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- What Is the Aim of PEDIATRIC "Gender-Affirming" Care?
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Statements
The original "Dutch Protocol"-the treatment model comprised of puberty blockers, cross-sex hormones, and surgery-was intended to improve the mental and physical health of pediatric patients experiencing distress over their sexed bodies. (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
Consequently, both researchers and clinicians have couched eligibility for treatment and measures of treatment efficacy in terms of the interventions' effects on outcomes such as gender dysphoria, depression, anxiety, and suicide. (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
However, recent systematic reviews have concluded that the scientific evidence supporting these interventions is uncertain, leading to significant international differences in what treatments are offered to youth. (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
Against this backdrop, a different argumentative approach has emerged in support of gender-affirming care. (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
This approach appeals not to reductions in patient morbidity or mortality but to patient autonomy, where medical intervention is pursued as a means to the satisfaction of a patient's "embodiment goals." (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
In this article, I raise objections to autonomy-based justifications for pediatric gender-affirming care, concluding that these arguments misunderstand the place of autonomy in clinical decision-making and, consequently, put patients at risk of medical harm. (English)
© 2024 The Authors. Hastings Center Report published by Wiley Periodicals LLC on behalf of The Hastings Center. (English)
2024
Moti (English)
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