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Consequences of the Conflation of ‘Sex’ and ‘Gender’ on Trans Healthcare
Sandor, Angeline Gabrielle
Sandor, Angeline Gabrielle
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2022
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Urban Bioethics
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http://dx.doi.org/10.34944/dspace/7623
Abstract
The goal of this paper is to illustrate the real effects of maintaining an inaccurate and conflated view of the relationship between ‘sex’ and ‘gender,’ and to provide possible solutions to this quandary by analyzing the sources in both philosophy and the social sciences. The terms ‘sex’ and ‘gender’ are often rife with misunderstanding in the scientific and medical community, as well as in common usage. While neither term means the same thing contextually, both are constructed socially and require refinement for their usage in and outside of the scientific community. ‘Sex’ and ‘gender’ ought to be understood as interconnected socially constructed concepts, rather than hierarchically at odds where speculations about sex are valued greater than those on gender. A pluralistic, contextual understanding of both sex and gender as well as a clearer understanding of biological sex as an equally socially informed (and thus fallible) concept should be adopted to prevent possible harms as well as missuses of either term.
The conflation of the terms within the medical community has significant consequences on some of the most vulnerable identities, particularly transgender people and especially trans people of color. The eventual delivery of poor health outcomes for trans people first begins with the fundamental definitions for ‘sex’ and ‘gender’ in the medical literature, as well as the medical literature’s basic understanding of non-normative sexuality. As a result, medical school education does not provide physicians in training with the adequate tools to provide care for trans people, or anyone outside the spectrum of accepted normative sexuality (heteronormative sexuality), and in addition primes them to further perpetuate and reinforce stigma. Possible solutions to this systemic medical injustice are to incorporate a pluralistic understanding of sex and gender to revise the medical literature, as well as going beyond simple cultural competency training for physicians and instead completely innovate how sexuality and sexual identity is taught in medical school education.
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