ArticleArchives of sexual behavior2018
Moral Challenges in Transgender Care: A Thematic Analysis Based on a Focused Ethnography.
Article in Archives of sexual behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 48 citations in OpenAlex.
- Healthcare practitioners as accomplices: a qualitative study of gender affirmation in a context of ambiguous regulation in Indonesia.BMC medical ethics · 2025Article
- Healthcare providers' perceptions of changes in guidelines for care of minors with gender dysphoria in Sweden: An interview study.PloS one · 2025Article
- Exploring the practice principles and beliefs of trans-care providers working with trans and detrans youth: A survey-based analysis.International journal of transgender health · 2025Article
- ESCAP statement on the care for children and adolescents with gender dysphoria: an urgent need for safeguarding clinical, scientific, and ethical standards.European child & adolescent psychiatry · 2024Article
- Update on bioethical, medical and fertility issues in gender incongruence during transition age.Journal of endocrinological investigation · 2023Review
- Shifts in Gender-Related Medical Requests by Transgender and Gender-Diverse Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Unraveling complexity in changing mental health care towards person-centered care.Frontiers in psychiatry · 2023Article
- Sharing decisions amid uncertainties: a qualitative interview study of healthcare professionals' ethical challenges and norms regarding decision-making in gender-affirming medical care.BMC medical ethics · 2022Article
- How to deal with moral challenges around the decision-making competence in transgender adolescent care? Development of an ethics support tool.BMC medical ethics · 2022Article
- Gender Affirmative Care Clinic: An Overview.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2022Review
- Approach to the Patient: Pharmacological Management of Trans and Gender-Diverse Adolescents.The Journal of clinical endocrinology and metabolism · 2022Article
- Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.International journal of transgender health · 2022Article
- Decision-making approaches in transgender healthcare: conceptual analysis and ethical implications.Medicine, health care, and philosophy · 2021Article
- Virtual Reality and Psychedelics for the Treatment of Psychiatric Disease: A Systematic Literature Review.Clinical neuropsychiatry · 2020Article
- Theory and practice of integrative clinical ethics support: a joint experience within gender affirmative care.BMC medical ethics · 2020Article
- Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
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 the way healthcare professionals experience these moral and ethical challenges and how they are related to (local) guidelines, the multidisciplinary character of GD care, and its inherent implicit and explicit gender norms. Our findings suggest that good transgender care may profit from continuous multidisciplinary deliberation of and sensitivity toward the normative dimension of transgender care. The paper ends with recommendations for ethics support mechanisms in transgender care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.