Gelly Morgane Audrey, Atgé-Delbays Sidonie, Gravel Élio, Sansfaçon Annie Pullen
School of Social Work, Université de Montréal, Montreal, Canada.
J Homosex. 2025 May 12;72(6):1002-1024. doi: 10.1080/00918369.2024.2362268. Epub 2024 Jun 4.
People whose gender does not align with their sex assigned at birth can undergo a medical transition process, so their body reflects their gender. However, some people interrupt this process temporarily or permanently, which is often referred to as "detransition." Media coverage of detrans experiences tend to attribute this phenomenon to a lack of medical gatekeeping. However, research has shown detransitions are highly unpredictable. The aim of this article is to examine the medical experiences of youth who have detransitioned during various stages of the process from transition to today. Twenty-five interviews with 15-25-year-old youth who detransitioned were conducted. Thematic analysis led to the development of six themes: facing gatekeeping and invalidation during transition, accessing trans care, lacking adequate support during transition, finding support in detransition, lacking support in detransition, leaving the medical system. Our results question the usefulness of gatekeeping to prevent detransition and shows that it tends to erode the trust relationship between youth and practitioners and stifle gender exploration. Validation, support, information giving as well as exploration without constrain, or expectation of outcome seems to be a more helpful way forward to work with gender diverse youth.
性别与出生时被指定的生理性别不一致的人可以经历医学过渡过程,使他们的身体反映其性别。然而,一些人会暂时或永久中断这个过程,这通常被称为“转回原性别”。媒体对转回原性别的报道往往将这种现象归因于缺乏医学把关。然而,研究表明转回原性别是高度不可预测的。本文的目的是研究在从过渡到现在的各个阶段中转回原性别的年轻人的医学经历。对15至25岁转回原性别的年轻人进行了25次访谈。主题分析得出了六个主题:在过渡期间面临把关和被否定、获得跨性别医疗护理、在过渡期间缺乏足够的支持、在转回原性别过程中找到支持、在转回原性别过程中缺乏支持、离开医疗系统。我们的结果质疑了把关对于防止转回原性别的有效性,并表明它往往会侵蚀年轻人与从业者之间的信任关系,抑制性别探索。确认、支持、提供信息以及无限制或无结果预期的探索似乎是与性别多样化的年轻人合作的更有益方式。