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題名：說些醫生想聽的話--變性評估的性／別政治
書刊名：臺灣人權學刊
作者：陳美華 引用關係／蔡靜宜
作者(外文)：Chen, Mei-hua／Tsai, Ching-yi
出版日期：2013
卷期：2:2
頁次：頁3-39
主題關鍵詞：性別；性；跨性別；變性慾；真實生活體驗；Gender；Sexuality；Transgender；Transexualism；Real life experience
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:52
  • 點閱點閱:65
變性者的性別實作在部份女性主義的書寫中，經常被視為是運用男流外科手術來鞏固、複製二元化的性別體系。藉由訪談七位變性者以及三位進行變性評估的精神科醫師，本文將指出變性者這個範疇同時涵蓋非常不一樣的個體；他／她們來自不同的家庭背景，擁有不同的社會、經濟與文化資源，同時變性主體認同的途徑也不盡相同，並非精神醫學的病理模型可以解釋。其次，變性評估的過程是高度不確定的，變性者的社會、經濟與文化資源，以及評估醫師的主觀評價都會影響評估結果。第三，變性主體對於打造異性別身體的想像是高度異質的，變性精神評估的不確定性不僅使得變性主體背負莫大壓力，同時評估過程中的「真實生活體驗」、變更法定性別身份須以摘除生殖器為前提等社會與法律實踐才是迫使多元的變性主體必須走向一致性的原因。本文建議，精神醫學應正面回應DSM-V對於變性、性別主體去病化的路線，鬆綁現行嚴苛的評估程序。
Transsexuals have been frequently represented by some feminists as using male-dominated physical surgery to reproduce gender hierarchy. Drawing upon interview data and observation on 7 Taiwanese transsexuals and 3 psychiatrists, this paper aims to reveal gender politics in the process of diagnosis of “original transsexualism” in Taiwan. We argue that transsexuals are varied in terms of social backgrounds and grow-up experiences, and thus could not be reduced to the phathological pattern identified by the DSMIII. Secondly, we find that the diagnosis of original transexualism is extremely uncertain. Interviewees who sought sex change surgery reported that social, economic and cultural capitals of transsexuals and the doctors’ subjective ideas of gender norms are key factors to shape the diagnosis. Thirdly, we argue that there are many different imaginations regarding the sex-change among transsexual interviewees. On the contrary, it is the gendered evaluation of ‘real life experience’, and the related regulations regarding changing sex on IDs reproduce the dichotomized gender system, rather than transsexuals themselves. We strongly suggest that Taiwanese psychiatrists should adopt newly revised DSM-V which has been de-phathologized transsexual and transgender since 2012.
期刊論文
1.王宜帆(2010)。跨性別族群在台灣處境實例、分析與思考。全國律師，14(5)，23-36。  延伸查詢new window
2.Delphy, Christine(1993)。Rethinking Sex and Gender。Women's Studies International Forum，16(1)，1-9。  new window
3.Fisk, Norman M.(1974)。Gender Dysphoria Syndrome--The Conceptualization that Liberalized Indications for Total Gender Reorientation and Implies a Broadly Based Multi-Dimensional Rehabilitative Regime。The Western Journal of Medicine，120(5)，386-391。  new window
4.Hacking, Ian(2013)。Lost in the Forest。London Review of Books，35(15)，7-8。  new window
5.May, Kathryn(2002)。Becoming Women: Transgendered Identities, Psychosexual Therapy and the Challenge of Metamorphosis。Sexualities，5(4)，449-464。  new window
6.Wassersug, Richard(2007)。Experiences of Transwomen with Hormone Therapy。Sexualities，10(1)，101-122。  new window
7.Whiteheand, Jaye C.、Thomas, Jennifer(2013)。Sexuality and the Ethics of Body Modification: Theorizing the Situated Relationships among Gender, Sexuality and the Body。Sexualities，16(3/4)，383-400。  new window
8.王茂山(2005)。變性手術之發展。臨床醫學，56，81-87。new window  延伸查詢new window
9.甯應斌(20121200)。性別權、能力取向與變性政治。政治與社會哲學評論，43，37-80。new window  延伸查詢new window
10.黃國權、楊聰財、張敏(20020300)。性心理異常--探討變性慾。臨床醫學，49(3)=291，186-189。new window  延伸查詢new window
11.徐儷瑜、馮榕(19910900)。變性慾患者之心理評估。國防醫學，13(3)，232-236。  延伸查詢new window
12.Goffman, Erving(1982)。The Interaction Order: American Sociological Association, 1982 Presidential Address。American Sociological Review，48(1)，1-17。  new window
13.成令方(20020600)。醫「用」關係的知識與權力。臺灣社會學，3，11-71。new window  延伸查詢new window
會議論文
1.彭心筠(2008)。Ｔ乳房的愛恨糾結--女同志胸部身體經驗。性、身體、親密關係的轉變與融合學術研討會。高雄：樹德科技大學人類性學所。320-341。  延伸查詢new window
學位論文
1.吳姿芊(2010)。整/變性別？性徵打造者的身體認同與醫療處遇(碩士論文)。高雄醫學大學。  延伸查詢new window
2.余欣庭(2009)。臺灣戰後異端性／身體的管束歷史：以同性戀和陰陽人為例，（1950s-2008）(碩士論文)。高雄醫學大學。  延伸查詢new window
3.徐淑婷(1998)。變性慾症患者變性手術後的身心社會適應(碩士論文)。高雄醫學院。  延伸查詢new window
4.蔡靜宜(2009)。變性者的性別麻煩--變性評估的性別政治(碩士論文)。東海大學。  延伸查詢new window
5.林佳緣(2006)。跨性別媒體再現與主體解讀之分析研究(碩士論文)。世新大學。  延伸查詢new window
圖書
1.Fausto-Sterling, Anne(2000)。Sexing the Body: Gender Politics and the Construction of Sexuality。Basic Books。  new window
2.Namaste, Viviane(2000)。Invisible Lives: The Erasure of Transsexual and Transgendered People。Chicago, IL：The University of Chicago Press。  new window
3.Oakley, Ann(1972)。Gender and Society。Aldershot, Hans：Gower/Maurice Temple Smith Ltd.。  new window
4.Butler, Judith(1999)。Gender Trouble。New York：Routledge。  new window
5.Goffman, Erving(1969)。Strategic Interaction。Philadelphia：University of Pennsylvania Press。  new window
6.Raymond, Janice(1979)。The Transsexual Empire: The Making of the She-Male。Boston：New York：Beacon Press：Columbia University。  new window
7.孔繁鐘、孔繁錦、American Psychiatric Association(1998)。DSM-IV精神疾病診斷準則手冊。合記圖書出版社。  延伸查詢new window
8.Goffman, Ervin(1959)。The Presentation of the Self in Everyday Life。New York：Doubleday Anchor。  new window
9.Butler, Judith(2004)。Undoing Gender。Routledge。  new window
其他
1.Whittle, Stenphen(2008)。Where Did We Go Wrong? Feminism and Trans Theory--Two Teams on the Same Side?，http://my.execpc.com/~dmmunson/tsc2k/StephenWhittle.htm。  new window
2.(19781113)。六女四男有心病．魂牽夢縈想變性。  延伸查詢new window
3.中央大學性／別研究室(2003)。破蛹成蝶：林國華追悼文，http://gsrat.net/events/events_post.php?pdata_id=59， 2013/08/03。  延伸查詢new window
4.內政部(2008)。戶政機關受理性別變更登記之認定要件，http://www.htaiping.taichung.gov.tw/form/戶政機關受理性別變更登記之認定要件.pdf， 2013/07/16。  延伸查詢new window
5.文榮光(1996)。性別認同障礙與變性慾症之診療現況，http://tw.myblog.yahoo.com/missjulianacd/article?mid=-2&prev=403&l=d&fid=25， 2013/07/16。  延伸查詢new window
6.王茂山(20070910)。完全變性手冊，http://tw.myblog.yahoo.com/plasticdoctor-Sam/。  延伸查詢new window
7.王煌忠(20121202)。「長出胸部 下體未摘」被拒入會 變性人控健身房歧視。  延伸查詢new window
8.凌安屏(2008)。KTV艷名遠播 警喬裝混入…抓到變性人！，http://www.nownews.com/2008/01/19/138-2219461.htm， 2013/08/06。  延伸查詢new window
9.高旭寬(2013)。手術自由，換證自由，http://www.songyy.org.tw/action1_3.asp?ACTID=ACT13526202659231&myarea=1， 2013/08/03。  new window
10.跨性別倡議站(2013)。台灣變性群體議題CEDAW公約影子報告，http://transgenderspunk.blogspot.tw/2013/08/tscedaw.html， 2013/08/06。  延伸查詢new window
11.劉妙真(2004)。荷爾蒙治療-MTF，http://intermargins.net/repression/deviant/transgender/tgpamphlet/2004Jan-Jun/hormones-MtF.pdf， 2009/09/18。  new window
12.劉復興(19760207)。生為女兒身不甘雌伏 要變男子漢考驗醫師。  延伸查詢new window
13.劉復興(19760209)。少女堅決要變男性 只活一天她也甘願。  延伸查詢new window
14.聯合國人權事務高級專員辦事處(2013)。生而自由一律平等：國際人權法中的性取向和性別認同，http://www.ohchr.org/CH/Issues/Discrimination/Documents/Born_Free_and_Equal_chinese.pdf， 2013/08/06。  延伸查詢new window
圖書論文
1.Billings, Dwight B.、Urban, Thomas(2002)。The Socio-Medical Construction of Transsexualism: An Interpretation and Critique。Sexualities: Critical Concepts in Sociology。New York：Routledge。  new window
2.Cromwell, Jason(2003)。Queering the Binaries: Transsituated Identities, Bodies, and Sexualities。A Transgender Studies Reader。New York：Routledge。  new window
3.Halberstam, Judith(1998)。An Introduction to Female Masculinity: Masculinity Without Men。Female Masculinity。Durham：Duke University Press。  new window
4.Jeffreys, Sheila(1996)。Heterosexuality and the Desire for Gender。Theorising Heterosexuality。Buckingham：Open University Press。  new window
5.King, Dave(1996)。Gender Blending: Medical Perspective and Technology。Blending Genders: Social Aspects of Cross-Dressing and Sex-Changing。New York：Routledge。  new window
6.Plummer, Ken(2002)。Sexual Diversity: A Sociological Perspective。Sexualities: Critical Concepts in Sociology。New York：Routledge。  new window
7.Prosser, Jay(1997)。Transgender。Lesbian and Gay Studies: A Critical Introduction。Cassell。  new window
8.Riddell, Carol(1996)。Divided Sisterhood: A Critical Review of Janice Raymond's The Transsexual Empire。Blending Genders: Social Aspects of Cross-Dressing and Sex-Changing。New York：Routledge。  new window
9.Rubin, Henry(2003)。Transsexual Trajectories。Self-Made Men: Identity and Embodiment among Transsexual Men。Nashville：Vanderbilt University Press。  new window
10.徐淑婷(2003)。變性慾症患者變性手術後的身心社會適應。跨性別。中壢：中央大學性∕別研究室。  延伸查詢new window
11.何春蕤(2003)。「性／別壓迫」：跨性別主體在台灣。跨性別。桃園：中央大學性／別研究室。  延伸查詢new window
12.Stone, Sandy(1991)。The Empire Strikes Back: A Posttranssexual Manifesto。Body Guards: The Cultural Politics of Gender Ambiguity。New York：Routledge。  new window
 
 
 
 
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