Gender dysphoria in adolescents: can adolescents or parents give valid consent to puberty blockers?

  title={Gender dysphoria in adolescents: can adolescents or parents give valid consent to puberty blockers?},
  author={Simona Giordano and Fae Garland and S{\o}ren Holm},
  journal={Journal of Medical Ethics},
  pages={324 - 328}
This article considers the claim that gender diverse minors and their families should not be able to consent to hormonal treatment for gender dysphoria. The claim refers particularly to hormonal treatment with so-called ‘blockers’, analogues that suspend temporarily pubertal development. We discuss particularly four reasons why consent may be deemed invalid in these cases: (1) the decision is too complex; (2) the decision-makers are too emotionally involved; (3) the decision-makers are on a… 

Judicial Discomfort over ‘Innovative’ Treatment for Adolescents with Gender Dysphoria

Abstract Medical treatment for adolescents with gender dysphoria has attracted considerable attention in recent years, with continuing court involvement in Australia and recent judicial review

Assessing Medical Decision-Making Competence in Transgender Youth.

Transgender adolescents' medical decision-making competence (MDC) to give IC for starting PS in a structured, replicable way is examined in a validated semistructured interview.

Bell v Tavistock: Rethinking informed decision-making as the practical device of consent for medical treatment

Bell v Tavistock can be seen as an attempt to refine the views on the consent that were expressed by the Supreme Court in Montgomery, and further work is required to formulate an adequate model of decision-making.

Psychological factors of gender dysphoria in adolescents: A systematic review

The objective of this research work was to analyze the psychological factors that are present in gender dysphoria in adolescents, due to the importance of approaching psychological clinical

How to deal with moral challenges around the decision-making competence in transgender adolescent care? Development of an ethics support tool

A practice-oriented ethics support tool to assist care providers when dealing with moral challenges around decision-making competence in transgender adolescent care and is an example of the development of innovative and integrative forms of thematic ethics support.

Triage, consent and trusting black boxes

  • K. Boyd
  • Medicine, Political Science
    Journal of Medical Ethics
  • 2021
Vaccine ethics should be distributed globally, with priority to frontline and essential workers worldwide, and ethical values to guide vaccine distribution should ‘highlight values of helping the neediest, reducing health disparities, saving lives and keeping society functioning’.



Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study

Both persisters and desisters stated that the changes in their social environment, the anticipated and actual feminization or masculinization of their bodies, and the first experiences of falling in love and sexual attraction had influenced their gender related interests and behaviour, feelings of gender discomfort and gender identification.

A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children

ABSTRACT Background: It has been widely suggested that over 80% of transgender children will come to identify as cisgender (i.e., desist) as they mature, with the assumption that for this 80%, the

Gender (De)Transitioning Before Puberty? A Response to Steensma and Cohen-Kettenis (2011)

  • F. Ashley
  • History
    Archives of sexual behavior
  • 2019
The argument was cited in the WPATH Standards of Care, 7th version and the argument continues to be used by opponents of prepubertal social transition, but a core detail is left out of the picture: the two children it refers to had not socially transitioned in the commonly understood sense of the term.

The untimeliness of trans youth: The temporal construction of a gender ‘disorder’

This article explores a quasi-diagnosis, “rapid-onset gender dysphoria”, which constructs the pathologized untimeliness of trans youth. I argue that rapid-onset is a concept with multiple, shifting

A critical commentary on “A critical commentary on follow-up studies and “desistence” theories about transgender and gender non-conforming children”

The article entitled “A critical commentary on followup studies and “desistence” theories about transgender and gender non-conforming children” by Temple Newhook et al. (2018) is a plea to abandon

Outbreak: On Transgender Teens and Psychic Epidemics

Having lived through both World Wars, Jung was aware of the dangers of what he termed “psychic epidemics.” He discussed the spontaneous manifestation of an archetype within collective life as

Similarity in transgender and cisgender children’s gender development

It is suggested that early sex assignment and parental rearing based on that sex assignment do not always define how a child identifies or expresses gender later.

Transgender people: health at the margins of society

Gatekeeping hormone replacement therapy for transgender patients is dehumanising

  • F. Ashley
  • Medicine, Political Science
    Journal of Medical Ethics
  • 2019
The author argues that assessment and referral requirements are dehumanising and unethical, foregrounding the ways in which these requirements evidence a mistrust of trans people, suppress the diversity of their experiences and sustain an unjustified double standard in contrast to other forms of clinical care.