Geoffrey Dierckxsens
Phenomenological Interview and Gender Dysphoria: A Third Pathway for Diagnosis and Treatment
Dierckxsens, Geoffrey; R Baron, Teresa
Abstract
Gender dysphoria (GD) is marked by an incongruence between a person's biological sex at birth, and their felt gender (or gender identity). There is continuing debate regarding the benefits and drawbacks of physiological treatment of GD in children, a pathway, beginning with endocrine treatment to suppress puberty. Currently, the main alternative to physiological treatment consists of the so-called "wait-And-see"approach, which often includes counseling or other psychotherapeutic treatment. In this paper, we argue in favor of a "third pathway"for the diagnosis and treatment of GD in youths. To make our case, we draw on a recent development in bioethics: The phenomenological approach. Scholars such as Slatman and Svenaeus have argued that the extent to which the body can (or should be) manipulated or reconstructed through medical intervention is not only determined by consideration of ethical frameworks and social and legal norms. Rather, we must also take account of patients' personal experience of their body, the personal and social values associated with it, and their understanding of its situation in their life: Their narrative identities. We apply this phenomenological approach to medicine and nursing to the diagnosis and treatment of GD in youth. In particular, we discuss Zahavi and Martiny's conception of the phenomenological interview, in order to show that narrative techniques can assist in the process of gender identification and in the treatment of youth presenting with GD. We focus on two case studies that highlight the relevance of a narrative-based interview in relations between patients, HCPs, and family, to expose the influence of social ideologies on how young people presenting with GD experience their bodies and gender.
Citation
Dierckxsens, G., & R Baron, T. (2024). Phenomenological Interview and Gender Dysphoria: A Third Pathway for Diagnosis and Treatment. Journal of Medicine and Philosophy, 49(1), 28-42. https://doi.org/10.1093/jmp/jhad039
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 1, 2022 |
Online Publication Date | Sep 27, 2023 |
Publication Date | 2024-02 |
Deposit Date | Aug 5, 2024 |
Journal | The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine |
Print ISSN | 0360-5310 |
Electronic ISSN | 1744-5019 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 49 |
Issue | 1 |
Pages | 28-42 |
DOI | https://doi.org/10.1093/jmp/jhad039 |
Public URL | https://nottingham-repository.worktribe.com/output/37949353 |
Publisher URL | https://academic.oup.com/jmp/article/49/1/28/7284280 |
You might also like
Surrogacy and the Fiction of Medical Necessity
(2023)
Journal Article
Surrogacy and Adoption: An Empirical Investigation of Public Moral Attitudes
(2024)
Journal Article
Pregnancy, pain and pathology: a reply to Smajdor and Räsänen
(2024)
Journal Article
The law and ethics of a property rights approach to frozen embryo disputes
(2023)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search