ABSTRACT

Intersex/DSD and transgender healthcare for children and adolescents has increasingly become a topic for public and academic debate. Key contestations concern early healthcare interventions in intersex/DSD care and ‘cautious gatekeeping’ in transgender care. With this article, which is based on an integrative literature review and expert interviews, we offer more insight into these debates, by mapping and comparing the arguments used by different stakeholders in both fields. Our analytical comparison of the debates reveals that contradictory perceptions of gender, the malleability of bodies and the autonomy of children/adolescents guide the arguments. While medical and psychological research may provide valuable input to further the debates, they remain inherently ethical and interwoven with gendered norms and expectations. This necessitates critical inter- and multidisciplinary conversations both in healthcare and in academic research.

摘要

针对儿童和青少年的双性人/DSD 和跨性别医疗保健越来越成为公共和学术辩论的话题。主要争论涉及双性人/DSD 护理中的早期医疗干预和跨性别护理中的“谨慎把关”。在这篇基于综合文献综述和专家访谈的文章中，我们通过映射和比较两个领域不同利益相关者使用的论点，提供了对这些辩论的更多见解。我们对辩论的分析比较表明，对性别、身体的可塑性和儿童/青少年的自主权的矛盾看法引导了争论。虽然医学和心理学研究可能为进一步辩论提供有价值的投入，但它们本质上仍然是道德的，并与性别规范和期望交织在一起。