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How the Clinic Made Gender

Author: Sandra Eder

Publisher: University of Chicago Press

Published: 2022-06-07

Total Pages: 341

ISBN-13: 0226819930

"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

Author: Sandra Eder

Publisher: University of Chicago Press

Published: 2022-06-07

Total Pages: 341

ISBN-13: 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.

How Sex and Gender Impact Clinical Practice

Author: Marjorie R. Jenkins

Publisher: Academic Press

Published: 2020-12-18

Total Pages: 360

ISBN-13: 0128165693

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How Sex and Gender Impact Clinical Practice: An Evidence-Based Guide to Patient Care enables primary care clinicians by providing a framework to understand differences and better care for patients in their practice. Each chapter covers a subspecialty in medicine and discusses the influence of sex hormones on disease, along with sex and gender-based differences in clinical presentation, physical examination, laboratory results, treatment regimens, comorbidities and prognosis. Illustrative case examples and practical practice points help each chapter come alive. A special chapter on communication differences between men and women assists clinicians in their conversations with patients. This book fills an important need by applying years of research findings to sex and gender specific medical care and demonstrating that an individualized approach to patient care will lead to improved detection, treatment and prevention of disease. Explores the effects of sex and gender on disease presentation, treatment and prognosis, and how these differences influence clinical decision-making Provides practical guidance that helps clinicians implement a more individualized approach to patient care Contains information on diseases in each major specialty, as well as chapters on communication, pharmacology and public health challenges

A Clinician's Guide to Gender-Affirming Care

Author: Sand C. Chang

Publisher: New Harbinger Publications

Published: 2018-12-01

Total Pages: 186

ISBN-13: 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.

Women of Mayo Clinic

Author: Virginia M Wright-Peterson

Publisher: Minnesota Historical Society

Published: 2016-03-01

Total Pages: 212

ISBN-13: 1681340011

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The story of Mayo Clinic begins on the Minnesota prairie following a devastating tornado in 1883. It also begins with the women who joined the growing practice as physicians, as laboratory researchers, as developers of radium therapy and cancer treatments, and as innovators in virtually all aspects of patient care, education, and research. While these women contributed to the clinic’s origins and success, their roles have not been widely celebrated—until now. Women of Mayo Clinic traces those early days from the perspectives of more than forty women—nurses, librarians, social workers, mothers, sisters, and wives—who were instrumental in the world-renowned medical center’s development. Mother Alfred Moes persuaded Dr. William Worrall Mayo to take on the hospital project. Edith Graham was the first professionally trained nurse to work at the practice. Alice Magaw developed a national reputation administering anesthesia in the operating rooms there. Maud Mellish Wilson established the library and burnished the clinic’s standing through widely distributed publications about its innovations. Virginia Wright-Peterson tells the stories of these and other talented, dedicated pioneers through institutional records and clippings from the period, introducing a welcome new perspective on the history of both Mayo Clinic and women in medicine.

Sex and Gender Aspects in Clinical Medicine

Author: Sabine Oertelt-Prigione

Publisher: Springer Science & Business Media

Published: 2011-11-15

Total Pages: 211

ISBN-13: 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.

Gender Dysphoria

Author: Susan Evans

Publisher: Phoenix Publishing House

Published: 2021-05-20

Total Pages: 292

ISBN-13: 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.

NO BODY

Author: Miguel Roselló-Peñaloza

Publisher: Routledge

Published: 2018-05-17

Total Pages: 108

ISBN-13: 131539636X

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What articulations between bodies, genders and desires are required socio-culturally for recognition of what is human? What happens with those people who do not meet the heteronormative criteria of intelligible life? Are psychology and medicine part of the solution, or part of the problem? This pioneering book presents a novel analysis of transgender constructions within a clinical setting, examining the experiences of "transsexuality in treatment" interpreted through psychological, feminist, post-structuralist and queer theories. Based on research that includes interviews with the clinic’s professionals and users, notes from its group therapy sessions, and analysis of its manuals and scientific productions, the author shows how the psychological sciences not only "treat" transsexuality, but construct it in each of its elements: corporality, sexuality, identity, performances and vulnerability. Looking at the work of philosophers such as Michel Foucault, Judith Butler and Paul B. Preciado, this book also highlights how the productive character of language and other subjectifying technologies are linked to the symbolic and material violence that falls on these bodies, deconstructing the bio-scientific and sociocultural conceptions that nourish the understanding of trans life experiences that are medicalised and psychopathologised. No Body is a valuable book for students, researchers and professionals in critical psychology, psychiatry and social sciences, and anyone interested in the fields of transsexuality and homo/transphobia, feminism and queer theory, discourse analysis and the construction and signification of the body, gender and sexualities.

Trans Medicine

Author: Stef M. Shuster

Publisher:

Published: 2021

Total Pages: 223

ISBN-13: 9781479836291

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A rich examination of the history of trans medicine and current day practice Surfacing in the mid-twentieth century, yet shrouded in social stigma, transgender medicine is now a rapidly growing medical field. In Trans Medicine, stef shuster makes an important intervention in how we understand the development of this field and how it is being used to "treat" gender identity today. Drawing on interviews with medical providers as well as ethnographic and archival research, shuster examines how health professionals approach patients who seek gender-affirming care. From genital reconstructions to hormone injections, the practice of trans medicine charts new medical ground, compelling medical professionals to plan treatments without widescale clinical trials to back them up. Relying on cultural norms and gut instincts to inform their treatment plans, shuster shows how medical providers' lack of clinical experience and scientific research undermines their ability to interact with patients, craft treatment plans, and make medical decisions. This situation defies how providers are trained to work with patients and creates uncertainty. As providers navigate the developing knowledge surrounding the medical care of trans folk, Trans Medicine offers a rare opportunity to understand how providers make decisions while facing challenges to their expertise and, in the process, have acquired authority not only over clinical outcomes, but over gender itself.

Gender Identity Disorder and Psychosexual Problems in Children and Adolescents

Author: Kenneth J. Zucker

Publisher: Guilford Press

Published: 1995-10-13

Total Pages: 462

ISBN-13: 9780898622669

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This unique and timely volume provides a comprehensive overview of the most recent clinical work and research on the topic. Following an overview of the disorder, the first section of the book deals with young children, providing a detailed analysis of gender identity disorder in both boys and girls. The second section, which focuses on adolescents, covers gender identity disorder, transvestic fetishism - also based on the largest sample of individuals ever studied - and homosexuality. Detailed clinical case material, which brings the issues to life, is included throughout.