do not
discipline the rapists appropriately, and when they are disciplined, perpetrators are often sent back into
the same housing area with their victim(s), thereby re-exposing the rape survivor(s) to further danger
and retaliation.57[57] They also fail to provide adequate medical care to rape victims, including failing
to provide rape counseling.58[58]
These factors add up to an environment where super-masculinity is prized and glorified, and
dominating others remains one of the only defenses against being forced into the lower submissive
levels in the prison society order. Those who exhibit the more extreme aspects of masculinity –
aggression, predation, physical strength and size – are less likely to be victimized in prison while those
who exhibit traits not in line with these ideals are victimized over and over. This is one of the most
brutal ways male-supremacist notions of masculinity can be enforced and inculcated, and the collusion
of prison staff only perpetuates this gendered aspect of punishment. Authors and activists who have
tackled the issue of placement of TG/GV prisoners59[59] have recognized that because of this intensely
gendered environment, prison housing policies that assign feminine-appearing TG/GV prisoners into


Id. at 145.
Id. at 146.
Anita C. Barnes, The Sexual Continuum: Transsexual Prisoners, 24 New Eng. J. on Crim. & Civ. Confinement 599
(1998); Marjorie Rifkin, Farmer v. Brennan: Spotlight on an Obvious Risk of Rape in a Hidden World, 26 Colum. Hum,
Rts. L. Rev. 273 (1995); Debra Sherman Tedeschi, The Predicament of the Transsexual Prisoner, 5 Temple Pol. & Civ.
Rts. L. Rev. 27 (1995); Darren Rosenblum, “Trapped” in Sing Sing: Transgendered Prisoners Caught in the Gender
Binarism, 6 Mich. J. Gender & L. 499 (2000).

men’s prisons because they have not surgically altered their genitalia places them far too often into
“virtual torture chamber of incessant sexual humiliation.”60[60]

Women’s Prisons
Feminist critiques of women’s prisons also characterize them as sites of gendered

punishment – where women are made to pay a price for stepping outside of society’s designated
roles for them as wives and mothers, and where punishment takes the particular form of
attempting to transforming the offending (often non-white and poor) woman into the white,
middle class ideal of “proper” femininity.61[61] This particular insistence on reinforcing female
gender roles makes women’s prisons also a particularly inappropriate place for transgender and
gender-variant prisoners who exist in defiance of such strictures, both because those preoperative or non-operative people on the FTM spectrum dare to be “too masculine,” and postoperative people on the MTF spectrum are never allowed to be simply “women.”62[62]
Adrian Howe’s book Punish and Critique: Towards a Feminist Analysis of Penalty overviews
critiques of the Western capitalist-state’s power to punish and its “differential impact of [this]
disciplinary power on lived female bodies.”63[63] Howe reviews Pat Carlen’s British sociological
studies of women prisoners and women’s prisons in the 1980s, and “feminist revisionist” critiques of
state punishment of women.64[64] Both types of work are instructive in understanding women’s
prisons as places where female gender roles are reified and reinforced.
Throughout the 1980s, Pat Carlen worked with prisoners in the Scottish women’s prison
Cornton Vale, producing a definitive sociological study of women’s imprisonment which “placed the
analysis of ‘female’ imprisonment firmly and irrevocably in the broader context of the social control

Rosenblum at 517.
Adrian Howe, Punish and Critique: Towards a Feminist Analysis of Penalty, 129, 137 (1994). Hereinafter “Howe.”
Because genital surgeries for people on the FTM spectrum are often prohibitively expensive, most do no alter their
genitalia. Upon incarceration therefore, they are classified as “female,” no matter how masculine they appear otherwise.
Id. at 3.
Id. at 123, 165.

of women.”65[65] Carlen relocates women’s punishment inside prisons as part of a continuum of
socially controlling factors uniquely affecting women that extend beyond the walls of the prison,
and within “the conventions of the family and the kirk [church]; within traditional forms of
public conviviality and ethics of domesticity and masculinity.”66[66] Carlen observed that the
women most likely to be imprisoned are those “who have ‘stepped outwith [Scottish
colloquialism meaning ’beyond (out) but not lacking (with)’] domestic discipline…outwith
family, sociability, femininity and adulthood.’”67[67] Women’s prisons are unique from men’s
because their discursive forms and practices incorporate the ways society controls women
outside of prison – family life and social isolation – within the prison to “produce a very fine
disciplinary web which denies women both personality and full adult status.”68[68] In Carlen’s
view, women’s prisons function to pull women back into this “fine disciplinary web” that exists
outside of the prison, which they have stepped outside of in breaking the law. 69[69] Carlen
extends her conclusions beyond Scotland, noting, “invisibility as well as training for domesticity
and motherhood have always been dominant features of women’s prison regimes in Great Britain
and the United States.”70[70]
The features of women’s prisons as distinct from men’s prisons buttress her conclusions,
where hierarchical discipline procedures combine with domestically-focused work programs that
emphasize the family and the home, and the organization of women in small “family” cell units
of seven women each, “to ensure a mental and bodily surveillance which denudes the prisoners’
daily life of all dignity and independence.”71[71] This surveillance system is akin to the ways

Id. at 127.
Id. at 128 (quoting Carlen’s Women’s Imprisonment; internal quotations omitted)
Id. at 129 (quoting Carlen; internal quotations omitted).
Id. at 129.
Id. at 129-30 (quoting Carlen, internal quotations omitted).

“women are mentally and emotionally straightjacketed into the same debilitating tension and
isolation…in nuclear family situations outside the prison.”72[72] In these ways, Carlen writes,
“discourses of family life are incorporated into the state’s penal institutions for women.”73[73]
This housing structure is also present in the world’s two largest women’s prisons, the Central
California Women’s Facility (CCWF) and its “sister” prison Valley State Prison for Women
(VSPW), which is literally across the street.74[74]
“Feminist revisionist” works, so-called by Howe, that trace the histories of women’s
prisons also reinforce Carlen’s conclusions that women’s prisons primarily function to “reeducate” offending women into becoming the white, middle class feminine ideal. This “ideal,”
however, is more accurately seen as the white, middle class feminine ideal of an exploitable
working class female labor pool.
Ante-bellum accounts of the state punishment of women offenders are characterized by
how comparatively few women there were in state penal systems – the family and the church
played more influential roles in controlling women.75[75] But because they were infrequently
subjected to state discipline, very few resources were allocated for women prisoners, and instead
“a pattern of overcrowding, harsh treatment, and sexual abuse recurred.”76[76] After the Civil
War, middle class white women became involved in prison reform, leading the way for the
establishment of separate women’s prisons after 1870 – the “women’s reformatories.”77[77]


Id. at 130.
Barbara Owen, In the Mix: Struggle and Survival in a Women’s Prison, 1 (1998). Owen’s book is a case study of
prisoners at CCWF, which she describes as the world’s largest women’s prison. VSPW, constructed a little later than
CCWF, has the exact same architecture but confines slightly more prisoners. Together they form the largest women’s
prison complex in the world. According to the California Department of Corrections, VSPW houses 3,700 prisoners, while
CCWF is home to 3,109 women. California Department of Corrections, Facilities Home Page, at (2003).
Howe at 130.
Id (internal quotations omitted).
Id. at 135, 137.

Historians Estelle Freedman and Nicole Rafter note that the ideological bases of these
institutions centered around recreating the female offender into the white, middle class female
ideal, which not only involved “the struggle [over] the definition of gender,” but also efforts to
maintain class divisions between the middle-class reformers and the largely working-class
women offenders. 78[78] Rafter saw the class-ideological underpinnings of the reformer’s
movement as helping to “maintain a pool of cheap domestic labour for women like themselves
[the reformers], and, by keeping women in the surplus labour force, it undergirded the economic
system to which they owed their privileged position.”79[79]
Rafter described the reformatories as major developments in prison history because they
“broke radically with male-oriented prison traditions, creating a set of feminised penal
practices.”80[80] The reformatories’ retraining programs “remained unique in [their] domestic
content,” but were hampered by “the tension between domesticity and discipline,” as “teaching
traditional feminine ideals of purity and submissiveness and training women to be selfsufficient” conflicted.81[81] Still, the reformers hoped to “recast offenders in their own image, to
have them embrace the values…of the lady,” to cast aside their criminal ways and “learn to be
good housewives, helpmates, and mothers.”82[82]
The growing psychiatry movement that accompanied the women’s reformatories also
played a role in the particularly gendered subjugation and “re-education” of women prisoners.
The penological interest in surveillance and control of women dovetailed nicely with the
growing influence of psychiatry in the early twentieth-century as the medical establishment
entered the women’s prison walls and found that “the majority of women prisoners were

Id. at 135, 137.
Id. at 137.
Id. at 137.
Id at 135; Kathryn Watterson, Women in Prison: Inside the Concrete Womb, rev. ed., 198 (1996).
Id. at 147.

emotionally disturbed or in need of treatment to a far greater degree than male prisoners.”83[83]
Psychotherapy, like non-rehabilitative goals of punishment and deterrence, also required close
control of women and effecting punishment to direct behavior, and with “this double form of
control of both the body and the inner person, surveillance and control penetrated still deeper,
and confinement for women became even closer.84[84] Traditional gender roles played a key role
in the “development and implementation of this especially oppressive therapeutic-oriented
regime,” for the therapeutic model had the purpose of transforming the deviating woman into a
“proper woman.” 85[85]
Current human rights abuses occurring in American women’s prisons today provide yet more
horrific examples of the gendered nature of the penal system. Sexual abuse and assault of prisoners
by prison staff is commonplace and pervasive, repeating and amplifying patterns of female
subjugation present in the “free world.” Widespread medical neglect and medical malpractice further
endanger incarcerated women. From April 1994 to November 1996, Human Rights Watch (HRW),
an independent NGO based in the U.S. that investigates reports of human rights abuses all over the
world, interviewed over sixty women currently or formerly incarcerated in women’s institutions in
five states (California, Georgia, Illinois, Michigan, and New York) and the District of Colombia, as
well as correctional officers at such institutions, district attorneys, prisoner aid organizations, and civil
and women’s rights lawyers.86[86] What they found were commonplace patterns of sexual assault and
abuse of prisoners by, most frequently, male prison staff. The gendered nature of punishment of
women prisoners through sexual harassment, sexual assault and sexual abuse by male staff is hard to


Id. at 146.
Id. at 146-148.
Id. at 147.
Human Rights Watch, Women’s Rights Project, All Too Familiar: Sexual Abuse of Women in U.S. State Prisons, v, 1
(1996). Hereinafter “All Too Familiar.”

miss, as it is an extension and reflection of the ways men all too often seek to dominate and control
women in the “free world.”
Interviewees reported outright sexual assault of women prisoners largely by male prison staff,
including vaginal and oral rape, but also more subtle forms of sexual abuse such as using “their near
total authority to provide or deny goods and privileges to female prisoners to compel them to have sex
or, in other cases, to reward them for having done so.”87[87] In other cases, male prison staff violated
professional ethics by engaging in sexual contact with prisoners seemingly absent outright
coercion.88[88] Male staff members have also used “mandatory pat-frisks or room searches to grope
women’s breasts, buttocks, and vaginal areas and to view them inappropriately while in a state of
undress in the housing or bathroom areas.”89[89] The report also documented “regular verbal
degradation and harassment of female prisoners” by male prison staff, “contributing to a custodial
environment in the state prisons for women which is often highly sexualized and excessively
hostile.”90[90] Additionally, while HRW reported that no particular group of prisoners is sexually
abused more than any other, they did specify that lesbian and transgendered prisoners have been
singled out by prison staff for sexual misconduct.91[91]
The problem is far more than a “few bad apples” wearing prison guard uniforms. HRW
found internal prison grievance procedures for handling complaints of rape and sexual abuse of
prisoners by guards were inadequate and structured to expose complaining prisoners to further
harassment and retaliation from their abusers. 92[92] For example, HRW investigators found that
in almost every prison they investigated, grievance procedures required the prisoner to


Id. at 2.
Id. at 5.

informally confront their abusers while they were still in contact positions with the prisoner.93[93]
Indeed, virtually every prisoner the investigators interviewed who reported sexual misconduct
was retaliated against in some way.94[94] The internal grievance procedures were also often
hampered by conflicts of interest and prejudice against believing prisoner testimony, which made
meaningful investigations into abuse and discipline nearly impossible.95[95] In nearly every case
of alleged sexual misconduct by an officer reported to HRW, prison staff assumed that the
prisoner lied and therefore refused to believe prisoner testimony, absent medical reports or
witnesses who were not prisoners.96[96] Because of the traditional reluctant of correctional
employees to testify against each other, obtaining such evidence is very difficult.97[97]
Additional human rights abuses occurring in women’s prisons include medical neglect
and medical malpractice.98[98] Women have died needlessly behind bars, and/or experienced
extremely painful and undignified last days because of medical neglect and malpractice by
prison medical staff.99[99] Much of this medical torture stems from the pervasive and persistent
belief that the women are lying about or imagining their conditions to get attention or to obtain
drugs.100[100] This is an unfortunate trend that mirrors sexism found in Western “free world”
health care, where women are assumed to have fewer “real” health problems than men.101[101]
Prison medical staff are not alone in harboring these beliefs; these same assumptions motivate
prison authorities to disbelief prisoner allegations of rape or sexual assault by a guard.


Ellen M. Barry, Bad Medicine: Health Care Inadequacies in Women’s Prisons,” 16-SPG Crim. Just. 40 (2001).
Id. at 40, 42.
Id. See also Padma Prakash, Annie George and Rupande Panalal, Sexism in Medicine and Women’s Rights, 54
Indian Journal of Social Work, Focus Issue, Patients Rights 199-201 (1993) at

Women’s prisons also reinforce male supremacy and female subjugation in the systemic
disparate treatment of women prisoners as compared to male prisoners. Human Rights Watch
found that because women made up a relatively small portion of the overall incarcerated
population, there were fewer resources allocated to them, resulting in harsher punishment than
their male counterparts. For example, because there are fewer women’s facilities overall, women
offenders are more likely to be housed in maximum security prisons, where women of all
security levels are allowed to mix to some degree.102[102] Men, however, are usually assigned to
prisons based on a variety of factors that include the crime they committed, prior criminal history
and psychological profile.103[103] Additionally, they found that rules in women’s prisons tended
to be more numerous and pettier in nature than those in men’s prisons, resulting in more severe
punishment than what men receive for the same actions.104[104] The investigators noted that
women prisoners were more likely to be cited for disciplinary minor infractions typically ignored
in men’s prisons, and receive a greater number of citations for less serious offenses.”105[105]
The investigators also found that in comparison to male prisoners, women prisoners do
not receive comparable educational and vocational programs that male prisoners do, and have
“fewer opportunities for job-training and work-release, less access to social services, fewer
visitors, and are more likely to be treated like children.”106[106] When vocational programs exist,
they are usually traditionally low-paying female occupations like homemaker, launderer and


All Too Familiar at 23.
Id. at 24.
Nancy Kurshan, Behind the Walls: The History and Current Reality of Women’s Imprisonment, in Criminal
Injustice: Confronting the Prison Crisis, 155 (Elihu Rosenblatt ed.) (1996). Hereinafter “Kurshan.”

Historically, women’s prisons have always been sites for double gender punishment –
punishment for violating female gender roles when they committed crimes, and punishment aimed to
inculcate “proper” white, middle class female gender roles. The gendered nature of punishment is
pervasive – it infects how prison staff behave towards women prisoners, how they (do not) respond to
prisoners’ attempts to self-advocate, how they provide or fail to provide medical care, and even how
facilities are designed to maximize surveillance and control of women through the creation of housing
units that are reminiscent of patriarchal nuclear family structures. Given how central reinforcing
traditional gender norms are to women’s prisons, as it is in men’s prisons, it makes little sense to
house transgender and gender-variant prisoners over the long term in women’s prisons. The extent to
which women’s prisons have been used to house TG/GV inmates has never been examined, but a
gender-based analysis of state punishment of non-TG/GV women does not give much hope for
TG/GV prisoners.

III. Experiences of Transgender and Gender-Variant Prisoners
Most U.S. prison systems, including the federal system, place prisoners into male or female
facilities on the basis of prisoners’ genitalia.108[108] As one can imagine, this poses a serious problem
for pre-operative and non-operative TG/GV people who express their genders in ways that seem to be
at odds with the sex the medical establishment assigned to them at birth.109[109] This ostensible
incongruence makes TG/GV prisoners easy to single out for abuse and mistreatment both by other
prisoners and by prison staff.110[110] In men’s prisons, femininity can be a costly liability, and in
women’s prisons, prison authorities from the rank and file to bureaucratic administrators implement


TIP Website; Rosenblum at 522.
Rosenblum at 522. Binary gender segregation in jails and prisons are also problems for intersexed prisoners who
have genitalia that do not precisely fit medical dictates of “male” or “female” anatomy.
TIP Website; Rosenblum at 522-26.

policies and adopt attitudes that in effect attempt to stamp out any deviations from the white, middle
class feminine ideal.
For TG/GV people therefore, prison is its own special kind of horror. While all prisoners
experience the gender-oppressive aspects of incarceration and conditions of confinement, TG/GV
people’s unique genders make them special targets because our bodies and minds defy the gender
binary system and therefore pose unique threats to the gender enforcement aspects of state
punishment. Unique threats to the prison order, like those posed by political prisoners and others who
“don’t play by the rules,” call for especially harsh punishment: our people have been sexually
assaulted, raped, and beaten by fellow prisoners and prison staff; subjected to homophobic and
transphobic slurs from staff, forced to submit to frequent and unnecessary demeaning strip searches
(that are in truth only performed to satisfy staff curiosity about our genitals), experienced sexual
assaults, and have received disproportionate punishment for minor infringements of facility
rules.111[111] They are also frequently denied access to hormones and other gender-related medical
treatment prescribed by their “free world” doctors that they were receiving before
In 1999, a white gender-variant woman held in a San Francisco county jail sued San
Francisco for violating her civil rights when male jail staff subjected her to an unnecessary and
degrading strip search to determine her gender.113[113] The case was brought to trial in federal


Rosenblum at 523-26; Interview with prisoners at Central California Women’s Facility, September-December 2002
(notes on file with author); Ad Hoc Committee for Prison Health Care Reform, Prisoner Activist Resource Center (1998),
Transgender Prisoner Activists Challenge Discrimination, at Hereinafter “Ad Hoc Committee.”
Readers may feel that access to hormones is closer to “cosmetic” medical treatment than to HIV medication, for
example. While not always necessary for physical body function, the changes that hormones can make and maintain are
central to many TG/GV people’s core identities and the key to self-actualization. The forced discontinuation from hormone
treatment is felt to be a very invasive loss of sovereignty over one’s own body, and can be extremely psychologically
Teresa Dulce, Victoria Schneider Interview: How San Francisco Messed with the Wrong Hooker, Danzine, Issue
#17, 2002, at

court, but was settled for thee-quarters of a million dollars before the verdict was reached.114[114]
In late 2002, another transgender woman of color filed suit against the city and county of San
Francisco, once again for repeated sexual assaults by a male Sheriffs deputy against her while
she was held in San Francisco County Jail.115[115] According to her attorneys, the deputy isolated
her and ordered her to “strip naked, masturbate, and show him her body and dance for his
arousal.”116[116] Shortly after the suit was filed, the Sheriffs Department fired the implicated
officer.117[117] My own personal experiences in Alameda County Jail following an arrest for a
civil disobedience in 2001 lend credence to these reports, as I and the other transgender and
gender-variant people who were arrested with me were singled out by jail staff, and called
derogatory names related to our masculine appearances. Additionally, a transgender and
intersexed person on the FTM spectrum who was also the most masculine-appearing one of us
(as he neglected to shave that morning), was deliberately separated from the rest of us and placed
in general population for no other apparent reason but to expose him to abuse from other
Experiences of TG/GV prisoners in men’s prisons have been relatively well
documented118[118] and I described them in section II. By contrast, little attention has been paid
to the experiences of TG/GV prisoners in women’s prisons, both on the MTF and FTM
spectrums. I believe this is because advocates have too narrowly defined who is transgender,
preferring to use the word nearly interchangeably with transsexual,119[119] and have not looked


Conversation with Karen Snell, Esq., Clarence & Snell, lead plaintiff attorney, November 2002.
Rachel Gordon, SF Jailer Allegedly Fired in Sex Case – Transgender Person Suing for Assault, S.F. Chronicle, Nov.
12, 2002, at
Id. (internal quotations omitted).
See supra note 59.
Anita Barnes, in “The Sexual Continuum: Transsexual Prisoners, 24 New Eng. J. on Crim. & Civ. Confinement 599
(1998), acknowledges that “[the term] transgender embraces all forms of challenging gender identity, of which
transsexualism is just one aspect,” yet she uses the “transgender” and “transsexual” interchangeably “for purposes of

more broadly at gender-based oppression against those who do not express their genders in
traditionally binary ways, or against those intersexed people who are non-dually bodied.
Additionally, because images of transgender women are more common in popular lore than are
images of people on the FTM spectrum, many female-bodied masculine people are unaware of
the possibility of living in the world as something other than women. This is especially true
among communities of color, because Western medicine and European-America provide the
bases for the modern “transgender” identity as expressed in North America. When one uses a
more inclusive lens, gender-variant and transgender people in women’s prisons readily come into
A. Women’s Prisons
Because prisoners are housed according to their genitalia, and relatively few transgender
women are able to afford genital surgery, there are very few transgender women in women
prisons. Those that are there are generally post-op. However, gender-variant prisoners on the
FTM spectrum have long been noted in sociological studies of women’s prisons and in popular
lore, but usually only in so far as they temporarily take on a gender-variant “little boy” or “male”
roles while incarcerated as a way to fit into prison society.120[120] However, among these
prisoners exists an unknown number of who were gender-variant or transgender before
incarceration, or who have come to feel these expressions are integral components of their
identities while in prison, and not just temporary roles. While no formal studies of transgender
men in women’s prisons have been done, anecdotal evidence reported by FTM transgender and
gender-variant people in women’s prisons suggest that the brunt of the mistreatment they

simplicity.” Unfortunately this choice of terminology erases the experiences of transgender people not in the purview of
medical science, thereby limiting her discussion of the abuses of gender-variant prisoners to only those that medicine and
psychiatry have defined.
Owen, supra note 73, at 142-43.

experience comes from the prison staff in the form of homophobic harassment, as prison staff
often conflate masculine gender expressions with homosexuality, which is strictly forbidden in
many prison systems.
Anecdotal evidence from prisoners in women’s prisons indicates that white male
correctional officers are most often the culprits of such harassment.121[121] They are quicker to
scrutinize physical contact between gender-variant prisoners and other prisoners, under the
assumption that any contact by these prisoners is homosexual in nature.122[122] They treat
transgender and gender-variant prisoners as potential sexual predators, regardless of the
prisoners’ underlying convictions.123[123] Prison staff punish transgender and gender-variant
prisoners suspected of violating bans against homosexual contact by being written up for
disciplinary infractions, isolated from other prisoners, and ignoring their requests to use earned
privileges.124[124] Transgender and gender-variant prisoners are also often verbally harassed by
prison staff with homophobic slurs and “wisecracks” about their masculine appearances, and
singled out for special mistreatment like frequent, unjustified and destructive cell searches as a
form of harassment.125[125] The fact that the overwhelming majority of COs who mistreat
gender-variant and transgender prisoners are white men while many transgender and gendervariant prisoners are of color points to the complexity of the oppression felt by this group of
prisoners as including sexism and racism as well as transphobia and homophobia.
Although few in number inside women’s prisons, prisoners on the MTF spectrum can
still experience abuse and harassment while incarcerated. One transgender woman recently
incarcerated at the Central California Women’s Facility was subjected to repeated demeaning

Reported to author by prisoners at CCWF, Fall 2002-Spring 2003. Identities are concealed to protect these prisoners.
Notes on file with author.

strip searches to satisfy guards’ and medical staff’s curiosity about her genitals.126[126] Staff also
used homophobic slurs when speaking to her or about her, and even went so far as to set up
another prisoner to physically assault her.127[127]
Clearly, TG/GV women in women’s prisons can experience the same sort of sexual
harassment and abuse that non-TG/GV women prisoners experience, but are among the groups
of prisoners that prison staff single-out for special “attention.” However, the psychological and
physical toll on TG/GV prisoners and former prisoners can be especially drastic because of the
ignorance of fellow prisoners who exclude TG/GV women from their own support networks, and
the lack of TG/GV-inclusive social services, job training opportunities, and appropriate mental
health care services in prison and after release. Further compounding the problem, prisoner
advocate organizations already overwhelmed by the tide of human rights violations against nonTG/GV prisoners by and large fail to advocate for TG/GV prisoners, and unfortunately often
display transphobic sentiments themselves.
Medical neglect and medical malpractice inside prisons also affect TG/GV prisoners.
Like traditionally-gendered women prisoners and as described in section I of this comment,
TG/GV prisoners are likely to be low-income and of color, and therefore without adequate health
insurance. This means they enter prison with significant health care issues and ailments that
occur at higher rates in non-white populations, such as diabetes, high blood pressure, sickle cell
anemia, and undetected breast cancer.128[128] Also as described earlier in this comment, many
TG/GV women prisoners also share with non-TG/GV women prisoners histories of prostitution


Reported to Justice Now, a San Francisco Bay Area legal advocacy and direct services organization for women
prisoners, located at 1322 Webster Street, Suite 210, Oakland, CA 94612, (510) 839-7654,
Barry, supra note 97, at 40-42.

and widespread intravenous drug use, creating higher rates of depression, HIV, and hepatitis C
than in the adult female “free” population.129[129]
In fact, because of the dependency transgender and gender-variant people are forced to
have on the medical establishment to bring their physical bodies into alignment with their
identities, transgender and gender-variant prisoners have additional needs for medical attention
and follow-up. The long-term effects of hormone therapy are little studied, but some reported
effects include increased risk of cancer, liver damage, depression, hypertension, and diabetes as a
result of hormone use.130[130] Additionally, anecdotal evidence suggests transgender and gendervariant people have high rates of depression, anxiety and other mental health problems related to
the constant stress stemming from simply having highly stigmatized identities. Given the
relatively complex and little understood health needs of TG/GV prisoners, it is no surprise that
the prison health care systems that fail to adequately treat non-TG/GV prisoners also fail TG/GV
In addition to being housed in general population in men’s and women’s prisons, prison
authorities have segregated TG/GV prisoners in special wards meant to provide some level of
additional safety. Unfortunately, these measures often prove to be additionally punitive. In the
next section, I will discuss housing strategies that isolate transgender and gender-variant
prisoners from the rest of the prison population. While some solutions hold more potential than
others, none are unproblematic.
B. Segregated Wards
Across the U.S., transgender and gender-variant prisoners are housed in several different
kinds of segregated facilities, including administrative segregation (“ad-seg”) or wards for


LGBT Health Channel, Transgender Health (2003), at

prisoners with heightened medical needs. While these housing situations do indeed provide
some protection from other prisoners, they do not protect TG/GV prisoners from predatory
prison staff, and they tend to house prisoners in even harsher and more restrictive conditions.
Stigma also attaches to prisoners housed in medical wards, compounding their marginalization
among other prisoners and exposing them to further persecution from prison staff.
1. Administrative Segregation or “Going to Jail”
Separate from the rest of the prison wards, protective custody (also known as
administrative segregation, or “ad-seg”) segregate and isolate prisoners from the general
population, ostensibly for only short periods of time.131[131] Ad-seg may be voluntarily entered
for a prisoner’s own protection,132[132] but ad-seg is also used to punish prisoners for disciplinary
infractions, and is sometimes referred to by prisoners as “the jail” inside the prison.133[133]
Prisoners doing terms in ad-seg lose privileges they enjoyed in general population, endure
harsher restrictions including reduced space in cells and in their exercise yards, and are isolated
from direct contact with all other prisoners besides their cellmates, if they are fortunate enough
to have one.134[134] Prisoners in isolation are also at risk from even more severe abuse by prison
staff, because ad-seg prisoners are assumed to be more dangerous and because there are few
others around to witness their misconduct. All prisoners housed there experience these
conditions regardless of why they were sent there.
Courts have recognized the negative effects of administrative segregation; the Supreme
Court saw protective custody as akin to solitary confinement and placed restrictions on its


Barnes, supra note 118, at 638.
Reported to author by prisoners at Central California Women’s Facility, Fall 2002.
Barbara Owen, “In the Mix”: Struggle and Survival in Women’s Prison, 112-115 (1998).

use.135[135] Courts have generally understood that long-term isolation in ad-seg can cause
substantial psychological damage, especially adversely impacting those there for protective or
administrative reasons, like TG/GV prisoners sent there for their own protection, rather than for
disciplinary reasons.136[136] This is because the former have not committed infractions justifying
the harsher treatment, and may be required to stay in ad-seg indefinitely, while those there for
disciplinary offenses most often receive definite sentences inside ad-seg.137[137]
Administrative segregation is therefore not an acceptable a long-term solution to house
transgender and gender-variant prisoners. It is used as punishment for prisoners who commit
disciplinary infractions, and prisoners housed there are treated more harshly than those in general
population. Indeed, isolating TG/GV prisoners can make them more vulnerable to staff
harassment and abuse because witnesses are conspicuously absent.
2. Medical Wards
California State Prison Corcoran, a mixed-level male prison, has an HIV/AIDS ward with
a high concentration of transgender women prisoners. Not all the prisoners there are TG/GV or
even gay; in fact, most are non-transgender heterosexual men.138[138] Other prisons have special
wards for prisoners with mental health needs, and at least one TG/GV prisoner has found herself
there after attempting suicide after being unable to endure the continuous harassment from other
prisoners and prison staff.139[139]
Separate medical wards that do not additionally punish prisoners housed there can
provide at least a temporary refuge for TG/GV prisoners. Such housing may not exist, however
for mentally disabled prisoners are yet another group singled out for abuse and attack by prison

Barnes at 639 (quoting Wright v. Enomoto, 462 F. Supp. 397, 399, 403 (N.D. Cal. 1976), aff’d, 434 U.S. 1052 (1978);
Davenport v. DeRobertis, 844 F.2d 1310, 1313 (7th Cir. 1988); internal quotations omitted).
HIV/Hepatitis C in Prison Committee, California Prison Focus.
Reported to author by prisoner at CCWF, Fall 2002.

staff.140[140] Unfortunately, even if TG/GV prisoners are exempted from the harsh conditions
affecting mentally ill prisoners in mental heath wards,141[141] being housed in a medical ward still
stigmatizes TG/GV prisoners as sick and diseased, a stereotype already widespread in this
society. This can lead to further victimization by other prisoners and prison staff, since this
society views stigmatized illnesses like HIV/AIDS (and supposed illnesses like transgenderism)
as worthy of moral condemnation and ostracization. Additionally, because a prisoner must have
severe mental health problems to qualify for residence in mental health wards, TG/GV prisoners
housed there must endure the constant threat of being moved back into general population if they
are deemed not “mentally ill enough” to stay. This not only perversely encourages TG/GV
people to adopt pathological views of their own identities, but also gives prison staff one more
tool to harass and intimidate this already vulnerable and despised population.
Housing TG/GV prisoners in mental health wards reinforces societal discrimination
against TG/GV people because it perpetuates the myth that our gender identities are symptoms of
a sickness. The American Psychological Association’s Diagnostic and Statistical Manual of
Mental Disorders (DSM-IV) describes transgenderism as pathology, calling it “Gender Identity
Dysphoria.”142[142] The diagnosis provides a socially-acceptable container for the potentially
radical threat to the gender binary that transgender and gender-variant people can pose. Rather


The Prison Discipline Study: Exposing the Myth of Humane Imprisonment in the U.S., in Criminal Injustice:
Confronting the Prison Crisis, 92-93 (Elihu Rosenblatt ed.) (1996).
In the fall of 2002 I personally observed conditions in a mental health ward at CSP Corcoran, a mixed-level
California prison for men. There prisoners were allowed to wear only underwear, were shackled when taken out of their
cell for any length of time, and were isolated in their own cells with no one to interact with save indifferent staff on the other
side of the steel doors of their cells. Their cells were bare, with only a toilet and a mattress pad to sleep on. The unit itself
was very loud, as prisoners were incessantly shouting to passersby, and the floor was strewn with debris. The staff was
largely indifferent to prisoners who had legitimate health care needs that they were trying to articulate to staff through the
steel doors, and generally had the attitude of total contempt for the prisoners. While this may not be the norm for mental
health wards in other prisons, it was clear that prisoners there were subjected to harsher restrictions and had fewer privileges
than those in general population.
Farmer v. Brennan, 511 U.S. 825, 829 (1994).

than seeing ourselves as suffering from a “rare disorder,”143[143] many of us transgender and
gender-variant people today view our identities as simply part of the rich human diversity of
gender that exists in the world, which the gender binary seeks to artificially constrain to serve the
interests of the ruling classes, whose genders at least appear to fit the gender binary.
Pathologizing us resolves the crisis of category that triggers so much anxiety felt by many
traditionally-gendered people when they encounter a transgender or gender-variant person – we
are neither “real men” nor “real women;” we are just “sick.”
Even if TG/GV prisoners are transferred to medical wards for their own safety and not
because they are deemed to have an illness, this attitude may not necessarily filter down to the
rank and file line staff in the prison. In order to make medical wards safer places to house
TG/GV people, conditions would have to improve for all mentally disabled prisoners housed
there, and/or staff would have to be well versed in the complexities of transgender and gendervariant identities. Given the tremendous resources and good will this requires from prison
administrators and staff, neither solution is likely to occur in the near future.

“Transgender Only” Wards or Prisons
No TG/GV-exclusive wards or prisons currently exist, so one can only speculate as to

their success at protecting the safety of this very vulnerable prison population.144[144] These
separate wards or prisons may hold promise to protect TG/GV prisoners from abuse by other
prisoners, but the constant threat of mistreatment from prison staff remains. However, even if


Currently the closest to transgender-only wards that I know of are “gay tanks” in Rikers Island (NY), Berkeley City
Jail (CA), and San Francisco City Jail (CA), which house TG/GV prisoners and gay and bisexual prisoners. Other jails may
have similar housing for prisoners they deem at risk because of their gender expressions. Additionally, California Medical
Center at Vacaville houses a number of TG prisoners, who are there because “their transgender status is deemed more of a
medical issue” (Cosmo Garvin, What's She Doing in the Men's Jail?, Sacramento News & Review, February 13, 2003, at The problems with this medical approach to
transgenderism are discussed infra Part III.B.2

prison staff in these wards were specially educated about transgender issues, a number of very
difficult policy questions arise.
To begin with, who would decide who should be allowed into these special wards? The
courts and prison systems have demonstrated a fundamental lack of understanding of the true
diversity of transgender and gender-variant people, instead turning to medicalized explanations
and “treatments” to reduce TG/GV gender diversity down to mere illness that has little to do with
traditionally-gendered “real men” and “real women.”145[145] Ignorant, they remain insensitive to
the vast possibilities of gender self-identification that is the reality for many transgender and
gender-variant people. For example, while it may be clear that post-operative transsexuals or
even those with gender expressions that do not “match” their genitalia (according to the gender
binary) qualify for housing in these special wards, gender-variant prisoners would pose a much
more complex problem – given the multiple and subtle ways people can be gender-variant, how
would jailers decide who is “gender-variant enough” to qualify for the TG/GV ward? After all,
the most likely targets for prison rape in men’s prisons are young, white and smallstatured,146[146] who some prisoners may perceive as more feminine but who may not appear
gender-variant to a judge. Should deciding a prisoner’s transgender or gender-variant status be
an objective (e.g. years on hormones, which surgical procedure performed if any, etc.) or
subjective (e.g. do they look like “women”) determination? Would this require prison
administrators to develop guidelines to judge prisoners’ genders so that the rank and file could
identify all gender-variant prisoners before they are victimized? Developing guidelines with this
level of detail seems like a daunting task given the ignorance of prison authorities and the larger


Debra Sherman Tedeschi, The Predicament of the Transsexual Prisoner, 5 Temple Pol. & Civ. Rts. L. Rev. 27. 3044. (1995).
Man and Cronan at 157-176.

society regarding gender diversity and variance, and the deep level of entrenched transphobia
and homophobia among prison authorities, rank and file officers, and society in general.
Additionally, it seems tragic to deny this privilege to the many others endangered in
prison. Human Rights Watch’s 2001 report on male prison rape contains tragic and moving
autobiographical anecdotes by non-transgender male survivors of prison rape who were targeted
because of their small stature, their youth, their lack of gang affiliation, their non-aggressive
demeanors, or their gay sexual orientations, in addition to sometimes having feminine
characteristics.147[147] HRW also chronicled numerous abuses of non-transgender women
prisoners, as described earlier. For those concerned with the safety of TG/GV prisoners, it seems
absurd and even cruel to argue for separate wards for TG/GV prisoners but leave everyone else
in danger.
From the perspective of the transgender and gender-variant liberation movement,
segregating TG/GV people into separate prisons or wards deprives transgender and gendervariant people of the power we hold to expose the internal contradictions of the gender binary
system operating within the criminal justice system. Segregation would literally lock us up and
away from the very institutions that we have the potential to disrupt, in effect doing with
concrete and steel what the “Gender Identity Dysphoria” diagnosis does to control our nonbinary genders.
IV. Immediate Recommendations & Long-Term Solutions
It is clear that given the gendered nature of prison punishment, there is no real solution to
the TG/GV prisoner “problem.” Some alternatives are better than others, but because TG/GV
people are so varied in their gender expressions, drawing bright-line rules and creating blanket


Human Rights Watch, No Escape: Male Rape in U.S. Prisons, “Prisoner’s Voices,” at

housing policies for this vulnerable population are nearly impossible. Concerning the
importance of immediate prisoner safety, I recommend that advocates push for housing decisions
on a case-by-case basis, rather than push reforms that necessitate creating extensions of the
existing prison industrial complex.
For example, where to house a particular TG/GV prisoner should depend on where ze
would be safest. Since there is no place that is absolutely “safe” – after all, this is prison –
advocates for TG/GV prisoners should conduct a careful determination of housing options that
include investigating staff and prisoner attitudes, as well as services and programs available to
the prisoner. Of course, advocates should also take into consideration the prisoner’s own
informed choice of where ze would like to go. This may result in surprising housing
arrangements: a middle-aged TG/GV woman prisoner might choose to be housed in general
population in men’s prison because her age makes her a less inviting target for sexual harassment
and she wants to be near her boyfriend. Or a pre-op TG man might want to stay in the mental
health ward of a woman’s prison because he has made friends with a counselor there. Housing
arrangements may need revising if circumstances change and the placement becomes dangerous;
for example, an especially hostile new guard may rotate into the ward. This would require
advocates to stay in constant touch with long-term TG/GV prisoners to make sure they are
indeed as safe as possible for the duration of their incarceration.
Making case-by-case determinations avoids arguing for expanding the prison industrial
complex. U.S. incarceral history over the past century illustrates of the dangers of reforms that
call for more money to be allocated to prison systems and the criminal justice system. While
they were meant to address flagrant human rights abuses, many reforms have now become
justifications for astronomically large prison budgets, and combined with new policing and

prosecution strategies (not the least of which was the war on drugs) from the last fifty years, the
results have been the constructions of more prisons than ever before, all bursting at the seams
with brown, black and poor white bodies.
Because we currently live in an era of ever-expanding prison populations and prison
sentences, large-scale reforms like building transgender-only wards and creating new medical
policies to treat transgender and gender-variant prisoners should not be advocates’ first
strategies. The history of prison reform provides a poignant history lesson as to why. In this
section, I will first describe the growth of women’s prisons as an example, and then describe the
socio-political trends that filled them up to overflowing.
A. A.

Reform: A Growth Industry in Women’s Prisons
Before 1830, there was very little segregation among men, women and children in

prisons, and women were “exposed to sexual attacks, floggings, and severe punishments that
often led to sickness and death.”148[148] In response to these conditions, Quaker reformists
pushed for and won separate facilities for women.149[149] In 1839 the Mount Pleasant Female
Prison began operation on the grounds of the Sing Sing prison for men in Ossining, New York,
as the first prison where women were segregated from male prisoners and were supervised by
women prison staff.150[150] In 1873, the first all-female prison, and the first to be completely
operated by female staff, opened in Indianapolis as the Indiana Reformatory Institution for
Women and Girls.151[151]


Kathryn Watterson, Women in Prison: Inside the Concrete Womb, rev. ed., 194 (1996). Hereinafter “Watterson.”
See Part IV.B. supra.
Id. at 196
Id. at 198.

Over the next forty years, four more women’s reformatories were to open across the
Northeast, and by 1917, fourteen states had their own all-women reformatories.152[152] This
number more than doubled to thirty by 1972, including the Federal Reformatory built in
1927.153[153] In addition, by 1972 there were twenty-four state facilities for women under male
warden leadership, and one federal prison on Terminal Island in California.154[154] The
movement to segregate women prisoners away from men also extended to local county jails, as
five separate county jails for women had been established by the 1970s, and 3,000 other local
jails segregated women on separate cellblocks away from male prisoners.155[155]
Historian Estelle Freedman notes that the post-Civil War women’s prison reform
movement died out by the 1930s even while women’s prisons and jails were booming, and the
women’s prisons had become so part of the established criminal justice penal system that they no
longer held the promise of human, rehabilitative treatment the reformers had originally
envisioned. She observed that “after the 1920s the separate prisons were now run by women
who lacked the critical approach to men’s prisons taken by earlier reformers.”156[156] Freedman
writes that these prisons “no longer existed to serve women. Rather, they supported the maledominated system and adopted its values.”157[157] The women’s prison reform movement had
been effectively co-opted early-on by conservative penal ideologies and attitudes, “[testifying] to
the capacity of the American institutions to accommodate reform for conservative ends.” 158[158]
Over the course of the last several decades, the number of women prisoners has
skyrocketed. In 1972, women made up only 3% of state prisoners nationwide, but as of 1995

Id. at 199.
Howe at 135.
Id. at 136 (internal quotations omitted).

they comprise 6% of the state prisoners and 7% of federal prisoners.159[159] In the early 1970s,
penal institutions imprisoned approximately 22,000 women, but by 1995, this figure had grown
to more than 108,000 women, a 390% increase.160[160] The 1980s saw a 256% increase in the
number of women in prison, compared to a 140% increase in male prisoners.161[161] The rate of
growth in the number of women prisoners has outpaced men every year since 1981.162[162] In
California alone, the number of women prisoners increased 450% between 1980 and 1993, and
by 1995, California had more than 9,000 women prisoners. By contrast, in 1980 the state held
only 1,316 women prisoners.163[163] Disproportionately represented among prison populations,
the numbers of women of color prisoners continues to mount. In 1995, 40% of incarcerated
women were African American and 30% were Latina.164[164] These population explosions
contrast sharply with the historically low numbers of women prisoners, which had remained
steady for the last fifty years.165[165] Also beginning in the 1970s, seventeen new prisons for
women began operation, and states and the federal government built thirty-four new units for
women prisoners in the 1980s.166[166] According to the 1994 American Correctional Association
Directory, “we now have a total of seventy separately run and operated state prisons for women;
twenty-nine women’s prison units that often are referred to as ‘co-ed facilities’ but are housed in
state prisons for men; three federal women’s prisons; and nine women’s units in federal (‘co-ed’)
prisons for men.”167[167]


If We Build Them They Will Come: How They Filled the Prisons Up

Id. at 33.
Id. at xv.
Kurshan at 150.
HRW at 64.
Kurshan at 150.
Watterson, supra note 147, at 199.
Id. (quoting the American Correctional Association Directory)

While prison construction boomed in the early part of the twentieth century, overall
numbers of prisoners remained low; the incarcerated population of the country remained at a
steady 100-120 per 100,000 citizens.168[168] Not until the mid 1970s did the rate of imprisonment
begin to skyrocket, as a result of changing economic structures, policing strategies and political
priorities.169[169] This great growth in the number of prisoners would not have been possible
however, had not reforms pushed through after the Civil War and again in the 1960s – badly
needed as they were – made room for more bodies in the growing punishment industry. An
unintended consequence of the reformers’ work, these backfiring strategies nonetheless form part
of the foundation of the current incarceration crisis.
As discussed above, the post-Civil War reform movement died out by the Depression,
largely failing to make long-lasting improvements in state and federal penal systems. But by the
1960s, a new liberal prison reform movement formed in reaction to barbarous prison conditions,
especially those in the “warm weather gulags” of the South.170[170] Conditions inside U.S.
prisons had become an “international scandal that undermined the moral authority of the
American political system in its battle against ‘international communism.’”171[171] Prisoners
received little health care or real food, and toiled for ten hours a day, six days a week no matter
the weather, on the roads and in cotton fields.172[172] “Bullwhips, sweat boxes, shotguns and
electrode torture kept them moving,” and “death and escape rates were astronomical.”173[173] The
1970s reform movement changed all that, giving rise to the ultra-modern, ultra-clean, well-lit
concrete and steel monoliths that are modern prisons today. Prison health care, better food, and
even (very) low wage paid jobs for prisoners now characterize doing time. Of course these

Parenti, supra note 53, at 163.
Id. at 163, 167.
Id. at 164.

changes required massive resources: new prisons had to be designed built, doctors and medical
staff hired and trained, and contracts with corporations looking to make a buck supplying prisons
or through cheap prison labor had to be negotiated and implemented. These reforms required
prison systems to receive ever-larger shares of the state and federal budgets, which prison
authorities used to expand even further. Expansion in turn use served to justify asking for even
more money. In this way, the push and pull of reform and institutional inertia has set up a selfperpetuating cycle of growth for the prison industrial complex.
Once “better” prisons had been built to “better house” more prisoners, all that was needed
was for the bodies to roll in. Studies show that the huge increase in numbers of incarcerated
women, for example, are not due to the increased law-breaking by women, but the increased
criminalization of women of color resulting from changes implemented in the 1970s in law
enforcement practices, sentencing (i.e. three-strikes laws and mandatory minimums), and the war
on drugs.174[174] Drug related offenses represented 55% of the increase in the women’s prison
population between 1986 and 1991.175[175] Additionally, violent crimes by women have
remained constant over the past several decades.176[176] Changing attitudes by judges and
prosecutors towards an increased willingness to prosecute and sentence women to prison time
rather than to accept plea bargains and probation are also contributing factors.177[177] In the
1970s, nearly 66% of women convicted of federal felonies were given probation, while in 1991
only 28% were placed on probation.178[178]
Other forces combined with changes in criminal justice policy in the 1960s and 70s to
give rise to increased numbers of incarcerated people. The modernization of capitalism resulted

All Too Familiar at 17.
Kurshan at 150.
Watterson at 42.

in a makeover of the class and occupational structure of American society, which created a new,
larger poverty-stricken underclass made up largely of people of color who stoked urban
malcontent in the form of radical left political movements.179[179] Unable to respond to the multifaceted threats these movements posed, governments responded instead through
counterinsurgency that prioritized policing “and other ‘front end’ forms of criminal
justice.”180[180] In the early 1980s, when these movements had been neutralized, discontent borne
of the poverty caused by neo-liberal economics became the threat that needed containment.181[181]
By then prison reforms had cleared the way to more “humanely” punish the poor for stepping out
of line, and so the criminal justice system easily became a “bulwark against the new dangerous
classes because it [absorbed] and [controlled] them and [extended] its threat onto the
Right-wing electoral rhetoric also played a role in increasing the number of incarcerated
people.183[183] Because neo-liberal economics hit the working class especially hard, conservative
and reactionary politicians needed scapegoats to distract people from the real causes of increased
poverty – corporate greed and politicians’ own personal cut.184[184] They chose to blame
immigrants, the poor, and people of color generally but blacks especially.185[185] They were “cast
as parasites, and violent predators pilfering middle-class (read white) America by means of such
Great Society programs as AFDC and Head Start.”186[186] The symbol for all that was wrong
with society was “the young dark criminal, the untamed urban buck, running free threatening


Parenti at 167-688.
Id. at 167.
Id. at 168.

order, property and (white) personal safety.”187[187] Thousands of new criminal justice statutes
carrying the racist and classist stamp of this rhetoric resulted, establishing harsh mandatory
minimums and other laws that led directly to more and more black and brown bodies behind bars
for longer and longer periods of time.188[188]

Implications of Further Reform to Protect TG/GV Prisoners
Because we are still in a period of high rates of incarceration, large-scale reform on

behalf of TG/GV prisoners will likely lead to further expansions of the prison industrial complex
while failing to actually protect TG/GV prisoners. The unintended consequences of efforts by
well-meaning reformers helped start the staggering growth in the prison industrial complex over
the last century. In the women’s prison context, progressive-minded Quaker women sought to
protect women prisoners by advocating for separate women’s prisons.189[189] Tragically, this
original benevolent idea has turned into a huge warehousing system to control a growing
indentured class of poor women of color that are “the frightening result of slapdash policy
focused on retribution, not common sense.”190[190] While they won a segregated prison system,
they lost the larger goal of protecting women.191[191]
The same can happen if advocates are too eager to press for changes that require even
more resources to be allocated to prisons. Ironically, in this political and economic climate,
providing resources so prisons can “better” incarcerate TG/GV people means more TG/GV
people will be locked up, and given the way penal systems are so fundamentally gendered, largescale reforms are likely to fail to actually improve the lives of TG/GV prisoners. Conversely,
flexible smaller-scale reforms that address specific needs of specific TG/GV prisoners do not

Id. at 167.
Watterson at 194, 196.
Id. at 199.
See Part II supra regarding human rights abuses in women’s prisons.

provide justification for an increase in prison budgets. This suggests yet another irony:
advocates can help the most by asking the least, at least while the criminal justice system
continues to function as a white-supremacist warehousing system for the poor and colored.

Long-Term Solutions
Having just argued the superiority of small-scale reforms tailored to meet the needs of

individual TG/GV prisoners, I conclude by turning my attention to long-term solutions to the
transgender and gender-variant prisoner “problem.” Simply put, policy-makers should create more
poverty-reducing opportunities that are sensitive to the needs of TG/GV people, and entities operating
existing services that help prisoners win early releases and transition back into the “free world” must
make their services TG/GV inclusive. Perhaps most importantly, prisoners rights activists must take
themselves to task to unlearn their own biases against TG/GV people, and work to empower and
integrate TG/GV prisoners and former prisoners in their work so that they can advocate for

Policies that Address the Root Causes of TG/GV Crime
For long-term solutions that lower the rates of TG/GV incarceration, policy-makers should

tailor address the root causes of TG/GV law-breaking. As described in Section I of this comment,
poverty resulting from severe job discrimination leads to various crimes committed for survival, such
as prostitution, drug use that accompanies sex work, and related crimes.192[192] Police profiling on the
basis of race, income-level and transgender status also contributes to high rates of incarceration among
TG/GV people and also must be addressed, as well as the larger issues of the criminalization of
prostitution and the war on drugs.
Policy-makers should make job training programs more inclusive and more widely available
to TG/GV people. This at minimum may require training for job training instructors, other

E.g. theft to support a drug habit, etc.

participants, and program administrators on TG/GV issues, and active outreach to TG/GV people.
Additionally, legal protections against anti-TG/GV job discrimination must be created and enforced.
Transgender people are not explicitly covered by Title 7 and are explicitly excluded from the
Americans with Disabilities Act (despite the GID “diagnosis”) and so need other forms of protection.
These protections should have enough teeth that they do not require a lawsuit to mobilize them,
thereby making them truly effective for all TG/GV people and not just for those who can afford
Law enforcement harassment and profiling of TG/GV people must cease immediately. This
may mandate additional training for officers to unlearn their own biases, and the creation of an
effective disciplinary structure to censure those who trample on the rights of TG/GV people.
Realistically, however, police profiling and harassment of TG/GV people will likely not end soon
because to do so would require law enforcement to recognize the ways they abuse, neglect and profile
people of color, immigrants, and the poor generally.
Long-term changes that affect a multitude of people in addition to TG/GV people include
decriminalizing of certain kinds of work, such as sex work and the black market in drugs. Many
TG/GV people engage in prostitution and the illegal drug trade to survive because all other legal
avenues to make money have been cut off due to various forms of discrimination.193[193] It is cruel to
continue to criminalize these forms of work; many TG/GV people have no choice but to earn money
in these ways. Steps leading to decriminalizing prostitution and ending the war on drugs are beyond
the scope of this comment, but they would undoubtedly decrease TG/GV rates of incarceration.



Existing Services Should Be Made TG/GV Inclusive

For example, racism, sexism and transphobia could play roles in job discrimination against a transgender woman of

The services available to prisoners and former prisoners are by and large not TG/GVinclusive. While acknowledging that the availability of these services are nowhere near adequate
to meet the needs of non-TG/GV prisoners and ex-prisoners, the dearth of inclusive services
discriminates against TG/GV prisoners as a class. TG/GV exclusion from these programs harks
back to the days where these programs were largely unavailable to women. This can sabotage
early release options for TG/GV people, for example. A secured placement in a substance abuse
program or transitional housing can greatly enhance a prisoner’s chances for an early release, but
the lack of such services that understand and accept TG/GV people translates into decreased
changes for early release for TG/GV prisoners. Compassionate releases are also early release
arrangements sometimes granted to terminally ill prisoners at the last stages of their lives. A
placement in a hospice greatly enhances the likelihood for a prisoner to receive a compassionate
release from the court, but again if no hospice will take a dying TG/GV prisoner out of ignorance
and fear, ze is out of luck.

Prisoner Rights Activists Bear the Responsibility to Include TG/GV Prisoners and Ex-

Throughout the discourse on the oppression of transgender prisoners, what is largely
missing are the voices of TG/GV people and TG/GV prisoners themselves. Even in the prison
activist movements the challenges facing transgender and gender-variant prisoners has received
little recognition and even less advocacy. But despite the prejudice even within those who work
to help prisoners, transgender prisoners and former prisoners have been resisting on their own by
relying on each other and their allies to stay sane and alive, and now they are beginning to pick
up the activist toolbox for themselves.

Currently there are very resources for transgender prisoners and former prisoners.
However, in late 1997 an informal California advocacy group of prisoners’ rights activists
calling themselves the Ad Hoc Committee for Prison Health Care Reform launched a campaign
to improve health care for transgendered prisoners housed a California Medical Facility at
Vacaville.194[194] They issued a press release announcing their campaign, and sent a letter signed
by more than twenty-five concerned organizations and individuals to the warden of CMFVacaville, demanding a series of reforms including ending correctional officers’ acting to
“demean, demoralize, humiliate and discriminate against TGs [transgendered people];”
improving access to hormone therapy both for those already taking hormones prior to
incarceration and those seeking to initiate hormone therapy while incarcerated; protecting
transgendered prisoners from physical, verbal and sexual abuse; allowing transgendered
prisoners who have developed feminine characteristics to wear bras and make-up; and providing
transgender-sensitive mental health services for transgendered prisoners.195[195]
The Ad Hoc Committee has since dissolved, but in June of 2001 by the Trans/Gender-Variant
in Prison Committee of California Prison Focus took up the cause.196[196] At its inception, the group
was made up entirely of volunteers, some transgender, some transgender former prisoners, and some
neither who met during their spare time. Through interviews and correspondence with prisoners, they
documented and investigated many abuses of transgender prisoners in California state prisons. 197[197]
The group advocated for change using public education and protest.198[198] In 2001 the group wrote a
letter of protest to the warden at California State Prison – Corcoran, a male facility with a
HIV/Hepatitis C ward that houses several transgender and gender-variant prisoners on the MTF

Ad Hoc Committee, supra note 110.
Trans/Gender Variant in Prison Committee, California Prison Focus, at Hereinafter
“TIP Website.”

spectrum, demanding increased access to hormones, clothing appropriate to these prisoners’ genders
(including bras for the transwomen who had already developed breasts from hormone treatment prior
to arrest), and an end to homophobic violence and hate speech by prison guards.199[199] In the summer
of 2002 the group coordinated a public education event at the Lesbian, Gay, Bisexual and Transgender
Community Center of San Francisco, focusing on the oppression of gay, lesbian, bisexual, and HIV+
prisoners, but also highlighting the gender-specific abuse of transgender and gender-variant
The TIP Committee has unfortunately hit a low-functioning period, and at the time of
this writing, none of the former members know when if at all the group will reactivate.
However, while in operation, the group’s mission was additionally hampered by the ignorance
and prejudice from the larger prisoner rights movement.201[201] Pulling no punches, TIP
Committee member Kevin Weaver points to unchallenged homophobia and transphobia in the
prison activist world, writing that it seems “it may be one thing to advocate for the brother on
death row, but the ‘faggots, butches, and queens’ are on their own or they don't exist.”202[202] He
believes that larger society is mostly to blame, but attitudes of “former prisoners who carry the
disrespect of queer prisoners they learned or perpetuated while in prison out into the outside
activist community” are also responsible, as prison activists look to former prisoners who are
now prison activists as “ideological barometers of how prison activism should move


HIV/Hepatitis C in Prison Committee and Trans/Gender Variant in Prison Committee, California Prison Focus,
Letter to California State Prison Corcoran Warden Frederic Brown (2002) at
Hereinafter “TIP Letter.”
TIP Website, “Locked Out,” at
Kevin Weaver, No Prisoner Left Behind: The Fight for Transgender/Gender-variant Prisoners, distributed via e-mail
listserve “Locked Out,” at Copy also on file with author.

Of all the long-term solutions I have discussed, making the prison activist movement
more inclusive of TG/GV prisoners and former prisoners may be the most important one, and the
most likely to become reality. Prisoners and former-prisoners know that the prison industrial
complex very negatively affects TG/GV prisoners – their own experiences inside tell them that.
Prison activism that prioritizes developing the leadership of those most affected should have no
problem including TG/GV prisoners and ex-prisoners from a political standpoint. The only thing
that stands in the way is ignorance and prejudice, which activists can and should work to
overcome, just as they can and should work to overcome racism and sexism in their movement.
Real inclusion of TG/GV people in the prison activist movement holds the most promise for
long-term improvements in the lives of TG/GV prisoners because it builds the capacity for
TG/GV prisoners and ex-prisoners to advocate for themselves.
VI. Conclusion
This comment began with a description of how and why many transgender and gendervariant people end up in prisons in the first place. Transphobia, compounded with such “old
fashioned” oppressions such as racism, sexism and homophobia in housing, education and
employment is largely to blame for creating poverty and forcing transgender and gender-variant
people to resort to underground economies to survive. Illegal work like prostitution leads often
leads to illegal drugs, which in turn can lead to very serious related crimes. Because so much
transgender and gender-variant law-breaking originates in poverty, anti-poverty strategies will
reduce the incarceration rates of TG/GV prisoners. However, these strategies must be sensitive
to how the gender binary system oppresses everyone, but transgender and gender-variant people
more completely. Existing social programs and services that address poverty and provide
meaningful opportunities for improvement in poor people’s lives should be made more robust,

and program administrators, anti-poverty advocates, and anti-prison activists need to learn how
to make their programs more transgender/gender-variant inclusive.
However, the most promising way to reduce poverty and resulting criminality among
transgender and gender-variant people is to work to empower transgender and gender-variant people
themselves in this struggle. Black, Latina/o and low-income transgender and gender-variant persons
of all races and genders, both former prisoners and those at risk for incarceration, should be in the
leadership as those in the transgender and gender-variant communities most affected by the growing
prison industrial complex. Additionally, given the multitude of intersecting oppressions they face,
existing movement leaders should mentor and support them so they may also assume their rightful
place at the prison activist table.
Fundamentally, this calls for mass unlearning of transphobia and homophobia among
prison and poverty activists, and a recognition that transgender and gender-variant prisoners and
prison activists can bring refreshing new perspectives on how governments also use gender to
control and punish those who break the law, beyond how such control is extended over nontransgender women. Women prisoners and women prisoner advocates expose female
subjugation as part and parcel of government ideologies of the punishment of women lawbreakers, but transgender and gender-variant prisoners can extend this analysis to highlight the
gender binary as one source of this subjugation. This in turn extends gender analysis of state
penalty to include male prisoners as well.
Activists have much more work to do to begin to alleviate the chamber of horrors
transgender and gender-variant prisoners experience. However, this work complements and
enhances existing efforts to develop more alternatives to incarceration and programs that attack
the reasons why poor people of color are marginalized from legal economies in general. Taking

a look at gender oppression through the lens of transgender and gender-variant prisoners benefits
us all because doing so will advance the struggle to reverse the current “frenzied and brutal
lockup binge.”204[204]


Parenti at 163.



Federal Prison Handbook - Side
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