Capacity-based decision-making for transgender adolescents

By Timothy F. Murphy This post is part of a series on ethical and legal perspectives in sexual and reproductive health first posted on the BMJ Sexual and Reproductive Health blog. Readers may be interested in the companion piece ‘Transgender children: limits on consent to permanent interventions’ by Heather Brunskell-Evans. Academics, clinicians, and trans people have focused […]

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Transgender children: limits on consent to permanent interventions

By Heather Brunskell-Evans This post is part of a series on ethical and legal perspectives in sexual and reproductive health first posted on the BMJ Sexual and Reproductive Health blog. Be sure to check out the companion piece ‘Capacity-based decision-making for transgender adolescents’ by Timothy F. Murphy. When we talk about ‘transgender children’, we are referring […]

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New Scientist is Not Amused

By Iain Brassington You might remember the couple of days a few years ago in which the overlyhonestmethods hashtag went viral on Twitter: for those of you who don’t, it was a little joke in which academics – mainly, I think, natural scientists – made not-entirely-serious “confessions” about how they do their work and the corners […]

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How to Keep HIV Cure-Related Trials Ethical: The Benefit/Risk Ratio Challenge

Guest Post by Nir Eyal Re: Special Issue of the Journal of Medical Ethics on the ethics and challenges of an HIV cure For most patients with HIV who have access to antiretroviral treatment and use it properly, that treatment works well. But the holy grail of HIV research remains finding a cure. Sometimes that […]

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Professional Codes and Diagnosis at a Distance

This is the second part of my response to Trish Greenhalgh’s post on the propriety of medics, psychiatrists in particular, offering diagnoses of Donald Trump’s mental health.  In the last post, I concentrated on some of the problems associated with making such a diagnosis (or, on reflection, what might be better called a “quasi-diagnosis”).  In […]

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Should Doctors Perform “Minor” Forms of Female Genital Mutilation (FGM) as a Compromise to Respect Culture?

by Brian D. Earp / (@briandavidearp), with a separate guest post by Robert Darby A small surgical “nick” to a girl’s clitoris or other purportedly minimalist procedures on the vulvae of young women and girls should be legally permitted, argue two gynecologists this week in the Journal of Medical Ethics. Their proposal is offered as a “compromise” […]

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R-E-S-P-E-C-T

Here’s an intriguing letter from one John Doherty, published in the BMJ yesterday: Medical titles may well reinforce a clinical hierarchy and inculcate deference in Florida, as Kennedy writes, but such constructs are culture bound. When I worked in outback Australia the patients called me “Mate,” which is what I called them. They still wanted me to be in […]

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On the other hand…

… the phenomenon of apologising for the wrong thing comes alongside people taking umbrage at the wrong thing.  Last week, the BMJ ran a head-to-head feature on the “question” of whether doctors should recommend homeopathy.  This was the latest in a series of articles in which a question is posed, apparently strictly on the understanding that it’ll accommodate […]

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The Legal and Moral Significance of Implantation

Guest post by Sally Sheldon We tend to talk about contraception and abortion as if they were two separate and readily distinguishable practices, the former preventing pregnancy and the latter ending it. This understanding has a very important effect in current British law, where a relatively permissive approach to the availability of contraception stands in […]

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