Gender truths: disordered identity reproductions in a gender identity clinic
Bibliographic record
Abstract
This ethnography explores the production of a biomedical and cultural category of gender in the psychiatric assessment and diagnosis of Gender Identity Disorder. The focus of inquiry is the clinical encounter between Canadian psychiatric and psychological practitioners and patients, which includes parents and their children who are considered to have a non-conforming gender identity. In the frame of critical-interpretive medical anthropology, this research describes the scientific processes by which a certain kind of medicalized knowledge of gender identity is preserved despite the presence of divergent ideas about the foundation and function of gender in the patient population. How clinical practices around Gender Identity Disorder themselves reiterate and constitute the cultural conditions for the gender disorder to exist is illustrated. This project also considers the relationship between the cultural categories of sex, gender, and sexuality as it is enacted in the clinical setting and as it is significant to notions of social and moral personhood. How are these categories connected in the psychiatric model and for whom are these connections useful? Clinical interviews between parents of children with intersex conditions (i.e. congenital disorders of sexual ambiguity) and gender clinicians further reveal the social and political criteria by which categories of persons are granted legitimizing cultural status. The role that biomedicine plays in such a value-laden process more generally is explored.
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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 | 0.004 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.020 | 0.022 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.001 | 0.008 |
| Research integrity | 0.002 | 0.005 |
| Insufficient payload (model declined to judge) | 0.005 | 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".