Journal of Medical Ethics 45 (10):654-661 (2019)
AbstractStudies suggest that the majority of gender diverse children revert to the gender congruent with the sex assigned at birth when they reach puberty. These children are now known in the literature as ‘desisters’. Those who continue in the path of gender transition are known as ‘persisters’. Based on the high desistence rates, some advise being cautious in allowing young children to present in their affirmed gender. The worry is that social transition may make it difficult for children to de-transition and thus increase the odds of later unnecessary medical transition. If this is true, allowing social transition may result in an outright violation of one of the most fundamental moral imperatives that doctors have: first do no harm. This paper suggests that this is not the case. Studies on desistence should inform clinical decisions but not in the way summarised here. There is no evidence that social transition per se leads to unnecessary medical transition; so should a child persist, those who have enabled social transition should not be held responsible for unnecessary bodily harm. Social transition should be viewed as a tool to find out what is the right trajectory for the particular child. Desistence is one possible outcome. A clinician or parent who has supported social transition for a child who later desists will have not violated, but acted in respect of the moral principle of non-maleficence, if the choice made appeared likely to minimise the child’s overall suffering and to maximise overall the child’s welfare at the time it was made.
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References found in this work
Understanding the Emotion of Shame in Transgender Individuals – Some Insight From Kafka.Simona Giordano - 2018 - Life Sciences, Society and Policy 14 (1):1-22.
Where Christ Did Not Go: Men, Women and Frusculicchi: Gender Identity Disorder : Epistemological and Ethical Issues Relating to the Psychiatric Diagnosis.Simona Giordano - 2011 - Monash Bioethics Review 29 (4):1-22.
The Confused Stork: Gender Identity Development, Parental and Social Responsibilities.Simona Giordano - 2017 - In Kristien Hens, Daniela Cutas & Dorothee Horstkötter (eds.), Parental Responsibility in the Context of Neuroscience and Genetics. Springer.
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