Gender-Affirming Care for Cisgender People

被引:10
作者
Schall, Theodore E.
Moses, Jacob D.
机构
基金
美国医疗保健研究与质量局;
关键词
transgender; LGBTQ plus health policy; history of medicine; gender-affirming care; bioethics; TRANSGENDER POPULATION; SURGERY;
D O I
10.1002/hast.1486
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Gender-affirming care is almost exclusively discussed in connection with transgender medicine. However, this article argues that such care predominates among cisgender patients, people whose gender identity matches their sex assigned at birth. To advance this argument, we trace historical shifts in transgender medicine since the 1950s to identify central components of "gender-affirming care" that distinguish it from previous therapeutic models, such as "sex reassignment." Next, we sketch two historical cases-reconstructive mammoplasty and testicular implants-to show how cisgender patients offered justifications grounded in authenticity and gender affirmation that closely mirror rationales supporting gender-affirming care for transgender people. The comparison exposes significant disparities in contemporary health policy regarding care for cis and trans patients. We consider two possible objections to the analogy we draw, but ultimately argue that these disparities are rooted in "trans exceptionalism" that produces demonstrable harm..
引用
收藏
页码:15 / 24
页数:10
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