Ein absolut starker Text von Abigail Thorn ("Philosophy Tube“), warum pathologisierende Systeme wie der britische NHS grundsätzlich der falsche Ansatz für die Bedarfe von trans Personen sind: "My Doctor Emailed Me Back".

Eine skurrile Reaktion aus der NHS Spitze in Reaktion zu Abigails Video von 2022, youtube.com/watch?v=v1eWIshUzr….
Es geht darin neben dem aktuellen Problem trans health care um strukturellen Fail solcher Institutionen und warum soetwas über Regularien, Anweisungsbefugnisse und Verantwortungsdiffusion entstehen kann.

Der falsche Ansatz:

"The NHS ... view transition as a response to a medical problem they call ‘gender dysphoria’ or ‘gender incongruence.’ From this starting point it seems appropriate that trans people have to get permission to transition: transness is a medical matter with inherent risks that ought to be controlled by “specialists.” Sometimes those specialists delay or deny permission, but that’s just part of the job. It also makes sense to ask which treatments are “most effective at treating dysphoria” and explore alternative treatments through trials, reviews, consultations, etc. I call this view ‘Pathologization.’"

Gilt auch für unser System hier.

Abigail arbeitet detailliert heraus, warum diese Systeme strukturell bösartig sind und nicht von innen heraus verändert werden können, selbst wenn alle darin Arbeitenden gut und wohlwollend wären, inklusive der Chefs. Sie können nur durch etwas neues ersetzt werden, das mit grundlegend anderen Ansätzen arbeitet:

"We need an informed consent system in which we control our own bodies without needing permission from anybody.“

Das bedeutet auch für uns eine grundlegend andere Denkweise: „If someone wants to transition, that’s their business“

„I refuse to believe trans people must always live in a world where someone else controls our bodies. We will not always be second-class citizens. We can start by refusing to internalise Pathologization and insisting on the abolition of systems that produce it. We can grasp the determination necessary to go around those systems.

„The road ahead is long, but we have never been stronger. For the first time ever we are seeing the emergence of a global collective trans subjectivity. We have always been here, but often isolated and in hiding. Now in the early years of the 21st Century we have made an astonishing discovery:“

„There are a lot more of us than anyone thought!“

„Trans people in the UK, France, Germany, Eastern Europe, North America, Brazil, Taiwan, India, Russia, Australia, North Africa, South Africa, New Zealand- more places every day- are thinking and talking about ourselves in similar terms, and making similar demands. This has never happened before. Moreover, cis people are slowly realising they are cis. We really have reached a “tipping point,” no doubt in part thanks to the internet. The bodily autonomy of trans people is bound up with the bodily autonomy of all people, particularly cis women who have also suffered for far too long under the paternalistic medicalising gaze. That’s why I think the Colonel Korns of this world are doomed to fail: they are trying to do medicine and management on a civil rights movement.“

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