- Sep 15, 2007
This is true but leads to a bit of a tangent. In fairness I had said I was making an imperfect analogy. There are important differences, genetic differences, that can effect patient care. I think this actually strengthens my original analogy now that I think about it: an albino Black person still needs to have an adjustment made when calculating GFR. There is some analogy here to an androgen-insensitive person with external female anatomy still has (internal) testicles which are at elevated risk for cancer.Disagree. Example: medications can affect members of different races differently. What do you do when someone of mixed race shows up, which is common, unlike intersex individuals. What to do then?
It is good to get reminded of this from time to time.One tries. Assumption of objectivity in patient care is a tad arrogant. And possibly leads one down the road of good intentions.
Intersex questions are very interesting. You are right, for example, it is of enormous consequence that the androgen-insensitive person I mentioned before receives female socialization from birth. What I'm trying to say, and I don't really want to go down this road again as I've written a lot of words about it, is that analogies between intersex persons and trans-identified persons are questionable (and as I've mentioned repeatedly seem to me to be offensive to the intersex.) There is simply not a biological analogy to make here and a phenomenological analogy is tenuous at best. The whole discussion between myself and @JessFR around intersex issues was around the question of binary male/female sex which I maintain is absolute even accounting for intersex cases as aberrations.Intersex individuals are placed into a world where gender expectations are binary for babies and most children. How they are raised and how well that matches their own perception of sex and, particularly, gender is relevant to any discussion where gender is an issue.
I realize that these are sensitive issues and I don't intend any mockery here. Please note, and I should probably do a better job of making this clear in what I'm writing, that not everything I am saying here comes from clinical experience. I got into this a little bit at the very bottom of my last post: part of the base of knowledge I have here comes from doing a lot of research on this subject including spending time in relevant online communities, both gender-critical ones and trans-positive ones, observing from a necessarily etic standpoint. I should mention I make no pretense of this part of my "research" being scientific (unlike when I cite, well, actual research.) Perhaps I should make this more clear as well.You admit you have little contact with this community in your work, and it might behoove you to be careful about using terminology that is freely used by members of the community, but is not perhaps as appropriate for someone outside the community to use.trans softboi
However, I'm not sure how I had ought to refer to this sort of thing other than with "endonyms?" I suppose I could have omitted the phrase entirely having already mentioned "TiFs identifying as feminine man" but I feel that using the term adds something important: connecting abstract and fairly clunky wording to the real world and actual people.