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“为何应由他人来评判”:1970 年代至 1990 年代,性别肯定护理评估标准的编纂。

"Why should other people be the judge": The codification of assessment criteria for gender-affirming care, 1970s-1990s.

机构信息

University of Massachusetts Boston, Department of Psychology.

出版信息

Hist Psychol. 2023 Aug;26(3):210-246. doi: 10.1037/hop0000238.

DOI:10.1037/hop0000238
PMID:37561465
Abstract

In order to access gender-affirming care, transgender individuals were historically required by international guidelines to undergo mental health provider assessment (Coleman et al., 2012). This requirement for universal mental health provider involvement, initially formulated via professional expert opinion, has not been retained in the most recent World Professional Association for Transgender Health Standards of Care (WPATH SOC 8; Coleman et al., 2022). In the present analysis, I sought to examine the historical and cultural contexts of these expert opinions codified in the first version of the WPATH SOC released in 1979. Foucauldian genealogy and qualitative thematic analysis guided data collection and analysis. Study themes of debate, codification, and change outline the codification of early gender identity research criteria in SOC. These themes examine the historical context of the codification of mental health assessment for access to gender-affirming care. Historical perspectives from trans individuals themselves on assessment criteria are represented in the analysis, including the notable impacts of an individual's race, class, and sexual orientation on attitudes towards assessment practices. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

为了获得性别肯定护理,国际指南历来要求跨性别者接受心理健康提供者的评估(Coleman 等人,2012 年)。最初通过专业专家意见制定的普遍心理健康提供者参与的这一要求,并未保留在最近的世界专业协会跨性别健康护理标准(WPATH SOC 8;Coleman 等人,2022 年)中。在本分析中,我试图检查 1979 年发布的 WPATH SOC 第一版中编入的这些专家意见的历史和文化背景。福柯的谱系学和定性主题分析指导了数据收集和分析。研究主题的争论、编纂和变化概述了 SOC 中早期性别认同研究标准的编纂。这些主题考察了为获得性别肯定护理而对心理健康评估进行编纂的历史背景。分析中代表了跨性别者本人对评估标准的历史观点,包括一个人的种族、阶级和性取向对评估实践态度的显著影响。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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