{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:54:35Z","timestamp":1788407675135,"version":"build-2803163510"},"reference-count":38,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p>In this article, I examine the accounts of transsexual\/transgender patients and their involvement with medical professionals in the Midwestern United States. Data are taken from 22 in-depth interviews and one year of participant observation of three transsexual\/transgender organizations. I show that trans-patients are made aware of larger political, religious, and cultural ideologies through their medical experiences. Trans-patients internalize these views, which affect how they make sense of their medical treatment and how they choose to alter their behavior in future medical encounters. Trans-patients, in an attempt to gain credibility and avoid stigmas, prepare how they will approach doctors to improve their likelihood of receiving desired treatments. The data will reveal that through their approach, trans-patients both support and challenge existing medical knowledge. Patients support medical discourse by using established medical language in their interaction with doctors. Patients challenge medical knowledge by resisting established medical decisions.<\/jats:p>","DOI":"10.1177\/1049732308324247","type":"journal-article","created":{"date-parts":[[2008,10,2]],"date-time":"2008-10-02T18:07:58Z","timestamp":1222970878000},"page":"1345-1355","source":"Crossref","is-referenced-by-count":80,"title":["Knowledge Legitimacy: How Trans-Patient Behavior Supports and Challenges Current Medical Knowledge"],"prefix":"10.1177","volume":"18","author":[{"given":"Jodie M.","family":"Dewey","sequence":"first","affiliation":[{"name":"Concordia University\u2014Chicago, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11340048"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/1363459305052903"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304272916"},{"key":"atypb4","first-page":"386","volume":"11","author":"Brown, P.","year":"1990","journal-title":"The Journal of Mind and Behavior"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.2307\/2626956"},{"key":"atypb6","volume-title":"True selves: Understanding transsexualism for families, friends, coworkers, and helping professionals","author":"Brown, M.L.","year":"1996"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11339939"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10491512"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.2307\/3096939"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/002214650504600102"},{"key":"atypb11","volume-title":"Deviance and medicalization: From badness to sickness","author":"Conrad, P.","year":"1992"},{"key":"atypb12","volume-title":"Impure science: AIDS, activism, and the politics of knowledge","author":"Epstein, S.","year":"1996"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1080\/1364847022000034574"},{"key":"atypb14","first-page":"9","volume":"106","author":"Fox, R.","year":"1977","journal-title":"American society. Daedalus"},{"key":"atypb15","volume-title":"Professional dominance","author":"Freidson, E.","year":"1970"},{"key":"atypb16","unstructured":"Freidson, E. (1970b). The social organization of illness. In P. Brown (Ed.), Profession of Medicine (pp. 510-518). Chicago: University of Chicago Press."},{"key":"atypb17","volume-title":"The war against the poor: The underclass and anti-poverty policy","author":"Gans, H.","year":"1995"},{"key":"atypb18","volume-title":"The presentation of self in everyday life","author":"Goffman, E.","year":"1959"},{"key":"atypb19","volume-title":"Asylums","author":"Goffman, E.","year":"1961"},{"key":"atypb20","volume-title":"Stigma: Notes on the management of spoiled identity","author":"Goffman, E.","year":"1963"},{"key":"atypb21","volume-title":"Becoming a visible man","author":"Green, J.","year":"2004"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2006.00506.x"},{"key":"atypb23","volume-title":"Changes in the French university-hospital system","author":"Jamous, H.","year":"1970"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.00338"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305275891"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2005.00450.x"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1177\/1049732304273927"},{"key":"atypb28","volume-title":"The social system","author":"Parsons, T.","year":"1951"},{"key":"atypb29","unstructured":"Riessman, C.K. (1983). Women and medicalization: A new perspective. In P. Brown (Ed.), Perspectives in medical sociology (pp. 190-221). Belmont, CA: Wadsworth."},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.1007\/BF00986756"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.24.4.S99"},{"key":"atypb32","volume-title":"Constructing social problems","author":"Spector, M.","year":"1987"},{"key":"atypb33","volume-title":"The social transformation of American medicine","author":"Starr, P.","year":"1982"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00520-8"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10934708"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep10778250"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.00344"},{"key":"atypb38","volume-title":"Socio-medical inquiries","author":"Zola, I.K.","year":"1983"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732308324247","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732308324247","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:22:52Z","timestamp":1777684972000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732308324247"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10]]},"references-count":38,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1177\/1049732308324247"],"URL":"https:\/\/doi.org\/10.1177\/1049732308324247","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10]]}}}