Evidence map›Paper›PMID 38504453›Full record

ArticleAustralasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists2024

The gender-affirming model of care is incompatible with competent, ethical medical practice.

Andrew Amos

Abstract read
In one paragraph

Article in Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Letter in response to "The gender affirming model of care is competent, ethical medical practice".Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026
    Article
  3. Article
  4. Implications of the Cass Review for health policy governing gender medicine for Australian minors.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2025
    Review
  5. Exposing the primary failure of gender-affirming care: Response to Erasmus (2024).Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Andrew AmosDivision of Tropical Health and Medicine, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.ORCID 0000-0002-9145-0212

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the compatibility of gender-affirming care with the principles and practices of psychiatry.

conclusionsThe assumption that there is no pathology involved in the development of gender diversity is a necessary precondition for the unquestioning affirmation of self-reported gender identity. Cases where psychosis is the undeniable cause of gender diversity demonstrate this assumption is categorically false. To protect this false assumption, gender-affirming guidelines forbid the application of the core psychiatric competencies of phenomenology and psychopathology to the assessment of gender diversity. They substitute the political goal of expanding personal liberty for the evidence-based medicine processes of clinical reasoning, rendering them incompatible with competent, ethical medical practice.

Indexed as

PsychiatryClinical CompetenceEthics, MedicalFemaleGender DysphoriaGender IdentityHumansMaleTransgender Personsgender dysphoriamedical ethicsphenomenologypsychopathology

Identifiers

PMID38504453
PMCPMC11103900

What OpenQuestion holds

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Registered trials

None linked

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.