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Performing informed consent in transgender medicine.
1Michigan State University, Lyman Briggs College & Department of Sociology, 919 E. Shaw Ln., East Lansing, MI, 48825 USA.
Social Science & Medicine (1982)
|March 12, 2019
Summary
Healthcare providers often perform informed consent for transgender patients without true patient involvement. This study reveals a paternalistic approach in trans medicine, masking power imbalances and hindering genuine informed consent practices.
Area of Science:
- Medical Ethics
- Transgender Health
- Qualitative Research
Background:
- Informed consent is crucial in healthcare, yet its application in clinical settings, particularly from providers' perspectives, is under-examined.
- Trans medicine is an emerging field lacking standardized informed consent protocols, creating unique challenges for providers.
Purpose of the Study:
- To explore how healthcare providers navigate informed consent processes with transgender patients.
- To analyze the gap between the stated intention and actual practice of informed consent in trans healthcare.
Main Methods:
- In-depth interviews with 23 physical and mental healthcare providers.
- Observations at transgender-specific healthcare conferences (2012-2015).
Main Results:
- Providers articulate adherence to informed consent principles but often fail to implement them in practice.
- A paternalistic model of care is prevalent, where providers' authority overshadows patient autonomy.
- Power differentials are masked within clinical encounters and decision-making processes.
Conclusions:
- The practice of informed consent in trans medicine often falls short of ethical ideals.
- Providers' adherence to a paternalistic model can undermine genuine informed consent and patient empowerment.
- Further research and policy development are needed to ensure equitable and truly informed consent in transgender healthcare.
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