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Defending two dilemmas.

Teresa Baron1,2, Geoffrey Dierckxsens3

  • 1Interdisciplinary Research Lab for Bioethics, Institute of Philosophy, Czech Academy of Sciences, Praha, Czech Republic baron@flu.cas.cz.

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|October 6, 2021
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Summary

This response addresses objections to our paper on gender dysphoria treatment. We clarify our arguments regarding clinical data, child autonomy, and the purpose of gender-affirming endocrine treatment.

Keywords:
decision makingethicsgender identity

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Area of Science:

  • Endocrinology
  • Pediatrics
  • Bioethics

Background:

  • A previous paper discussed pathway and consent dilemmas in gender dysphoria treatment.
  • A response by Ashley argued for rejecting these dilemmas based on clinical data and child autonomy.

Purpose of the Study:

  • To address misrepresentations in Ashley's response.
  • To defend the original conclusions regarding gender dysphoria treatment.

Main Methods:

  • Re-examination of clinical data.
  • Analysis of ethical considerations regarding child autonomy.
  • Clarification of the primary purpose of gender-affirming endocrine treatment.

Main Results:

  • Identified misrepresentations in Ashley's critique.
  • Reaffirmed the validity of the original arguments.
  • Strengthened the defense of the conclusions presented in the initial paper.

Conclusions:

  • The original conclusions regarding gender dysphoria treatment remain valid.
  • Ashley's objections do not invalidate the proposed approach to pathway and consent dilemmas.
  • Further discussion is needed on the ethical and clinical aspects of gender-affirming care for minors.