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“如果他们不支持我,我很可能就不会在这里了”:澳大利亚的跨性别年轻人及其父母就医疗治疗进行协商。

'If they didn't support me, I most likely wouldn't be here': Transgender young people and their parents negotiating medical treatment in Australia.

作者信息

Riggs Damien W, Bartholomaeus Clare, Sansfaçon Annie Pullen

机构信息

College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia.

School of Social Work, University of Montreal, Montreal, Quebec, Canada.

出版信息

Int J Transgend Health. 2019 Nov 20;21(1):3-15. doi: 10.1080/15532739.2019.1692751. eCollection 2020.

Abstract

It is increasingly recognized that transgender young people require affirming medical care, however the provision of such care may be mitigated by the availability of services and the views of parents. This study aimed to explore the views of Australian transgender young people (aged 11-17) and their parents with regards to medical treatment. Ten qualitative interviews were conducted with parent-child dyads in two Australian states. Thematic analysis was undertaken on responses to interview questions related to family relationships, views about medical treatment (specifically hormone blockers and hormones), and the relationship between medical treatment and sense of self. Themes developed focused on the importance of strong supportive parent-child relationships, the meaning of and access to hormone blockers, and the meaning of and access to hormones. The paper concludes by discussing the implications of the findings for clinical services, particularly in relation to supporting parents to be affirming of a transgender child, the need to prepare transgender young people and their parents for the passage of time in regards to medical treatment, and the need to focus on expectations in regards to sense of self in relation to medical treatment.

摘要

越来越多的人认识到,跨性别青少年需要得到肯定性的医疗护理,然而,此类护理的提供可能会受到服务可及性和家长观点的影响。本研究旨在探讨澳大利亚11至17岁跨性别青少年及其父母对医疗治疗的看法。在澳大利亚的两个州,对亲子二元组进行了10次定性访谈。对与家庭关系、对医疗治疗(特别是激素阻断剂和激素)的看法以及医疗治疗与自我认知之间关系的访谈问题的回答进行了主题分析。所形成的主题聚焦于稳固支持性亲子关系的重要性、激素阻断剂的意义及获取途径,以及激素的意义及获取途径。本文最后讨论了研究结果对临床服务的影响,特别是在支持家长肯定跨性别子女方面,在医疗治疗方面让跨性别青少年及其父母为时间的推移做好准备的必要性,以及在医疗治疗方面关注自我认知期望的必要性。

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Gender-affirming care needed for transgender children.跨性别儿童需要性别肯定性医疗服务。
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Developing gender: The medical treatment of transgender young people.成长中的性别:跨性别青少年的医学治疗。
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