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Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective

Transgender and gender diverse (TGD) individuals’ depsychopathologization in the eleventh revision of the International Classification of Diseases (ICD-11) faces systemic discriminations built-in epistemic pipelines. Based on an analysis of unexploited data from ICD-11 and the French translation pro...

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Detalles Bibliográficos
Autores principales: Baleige, Anna, Guernut, Mathilde, Denis, Frédéric
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564459/
https://www.ncbi.nlm.nih.gov/pubmed/36231284
http://dx.doi.org/10.3390/ijerph191911983
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author Baleige, Anna
Guernut, Mathilde
Denis, Frédéric
author_facet Baleige, Anna
Guernut, Mathilde
Denis, Frédéric
author_sort Baleige, Anna
collection PubMed
description Transgender and gender diverse (TGD) individuals’ depsychopathologization in the eleventh revision of the International Classification of Diseases (ICD-11) faces systemic discriminations built-in epistemic pipelines. Based on an analysis of unexploited data from ICD-11 and the French translation process, this article addresses power issues in participatory research and systemic discrimination within a socio-cultural context. We used a peer-driven participatory approach to conduct qualitative analyses of the French version of the ICD based on contributions from 72 TGD participants in the French study for ICD-11. The results highlight a major incongruence between participants’ propositions and the final official translation. Alternative terms were proposed and discussed by participants in regard to usage and concepts, but also encompassed participation and perceived futility of maintaining pathologization. We found discrepancies in the French publication and translation processes, respectively on gender categorization and back translation. These results question the relevance and implementation of ICD-11 for TGD communities and highlight failures at all three stages of the official French translation. Power issues have an impact on knowledge production and, while mechanisms vary, all relate to epistemic injustice. Involving TGD communities in all stages of medical knowledge production processes would reduce transphobic biases. Individuals with personal stakes involved in politicized research areas appear all the more necessary today.
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spelling pubmed-95644592022-10-15 Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective Baleige, Anna Guernut, Mathilde Denis, Frédéric Int J Environ Res Public Health Article Transgender and gender diverse (TGD) individuals’ depsychopathologization in the eleventh revision of the International Classification of Diseases (ICD-11) faces systemic discriminations built-in epistemic pipelines. Based on an analysis of unexploited data from ICD-11 and the French translation process, this article addresses power issues in participatory research and systemic discrimination within a socio-cultural context. We used a peer-driven participatory approach to conduct qualitative analyses of the French version of the ICD based on contributions from 72 TGD participants in the French study for ICD-11. The results highlight a major incongruence between participants’ propositions and the final official translation. Alternative terms were proposed and discussed by participants in regard to usage and concepts, but also encompassed participation and perceived futility of maintaining pathologization. We found discrepancies in the French publication and translation processes, respectively on gender categorization and back translation. These results question the relevance and implementation of ICD-11 for TGD communities and highlight failures at all three stages of the official French translation. Power issues have an impact on knowledge production and, while mechanisms vary, all relate to epistemic injustice. Involving TGD communities in all stages of medical knowledge production processes would reduce transphobic biases. Individuals with personal stakes involved in politicized research areas appear all the more necessary today. MDPI 2022-09-22 /pmc/articles/PMC9564459/ /pubmed/36231284 http://dx.doi.org/10.3390/ijerph191911983 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Baleige, Anna
Guernut, Mathilde
Denis, Frédéric
Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title_full Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title_fullStr Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title_full_unstemmed Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title_short Trans Expertise and the Revision and Translation of ICD-11: An Analysis of Available French Data from a Trans Perspective
title_sort trans expertise and the revision and translation of icd-11: an analysis of available french data from a trans perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564459/
https://www.ncbi.nlm.nih.gov/pubmed/36231284
http://dx.doi.org/10.3390/ijerph191911983
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