How the Clinic Made Gender
How the Clinic Made Gender

Author: Sandra Eder

Publisher: University of Chicago Press

Published: 2022-06-07

Total Pages: 341

ISBN-13: 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

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
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
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.

Medical Bondage
Medical Bondage

Author: Deirdre Cooper Owens

Publisher: University of Georgia Press

Published: 2017-11-15

Total Pages: 182

ISBN-13: 0820351342

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The accomplishments of pioneering doctors such as John Peter Mettauer, James Marion Sims, and Nathan Bozeman are well documented. It is also no secret that these nineteenth-century gynecologists performed experimental caesarean sections, ovariotomies, and obstetric fistula repairs primarily on poor and powerless women. Medical Bondage breaks new ground by exploring how and why physicians denied these women their full humanity yet valued them as “medical superbodies” highly suited for medical experimentation. In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white “ladies.” Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities. Medical Bondage moves between southern plantations and northern urban centers to reveal how nineteenth-century American ideas about race, health, and status influenced doctor-patient relationships in sites of healing like slave cabins, medical colleges, and hospitals. It also retells the story of black enslaved women and of Irish immigrant women from the perspective of these exploited groups and thus restores for us a picture of their lives.

Gender Dysphoria
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.

The Man Who Invented Gender
The Man Who Invented Gender

Author: Professor Department of English Terry Goldie

Publisher: UBC Press

Published: 2014-01-01

Total Pages: 257

ISBN-13: 0774827947

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A controversial figure, innovative scholar, and ardent advocate for sexual liberation, sexologist John Money opened a new field of research in sexual science and gave currency to medical ideas about human sexuality. This book offers, for the first time, a balanced and probing textual analysis of this pioneering scholar’s writing to assess Money’s profound impact on the debates and research on sexuality and gender that dominated the last half of the twentieth century. The author recovers Money’s brilliance and insight from simplistic dismissals of his work due to his involvement in the tragic David Reimer case, while never losing sight of his flaws.

Women of Mayo Clinic
Women of Mayo Clinic

Author: Virginia M Wright-Peterson

Publisher: Minnesota Historical Society

Published: 2016-03-01

Total Pages: 217

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.

Trans Kids
Trans Kids

Author: Tey Meadow

Publisher: Univ of California Press

Published: 2018-08-17

Total Pages: 312

ISBN-13: 0520964160

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Trans Kids is a trenchant ethnographic and interview-based study of the first generation of families affirming and facilitating gender nonconformity in children. Earlier generations of parents sent such children for psychiatric treatment aimed at a cure, but today, many parents agree to call their children new names, allow them to wear whatever clothing they choose, and approach the state to alter the gender designation on their passports and birth certificates. Drawing from sociology, philosophy, psychology, and sexuality studies, sociologist Tey Meadow depicts the intricate social processes that shape gender acquisition. Where once atypical gender expression was considered a failure of gender, now it is a form of gender. Engaging and rigorously argued, Trans Kids underscores the centrality of ever more particular configurations of gender in both our physical and psychological lives, and the increasing embeddedness of personal identities in social institutions.

Irreversible Damage
Irreversible Damage

Author: Abigail Shrier

Publisher: Simon and Schuster

Published: 2020-06-30

Total Pages: 180

ISBN-13: 1684510465

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NAMED A BOOK OF THE YEAR BY THE ECONOMIST AND ONE OF THE BEST BOOKS OF 2021 BY THE TIMES AND THE SUNDAY TIMES "Irreversible Damage . . . has caused a storm. Abigail Shrier, a Wall Street Journal writer, does something simple yet devastating: she rigorously lays out the facts." —Janice Turner, The Times of London Until just a few years ago, gender dysphoria—severe discomfort in one’s biological sex—was vanishingly rare. It was typically found in less than .01 percent of the population, emerged in early childhood, and afflicted males almost exclusively. But today whole groups of female friends in colleges, high schools, and even middle schools across the country are coming out as “transgender.” These are girls who had never experienced any discomfort in their biological sex until they heard a coming-out story from a speaker at a school assembly or discovered the internet community of trans “influencers.” Unsuspecting parents are awakening to find their daughters in thrall to hip trans YouTube stars and “gender-affirming” educators and therapists who push life-changing interventions on young girls—including medically unnecessary double mastectomies and puberty blockers that can cause permanent infertility. Abigail Shrier, a writer for the Wall Street Journal, has dug deep into the trans epidemic, talking to the girls, their agonized parents, and the counselors and doctors who enable gender transitions, as well as to “detransitioners”—young women who bitterly regret what they have done to themselves. Coming out as transgender immediately boosts these girls’ social status, Shrier finds, but once they take the first steps of transition, it is not easy to walk back. She offers urgently needed advice about how parents can protect their daughters. A generation of girls is at risk. Abigail Shrier’s essential book will help you understand what the trans craze is and how you can inoculate your child against it—or how to retrieve her from this dangerous path.