Moral Challenges in Transgender Care: A Thematic Analysis Based on a Focused Ethnography

Archives of Sexual Behavior
Karl GerritseBert C Molewijk

Abstract

Treatment teams providing transgender-affirming medical care are inherently faced with various kinds of moral and ethical dilemmas and questions, which are becoming even more pressing due to increasing treatment numbers and public attention for transgender care. Little is known about what kinds of moral and ethical challenges manifest in clinical practice. The aim of the present research was to map the moral and ethical challenges of healthcare professionals working in a specialized multidisciplinary transgender care center. Over a period of 7 months, during a focused ethnographic study, data were collected through participant observation of multidisciplinary team meetings, observation of individual psychodiagnostic assessment sessions with clients, and analysis of transcripts and reports of a series of moral case deliberations. A thematic content analysis of the data identified various implicit and explicit moral and ethical challenges around the following six themes: (1) assessing eligibility; (2) content of treatment; (3) sequential order of the treatment steps; (4) role of the clinical guidelines; (5) differing notions regarding gender identity, and (6) decision-making process. Our research provides a detailed insight into ...Continue Reading

References

Feb 19, 1999·BMJ : British Medical Journal·S H WoolfJ Grimshaw
May 26, 1999·Journal of Psychosomatic Research·P T Cohen-Kettenis, L J Gooren
Jan 5, 2000·BMJ : British Medical Journal·N Mays, C Pope
Jul 15, 2005·Science, Technology & Human Values·Jozef KeulartzTsjalling Swierstra
Feb 1, 2008·Journal of Medical Ethics·A C MolewijkG Widdershoven
Jan 14, 2009·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Tineke A AbmaGuy A M Widdershoven
Apr 3, 2009·Bioethics·Guy WiddershovenBert Molewijk
Oct 20, 2009·Archives of Sexual Behavior·Peggy T Cohen-Kettenis, Friedemann Pfäfflin
May 27, 2010·Bioethics·Tineke A AbmaGuy A M Widdershoven
Dec 15, 2010·The Journal of Sexual Medicine·Timo O NiederHertha Richter-Appelt
May 19, 2011·Nature Reviews. Endocrinology·Baudewijntje P C Kreukels, Peggy T Cohen-Kettenis
Nov 16, 2011·Clinical Child Psychology and Psychiatry·Mel Wiseman, Sarah Davidson
Mar 30, 2012·Journal of Homosexuality·Annelou L C de Vries, Peggy T Cohen-Kettenis
Mar 26, 2013·Nurse Researcher·Edward Venzon Cruz, Gina Higginbottom
Jul 17, 2013·Archives of Sexual Behavior·Lisette Kuyper, Ciel Wijsen
Sep 19, 2014·The Hastings Center Report·Jack Drescher, Jack Pula
Jan 17, 2015·BMC Medical Ethics·Bert MolewijkReidar Pedersen
Jan 23, 2015·The Journal of Sexual Medicine·Madison AitkenKenneth J Zucker
Jun 30, 2015·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Lieke Josephina Jeanne Johanna VrouenraetsMartine C de Vries
Nov 11, 2015·The Journal of Sexual Medicine·Titia F BeekThomas D Steensma
Jan 21, 2016·Annual Review of Clinical Psychology·Kenneth J ZuckerBaudewijntje P C Kreukels
Jan 26, 2016·Professional Psychology, Research and Practice·Amy C TishelmanNorman P Spack
Jan 31, 2016·Current Opinion in Endocrinology, Diabetes, and Obesity·Jamie FeldmanJoshua D Safer
Jan 1, 2015·The International Journal of Transgenderism·Daniel E Shumer, Amy C Tishelman
Jun 3, 2016·Archives of Sexual Behavior·Lieke Josephina Jeanne Johanna VrouenraetsMartine C de Vries
Dec 21, 2016·American Journal of Public Health·Frank PegaJaimie F Veale
Sep 26, 2017·The Journal of Clinical Endocrinology and Metabolism·Wylie C HembreeGuy G T'Sjoen
May 18, 2019·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Laura HartmanBert Molewijk

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Citations

Jun 28, 2020·Archives of Sexual Behavior·Lieke Josephina Jeanne Johanna VrouenraetsBert A C Molewijk
Feb 6, 2020·The New Bioethics : a Multidisciplinary Journal of Biotechnology and the Body·Sara Dahlen
May 18, 2019·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Laura HartmanBert Molewijk
Mar 13, 2021·Nursing Ethics·Amara SundusAhtisham Younas
May 20, 2021·Medicine, Health Care, and Philosophy·Karl GerritseBert C Molewijk
Sep 4, 2021·The Journal of Clinical Endocrinology and Metabolism·Michele A O'ConnellKen C Pang

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