Boskey Elizabeth R, Galarneau Charlene
HARVARD MEDICAL SCHOOL, BOSTON, MA, USA.
J Law Med Ethics. 2023;51(4):938-940. doi: 10.1017/jme.2024.8. Epub 2024 Mar 13.
This response to Kariyawasam and Rai affirms their critique of the pathologization of trans youth but forecasts a foreseeable negative outcome of their proposed elimination of diagnosis as a prerequisite to gender-affirming care (GAC) - the risk of removing GAC entirely from the medical sphere and compromising the wellbeing of those transgender individuals for whom GAC is deeply affirming. We suggest an ethical framework of GAC that expands past a focus on autonomy to incorporate a principle of respect for persons that affirms the dignity and diversity of trans youth - recognizing the need to facilitate both medical assistance and social change.
对卡里亚瓦萨姆和拉伊的这一回应肯定了他们对将跨性别青少年病理化的批判，但预测了他们提议取消诊断作为性别肯定治疗（GAC）前提条件可能产生的负面结果——即完全将GAC排除在医疗领域之外，并危及那些认为GAC具有强烈肯定作用的跨性别者的福祉。我们建议一个GAC的伦理框架，该框架超越对自主性的关注，纳入尊重人的原则，以肯定跨性别青少年的尊严和多样性——认识到促进医疗援助和社会变革的必要性。
