在跨性别医学中考虑神经规范性
1The Graduate Center, City University of New York, 365 5th Avenue, New York, NY, 10016, USA.
Social science & medicine (1982)
|February 5, 2025
概括
自闭症变性人面临着获得性别确认护理 (GAC) 的重大障碍,经常因为自闭症特征而经历更长的等待时间和拒绝. 该研究引入了"神经规范问责制",以解释神经分歧如何在跨性别医学中被病理化.
科学领域:
- 医学社会学 医学社会学
- 神经多样性研究 神经多样性研究
- 跨性别者健康 跨性别者健康
背景情况:
- 自闭症的跨性别者在获得性别确认护理 (GAC) 方面遇到独特的挑战.
- 现有的医疗实践可能无意中使自闭症特征变得病态化,从而造成护理障碍.
- 问责制的社会学概念与理解这些医疗保健差异有关.
研究的目的:
- 探索自闭症跨性别成年人如何在医疗系统中导航以获得GAC.
- 分析当前跨性别医学实践对自闭症跨性别个体的影响.
- 引入和应用神经规范性问责制的概念,以GAC访问.
主要方法:
- 美国对23名自闭症跨性别成年人进行半结构面试的分析.
- 定性研究方法,以了解生活经验.
- 社会学和神经多样性框架的应用.
主要成果:
- 自闭症的跨性别者经历了不成比例地更长的GAC等待时间.
- 自闭症特征有时被认为是拒绝护理的原因.
- 神经规范性问责制的概念有助于解释如何从神经典型期望的偏差导致加大审查或拒绝护理.
结论:
- 跨性别医学中的神经规范性有助于自闭症跨性别个体的病理化和医疗调节.
- 医疗保健系统需要适应,为自闭症跨性别者提供公平的GAC.
- 神经规范问责制的框架为改善神经差异群体GAC访问提供了洞察力.
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