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An Examination of Power in a Triadic Model of Parent-Child-Pediatrician Relationships Related to Early Childhood

Eline Lenne1, Christina J Sun2, Susanne Klawetter1

  • 1School of Social Work, Portland State University, Portland, OR, USA.

Journal of Family Theory & Review
|February 14, 2024
PubMed

Insights

The Triadic Model of Pediatric Care empowers pediatricians to provide gender-affirming care by recognizing children as experts in their own experiences and ensuring caregiver support. This model promotes bodily autonomy and a nurturing environment for transgender and gender diverse youth.

Area of Science:

  • Pediatric Healthcare
  • Gender Studies
  • Child Development

Background:

  • Transgender and gender diverse (TGD) children require specialized care.
  • Existing pediatric care models may not fully address the unique needs of TGD youth.
  • The importance of a collaborative approach involving healthcare providers, caregivers, and the child is increasingly recognized.

Purpose of the Study:

  • To introduce the Triadic Model of Pediatric Care, a novel framework for TGD children.
  • To guide pediatricians in delivering gender-affirming care.
  • To emphasize the child's expertise and bodily autonomy within the care process.

Main Methods:

  • Conceptual framework development.
  • Integration of insights from pediatricians, primary caregivers, and children.
  • Recommendations for application in pediatric healthcare settings.

Main Results:

  • The Triadic Model establishes three expert roles: pediatricians, primary caregivers, and children.
  • It facilitates gender-affirming care by valuing the child's experience and autonomy.
  • It supports caregivers in creating a safe developmental environment.

Conclusions:

  • The Triadic Model offers a structured approach to pediatric care for TGD children.
  • It promotes shared decision-making and acknowledges the expertise of all parties involved.
  • Further research is needed to explore the model's implications and future directions.

Keywords:
child developmentgender-affirming carepediatricsprepubescentshared decision-makingtransgender

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