Lauren Notini, Brian D. Earp, Lynn Gillam, Rosalind J. McDougall, Julian Savulescu, Michelle Telfer & Ken C. Pang
Journal of Medical Ethics 46 (11):743-752 (2020)
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In this article, we analyse the novel case of Phoenix, a non-binary adult requesting ongoing puberty suppression to permanently prevent the development of secondary sex characteristics, as a way of affirming their gender identity. We argue that the aim of OPS is consistent with the proper goals of medicine to promote well-being, and therefore could ethically be offered to non-binary adults in principle; there are additional equity-based reasons to offer OPS to non-binary adults as a group; and the ethical defensibility of facilitating individual requests for OPS from non-binary adults also depends on other relevant considerations, including the balance of potential benefits over harms for that specific patient, and whether the patient’s request is substantially autonomous. Although the broadly principlist ethical approach we take can be used to analyse other cases of non-binary adults requesting OPS apart from the case we evaluate, we highlight that the outcome will necessarily depend on the individual’s context and values. However, such clinical provision of OPS should ideally be within the context of a properly designed research study with long-term follow-up and open publication of results.
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DOI | 10.1136/medethics-2019-106012 |
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References found in this work BETA
Gender and Race: (What) Are They? (What) Do We Want Them to Be?Sally Haslanger - 2000 - Noûs 34 (1):31–55.
Beyond Binary: Genderqueer as Critical Gender Kind.Robin Dembroff - 2020 - Philosophers' Imprint 20 (9):1-23.
Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm.Maura Priest - 2019 - American Journal of Bioethics 19 (2):45-59.
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Citations of this work BETA
Experimental Philosophical Bioethics and Normative Inference.Brian D. Earp, Jonathan Lewis, Vilius Dranseika & Ivar R. Hannikainen - 2021 - Theoretical Medicine and Bioethics 42 (3-4):91-111.
Identity, Well-Being and Autonomy in Ongoing Puberty Suppression for Non-Binary Adults: A Response to the Commentaries.Lauren Notini, Brian D. Earp, Lynn Gillam, Julian Savulescu, Michelle Telfer & Ken C. Pang - 2020 - Journal of Medical Ethics 46 (11):761-762.
Commentary On: ‘Forever Young? The Ethics of Ongoing Puberty Suppression for Non-Binary Adults’.Alessandra Lemma - 2020 - Journal of Medical Ethics 46 (11):757-758.
View all 6 citations / Add more citations
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