Pursuing Views and Testing Commitments
Pursuing Views and Testing Commitments
Hypothetical Questions in the Psychiatric Assessment of Transsexual Patients
This chapter, written by Susan Speer, considers the role of hypothetical questions (HQs) in interactions between psychiatrists and transsexual patients in a British gender identity clinic. The psychiatrists studied in this chapter perform a gatekeeping function vis‐à‐vis their transsexual patients in that they must diagnosis the patients as true transsexuals before the patients can receive publically funded sex reassignment surgery. Speers argues that the psychiatrists use hypothetical questions in this context as a diagnostic tool, specifically, as a way of testing the patients' commitment to a sex change. In particular, the psychiatrists use HQs to construct hypothetical scenarios about the negative consequences of treatment and query the patients as to how they would “feel, behave, or cope” given such a scenario.
Keywords: hypothetical questions, transsexual, gender identity, gender identity clinic, gatekeeping, hypothetical scenarios, diagnostic tool, psychiatric assessment
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