Informed consent vs. talk therapy: who decides when a transgender person can... - Charlie Blotner
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- Опубликовано: 25 июл 2024
- The National Institutes of Health recently announced that they have designated lesbian, gay, bisexual, and transgender (LGBT) people as a health disparity population. The rationale for this designation has to do with the mounting evidence that the LGBT population has less access to health care and experiences higher of burdens of diseases such as depression, cancer, and HIV/AIDS. A study by Stanford University School of Medicine itself found that when surveying 176 medical schools, the median reported time dedicated to teaching LGBT-related content over the course of the entire curriculum was 5 hours. A third of those responses reported that their schools spent zero hours on LGBT health-related content during clinical training. While the extent of the causes of health disparities for the LGBT population are not yet fully understood, we have the power to educate current and future providers on how to better improve the lives of their LGBT patients.
I intend to discuss the gatekeeper model versus the informed consent model in the context of the World Professional Association for Transgender Health (WPATH) standards for transgender (trans) individuals seeking to start hormone replacement therapy (HRT) and or gender reassignment surgeries. The benefits and dangers that these models pose are crucial for providers to be aware of when treating their trans patients. Trans patients have been expected to undergo extensive talk therapy in order to access medical interventions and start HRT in recent years. However, with a lack of finances and access to health care to begin with, this step and pillar of the gatekeeper model and WPATH as a whole is extremely dangerous for an already vulnerable population in delaying care. While medical attention to trans people is starting to increase (see: Lancelet 2016 Transgender Health series), we still can and need to do better.
Take-a-ways from my presentation would include:
- Increased knowledge of the current WPATH standards of care and problematic models of starting hormone replacement therapy and having gender affirming surgeries
- Empowerment to taking changing the standard of care
- An understanding of hormone replacement therapy and general overview of gender affirming surgeries - Acquisition of transgender health care resources
- Empathy surrounding medical transition
thank you for doing this. I cant even tell you how many bad experiences I had under Wpath and from Heath"care" providers...
Bravo! Informed consent should be the norm unless the patient gives the doctor a legitimate reason to question their mental health. What if a transgender patient seeking medically assisted transition related healthcare refuses psychoanalysis on the basis of their religion? I know of at least one religion which forbids psychoanalysis. Would it be discrimination on the basis of their religion to refuse to provide transition related care for a patient who refuses to be subjected to psychoanalysis? After all, psychoanalysis poses a threat of invalidating the patient's religious beliefs, for example, in a case where the patient believes they are the reincarnation of a woman. Nobody has a right to invalidate a person's religious beliefs.
@@Umiliani What's your point? I'm just quoting WPATH's new standard of care for providing transition related services. The informed consent model says the previously mandated psychotherapy is no longer mandatory but rather the physician is free to decide whether it is needed or not. The doctor should not recommend psychotherapy unless the patient proves themselves to be a danger to themselves or others (by making threats of suicide or threatening to harm others). Thy typical transgender person isn't any crazier than most other people pursuing cosmetic changes to their body.
This is such a great video!
I agree informed consent should be the go to for treatment with gender dysphoria. I understand they are concerned that the patient may regret their decision and worsen their condition, however that is a choice an individual should make for themselves and it is not the medical fields fault if an individual decides against therapy and regrets this decision later. They understand the risks.
No one user 18 can give informed consent for these procedures.
So Stanford just explained to students that no matter how much they learn, a confused 14 yr old knows better.... Stanford 🤦♂️
How did you get that from this video? you can't get informed consent when you're under 18.
A transphobe with not a rational cell in his body. Tssk tssk.
This is just Ill informed. Children cannot give their own consent for most things--hormone therapy included.
they understand more about themselves
Bruh If there still 14 there parents have to give consent and when I was 14 I came out and started to transition and I could not be happier