Finding One's Way Through the Gender Expanse: Examining the Use of Metaphors in Gender-Affirming Care as a Step Toward More Inclusive Spiritual Care Practices

Chaplains can play a unique role in providing care for trans and gender-diverse (TGD) people by addressing their spiritual needs. However, spiritual care for TGD individuals may fail to be inclusive in at least three ways: spiritual care may focus solely on religious TGD people, on a limited part of the whole range of gender identities, or on a specific route toward gender affirmation. In this article, the aim is to develop an inclusive perspective on spiritual care for TGD people. To that end, inspired by work by Susan Sontag, we examine spiritual care for TGD individuals through the philosophical lens of social imaginaries, focussing particularly on metaphors, tracing how metaphors used in care for TGD people have changed over time. We elaborate on the potential of the metaphor of “orientation in gender-expansive space,” based on queer theory and literature about worldview-inclusive chaplaincy, for envisioning an inclusive approach to gender-affirming spiritual care.