How to Make Sex/Gender: a Field Study of Medical Treatments for Sex Reassignment Surgery (Srs) in Taiwan
|關鍵字:||跨性別;變性慾;變性醫療民族誌;影片引談法;Transgender;Transsexualism;The Medical Ethnography of Transsexuals;Film-elicitation|
In Taiwan, under various circumstances—be they social interactions, medical situations or deliberative discourses, transgenderism is often considered a synonym of transsexualism. And the imagination of transsexuals is also often linked to the performance of sex reassignment surgery. Such indifference to or failure in telling the differences between transgenderism, transsexualism and sex reassignment surgery does not quite match the diversity found among the transgendered population as we observed in the real world. Voices raised by transgendered groups, transgendered and transsexual subjects via various channels in different situations all suggest that there do exist, between transgendered and transsexual people, different sexual/gender imagination about their minds, bodies and social roles. This research will treat “transgenderism” as a continuum of sex/gender diversity. It is the interaction and intertwinement of the resources, the environment and possibilities in life available to transgendered and transsexual people that explain the differences in how they express themselves. In view of the fact that the notions of transgenderism, transsexualism and sex reassignment surgery are, to a certain degree, so confusingly indistinguishable and the logic behind each of these concepts so perplexing, this research will spend three years looking in depth into the whole range of medical treatments for transsexuals as adopted by practicing medical doctors that include psychiatric evaluation, hormonal therapy and sex reassignment surgery. No only will we study the whole system of treatment that includes provision of counseling, professional judgment and medical care, but will also try to sort out the way of how the current system of treatment is formed, what current law is in regulating transsexuals, and how the professional field and its operation is shaped. Furthermore, this research will try to bring to light inner voices of transgendered and transsexual subjects about the existent treatment system that they confronted, the (source of) resources they used, the choices they made and the strategic consideration they took to realize their choices. We will also compare and make contrast possible gaps and/or consensus between the demand side and the supply side of medical services in hopes of contributing to the buildup of a more friendly treatment environment and a more humane legal institution for transgendered and transsexual people.