Prof Guyatt presents an excellent overview of the ethical approach required to justify a medical intervention. This includes honesty demanded of the clinician in relation to the evidence supporting that intervention, the ‘the quality of evidence’.
The patient is then able to make an informed decision.
Given the ‘affirmative’ (aka ‘encouraging’) approach to hormonal and surgical management of gender dysphoria in children and young people, and the fact that the ‘quality of evidence’ supporting it is ‘low’/‘very low’ logic and ethics would suggest that clinicians should be discouraging patients from proceeding with any form of ‘transition’.
Bernard I so wish you could get to the ears of Chris Minns and Perrotet and convince them not to get behind the Gay conversion therapy laws they both promissed to back, shortly after the elections in NSW. Politcians need to wake up to this and back parents fighting to protect their kids or young adults (because unfortunately the maturity doesnt suddently turn on once they reach 18)
Yes. A failure of media coverage is a big part of the problem. B
Prof Guyatt presents an excellent overview of the ethical approach required to justify a medical intervention. This includes honesty demanded of the clinician in relation to the evidence supporting that intervention, the ‘the quality of evidence’.
The patient is then able to make an informed decision.
Given the ‘affirmative’ (aka ‘encouraging’) approach to hormonal and surgical management of gender dysphoria in children and young people, and the fact that the ‘quality of evidence’ supporting it is ‘low’/‘very low’ logic and ethics would suggest that clinicians should be discouraging patients from proceeding with any form of ‘transition’.
And yet, Auspath response 2 days ago to the latest article recommending a cautious approch to Gender Dysphoria care published by the Westmead gender clinic team refers to it again as a golden standard. https://auspath.org.au/2023/03/01/auspath-response-to-elkadi-j-chudleigh-c-maguire-a-m-ambler-g-r-schers-kozlowska-k-developmental-pathway-choices-of-young-people-presenting-to-a-gender-service-with-gender-distre/
Bernard I so wish you could get to the ears of Chris Minns and Perrotet and convince them not to get behind the Gay conversion therapy laws they both promissed to back, shortly after the elections in NSW. Politcians need to wake up to this and back parents fighting to protect their kids or young adults (because unfortunately the maturity doesnt suddently turn on once they reach 18)