Ethical Issues in the Mental Health Treatment of Gender Dysphoric Adolescents

Swann, Stephanie; Herbert, Sarah

doi:10.1300/j041v10n03_02

Cited by 16 publications

(14 citation statements)

References 7 publications

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“…Issues of autonomy include youth rights to privacy and confidentiality, arbitrary age requirements to access care, and emerging capacity to consent to care (Giordano, 2007(Giordano, , 2013Milrod, 2014;Stein, 2012;Swann & Herbert, 2009). Benefits of endocrine care include relieving psychological suffering and preventing the development of unwanted secondary sex characteristics, which, coupled with the low risk of harm from this treatment and the potential risk of causing harm by withholding care, make a compelling case in support of endocrine care for trans youth (Antommaria, 2014;Baltieri et al, 2009;Giordano, 2007;Holman & Goldberg, 2006;Stein, 2012;Vrouenraets et al, 2015).…”

Section: Ethical Issuesmentioning

confidence: 99%

“…Other suggestions for practice with trans youth and families involve recognizing that there is a diversity of healthy genders, respecting autonomy, providing an informed consent process, balancing benefits and risks, and delivering equitable services (Giordano, 2007(Giordano, , 2013Holman & Goldberg, 2006;Roen, 2016;Stein, 2012;Vrouenraets et al, 2015). Swann and Herbert (2009) recommended that social workers practicing with trans youth pay careful attention to their own biases and belief systems. Regardless of the degree of personal and professional experience and expertise with trans communities, practitioner awareness of how personal and professional values and assumptions impact decision-making is essential for strong ethical practice.…”

Section: Role Of Practitionersmentioning

confidence: 99%

“…Historically, three approaches to care or treatment with children and youth have been recognized: (a) psychotherapy, to change gender to be congruent with sex; (b) watchful waiting, which includes supporting a person while delaying a decision about gender affirmation or transition until adulthood; and (c) the gender affirmative model, in which an individual is supported to live in and freely express their gender (Ehrensaft, 2016;Swann & Herbert, 2009). The first two models are not well-supported by clinical evidence.…”

Section: Theoretical Approachmentioning

confidence: 99%

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Ethics in Child and Youth Care Practice With Transgender Youth

Clark

2017

IJCYFS

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Issues that arise in child and youth care practice with transgender (trans) youth and their families can be complex and ethically challenging. While many trans youth are thriving and have strong family and social supports, others face family conflict and experience negative health outcomes linked to societal stigma. The purpose of this paper is to explore how four ethical approaches -bioethics, rights-based ethics, relational ethics, and justice-doing -may be applied to practice situations involving trans youth and their families. This paper is grounded in the gender affirmative model of care and integrates empirical evidence, critical thinking, and explicit argumentation in ethical analysis. Following a brief overview of evidence related to trans youth care, case vignettes are analyzed using diverse ethical approaches. These approaches draw on a variety of philosophical and disciplinary traditions. However, the analyses consistently lead to three imperatives: providing support and affirmation for trans youth; supporting families to support their youth; and fighting injustice where it impedes these goals.

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Section: Ethical Issuesmentioning

confidence: 99%

Section: Role Of Practitionersmentioning

confidence: 99%

Section: Theoretical Approachmentioning

confidence: 99%

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Ethics in Child and Youth Care Practice With Transgender Youth

Clark

2017

IJCYFS

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“…Kliničari se suočavaju sa složenim pitanjima autonomije, poverljivosti i kompetentnosti koja se pojavljuju u tretmanu adolescentnih klijenata i svakako zahtevaju pojašnjavanje u okviru zakonskih profesionalnih etičkih kodova [31,35].…”

Section: Rodno Neskladna I Disforična Decaunclassified

Bioethical challenges and contraversis of the interdisciplinary treatment of gender dysphoric persons

Duišin¹,

Barišić²,

Batinić³

et al. 2014

Engrami

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Napomena: Rad je saopšten na simpozijumu Klinike za psihijatriju Kliničkog Centra Srbije "Bioetika i psihijatrija" održanom u Beogradu od 9-10 oktobra, 2014. Kratak sadržajRodna disforija predstavlja složen fenomenološki entitet u brojnim aspektima. Kompleksnosti doprinosi interdisplinirnost tretmana i bioetička pitanja koja iz toga proističu. Jedno od njih je uvremenjenost i obim ponuđenih terapijskih opcija, kao i prava eksperata u ovoj oblasti da ponude i sprovode parcijalni tretman (hormonski/hirurški). Termin "parcijalan" u medicini je u direktnoj koliziciji sa elementarnim načelima bioetike o poštovanju fundamentalnog prava pacijenta da uvek dobije kompletan tretman.Bioetički izazovi odnose se na operativne rekonverzije i pitanje njihove medicinske i bioetičke opravdanosti obzirom da su u nekim slučajevima posledica neprepoznatih motiva i poremećaja u osnovi. Klinički prikazi de-tranzicija i njihovo praćenje doprineli bi klarifikaciji kliničkih pokazatelja i ukazali na ne/opravdanost reverzne tranzicije.Savremeni standardi zajednice i prihvaćena profesionalna etika stručnjaka za mentalno zdravlje propisuju obaveznost tretmana rodno neskladne/disforične dece. Bioetička ispravnost tretmana prepubertetske rodno disforične dece uključuje neophodnost jasne definisanosti, kompletne sigurnosti i pouzdanosti dijagnostičkog postupka. Značajno je pitanje zrelosti i sposobnosti deteta za prilagođavanje telesnim hormonskim promenama. Ovaj uzrast nameće pitanje mogućnosti dobijanja adekvatnog informisanog pristanka koji bi potpuno zadovoljio zakonske kriterijume obaveštenosti i kompetentnosti. Stavovi stručnjaka su podeljeni, od kritičkog koji smatra neprikladnim da roditelji ili lekari nameću deci sopstvene standarde do afirmišućeg koji smatra da su roditelji najprikladnija referentna grupa da daju svoj socijalni vrednosni sud nakon detaljne konsultacije sa lekarima. Zdravstvene profesije uključene u tretman rodno disforičnih osoba imaju jednaku etičku obavezu da garantuju deci srećan i produktivan život putem odgovarajućih medicinskih intervencija ili bilo kojim drugim.U pojedinim oblastima kliničke medicine diskusija o prezervaciji fertilnosti je rutinska, dok je u domenu rodne disforije često kontraverzna za stručnu i širu javnost. Ovakva diskriminacija duboko narušava njihova osnovna bioetička prava, jer je savetovanje i informisanje transrodnih osoba o savremenim moguć-nostima reproduktivne tehnologije neophodno. Roditeljstvo nakon tranzicije ima svoju specifičnost u reverznim roditeljskim identitetima i ulogama, što dodatno čini ovo pitanje kontraverznim.Ključne reči: rodna disforija, bioetika, transrodna deca i adolescenti, promena pola, informisani pristanak, očuvanje fertiliteta.

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“…Whenever an adolescent is held to be competent, the therapist is obligated to honor his or her autonomy and confidentiality (Swann & Herbert, 1999), which would indicate that Paul is obligated to honor Marc's wishes to keep his confidentiality.…”

Section: Does Paul Have An Adequate Level Of Clinical Competence To Pmentioning

confidence: 99%

Family Counseling and Referral with Gay, Lesbian, Bisexual, and Transgendered Clients: Ethical Considerations

Janson

2002

The Family Journal

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Couple, marriage, and family counselors face unique ethical and practice challenges in their dual commitment to the positive growth and integrity of both the individual and the family system. These challenges may become acute when working with stigmatized and oppressed populations such as gay, lesbian, bisexual, and transgendered persons and their families. A brief case vignette illustrates a range of ethical issues for couple and family counselors working with this client population.

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Ethical Issues in the Mental Health Treatment of Gender Dysphoric Adolescents

Cited by 16 publications

References 7 publications

Ethics in Child and Youth Care Practice With Transgender Youth

Ethics in Child and Youth Care Practice With Transgender Youth

Bioethical challenges and contraversis of the interdisciplinary treatment of gender dysphoric persons

Family Counseling and Referral with Gay, Lesbian, Bisexual, and Transgendered Clients: Ethical Considerations

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