“I should’ve been able to decide for myself, but I didn’t want to be left alone.” A qualitative interview study of clients’ ethical challenges and norms regarding decision-making in gender-affirming medical care

“I should’ve been able to decide for myself, but I didn’t want to be left alone.” A qualitative interview study of clients’ ethical challenges and norms regarding decision-making in gender-affirming medical care
Journal of Homosexuality; by Karl Gerritse, MD, MA, PhD, Casper Martens, MSc, Baudewijntje P.C. Kreukels, PhD, Marijke A. Bremmer, MD, Fijgje de Boer, PhD, Bert C. Molewijk, PhD; 6/24
[The Netherlands] This qualitative study aimed to map and provide insight into the ethical challenges and norms of adult transgender and gender diverse (TGD) clients in gender-affirming medical care (GAMC). By doing so, we seek to make an empirical and constructive contribution to the dialogue on and moral inquiry into what good decision-making in GAMC should entail. ... Our findings highlight divergent and dynamic decisional challenges and normative views— both within individual clients and among them. We conclude that there is no single ideal model of good decision-making in GAMC and argue that elucidating and jointly deliberating on decisional norms and challenges should be an inherent part of co-constructing good decision-making.