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The gender minority stress model and/or cisnormativity? The need for pluralistic theoretical perspectives in improving trans health and medicine

Linander, Ida ; Lundberg, Tove ; Alm, Erika

Social science & medicine (1982), 2024-06, Vol.351, p.116957, Article 116957 [Periódico revisado por pares]

England: Elsevier Ltd

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  • Título:
    The gender minority stress model and/or cisnormativity? The need for pluralistic theoretical perspectives in improving trans health and medicine
  • Autor: Linander, Ida ; Lundberg, Tove ; Alm, Erika
  • Assuntos: Cisnormativity ; Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ; Gender affirming care ; Gender diverse ; Gender dysphoria ; Gender incongruence ; Health Sciences ; Historia ; Historia och arkeologi ; History ; History and Archaeology ; Humaniora och konst ; Humanities ; Hälsovetenskap ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Minority stress ; Psychology ; Psykologi ; Public Health, Global Health, Social Medicine and Epidemiology ; Samhällsvetenskap ; Social Sciences
  • É parte de: Social science & medicine (1982), 2024-06, Vol.351, p.116957, Article 116957
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: The minority stress model has become a well-used framework to explain and analyse health among LGBTQ people, and specifically among transgender and gender-diverse people (TGD), when it is sometimes called ‘the gender minority stress model’. Scholars have argued the need for critical discussions about some of the assumptions underlying the gender minority stress model and how it has been used and discussed. Drawing on a pluralistic understanding of theories and employing a Foucauldian understanding of critique, we discuss implicit assumptions and epistemological standpoints of the gender minority stress model and the connected limitations. We also ask what the concept of cisnormativity can give rise to in comparison with the minority stress framework. We make four arguments: 1) the calls for extensions to the model could be seen as a desire to understand and analyse TGD people's health from an all-encompassing perspective, resulting in theoretical vagueness and the silencing of excluded aspects; 2) in the gender minority stress literature, identity is largely taken for granted and there is no consideration of how power is constitutive for all subjects; 3) the model risks individualising the effects of social norms, and internalisation could be further theoretically developed in relation to the repression hypothesis; 4) in the translation process from LGB minorities to TGD, as well as in thinking about cisnormativity, the issue of gender-affirming care has largely been neglected. By initiating a critical discussion around these issues and illustrating how different theories and frameworks can illuminate different possibilities for thinking and knowing, we aim to open up new routes for thinking about TGD health and medicine. •Provides an epistemological discussion of the gender minority stress model.•Discusses opportunities that may arise from the concept of cisnormativity.•Argues that calls for extensions to the model could create theoretical vagueness.•Points out that the model takes identity for granted and risks individualising cisnormativity.•Argues for theoretical pluralism to improve trans health and medicine.
  • Editor: England: Elsevier Ltd
  • Idioma: Inglês
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