Journal
NEW BIOETHICS-A MULTIDISCIPLINARY JOURNAL OF BIOTECHNOLOGY AND THE BODY
Volume 26, Issue 1, Pages 38-52Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/20502877.2020.1720429
Keywords
Sex; gender identity; transgender; four principles (Principlism); general medical council (GMC); medical communication
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What do the terms sex and gender identity, or gender history, mean in a medical context? When does it matter to a healthcare professional whether a patient has male or female reproductive biology? How should a doctor approach a patient who does not wish for their biological sex to be openly acknowledged? The General Medical Council (GMC) advises doctors that transgender patients may have the marker for their sex amended to instead reflect their gender identity. This paper will attempt to critically examine two key points in the GMC trans healthcare ethical advice using Beauchamp and Childress' Four Principles approach, exploring how doctors might consider an incongruence between sex and gender identity in clinical practice.
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