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A Trans and Queer Discursive Approach to Gender Diversity and Misgendering in the Transgender and Gender Diverse Population: Queering a Study for ICD-11

Author

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  • Anna Baleige

    (EA 75-05 Éducation Éthique Santé, Faculté de Médecine, Université François-Rabelais Tours, 2 boulevard Tonnellé, 37044 Tours, France)

  • Frédéric Denis

    (EA 75-05 Éducation Éthique Santé, Faculté de Médecine, Université François-Rabelais Tours, 2 boulevard Tonnellé, 37044 Tours, France
    Service d’odontologie, Centre Hospitalier Universitaire de Tours, 2 boulevard Tonnellé, 37044 Tours, France)

Abstract

Producing knowledge about transgender and gender-diverse (TGD) individuals is a core public health strategy challenge. Yet several systemic limitations arise, notably the exclusion or exploitation of TGD individuals by research systems reproducing systemic discrimination by embedding social norms as self-evident facts of nature. This is particularly worrying in biomedical research, and contributes to the invisibilization of participants’ gender diversity. This trans research illustrates methodological challenges through queering an earlier study by focusing on misgendering as a discursive element. We based our work on discursive materials reported by TGD participants in an ICD-11 study on gender incongruence. We used network analyses to illustrate potential differences between declared gender identity and discourse practices. Our results highlight a gap between declared gender identity and discourse practices, bringing the number of non-binary participants in the sample from 15 (20.8%) to 36 (50.0%). Moreover, misgendering and the use of derogatory terms are more common toward gender-diverse individuals. Sexual orientation shows a similar trend. This study reveals the reproduction of social norms within research processes and medical knowledge, as well as how, from an individual perspective, their non-compliance seems to be a key factor in TGD individuals’ experience. By providing this simple methodological example, we hope to promote better integration of gender and its various dimensions into biomedical and public health research.

Suggested Citation

  • Anna Baleige & Frédéric Denis, 2025. "A Trans and Queer Discursive Approach to Gender Diversity and Misgendering in the Transgender and Gender Diverse Population: Queering a Study for ICD-11," IJERPH, MDPI, vol. 22(2), pages 1-14, January.
  • Handle: RePEc:gam:jijerp:v:22:y:2025:i:2:p:178-:d:1578832
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    References listed on IDEAS

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    1. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    2. Anna Baleige & Mathilde Guernut & Frédéric Denis, 2022. "Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective," IJERPH, MDPI, vol. 19(19), pages 1-11, September.
    3. Anna Baleige & Mathilde Guernut & Frédéric Denis, 2022. "Impact of Depsychopathologization of Transgender and Gender Diverse Individuals in ICD-11 on Care Delivery: Looking at Trans Expertise through a Trans Lens," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
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