医療言説におけるゆらぐジェンダー概念と再帰的自己

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  • イリョウ ゲンセツ ニ オケル ユラグ ジェンダー ガイネン ト サイキテキ ジコ

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This paper considers the transitions in the "Guidelines for the diagnosis and treatmentof GID" , which was created by the Japanese Society of Psychiatry and Neurology. By analyzing the text of the guidelines, we observe that the current concept of gender has become less influential in representing a consistent identity model for society today.This is reflected in the following distinctions in the transitions of the guidelines in which there are five issues to be emphasized: First, gender identity is defined as being of multiple forms. Second, the approach to medical treatment is determined not only by an individual' s gender identity but also by his/ her life, world and value system. These factors explain the need for more diversity in medical treatment. Third, it is supposed that gender identity has coherence. Fourth, since diversity of gender is more emphasized, a patient's decision concerning treatment is more highly regarded than ever. And lastly, due to the extended scope of decision-making, the range of patients' self-responsibility for the risk is extended accordingly. It is evident from these guidelines that the concept of gender that has hitherto disciplined people has become weaker.However, this does not necessarily mean that society has become an ideal world.There are still various problems concerning the issue of transgenderism that must beconsidered.

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