Giving Sex: Deconstructing Intersex and Trans Medicalization Practices
Giving Sex: Deconstructing Intersex and Trans Medicalization Practices
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DOI：
10.1177/0891243215602102
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发表时间：
2016-06-01
期刊：
影响因子：
5.5
通讯作者：
Murphy, Erin L.
中科院分区：
文献类型：
--
作者：
Davis, Georgiann;Dewey, Jodie M.;Murphy, Erin L.
尽管医疗提供者依靠类似的工具来治疗双性人和跨性别者，但他们的医疗实践的制定却有所不同。为了解构这些复杂性，我们对专门从事间性和跨性别医学的提供者进行了比较分析。虽然两组提供者都倾向于持有关于性、社会性别和性行为的本质主义意识形态，但我们认为他们以不同的方式将双性人和跨性别者的体现医学化。双性人的提供者倾向于将双性人视为需要医疗护理的紧急情况，而跨性别者的提供者则试图减缓患者对过渡服务的紧急请求。基于给予性别的概念，我们认为两组提供者都通过给予性来给予性别。在这两种情况下，提供者也将自己的医疗实践责任转移给其他人：双性人的父母，或变性人的成年接受护理者。根据大多数提供者的说法，当一个人坚持异性恋性别规范时，就可以实现成功的医疗干预。
Although medical providers rely on similar tools to treat intersex and trans individuals, their enactment of medicalization practices varies. To deconstruct these complexities, we employ a comparative analysis of providers who specialize in intersex and trans medicine. While both sets of providers tend to hold essentialist ideologies about sex, gender, and sexuality, we argue they medicalize intersex and trans embodiments in different ways. Providers for intersex people are inclined to approach intersex as an emergency that necessitates medical attention, whereas providers for trans people attempt to slow down their patients' urgent requests for transitioning services. Building on conceptualizations of giving gender, we contend both sets of providers give gender by giving sex. In both cases too, providers shift their own responsibility for their medicalization practices onto others: parents in the case of intersex, or adult recipients of care in the case of trans. According to the accounts of most providers, successful medical interventions are achieved when a person adheres to heteronormative gender practices.