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How the Clinic Made Gender

How the Clinic Made Gender
Author: Sandra Eder
Publisher: University of Chicago Press
Total Pages: 341
Release: 2022-06-07
Genre: Medical
ISBN: 0226819930
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"This timely history tells the story of how 'gender' was invented in American medicine. The concept of gender shifted from a pragmatic tool in the sex assignment of children with intersex traits in the 1950s to an essential category in clinics for transgender patients in the 1960s, to a feature of feminist debates about the sex/gender binary in the 1970s, to the word we know today. Our current idea of gender might not map exactly onto these earlier formulations, but we still live with the legacy of this genealogy. Sandra Eder reveals that there was-without a doubt- something new, transformative, and enduring about the concept of gender that developed through clinical practices at pediatric endocrinology clinics. The history of gender laid out in this book shows that these ideas held no single, unified meaning-neither within the clinic nor outside it-and that 'gender' was shaped by the behaviors and needs of those who used and adapted it. This is not a neat and tidy story about the introduction of a liberating concept. Nor does this book simply focus on the development of a medical regime that subjected intersex infants to irreversible genital surgery. Rather, How the Clinic Made Gender explores the shifting landscapes of discussion about sex, gender, and sexuality in modern US history. The process by which ideas about gender became medicalized, enforced, and popularized was messy, and how gender came to be understood and applied through the treatment of patients with intersex traits was fraught and contested. This book is about the intricate ways in which the most intimate of ideas were put into practice in medicine and how those clinical practices, in turn, have informed our ideas about gender to this day"--

How the Clinic Made Gender

How the Clinic Made Gender
Author: Sandra Eder
Publisher: University of Chicago Press
Total Pages: 341
Release: 2022-06-07
Genre: Social Science
ISBN: 022657346X
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An eye-opening exploration of the medical origins of gender in modern US history. Today, a world without “gender” is hard to imagine. Gender is at the center of contentious political and social debates, shapes policy decisions, and informs our everyday lives. Its formulation, however, is lesser known: Gender was first used in clinical practice. This book tells the story of the invention of gender in American medicine, detailing how it was shaped by mid-twentieth-century American notions of culture, personality, and social engineering. Sandra Eder shows how the concept of gender transformed from a pragmatic tool in the sex assignment of children with intersex traits in the 1950s to an essential category in clinics for transgender individuals in the 1960s. Following gender outside the clinic, she reconstructs the variable ways feminists integrated gender into their theories and practices in the 1970s. The process by which ideas about gender became medicalized, enforced, and popularized was messy, and the route by which gender came to be understood and applied through the treatment of patients with intersex traits was fraught and contested. In historicizing the emergence of the sex/gender binary, Eder reveals the role of medical practice in developing a transformative idea and the interdependence between practice and wider social norms that inform the attitudes of physicians and researchers. She shows that ideas like gender can take on a life of their own and may be used to question the normative perceptions they were based on. Illuminating and deeply researched, the book closes a notable gap in the history of gender and will inspire current debates on the relationship between social norms and medical practice.

A Clinician's Guide to Gender-Affirming Care

A Clinician's Guide to Gender-Affirming Care
Author: Sand C. Chang
Publisher: New Harbinger Publications
Total Pages: 186
Release: 2018-12-01
Genre: Psychology
ISBN: 1684030544
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Transgender and gender nonconforming (TNGC) clients have complex mental health concerns, and are more likely than ever to seek out treatment. This comprehensive resource outlines the latest research and recommendations to provide you with the requisite knowledge, skills, and awareness to treat TNGC clients with competent and affirming care. As you know, TNGC clients have different needs based on who they are in relation to the world. Written by three psychologists who specialize in working with the TGNC population, this important book draws on the perspective that there is no one-size-fits-all approach for working with TNGC clients. It offers interventions tailored to developmental stages and situational factors—for example, cultural intersections such as race, class, and religion. This book provides up-to-date information on language, etiquette, and appropriate communication and conduct in treating TGNC clients, and discusses the history, cultural context, and ethical and legal issues that can arise in working with gender-diverse individuals in a clinical setting. You’ll also find information about informed consent approaches that call for a shift in the role of the mental health provider in the position of assessment and referral for the purposes of gender-affirming medical care (such as hormones, surgery, and other procedures). As changes in recent transgender health care and insurance coverage have provided increased access for a broader range of consumers, it is essential to understand transgender and gender nonconforming clients’ different needs. This book provides practical exercises and skills you can use to help TNGC clients thrive.

Just One of the Guys?

Just One of the Guys?
Author: Kristen Schilt
Publisher: University of Chicago Press
Total Pages: 227
Release: 2011-01-15
Genre: Social Science
ISBN: 0226738086
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The fact that men and women continue to receive unequal treatment at work is a point of contention among politicians, the media, and scholars. Common explanations for this disparity range from biological differences between the sexes to the conscious and unconscious biases that guide hiring and promotion decisions. Just One of the Guys? sheds new light on this phenomenon by analyzing the unique experiences of transgender men—people designated female at birth whose gender identity is male—on the job. Kristen Schilt draws on in-depth interviews and observational data to show that while individual transmen have varied experiences, overall their stories are a testament to systemic gender inequality. The reactions of coworkers and employers to transmen, Schilt demonstrates, reveal the ways assumptions about innate differences between men and women serve as justification for discrimination. She finds that some transmen gain acceptance—and even privileges—by becoming “just one of the guys,” that some are coerced into working as women or marginalized for being openly transgender, and that other forms of appearance-based discrimination also influence their opportunities. Showcasing the voices of a frequently overlooked group, Just One of the Guys? lays bare the social processes that foster forms of inequality that affect us all.

Sex and Gender Aspects in Clinical Medicine

Sex and Gender Aspects in Clinical Medicine
Author: Sabine Oertelt-Prigione
Publisher: Springer Science & Business Media
Total Pages: 211
Release: 2011-11-15
Genre: Medical
ISBN: 0857298321
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This book is a concise, easy to read professional text with a focus on practical aspects. All chapters include tables on sex/gender differences in symptoms and management and a series of suggestions to the novice in the field. Chapters are specialty-specific. The focus is not on women’s health, but the presentation of differences in clinical symptoms, management and outcomes in women and men. Gender Medicine strives to employ the knowledge about these differences to improve diagnosis, better understand pathogenesis and advance patient-oriented therapy.

Bodies of Knowledge

Bodies of Knowledge
Author: Wendy Kline
Publisher: University of Chicago Press
Total Pages: 218
Release: 2010-10-15
Genre: Health & Fitness
ISBN: 0226443086
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Throughout the 1970s & 1980s, women argued that unless they gained information about their own bodies, there would be no equality. Wendy Kline considers the ways in which ordinary women worked to position the female body at the centre of women's liberation.

The Perfect Servant

The Perfect Servant
Author: Kathryn M. Ringrose
Publisher: University of Chicago Press
Total Pages: 309
Release: 2007-11-01
Genre: Social Science
ISBN: 0226720160
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The Perfect Servant reevaluates the place of eunuchs in Byzantium. Kathryn Ringrose uses the modern concept of gender as a social construct to identify eunuchs as a distinct gender and to illustrate how gender was defined in the Byzantine world. At the same time she explores the changing role of the eunuch in Byzantium from 600 to 1100. Accepted for generations as a legitimate and functional part of Byzantine civilization, eunuchs were prominent in both the imperial court and the church. They were distinctive in physical appearance, dress, and manner and were considered uniquely suited for important roles in Byzantine life. Transcending conventional notions of male and female, eunuchs lived outside of normal patterns of procreation and inheritance and were assigned a unique capacity for mediating across social and spiritual boundaries. This allowed them to perform tasks from which prominent men and women were constrained, making them, in essence, perfect servants. Written with precision and meticulously researched, The Perfect Servant will immediately take its place as a major study on Byzantium and the history of gender.

The Gender Creative Child: Pathways for Nurturing and Supporting Children Who Live Outside Gender Boxes

The Gender Creative Child: Pathways for Nurturing and Supporting Children Who Live Outside Gender Boxes
Author: Diane Ehrensaft
Publisher: The Experiment, LLC
Total Pages: 324
Release: 2016-04-05
Genre: Social Science
ISBN: 1615193073
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From a leading US authority on a subject more timely than ever—an up-to-date, all-in-one resource on gender-nonconforming children and adolescents In her groundbreaking first book, Gender Born, Gender Made, Dr. Diane Ehrensaft coined the term gender creative to describe children whose unique gender expression or sense of identity is not defined by a checkbox on their birth certificate. Now, with The Gender Creative Child, she returns to guide parents and professionals through the rapidly changing cultural, medical, and legal landscape of gender and identity. In this up-to-date, comprehensive resource, Dr. Ehrensaft explains the interconnected effects of biology, nurture, and culture to explore why gender can be fluid, rather than binary. As an advocate for the gender affirmative model and with the expertise she has gained over three decades of pioneering work with children and families, she encourages caregivers to listen to each child, learn their particular needs, and support their quest for a true gender self. The Gender Creative Child unlocks the door to a gender-expansive world, revealing pathways for positive change in our schools, our communities, and the world.

Gender Dysphoria

Gender Dysphoria
Author: Susan Evans
Publisher: Phoenix Publishing House
Total Pages: 292
Release: 2021-05-20
Genre: Psychology
ISBN: 1800130376
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In recent years, there has been an explosion in the number of children and young people who diagnose themselves as gender dysphoric, or trans. In the UK, and worldwide, there is a growing tendency to refer them on to 'specialist' gender services almost as soon as they express any confusion or distress about their biological sex or gender identity. Due to the rapidly rising numbers and various pressures on the system, patients are increasingly likely to be offered life-altering medication and/or surgical treatments, often with little exploration of their emotional world. As so little is yet known or understood regarding this increase in gender incongruent patients, it seems precipitous to proceed onto physical treatments before any assessment work is undertaken. Many who present as gender dysphoric have complex needs with comorbid problems such as autism, histories of abuse or trauma, social phobias, depression, eating disorders, and other mental health symptoms. Therefore, all aspects of the individual's life deserve thorough assessment and therapeutic work. This book is aimed primarily at clinicians working in the field to provide a model for understanding, assessing, and treating gender dysphoria. The model uses a psychoanalytic framework to help explain disturbed states of mind and how psychic defences can be enlisted unconsciously to avoid overwhelming psychic pain. This offers professionals a way of trying to think with, and offer understanding to, their trans-identifying clients. Clinical examples are given to illustrate these processes and promote the understanding of transgender children, adolescents, and young people and their internal worlds, their thinking, and their interpersonal relationships. As well as clinical exploration and understanding, the book includes an overview of the current political, social, and clinical environments which have all impacted on the clinical care of trans-identifying individuals. As well as professional and trainee clinicians, this book might also prove useful to parents, other professionals, and possibly the gender dysphoric person too.

Intersexualization

Intersexualization
Author: Lena Eckert
Publisher: Taylor & Francis
Total Pages: 249
Release: 2016-12-08
Genre: Social Science
ISBN: 1317274113
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Since the 1970s, research into ‘Intersex’ has been a central fascination for feminist theorists seeking to make arguments about how men and women are created as social/gender categories. Intersexualization: The Clinic and the Colony takes the case of Olympic runner Caster Semenya as a starting point to explore the issue of determining sex, and the ways in which intersexuality is a ‘threat’ to the distinction between men/women, homosexuality/heterosexuality and white/black. By focusing on the 1950s and the 40 years after, Eckert shows how what she calls intersexualization began in psycho-medical research at the Johns Hopkins Hospital in Baltimore and UCLA, and has from there spread into cross-cultural anthropological accounts conducted in Papua New Guinea and the Dominican Republic. With cross-cultural intersexualization having been largely neglected in recent literature on intersex, this timely volume describes how such intersexualization derives from the combination of medicalization and pathologization through two crucial parts. The first part, “The Clinic,” describes historical psycho-medical material engaging with hermaphroditism ranging from Greek Mythology up to today. This is followed by “The Colony,” which analyzes, in several close-readings, cross-cultural anthropological, sexological and psychoanalytical accounts contributing to cross-cultural intersexualization. Enclosing a wide range of inter- and transdisciplinary approaches to heteronormative and dichotomously organized frames of knowledge and organization, this volume is essential reading for upper-undergraduate and post-graduate students within the fields of gender studies, social studies of medicine, anthropology,science and technology studies, cultural studies, sociology, and history of medicine.