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How Should Physicians Help Gender-Transitioning Adolescents Consider Potential Iatrogenic Harms of Hormone Therapy?

Overview of attention for article published in The AMA Journal of Ethic, August 2017
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Title
How Should Physicians Help Gender-Transitioning Adolescents Consider Potential Iatrogenic Harms of Hormone Therapy?
Published in
The AMA Journal of Ethic, August 2017
DOI 10.1001/journalofethics.2017.19.8.ecas3-1708
Pubmed ID
Authors

Thomas D Steensma, S Annelijn Wensing-Kruger, Daniel T Klink

Abstract

Counseling and treatment of transgender youth can be challenging for mental health practitioners, as increased availability of gender-affirming treatments in recent years raises ethical and clinical questions. Is a gender identity diagnosis helpful? What is the right time to treat, and should the adolescent's age matter in decision making? In this article, we discuss these questions in light of a case in which an adolescent wishes to pursue hormone therapy. Our analysis focuses on the importance of balanced decision making when counseling and treating adolescents with nonconforming gender identities. We argue that clinicians' communicating appropriate expectations about the effectiveness and limitations of hormone therapy and the risks of psychological and physical iatrogenic effects is critical.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 67 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 67 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 8 12%
Student > Bachelor 8 12%
Other 7 10%
Student > Master 6 9%
Student > Doctoral Student 5 7%
Other 13 19%
Unknown 20 30%
Readers by discipline Count As %
Medicine and Dentistry 20 30%
Psychology 15 22%
Nursing and Health Professions 5 7%
Social Sciences 4 6%
Immunology and Microbiology 1 1%
Other 2 3%
Unknown 20 30%