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Values and Evidence in Gender-Affirming Care. | LitMetric

AI Article Synopsis

  • The commentary critiques the heightened scrutiny and stricter evidentiary standards applied to pediatric gender-affirming care compared to other medical interventions.
  • It argues that values and value judgments significantly influence what is considered "strong" evidence in medical practice, particularly concerning transgender identities.
  • The authors emphasize the importance of incorporating thoughtful values into discussions of evidence in gender-affirming care, especially given the current legal and policy challenges surrounding it.

Article Abstract

This commentary responds to the article "What Is the Aim of Pediatric 'Gender-Affirming' Care?," by Moti Gorin, in the same issue of the journal. Gender-affirming care is often treated as exceptional and subject to heightened scrutiny. This exceptionalization results in its being held to stricter evidentiary standards than other forms of medical interventions are. But values and value judgments are inextricable from the practice of evidence-based medicine. For gender-affirming care, values shape what counts as "strong" evidence, whether the legitimacy of transgender identity is assumed versus treated as something to be investigated, how to characterize the testimonial accounts of trans and gender-nonconforming patients, and more. We argue that these kinds of questions are part of the practice of medicine, not exceptional to transgender people and gender-affirming care. However, litigation of evidence for gender-affirming care in state and national policy underscores the moral urgency of thinking carefully about what values ought to guide evidence.

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Source
http://dx.doi.org/10.1002/hast.1592DOI Listing

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