Medical uncertainty and reproduction of the "normal": Decision-making around testosterone therapy in transgender pregnancy
Medical uncertainty and reproduction of the "normal": Decision-making around testosterone therapy in transgender pregnancy
复制标题
医学不确定性和“正常”的再现：跨性别妊娠中睾酮治疗的决策
DOI：
10.1016/j.ssmqr.2023.100297
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Pfeffer C
中科院分区：
文献类型：
--
作者：
Pfeffer C
医疗专业知识和权威通常是患者接受医疗建议的基础，患者生活中以健康为中心的行为改变的可能性受到激励和推动(PesCosolido，Tuch，&Martin，2001)。这一专门知识通过医疗社会控制、监测和官僚技术的过程得以运作，特别是在模棱两可和不确定的背景下(Almeling，2020，Almeling，2022，Conrad，1992，Freeman，2015，Poteat et al.，2013，Shuster，2019，Shuster，2021，Timmermann and Almeling，2009)。在怀孕的情况下，卫生保健提供者提供关于营养、锻炼、药物和物质使用、精神健康以及定期医疗监测的必要性的建议和协议，以保护基本上是两个患者--孕妇和胎儿--的健康和福祉(Rothman，2014)。
Medical expertise and authority often serve as foundations upon which patients’ uptake of medical advice is built, and possibilities for health-focused behavioral changes in the patient’s life are motivated and compelled (Pescosolido, Tuch, & Martin, 2001). This expertise is operationalized through processes of medical social control, surveillance, and bureaucratic technologies, particularly in the context of ambiguity and uncertainty (Almeling, 2020, Almeling, 2022, Conrad, 1992, Freeman, 2015, Poteat et al., 2013, shuster, 2019, shuster, 2021, Timmermans and Almeling, 2009). In the case of pregnancy, health care providers dispense advice and protocols around nutrition, exercise, pharmaceutical and substance use, mental health, and the need for regular medical monitoring to protect the health and wellbeing of, essentially, two patients—the pregnant person and the fetus (Rothman, 2014).