Re-assessing the Triadic Model of Care for Trans Patients Using a Harm-Reduction Approach.
The World Professional Association for Transgender Health's Standards of Care (WPATH SOC), now in its seventh edition, is a frequently cited, internationally recognized, evidence-based document that details a comprehensive framework for gender-related care of trans people. However, the WPATH SOC sti...
| Publicado en: | Health Care Analysis Vol. 28; no. 4; pp. 415 - 424 |
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| Formato: | Artículo |
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Springer Nature
2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=147104833&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 147104833 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10653058 OFZ jtl: Health Care Analysis issn: 10653058 maglogo: N pubinfo: dt: 2020 vid: 28 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 147104833 10.1007/s10728-020-00416-8 ppf: 415 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 509KB tig: atl: Re-assessing the Triadic Model of Care for Trans Patients Using a Harm-Reduction Approach. aug: au: Gruenewald, A. F. affil: Department of Philosophy, University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, ON, Canada su: Ethics Medical quality control Psychotherapy Therapeutics Hormones Philosophy of medicine Harm reduction sug: subj: Ethics Medical quality control Psychotherapy Therapeutics Hormones Philosophy of medicine Harm reduction keyword: Applied ethics Trans patients WPATH SOC Applied ethics Trans patients WPATH SOC ab: The World Professional Association for Transgender Health's Standards of Care (WPATH SOC), now in its seventh edition, is a frequently cited, internationally recognized, evidence-based document that details a comprehensive framework for gender-related care of trans people. However, the WPATH SOC still relies heavily in some cases on gatekeeping practices, dubbed "triadic therapy," or a process where a trans patient is encouraged to seek out psychotherapy, and hormone therapy, and only then be able to engage in surgical options for transitioning. I use G. Alan Marlatt's harm reduction framework to argue that the triadic process creates its own set of harms that trans people have to contend with, especially insofar as it focuses on resolving gender dysphoria in a demanding, moralizing, and top-down way as opposed to enriching trans lives by reducing harms that prevent us from flourishing. Using Marlatt's criterion that harm reduction ought to be bottom-up, low threshold, and not moralizing, I develop a list of suggestions for what ought to be centrally considered in treating trans patients. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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