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“感觉他们试图让我们陷入不稳定状态”:英国儿童性别服务中的家长评估

"It felt like they were trying to destabilise us": Parent assessment in UK children's gender services.

作者信息

Horton Cal

机构信息

Department of Education, University of Goldsmiths, London, UK.

出版信息

Int J Transgend Health. 2021 Dec 13;24(1):70-85. doi: 10.1080/26895269.2021.2004569. eCollection 2023.

Abstract

Pediatric gender clinics have a long history of analyzing and scrutinizing parents of trans children. At present, gender services in countries like the UK continue to hold clinical sessions with parents of pre-adolescent transgender children, sometimes extending over many years. Clinician viewpoints dominate the limited existing literature, with little analysis of the perspectives of parents of trans children. The study aimed to understand the experiences that parents of socially transitioned pre-adolescent trans children have had in UK gender clinics. Data were drawn from semi-structured qualitative interviews with 30 UK-based parents of socially transitioned trans children - children who socially transitioned, for example, changed pronoun, under the age of eleven. This article analyzed a subset of a wider dataset, focusing on data from 23 parents relating to parental engagement with UK NHS gender clinics before their child reached adolescence. Themes emerging from the dataset included parents feeling under a microscope, and parents finding gender clinic sessions judgemental, intrusive and inappropriate. Interviewees reported clinician discouragement of listening to and validating their children, as well as a lack of emotional support. The article presents evidence of continued pathologisation and problematisation of childhood gender diversity in parental engagements with UK children's gender clinics. It concludes by contrasting current UK practice as described in parental accounts with gender affirmative approaches to supporting parents of trans children.

摘要

儿科性别诊所长期以来一直在分析和审查跨性别儿童的父母。目前,在英国等国家,针对青春期前跨性别儿童的父母,性别服务机构仍在继续开展临床问诊,有时会持续多年。临床医生的观点主导了现有的有限文献,对跨性别儿童父母的观点分析很少。该研究旨在了解在英国性别诊所中,已进行社会过渡的青春期前跨性别儿童的父母的经历。数据来自对30位居住在英国的已进行社会过渡的跨性别儿童的父母的半结构化定性访谈——这些儿童在11岁之前进行了社会过渡,例如更改了代词。本文分析了一个更广泛数据集的一个子集,重点关注23位父母在孩子青春期前与英国国民医疗服务体系(NHS)性别诊所接触的数据。数据集中出现的主题包括父母感觉自己受到审视,以及父母认为性别诊所的问诊带有评判性、侵扰性且不合适。受访者报告称,临床医生不鼓励倾听和认可他们的孩子,并且缺乏情感支持。本文提供了证据,表明在英国儿童性别诊所中,父母与诊所接触时,童年性别多样性持续被病理化和问题化。文章最后将父母描述的当前英国的做法与支持跨性别儿童父母的性别肯定方法进行了对比。

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本文引用的文献

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Youth and Parent Experiences in a Multidisciplinary Gender Clinic.多学科性别诊所中的青少年及家长经历
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Patient and Parent Experiences of Care at a Pediatric Gender Service.儿科性别服务中患者及家长的护理体验
Transgend Health. 2018 Dec 28;3(1):251-256. doi: 10.1089/trgh.2018.0016. eCollection 2018.

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