"I Don't Think This Is Theoretical; This Is Our Lives": How Erasure Impacts Health Care for Transgender People
"I Don't Think This Is Theoretical; This Is Our Lives": How Erasure Impacts Health Care for Transgender People
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DOI：
10.1016/j.jana.2009.07.004
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发表时间：
2009-09-01
影响因子：
2
通讯作者：
Boyce, Michelle
中科院分区：
文献类型：
--
作者：
Bauer, Greta R.;Hammond, Rebecca;Boyce, Michelle
对于变性人、变性人或变性人来说，获得初级、紧急和与变性相关的医疗保健往往是有问题的。本文介绍了加拿大安大略省社区研究项目Trans Pulse项目第一阶段的结果。基于来自85个跨社区成员的焦点小组的定性数据，开发了一个理论框架，描述擦除功能如何影响与医疗保健系统互动的体验。确定了两个关键的删除位置：信息删除和机构删除。这些过程是如何以相互加强的方式工作的，以消除跨性个人和社区，并产生一个系统，在这个系统中，跨性患者或客户被视为异常。因此，试图弥补系统性缺陷的动力往往落在跨性别者身上。为了解释反式擦除的渗透性，引入了顺规性的概念。确定了变革的战略。
For people who are transgender transsexual, or transitioned (trans), access to primary, emergency, and transition-related health care is often problematic. Results from Phase I of the Trans PULSE Project, a community-based research project in Ontario, Canada, are presented. Based on qualitative data from focus groups with 85 trans community members, a theoretical framework describing how erasure functions to impact experiences interacting with the health care system was developed. Two key sites of erasure were identified: informational erasure and institutional erasure. How these processes work in a mutually reinforcing manner to erase trans individuals and communities and produce a system in which a trans patient or client is seen as an anomaly is shown. Thus, the impetus often falls on trans individuals to attempt to remedy systematic deficiencies. The concept of cisnormativity is introduced to aid in explaining the pervasiveness of trans erasure. Strategies for change are identified.