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Open Access Transgenderzorg als zorgpraktijk - De werking van cultuur, geld en instituties in een genderidentiteitskliniek in de Verenigde Staten

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Transgender health care as a care practice. Culture, money, and institutions at work in a gender identity clinic in the United States

While often approached as a field structured by stringent socio-medical ideas about gender and sex, transgender health care is, in addition, like any other medical field, also shaped by local ideologies of health and well-being, health insurance regulations, and institutional administrative processes. Drawing upon ethnographic fieldwork conducted in a gender identity clinic in the Midwestern United States, I offer a tripartite approach to understanding the interactions among culture, money, and institutions for the constitution of transgender health care. This tripartite model shows the dilemmas clinicians and transgender people are confronted with when providing help in or seeking access to an ideologically fragile field of medicine, in which the various parties involved raise questions of what constitutes transgenderism, who should cover the costs of care, and how to use mandatory diagnostic criteria. This article demonstrates that transgender care is as much about health and care, as it is about gender and sex.
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Keywords: Verenigde Staten; instituties; transgender; verzekeringen; zorg

Document Type: Research Article

Affiliations: lecturer in het Gender Studies Graduate Programma aan de Universiteit Utrecht

Publication date: May 1, 2014

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  • Het Tijdschrift voor Genderstudies is het forum voor de wetenschappelijke problematisering van sekse in relatie tot andere vormen van discriminatie en uitsluiting zoals etniciteit, seksualiteit, klasse of leeftijd. Er worden artikelen in gepubliceerd over gendervraagstukken vanuit alle relevante disciplines die een wetenschappelijke bijdrage leveren aan debatten over gender en intersectionaliteit in Nederland en Vlaanderen. Het tijdschrift is een interdisciplinair medium op het kruispunt van maatschappij-, cultuur-, geestes-, gezondheids- en natuurwetenschappen. Het verschijnt vier keer per jaar en biedt wetenschappelijke artikelen en daarnaast ook interviews, boekrecensies, discussiedossiers en opiniërende artikelen in het Nederlands en Engels. Artikelen worden dubbelblind beoordeeld door externe deskundigen.

    The Tijdschrift voor Genderstudies (Journal of Gender Studies) is a Dutch language forum for the scientific problematisation of gender in relation to ethnicity, sexuality, class, and age. The journal aims to contribute to debates about gender and diversity in the Netherlands and Flanders. The journal is an interdisciplinary medium operating at the intersection of society, culture, the humanities, health and science. The editorial staff is open to articles about gender issues from different disciplines, and also accepts English articles. As well as publishing articles, the journal includes essays, columns (short topical and polemical articles), interviews, reviews, summaries of dissertations and conference reports. Articles are subjected to a double blind peer review process.
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