进入曲线:使用诊断来支持跨性别青年的尊严和自治
Elizabeth R Boskey1, Charlene Galarneau1
1HARVARD MEDICAL SCHOOL, BOSTON, MA, USA.
概括
消除对性别确认护理 (GAC) 的诊断可能会完全消除它. 需要一个新的伦理框架,优先考虑尊重跨年人的尊严和多样性,以确保持续的医疗和社会支持.
科学领域:
- 医学伦理 医学伦理
- 青少年健康 青少年健康
- 性别研究是性别研究.
背景情况:
- 对变性青年病理化存在批评.
- 关于将诊断作为性别肯定护理 (GAC) 的先决条件的提议正在讨论中.
- 目前对GAC的医疗框架可能需要重新评估.
研究的目的:
- 肯定对跨性别青年病理化的批评.
- 预测消除GAC诊断先决条件的潜在负面结果.
- 为GAC提出一个扩展的道德框架.
主要方法:
- 对现有文献 (Kariyawasam和Rai) 的回应.
- 对GAC的诊断要求的伦理分析.
- 拟议的伦理框架的开发.
主要成果:
- 消除GAC的诊断风险是将其从医学领域中移除.
- 这可能会损害从GAC中受益的跨性别个人的福祉.
- 需要一个更广泛的伦理框架.
结论:
- 对GAC的道德框架应该超越自治,包括尊重人.
- 这一框架必须肯定跨性别青年的尊严和多样性.
- 促进医疗援助和社会变革对于跨性别青年的福祉至关重要.
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