Trans Autistic Experiences of Gender-Affirming Care in Ontario
Bibliographic record
Abstract
This research focused on trans autistic people's experiences of gender-affirming health care, such as hormones and surgeries.I conducted qualitative semi-structured interviews with 12 autistic adults who had accessed gender-affirming care in Ontario, Canada in the past five years.My findings reveal how the overarching discourses of medicalization, transnormativity, neuronormativity, and medical authority structure clinical protocols and guidelines as well as patient-provider interaction.Consequently, trans autistic people frequently experience epistemic injustice, distrust, barriers to care, and other harms in health care.However, participants also described positive health care experiences and strategies of resistance.Participants envisioned how health care could support their selfdetermination by respecting their autonomy and embodied knowledge.The results highlight how healthcare policy and practice can be improved for trans autistic people as well as theoretical implications for trans studies and critical autism studies.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.026 | 0.017 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.001 | 0.008 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".