Bureaucratizing Medicine
Creating a Gender Identity Clinic in the Welfare State
Datos Bibliográficos
| ID | 3239691 |
|---|---|
| Autores | Ketil Slagstad (0000-0002-6061-9900, MSB Medical School Berlin, autor de correspondencia) |
| Año | 2022 |
| Volumen | 113 |
| Número | 3 |
| Páginas | 469-490 |
| Fecha de publicación | 2022-09-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Isis (JOURNAL) |
| Identificadores de la revista | ISSN: 0021-1753 • E-ISSN: 1545-6994 |
| Editorial | University of Chicago Press (PUBLISHER • US) |
| DOI | 10.1086/721140 |
| OpenAlex | W4292384374 |
| Idioma | EN |
| Referencias citadas | 23 |
This essay considers the creation of a gender identity clinic at Rikshospitalet, the National Hospital of Norway, in the early 2000s and its implications for the production of medical knowledge during that era. In the preceding decades, medical transition was overseen by an informal, self-organized, multidisciplinary team of medical experts, but this situation changed when a centralized gender identity clinic was established under psychiatric control. The essay argues that shifting institutional, societal, economic, legal, and bureaucratic circumstances redistributed expertise and authority on trans medicine. Economic framing, institutional frictions, patient activism, and media attention restricted the doctors’ room for maneuver and created a scientific crisis of legitimacy in trans medicine. These processes changed medical knowledge regarding medical transition; eventually, “sex change” and, therefore, all that is denoted by “sex” became intertwined with and inseparable from the politico-bureaucratic processes of reforming a modern public health-care system and welfare state. By anchoring the analysis in the history of science and expertise, this inquiry offers a new focus on the role of bureaucratic practices in the production, structuring, and circulation of medical knowledge in the welfare state
Bureaucracy · Framing (construction · Health care · Identity (music · Legitimacy · Multidisciplinary approach · Political science · Politics · Public relations · Sociology · State (computer science · Welfare · Welfare state · Historical Gender and Feminism Studies · Historical Psychiatry and Medical Practices · Historical Studies on Reproduction, Gender, Health, and Societal Changes · Law · Public Administration
Designs on Nature
The Tyranny of Diagnosis
Minding the body
Little Tools of Knowledge
How did mental health become so biomedical? The progressive erosion of social determinants in historical psychiatric admission registers
Diagnosis Postponed
Society as Cause and Cure
Sociology of diagnosis
The Origins, Development, and Passage of Medicare's Revolutionary Prospective Payment System
Bodies of Knowledge
Fleshing out the self
Trans, Time, and History
Standardising antisocial personality disorder
On the Normal and the Pathological
| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |