The social dilemma of gender identity and gender expression： case research on medical social workers’ intervention in multidisciplinary joint diagnosis and treatment for transgender children and adolescents
10.12026/j.issn.1001-8565.2024.07.14
- VernacularTitle:性别认同与性别表达的社会困境：医务社工介入跨性别儿童青少年多学科联合诊疗案例研究
- Author:
Ying DONG
1
;
Yongzhi LIU
1
;
Feihong LUO
2
;
Jia WEI
3
;
Zhengnan SHI
4
;
Xiangning KONG
5
;
Yuxin HAO
5
;
Ning YANG
6
;
Zhangqian ZHENG
2
;
Lili FU
1
Author Information
1. Department of Social Work, National Children’s Medical Center/Children’s Hospital of Fudan University, Shanghai 201102, China
2. Department of Pediatric Endocrinology and Inherited Metabolic Diseases, National Children’s Medical Center/Children’s Hospital of Fudan University, Shanghai 201102, China
3. National Children’s Medical Center, Department of Psychiatry and Psychology, Children’s Hospital of Fudan University, Shanghai 201102, China
4. School of Sociology and Political Science, Shanghai University, Shanghai 200444, China
5. School of Social Development and Public Policy, Fudan University, Shanghai 200433, China
6. School of Social and Public Administration, East China University of Science and Technology, Shanghai 200237, China
- Publication Type:Journal Article
- Keywords:
transgender children and adolescents;
sexual ethics;
social dilemma;
multidisciplinary joint diagnosis and treatment
- From:
Chinese Medical Ethics
2024;37(7):843-851
- CountryChina
- Language:Chinese
-
Abstract:
The transgender children and adolescents （TCAs） face serious social dilemmas in the process of gender identity and expression， which hinders this group from seeking reasonable and equal rights to survival and development. From the perspective of equal rights and the theoretical framework of social dilemma， by interviewing TCAs who seek help from medical social workers in a hospital’s multi-disciplinary transgender clinic， this paper revealed that under the traditional system of “binary gender”， TCAs lacked social inclusiveness and infrastructure， which led to the two major social dilemmas of “social traps” and “social barriers” encountered by this group in the process of gender expression and gender identity. Specifically， the social gender selection of TCAs often leads to collective irrational reactions and gender punishment， preventing their legal and effective medical services. To this end， the research team used critical methodology to construct a joint disciplinary diagnosis and treatment path for TCAs with the participation of medical social workers， as well as verified that the path has significant intervention effects in rationalizing the needs of TCAs and their families， alleviating their psychological pressure and social adaptation problems in the process of gender identity， fostering a diverse dialogue environment in their families， as well as enhancing their self-efficacy and social participation， to provide assistahce to the TCAs groups in social difficulties， assisting their rights and interests be included in the child-friendly indicator system， and improving the whole society’s tolerance and understanding for TCAs group.
