青少年医疗转型是伦理的:与生殖健康的类比。

IF 1.1 4区 哲学 Q3 ETHICS Kennedy Institute of Ethics Journal Pub Date : 2022-01-01 DOI:10.1353/ken.2022.0010
Florence Ashley
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引用次数: 5

摘要

在这篇文章中,我通过类比堕胎和节育来论证青少年医疗转变是合乎伦理的。这些干预措施是相似的,因为它们是通过人的基本自我概念和期望的生活来干预健康的生理状态,它们的有效性是由它们实现患者的体现目标的能力来定义的。由于心理健康益处的证据在青少年医疗过渡、堕胎和节育之间是可比较的,因此不允许与过渡相关的干预将暴露出一种不可接受的双重标准。虽然足够大的风险可以凌驾于个人身份基本方面的自主权之上,但我证明,现有的科学证据并不能证实青少年医疗转变是危险的这一观点。因此,青少年医疗过渡应被认为是合乎道德的,并保持可用性。
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Adolescent Medical Transition is Ethical: An Analogy with Reproductive Health.

In this article, I argue that adolescent medical transition is ethical by analogizing it to abortion and birth control. The interventions are similar insofar as they intervene on healthy physiological states by reason of the person's fundamental self-conception and desired life, and their effectiveness is defined by their ability to achieve patients' embodiment goals. Since the evidence of mental health benefits is comparable between adolescent medical transition, abortion, and birth control, disallowing transition-related interventions would betray an unacceptable double standard. While great enough risks can override autonomy over fundamental aspects of personal identity, I demonstrate that the available scientific evidence does not corroborate the view that adolescent medical transition is dangerous. Consequently, adolescent medical transition should be recognized as ethical and remain available.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
19
期刊介绍: The Kennedy Institute of Ethics Journal offers a scholarly forum for diverse views on major issues in bioethics, such as analysis and critique of principlism, feminist perspectives in bioethics, the work of the Advisory Committee on Human Radiation Experiments, active euthanasia, genetics, health care reform, and organ transplantation. Each issue includes "Scope Notes," an overview and extensive annotated bibliography on a specific topic in bioethics, and "Bioethics Inside the Beltway," a report written by a Washington insider updating bioethics activities on the federal level.
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