* Decision-making approaches in transgender healthcare: conceptual analysis and ethical implications.
- Over the past decades, great strides have been made to professionalize and increase access to transgender medicine. As the (biomedical) evidence base grows and conceptualizations regarding gender dysphoria/gender incongruence evolve, so too do ideas regarding what constitutes good treatment and decision-making in transgender healthcare. Against this background, differing care models arose, including the 'Standards of Care' and the so-called 'Informed Consent Model'. In these care models, ethical notions and principles such as 'decision-making' and 'autonomy' are often referred to, but left unsubstantiated. This not only transpires into the consultation room where stakeholders are confronted with many different ethical challenges in decision-making, but also hampers a more explicit discussion of what good decision-making in transgender medicine should be comprised of. The aim of this paper is to make explicit the conceptual and normative assumptions regarding decision-making and client autonomy underpinning the 'Standards of Care' and 'Informed Consent Model' currently used in transgender care. Furthermore, we illustrate how this elucidation aids in better understanding stakeholders' ethical challenges related to decision-making. Our ethical analysis lays bare how distinct normative ambiguities in both care models influence decision-making in practice and how foregrounding one normative model for decision-making is no moral panacea. We suggest that the first steps towards good decision-making in gender-affirming medical care are the acknowledgement of its inherent normative and moral dimensions and a shared, dialogical approach towards the decision-making process.
=>1.超えて, 一面に, 移って, 始めから終わりまで, 終わって, を支配して, の間, しながら, 倒れて, の上に,
を覆って, を越えて, の向こう側に, より多く, 2.もう一度, 繰り返して
Overview of noun over
The noun over has 1 sense (no senses from tagged texts)
1. over -- ((cricket) the division of play during which six balls are bowled at the batsman by one
player from the other team from the same end of the pitch)
Overview of adj over
The adj over has 1 sense (first 1 from tagged texts)
1. (21) complete, concluded, ended, over, all over, terminated -- (having come or been brought to a
conclusion; "the harvesting was complete"; "the affair is over, ended, finished"; "the abruptly
terminated interview")
Overview of adv over
The adv over has 5 senses (first 3 from tagged texts)
1. (23) over -- (at or to a point across intervening space etc.; "come over and see us some time";
"over there")
2. (2) over -- (throughout an area; "he is known the world over")
3. (1) over, o'er -- (throughout a period of time; "stay over the weekend")
4. over -- (beyond the top or upper surface or edge; forward from an upright position; "a roof that
hangs over";)
5. all over, over -- (over the entire area; "the wallpaper was covered all over with flowers"; "she
ached all over"; "everything was dusted over with a fine layer of soot")
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