I am an HCP and have worked with trans and NB people if they access my specialism. I am not part of a gender clinic and I have only seen a handful of trans and NB people at work.
I have been qualified for a long time and so I am well used to dealing with people from all sorts of backgrounds with all sorts of preferences and all sorts of needs. I am good at my job.
However, I have twice been called transphobic by trans or NB patients or their relatives at work. Both times it was because I was refusing to provide the patient with what they believed that they needed, and on both occasions there was no clinical need for it. In fact, if I had done as they had asked me then I would have been working beyond my own scope of practice and in breach of my professional guidelines.
Both times the patients said they would report my to my governing body. I don't believe that they did because I didn't hear anything from them - and I am confident that any examination of my decision making process would have found me to have been working professionally and safely.
However, this proposed Hate Crime Bill and the new SNPand Lib Dem definitions of transphobia worry me.
My two patients believed me to be transphobic, they believed that I was withholding treatment because of their gender status. I was not, but, that is not relevant to their distress at being denied something that they believe they needed.
If the Hate Crime Bill is passed what happens to me if I am accused of transphobia by a patient who is unhappy that I won't give them what they believe they need, but I cannot justify it or know it would be harmful?
If my clinical reasoning and my critical thinking are sound then I know that any subsequent investigation would find me to be acting in my patient's best interests, as it would for any other patient who is unhappy with their care. However, the added element of "hate" and the inclusion of denying biological reality in the definitions really worry me.
I cannot pretend that the person in front of me has a sex if that is relevant to their care. Sex is fundamental to health care. Gender is not, other than awareness and sensitivity is needed in order to build a therapeutic relationship, but, it is not possible to harm a patient by getting their gender wrong in the same way as it is possible to harm them by getting their sex wrong.
Will the Hate Crime Bill and the transphobia definitions make a criminal of me if a patient I am caring for (to the best of my ability and within my professional guidelines and also professional limitations) believes me to be acting in a way that is transphobic?
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16 replies
vivariumvivariumsvivaria · 23/02/2021 17:38
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