Umeå University, Sweden.
University of Gothenburg, Sweden.
Health (London). 2019 Jan;23(1):21-38. doi: 10.1177/1363459317708824. Epub 2017 May 19.
The few previous studies investigating regulation of gender in trans-specific healthcare are mainly based on text material and interviews with care-providers or consist solely of theoretical analyses. There is a lack of studies analysing how the regulation of gender is expressed in the care-seeker's own experiences, especially in a Nordic context. The aim of this study is to analyse narratives of individuals with trans experiences (sometimes called transgender people) to examine how gender performances can be regulated in trans-specific care in Sweden. The conceptual framework is inspired by trans studies, a Foucauldian analysis of power, queer phenomenology and the concept of cisnormativity. Fourteen interviews with people with trans experiences are analysed with constructivist grounded theory. The participants' experiences indicate that gender is constructed as norm-conforming, binary and stable in trans-specific healthcare. This gendered position is resisted, negotiated and embraced by the care-seekers. Norms and discourses both inside and outside trans-specific care contribute to the regulation and limit the room for action for care-users. We conclude that a trans-specific care that has a confirming approach to its care-users, instead of the current focus on gender norm conformity, has the potential to increase the self-determination of gender performance and increase the quality of care.
先前少数几项研究关注跨性别者特定医疗保健中的性别调节，这些研究主要基于文本材料和对护理提供者的访谈，或者仅进行理论分析。缺乏分析跨性别者自身经历中性别调节如何表达的研究，尤其是在北欧背景下。本研究旨在分析具有跨性别经历的个体（有时被称为跨性别者）的叙述，以探讨在瑞典的跨性别者特定医疗保健中，性别表现如何受到调节。概念框架的灵感来自跨性别研究、福柯的权力分析、酷儿现象学和顺性别规范概念。对 14 名具有跨性别经历的参与者进行了访谈，采用建构主义扎根理论进行分析。参与者的经历表明，跨性别者特定医疗保健中将性别构建为符合规范、二元和稳定的。寻求护理者抵制、协商和接受这种性别定位。规范和话语无论是在跨性别者特定护理内部还是外部，都对调节和限制护理使用者的行动空间做出贡献。我们得出结论，与当前关注性别规范一致性相比，对护理使用者具有确认方法的跨性别者特定护理有可能增加性别表现的自主性，并提高护理质量。
