Towards a “transitioning”: Biographical clues on gender transition, malaise, and health services in Chile

Abstract

We analyze how the interactions between the trans population and the Chilean healthcare system shape specific processes of malaise associated with gender transition (“tránsito de género”). Adopting psychoanalytic and transfeminist conceptual approaches, as well as a biographical methodology, we examine autobiographical narratives of three trans subjects. We discuss three topics: childhood as a critical period for gender transition and malaise; the role of institutions; and the ways through which subjects manage malaise. We argue that trans subjects face specific sociocultural conditions that lead to unique processes of malaise associated with gender transition. We show how politicization and the construction of an institutional framework, bodily aesthetical modifications, and the self-administration of medical knowledge emerge as some of the paths to navigate the gender transition process. Besides, we foreground the notion of “transitioning” (“transicionar”) by considering the criticism voiced by the participants. By using this notion, they interrogate the rigidity and psychopathologization of identity that is implicitly present in the notion of gender transition, as well as they enrich the transfeminist discourse in favor of their agency/autonomy.

Interaction among health workers and trans men: Findings from a qualitative study in Chile

“…It is relevant to not make assumptions about potentially desired body modifications, such as the desire to start hormone therapy, or to impose surgical practices (Vásquez‐Saavedra et al, 2022). Each trans man should have the opportunity to decide his journey, and ask for support when needed (Budge et al, 2015).…”