Dewey Jodie M
Concordia University-Chicago, Chicago, Illinois, USA.
Qual Health Res. 2008 Oct;18(10):1345-55. doi: 10.1177/1049732308324247.
In this article, I examine the accounts of transsexual/transgender patients and their involvement with medical professionals in the Midwestern United States. Data are taken from 22 in-depth interviews and one year of participant observation of three transsexual/transgender organizations. I show that trans-patients are made aware of larger political, religious, and cultural ideologies through their medical experiences. Trans-patients internalize these views, which affect how they make sense of their medical treatment and how they choose to alter their behavior in future medical encounters. Trans-patients, in an attempt to gain credibility and avoid stigmas, prepare how they will approach doctors to improve their likelihood of receiving desired treatments. The data will reveal that through their approach, trans-patients both support and challenge existing medical knowledge. Patients support medical discourse by using established medical language in their interaction with doctors. Patients challenge medical knowledge by resisting established medical decisions.
在本文中，我考察了美国中西部地区变性者/跨性别者患者的情况以及他们与医疗专业人员的接触。数据取自22次深度访谈以及对三个变性者/跨性别者组织为期一年的参与观察。我发现，跨性别患者通过其医疗经历了解到更广泛的政治、宗教和文化意识形态。跨性别患者将这些观点内化，这影响了他们对医疗治疗的理解方式以及他们在未来医疗接触中选择改变自身行为的方式。为了获得可信度并避免污名化，跨性别患者会准备好如何与医生沟通，以提高获得期望治疗的可能性。数据将表明，通过这种方式，跨性别患者既支持又挑战了现有的医学知识。患者在与医生互动时使用既定的医学语言，从而支持医学话语。患者通过抵制既定的医疗决定来挑战医学知识。
