Dilemmas in patient-clinician communication about do-it-yourself hormone therapy: A qualitative study

Baker, Jonathan; Cusanno, Brianna R.; Dean, Marleah

doi:10.1016/j.ssmqr.2022.100213

Cited by 7 publications

(3 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent study in Aotearoa, GAHT was reported as an unmet need by 42 per cent of trans adolescents (Tan, et al 2023). Due to the inaccessibility of gender affirming healthcare, many trans people have turned to "do-ityourself" HRT by obtaining hormones from unregulated sources (Baker, et al 2023). Also, as noted by Hil Malatino (2020), trans people have had to develop their own informal care networks due to the challenges of accessing treatment in formal care settings.…”

Section: Justicementioning

confidence: 99%

Gender Affirming Hormone Treatment for Trans Adolescents: A Four Principles Analysis

Maung

2024

Bioethical Inquiry

View full text Add to dashboard Cite

Gender affirming hormone treatment is an important part of the care of trans adolescents which enables them to develop the secondary sexual characteristics congruent with their identified genders. There is an increasing amount of empirical evidence showing the benefits of gender affirming hormone treatment for psychological health and social well-being in this population. However, in several countries, access to gender affirming hormone treatment for trans adolescents has recently been severely restricted. While much of the opposition to gender affirming hormone treatment for trans adolescents has in part been ideologically motivated, it also reflects a debate about whether there are harms that outweigh the benefits of the treatment. Accordingly, a systematic and comprehensive philosophical analysis of the ethics of gender affirming hormone treatment for trans adolescents is needed. Herein, I offer such an analysis that draws on the four principles of biomedical ethics by Tom Beauchamp and James Childress. Based on the considerations of beneficence, nonmaleficence, autonomy, and justice, I argue that the provision of access to gender affirming hormone treatment for consenting trans adolescents is ethically required and that the current restrictions to such treatment are ethically wrong.

show abstract

Section: Justicementioning

confidence: 99%

Gender Affirming Hormone Treatment for Trans Adolescents: A Four Principles Analysis

Maung

2024

Bioethical Inquiry

View full text Add to dashboard Cite

show abstract

“…Henry’s narrative highlights both unique (and compounding) healthcare dilemmas for patients who are trans, non-binary, and gender diverse (Baker, 2022; Baker et al, 2023; Hudak, 2021). Trans patients and AFAB patients both experience stigma in healthcare interactions that often attribute their symptoms to psychiatric cause, resulting in patients having to employ discursive strategies to receive the care that they need (Baker et al, 2023; Thompson et al, 2023). As a result of these experiences, participants emphasized the importance of learning to trust themselves (and their physiological experiences) again.…”

Section: Findings: Lessons Learned From Narratives Of Autoimmune Diseasementioning

confidence: 99%

“Being Sick Does Not Define You”: Communicated Narrative Sense-Making of Autoimmune Disease in Emerging Adult Women in the U.S.

Gunning,

Koenig Kellas

2023

Emerging Adulthood

View full text Add to dashboard Cite

The onset of autoimmune disease (AD) in emerging adulthood is a disruptive illness experience that is difficult to make sense of. Compounded by hegemonic ideologies, including the master illness narrative of restitution and stereotype of the hysterical female patient, women with AD struggle with narrative coherency. Guided by the retrospective storytelling heuristic of communicated narrative sense-making theory (CNSM), the present study investigates the meanings, values, and beliefs found in emerging adult women’s narratives of AD onset and diagnosis. Using qualitative in-depth interviews, findings identify how young women experiencing disruptive chronic illness at a formative age make sense and meaning of their experience, highlighting the role of identity (re)construction and resistance to dominant narratives. Framed as lessons learned, themes include rediscovering trust in self, separating self from illness, creating and committing to new normals, challenging assumptions about illness, and recognizing privilege and disparities in care. Theoretical and practical implications are discussed.

show abstract

“…Emotions cause hormonal imbalance in the body and result in psychological tension, especially negative emotions (Baker et al, 2023). Medical science has discovered a number of changes in the human body caused by anger (Potegal & Nordman, 2023).…”

Section: Introductionmentioning

confidence: 99%

Neuropsychological Intervention Using an Islamic Religious Approach to Prevent Bullying: Case Study at Madrasah Aliyah Mu'allimaat Muhammadiyah Yogyakarta

Us'an,

Suyadi,

Siraj

2023

Tarbiyatuna

View full text Add to dashboard Cite

Bullying cases continuously spread in educational institutions so that they affect student physical and psychological development and even give the institution reputation bad name. Madrasah Mu’allimaat Muhammadiyah Yogyakarta, on the other hand, is able to decrease the number of bullying cases. The objective of this research is to theorize bullying preventing practices in Madrasah Muallimaat Muhammadiyah Yogyakarta. The approach of this research is descriptive qualitative. The informants of the research are the head of the madrasah, teachers, and students. The data collection methods are observation, interview, interpretation, and documentation. The data analyses are done with description, categorization, interpretation, and theorization. The result of the research shows that bullying preventing practices are done by combining psychological approach, neuroscience, and Islamic learning. The practices are then theorized into neuropsychology. Neuropsychology learns the relationship between brain and behavior, studies various functions including knowledge, skills in managing emotions focusing on empowering individuals. Neuropsychological interventions done at Madrasah Muallimaat Yogyakarta are: (1) Self-control through guidance, (2) Self-control through fasting habitation, (3) Self-control through collaboration and the values of friendship, (4) Self-control through religious activities (5) Self-control through empathy among students, and (6) self-control through patience and discipline. Theoretical configuration of the neuro-psycholgical intervention can be a model for the next research on bullying prevention in other Islamic educational institutions.

show abstract

Dilemmas in patient-clinician communication about do-it-yourself hormone therapy: A qualitative study

Cited by 7 publications

References 52 publications

Gender Affirming Hormone Treatment for Trans Adolescents: A Four Principles Analysis

Gender Affirming Hormone Treatment for Trans Adolescents: A Four Principles Analysis

“Being Sick Does Not Define You”: Communicated Narrative Sense-Making of Autoimmune Disease in Emerging Adult Women in the U.S.

Neuropsychological Intervention Using an Islamic Religious Approach to Prevent Bullying: Case Study at Madrasah Aliyah Mu'allimaat Muhammadiyah Yogyakarta

Contact Info

Product

Resources

About