Interrogating Gender-Exploratory Therapy

被引:33
作者
Ashley, Florence [1 ,2 ]
机构
[1] Univ Toronto, Fac Law, Toronto, ON, Canada
[2] Joint Ctr Bioeth, Toronto, ON, Canada
关键词
assessment; diagnosis; clinical ethics; conversion practices; culture; diversity; gender exploration; sex; gender; transgender; HEALTH-CARE; TRANSGENDER; NEUTRALITY;
D O I
10.1177/17456916221102325
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Opposition to gender-affirmative approaches to care for transgender youths by some clinicians has recently begun to consolidate around "gender exploratory therapy" as a proposed alternative. Whereas gender-affirmative approaches follow the client's lead when it comes to gender, gender-exploratory therapy discourages gender affirmation in favor of exploring through talk therapy the potential pathological roots of youths' trans identities or gender dysphoria. Few detailed descriptions of the approach's parameters have been offered. In this article, I invite clinicians to reflect on gender-exploratory therapy through a series of questions. The questions are followed by an exploration of the strong conceptual and narrative similarities between gender-exploratory therapy and conversion practices. Finally, the ethical dimensions of gender-exploratory therapy are discussed from the lenses of therapeutic neutrality, patient-centered care, loving attention, and therapeutic alliance, suggesting that the approach may be unethical.
引用
收藏
页码:472 / 481
页数:10
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