Treatment for gender dysphoria in children : the new legal, ethical and clinical landscape


Autoria(s): Smith, Malcolm K.; Mathews, Ben
Data(s)

27/01/2015

Resumo

- Gender dysphoria is a condition in which a child's subjectively felt identity and gender are not congruent with her or his biological sex. Because of this, the child suffers clinically significant distress or impairment in social functioning. - The Family Court of Australia has recently received an increasing number of applications seeking authorisation for the provision of hormones to treat gender dysphoria in children. - Some medical procedures and interventions performed on children are of such a grave nature that court authorisation must be obtained to render them lawful. These procedures are referred to as special medical procedures. - Hormonal therapy for the treatment of gender dysphoria in children is provided in two stages occurring years apart. Until recently, both stages of treatment were regarded by courts as special medical treatments, meaning court authorisation had to be provided for both stages. - In a significant recent development, courts have drawn a distinction between the two stages of treatment, permitting parents to consent to the first stage. In addition, it has been held that a child who is determined by a court to be Gillick competent can consent to stage 2 treatment. - The new legal developments concerning treatment for gender dysphoria are of ethical, clinical and practical importance to children and their families, and to medical practitioners treating children with gender dysphoria. Medical practitioners should benefit from an understanding of the recent developments in legal principles. This will ensure that they have up-to-date information about the circumstances under which treatment may be conducted with parental consent, and those in which they must seek court authorisation.

Identificador

http://eprints.qut.edu.au/81214/

Publicador

Australasian Medical Publishing Company

Relação

https://www.mja.com.au/system/files/issues/smi00624.pdf

DOI:10.5694/mja14.00624

Smith, Malcolm K. & Mathews, Ben (2015) Treatment for gender dysphoria in children : the new legal, ethical and clinical landscape. Medical Journal of Australia, 202(2), pp. 102-105.

Fonte

Faculty of Law; Australian Centre for Health Law Research; School of Law

Palavras-Chave #189900 OTHER LAW AND LEGAL STUDIES #gender dysphoria #consent and children #hormone treatment #cross-gender hormone therapy #childhood gender dypshoria #gender identity disorder #legal developments #Re Jamie #transgender law
Tipo

Journal Article