TY - BOOK AU - shuster,stef m TI - Trans Medicine: The Emergence and Practice of Treating Gender SN - 9781479845378 AV - RA564.9.T73 U1 - 362.1086/7 23 PY - 2021///] CY - New York, NY : PB - New York University Press, KW - Gender-nonconforming people KW - Medical care KW - United States KW - Health services accessibility KW - Medical ethics KW - Right to health KW - Transgender people KW - SOCIAL SCIENCE / LGBT Studies / Transgender Studies KW - bisacsh KW - Authority KW - Changing Definitions of Gender KW - Clinical experience KW - Clinical guidelines KW - Close followers KW - Co-occurring condition KW - Collaborative decision making KW - Contested medicine KW - Credibility KW - Diagnosis KW - Diagnostic criteria KW - Epistemic clashes KW - Evidence based medicine KW - Evidence KW - Experimental medicine KW - Expertise KW - False information KW - Flexible interpreters KW - Gatekeeping KW - Gender norms KW - Gender KW - Gut instinct KW - Health inequalities KW - History of Medicine KW - Informal Evidence KW - Legitimacy KW - Medical Sociology KW - Medical authority KW - Medical decision-making KW - Medical decisions KW - Non-binary KW - Normal sexual behaviour KW - Normal KW - Patient worthiness KW - Quackery KW - Redefining gender KW - Redefining medicine KW - Risk KW - Scientific language KW - Self-assured experts KW - Social fitness KW - Spidey sense KW - Standardization KW - The truly trans KW - Tricksters KW - Uncertain experts KW - Uncertainty N1 - restricted access N2 - A rich examination of the history of trans medicine and current day practice Surfacing in the mid-twentieth century, yet shrouded in social stigma, transgender medicine is now a rapidly growing medical field. In Trans Medicine, stef shuster makes an important intervention in how we understand the development of this field and how it is being used to "treat" gender identity today. Drawing on interviews with medical providers as well as ethnographic and archival research, shuster examines how health professionals approach patients who seek gender-affirming care. From genital reconstructions to hormone injections, the practice of trans medicine charts new medical ground, compelling medical professionals to plan treatments without widescale clinical trials to back them up. Relying on cultural norms and gut instincts to inform their treatment plans, shuster shows how medical providers' lack of clinical experience and scientific research undermines their ability to interact with patients, craft treatment plans, and make medical decisions. This situation defies how providers are trained to work with patients and creates uncertainty. As providers navigate the developing knowledge surrounding the medical care of trans folk, Trans Medicine offers a rare opportunity to understand how providers make decisions while facing challenges to their expertise and, in the process, have acquired authority not only over clinical outcomes, but over gender itself UR - https://www.degruyter.com/isbn/9781479836291 UR - https://www.degruyter.com/document/cover/isbn/9781479836291/original ER -