To the top

Page Manager: Webmaster
Last update: 9/11/2012 3:13 PM

Tell a friend about this page
Print version

Negotiating the (bio)medi… - University of Gothenburg, Sweden Till startsida
To content Read more about how we use cookies on

Negotiating the (bio)medical gaze - Experiences of trans-specific healthcare in Sweden

Journal article
Authors I. Linander
Erika Alm
A. Hammarstrom
L. Harryson
Published in Social Science & Medicine
Volume 174
Pages 9-16
ISSN 0277-9536
Publication year 2017
Published at Department of Cultural Sciences
Pages 9-16
Language en
Keywords Sweden, Transgender, Qualitative, Gender dysphoria, Biomedicalisation, Access to care, Neoliberal, sex reassignment, transgender, biomedicalization, transformations, medicalization, outcomes, illness, Public, Environmental & Occupational Health, Biomedical Social Sciences, r the 21st century, p139, r the 21st century, p173
Subject categories Other Medical Sciences


In Sweden as well as in other western countries persons with trans experiences have to go through a clinical evaluation in order to get access to gender-confirming medical procedures. The aim of this study is to analyse care-users' experiences of navigating and negotiating access to gender-confirming medical procedures in Sweden. Biomedicalisation is used as a theoretical framework in order to analyse how technoscientific and neoliberal developments are parts of constructing specific experiences within trans specific care. Constructivist grounded theory was used to analyse 14 interviews with persons having experiences of, or considering seeking, trans-specific healthcare. The participants experienced trans-specific healthcare as difficult to navigate because of waiting times, lack of support, provider ignorance and relationships of dependency between healthcare-users and providers. These barriers pushed the users to take responsibility for the care process themselves, through ordering hormones from abroad, acquiring medical knowledge and finding alternative support. Based on the participants' experiences, it can be argued that the shift of responsibility from care-providers to users is connected to a lack of resources within trans-specific care, to neoliberal developments within the Swedish healthcare system, but also to discourses that frame taking charge of the care process as an indicator that a person is in need of or ready for care. Thus, access to gender-confirming medical procedures is stratified, based on the ability and opportunity to adopt a charge-taking role and on economic and geographic conditions. Based on the results and discussion, we conclude that trans-specific care ought to focus on supporting the care-seekers throughout the medical process, instead of the current focus on verifying the need for care. There is also a need for increased knowledge and financial resources. A separation between legal and medical gender reassignment could contribute to a better relationship between care-providers and care-users and increase the quality of care. (C) 2016 Elsevier Ltd. All rights reserved.

Page Manager: Webmaster|Last update: 9/11/2012

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?