Moral Challenges in Transgender Care
A Thematic Analysis Based on a Focused Ethnography
Bibliographic Data
| ID | 8358189 |
|---|---|
| Authors | Karl Gerritse (0000-0001-8997-0596, Cal Humanities, corresponding author), Laura Hartman (0000-0003-1914-2570, Amsterdam UMC Location Vrije Universiteit Amsterdam), Marte Fleur Antonides (0009-0008-5524-5255, Amsterdam UMC Location Vrije Universiteit Amsterdam), Annelijn Wensing-Kruger (Amsterdam UMC Location Vrije Universiteit Amsterdam), Annelou L C De Vries, À de Vries (0000-0001-8382-5697, Amsterdam UMC Location Vrije Universiteit Amsterdam), Bert C Molewijk (0000-0003-1944-9759, University of Oslo) |
| Year | 2018 |
| Volume | 47 |
| Issue | 8 |
| Pages | 2319-2333 |
| Publication date | 2018-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Archives of Sexual Behavior (JOURNAL) |
| Journal identifiers | ISSN: 0004-0002 • E-ISSN: 1573-2800 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s10508-018-1287-3 |
| PMID | 30229517 |
| OpenAlex | W2890842811 |
| Language | DE |
| Citations received | 14 |
| References cited | 46 |
Treatment teams providing transgender-affirming medical care are inherently faced with various kinds of moral and ethical dilemmas and questions, which are becoming even more pressing due to increasing treatment numbers and public attention for transgender care. Little is known about what kinds of moral and ethical challenges manifest in clinical practice. The aim of the present research was to map the moral and ethical challenges of healthcare professionals working in a specialized multidisciplinary transgender care center. Over a period of 7 months, during a focused ethnographic study, data were collected through participant observation of multidisciplinary team meetings, observation of individual psychodiagnostic assessment sessions with clients, and analysis of transcripts and reports of a series of moral case deliberations. A thematic content analysis of the data identified various implicit and explicit moral and ethical challenges around the following six themes: (1) assessing eligibility; (2) content of treatment; (3) sequential order of the treatment steps; (4) role of the clinical guidelines; (5) differing notions regarding gender identity, and (6) decision-making process. Our research provides a detailed insight into the way healthcare professionals experience these moral and ethical challenges and how they are related to (local) guidelines, the multidisciplinary character of GD care, and its inherent implicit and explicit gender norms. Our findings suggest that good transgender care may profit from continuous multidisciplinary deliberation of and sensitivity toward the normative dimension of transgender care. The paper ends with recommendations for ethics support mechanisms in transgender care
Health care · Multidisciplinary approach · Normative · Political science · Qualitative research · Social science · Sociology · Thematic analysis · Transgender · Feminist Epistemology and Gender Studies · Law · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Reproductive Health and Technologies · Social Psychology
Reflexive Thematic Analysis for Applied Qualitative Health Research
Doing and undoing transgender health care
Challenges in Providing Gender-Affirming Care to Nonbinary and Genderqueer Individuals
Standards of Care for the Health of Transgender and Gender Diverse People, Version 8
Trajectories towards affirmation
Unraveling complexity in changing mental health care towards person-centered care
Ethical challenges in communicating future sexual well-being in puberty suppression for adolescents assigned male at birth
“Death threats and despair”
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Decision-making approaches in transgender healthcare
Evaluating outcomes from an Australian webinar series on affirming approaches to working with trans and non-binary young people
I Should’ve Been Able to Decide for Myself, but I Didn’t Want to Be Left Alone.” A Qualitative Interview Study of Clients’ Ethical Challenges and Norms Regarding Decision-Making in Gender-Affirming Medical Care
Dealing with Moral Challenges in Treatment of Transgender Children and Adolescents
We just want the best for this child
Human nature and conduct
Clinical guidelines
Qualitative research in health care
Transsexualism
Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons
Four Models of the Physician-Patient Relationship
The Oxford Handbook of Psychiatric Ethics, Volume 2
Ethical Issues Raised by the Treatment of Gender‐Variant Prepubescent Children
The Gender Affirmative Model
From Human Nature and Conduct (1922)
Qualitative methods for health research
What's in a Guideline? Developing Collaborative and Sound Research Designs that Substantiate Best Practice Recommendations for Transgender Health Care
The Role of Assent in the Treatment of Transgender Adolescents
Ethical Issues in the Mental Health Treatment of Gender Dysphoric Adolescents
Commentary on the Treatment of Gender Variant and Gender Dysphoric Children and Adolescents
Transgender Health
The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults
Perceptions of Sex, Gender, and Puberty Suppression
Gender Identities and Gender Dysphoria in the Netherlands
Gender Dysphoric/Gender Variant (GD/GV) Children and Adolescents
Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7
Ethics in Technological Culture
Clinical Management of Gender Dysphoria in Children and Adolescents
| Unique citing works | 14 |
|---|---|
| Citations per year | 2,33 |
| Citation span | 2020 - 2026 (7) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 11 |