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  1. Responding to Objections to Gatekeeping for Hormone Replacement Therapy.Toni C. Saad, Daniel Rodger & Bruce Philip Blackshaw - 2019 - Journal of Medical Ethics 45 (12):828-829.
    Florence Ashley has responded to our response to ‘Gatekeeping hormone replacement therapy for transgender patients is dehumanising.’ Ashley criticises some of our objections to their view that patients seeking hormone replacement therapy (HRT) for gender dysphoria should not have to undergo a prior psychological assessment. Here we clarify our objections, most importantly that concerning the parity between cosmetic surgery and the sort of intervention Ashley has in mind. Firstly, we show Ashley’s criticism of our comparison is insubstantial. We then examine (...)
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  • Reply to ‘Hormone Replacement Therapy: Informed Consent Without Assessment?’.Florence Ashley - 2019 - Journal of Medical Ethics 45 (12):826-827.
    In a previous article, I argued that assessment requirements for transgender hormone replacement therapy are unethical and dehumanising. A recent response published by the Journal of Medical Ethics criticises this proposal. In this reply, I advance that their response misunderstood core parts of my argument and fails to provide independent support for assessment requirements. Though transition-related care may have similarities with cosmetic surgeries, this does not suffice to establish a need for assessments, and nor do the high rates of depression (...)
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