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绕远路：迈向一个去病理化的跨性别青少年性别肯定医疗伦理框架

Taking the Long Way Around: Towards A Depathologized Ethical Framework of Gender-Affirming Care for Trans Youth.

作者信息

Kariyawasam Navin, Rai Nanky

机构信息

UNIVERSITY OF TORONTO, TORONTO, ON, CANADA.

出版信息

J Law Med Ethics. 2023;51(4):926-937. doi: 10.1017/jme.2024.7. Epub 2024 Mar 13.

DOI:10.1017/jme.2024.7
PMID:38477259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10937166/
Abstract

Political debate regarding trans youth's access to gender-affirming care (GAC) has pushed many to advocate for GAC by pointing to tragic, pathological outcomes of non-treatment, namely suicide. However, these pathologized arguments are a harmful ethical "shortcut" which should be replaced by a meaningful engagement with the ethics of providing GAC to youth.

摘要

关于跨性别青少年获得性别肯定治疗（GAC）的政治辩论促使许多人通过指出不接受治疗的悲惨、病态后果，即自杀，来倡导GAC。然而，这些将问题病态化的观点是一种有害的道德“捷径”，应该被对为青少年提供GAC的伦理进行有意义的探讨所取代。

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引用本文的文献

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A scoping review of the ethical issues in gender-affirming care for transgender and gender-diverse individuals.对跨性别者和性别多样化者性别肯定治疗中的伦理问题的范围综述。
BMC Med Ethics. 2025 Apr 30;26(1):54. doi: 10.1186/s12910-025-01216-2.
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Beyond inclusion politics: A critical discourse analysis of sex and gender in medical education.超越身份认同政治：医学教育中性别问题的批判性话语分析
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Steering into the Curves: Using Diagnosis to Support the Dignity and Autonomy of Trans Youth.驶入弯道：利用诊断支持跨性别青少年的尊严与自主权。
J Law Med Ethics. 2023;51(4):938-940. doi: 10.1017/jme.2024.8. Epub 2024 Mar 13.

本文引用的文献

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"What if I'm not trans enough? What if I'm not man enough?": Transgender young adults' experiences of gender-affirming healthcare readiness assessments in Aotearoa New Zealand.“要是我不够跨性别怎么办？要是我不够有男子气概怎么办？”：新西兰奥塔哥地区跨性别年轻人在性别认同医疗准备评估中的经历。
Int J Transgend Health. 2021 Jun 10;22(4):454-467. doi: 10.1080/26895269.2021.1933669. eCollection 2021.
2
Gender-Affirming Treatment of Gender Dysphoria in Youth: A Perfect Storm Environment for the Placebo Effect-The Implications for Research and Clinical Practice.青少年性别焦虑症的性别肯定治疗：安慰剂效应的完美风暴环境——对研究和临床实践的启示
Arch Sex Behav. 2023 Feb;52(2):483-494. doi: 10.1007/s10508-022-02472-8. Epub 2022 Nov 14.
3
Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.《跨性别和性别多样化人群健康照护标准》第8版
Int J Transgend Health. 2022 Sep 6;23(Suppl 1):S1-S259. doi: 10.1080/26895269.2022.2100644. eCollection 2022.
4
Legislation restricting gender-affirming care for transgender youth: Politics eclipse healthcare.立法限制为跨性别青年提供性别肯定护理：政治掩盖了医疗保健。
Cell Rep Med. 2022 Aug 16;3(8):100719. doi: 10.1016/j.xcrm.2022.100719.
5
Clinician and Ethicist Perspectives: Understanding Moral Distress in Gender-Affirming Care for Pediatric Patients.临床医生和伦理学家的观点：理解儿科患者性别认同护理中的道德困境。
J Pediatr. 2022 Jan;240:265-271. doi: 10.1016/j.jpeds.2021.10.059. Epub 2021 Nov 14.
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Anti-Transgender Legislation-A Public Health Concern for Transgender Youth.反跨性别者立法——跨性别青少年的公共卫生问题
JAMA Pediatr. 2022 Feb 1;176(2):125-126. doi: 10.1001/jamapediatrics.2021.4483.
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J Adolesc Health. 2021 Dec;69(6):976-982. doi: 10.1016/j.jadohealth.2021.08.020. Epub 2021 Oct 7.
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Challenges in the care of transgender and gender-diverse youth: an endocrinologist's view.跨性别和性别多样化青少年护理中的挑战：一位内分泌学家的观点。
Nat Rev Endocrinol. 2021 Oct;17(10):581-591. doi: 10.1038/s41574-021-00535-9. Epub 2021 Aug 10.
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Bell v Tavistock and Portman NHS Foundation Trust [2020] EWHC 3274: Weighing current knowledge and uncertainties in decisions about gender-related treatment for transgender adolescents.贝尔诉塔维斯托克和波特曼国民保健服务信托基金案[2020] EWHC 3274：权衡关于跨性别青少年性别相关治疗决策中的现有知识和不确定性。
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