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  1. Healthcare Professionals’ Conflicts When Treating Transgender Youth: Is It Necessary to Prioritize Protection Over Respect?Maximiliane Hädicke, Manuel Föcker, Georg Romer & Claudia Wiesemann - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (2):193-201.
    Increasingly, transgender minors are seeking medical care such as puberty-suppressing or gender-affirming hormone therapies. Yet, whether these interventions should be performed at all is highly controversial. Some healthcare practitioners oppose irreversible interventions, considering it their duty to protect children from harm. Others view minors, like adults, as transgender individuals who must be protected from discrimination. The underlying ethical question is presented as a problem of priority. Is it primarily relevant that minors are involved? Or should decision makers focus on the (...)
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  • Supporting autonomy in young people with gender dysphoria: psychotherapy is not conversion therapy.Roberto D'Angelo - forthcoming - Journal of Medical Ethics.
    Opinion is divided about the certainty of the evidence base for gender-affirming medical interventions in youth. Proponents claim that these treatments are well supported, while critics claim the poor-quality evidence base warrants extreme caution. Psychotherapy is one of the only available alternatives to the gender-affirming approach. Discussion of the treatment of gender dysphoria in young people is generally framed in terms of two binary approaches: affirmation or conversion. Psychotherapy/exploratory therapy offers a treatment option that lies outside this binary, although it (...)
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  • The unconscious and the nuances of autonomy.John McMillan - 2022 - Journal of Medical Ethics 49 (1):1-1.
    While we might associate ‘the unconscious’ with repression and the psychodynamic theories of Freud, 1 it has a more general sense and application that mean it is an important concept for contemporary ethics. Paying attention to the significance of associations, beliefs, presumptions and emotions that we have, but are not consciously attending to, is important for a more nuanced understanding of autonomy. Unconscious bias is an important issue for health education and clinical ethics, while beliefs and desires that are not (...)
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