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[墨西哥城变性女性的性别操演、医学化与健康]

[Gender performativity, medicalization and health in transsexual women in Mexico City].

作者信息

Cosme José Arturo Granados, Ramírez Pedro Alberto Hernández, Muñoz Omar Alejandro Olvera

机构信息

Doctor en Antropología. Profesor Investigador, Universidad Autónoma Metropolitana, México.

Maestro en Medicina Social. Consejo Nacional para Prevenir la Discriminación, México.

出版信息

Salud Colect. 2017 Oct-Dec;13(4):633-646. doi: 10.18294/sc.2017.1363.

DOI:10.18294/sc.2017.1363
PMID:29340443
Abstract

The World Health Organization and the American Psychological Association consider transsexuality a pathology and suggest sex-gender reassignment for the biopsychic adjustment of trans people. Through the discursive analysis of experience, this study describes the processes of medicalization and gender performativity in relation to the health of a group of trans women from Mexico City. For this purpose, a qualitative study was conducted in which 10 semi-structured interviews were carried out in 2015. As part of medicalization, the pathologization of transsexuality generated psychic suffering; on the other hand, sex-gender reassignment also entailed additional risks. It is possible to conclude that in trans women, violence and exclusion constitute the primary experiences explaining their foremost health problems. Therefore, it is suggested that it is necessary for discrimination be reduced and for advancements to be made in safer medical interventions.

摘要

世界卫生组织和美国心理协会将变性视为一种病理学现象,并建议进行性别重新分配以促进跨性别者的生物心理调适。通过对经历的话语分析,本研究描述了与墨西哥城一群跨性别女性健康相关的医学化和性别表演性过程。为此,2015年进行了一项定性研究,开展了10次半结构化访谈。作为医学化的一部分,变性的病理化造成了心理痛苦;另一方面,性别重新分配也带来了额外风险。可以得出结论,对于跨性别女性而言,暴力和排斥是解释其首要健康问题的主要经历。因此,建议有必要减少歧视,并在更安全的医疗干预方面取得进展。

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