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Master Thesis

La relation médecin-patient dans la construction identitaire de patients trans : étude qualitative auprès de patients et leurs médecins généralistes

Abstract : General practitioners (GP) will be increasingly confronted with trans individuals, because the trans population increases. The aim of this work was to understand the experiences of general practitioners and their trans patients towards gender identity building. METHODS: This work is a qualitative research on patient-GP pairs. 11 one-on-one semi-structured interviews took place between August 2020 and April 2021. A phenomenological analysis was conducted. RESULTS: Seeking care was difficult for interviewed patients, due to a mistrust in the physicians. The patients chose carefully and tested their GP. They were expecting “classical” care, with a comprehensive approach. The vision of GP over the transition was biologically and medically centered. They didn’t raise the importance of social transition, which was described by the patients. The patients explained that they were continuously questioning their identity, whereas the GP thought that the questioning took place exclusively in the past. The patients ensured the coordination of their healthcare circuit, thanks to their expertise. GP had a limited role in transition: they requested the french “100% funding” for gender dysphoria and they sometimes managed hormonotherapy. Intimate subjects, such as sexuality or gender identity, were difficult to talk about with the patients, according to GP. DISCUSSION: GP seem to have a limited role in identity building of their patients. Future works should be done in order to confirm this result. Gender identity building is a complex process, which is difficult for the GP to grasp. “Peer-aid” is a concept currently being developed, that can support GP on these subjects.
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https://dumas.ccsd.cnrs.fr/dumas-03435708
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Submitted on : Thursday, November 18, 2021 - 6:59:45 PM
Last modification on : Friday, March 18, 2022 - 3:14:38 AM

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Lise Tecquert. La relation médecin-patient dans la construction identitaire de patients trans : étude qualitative auprès de patients et leurs médecins généralistes. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03435708⟩

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