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Master Thesis

La demande de transition de genre chez un mineur : comment prendre la décision d'initier une transition médicale ?

Abstract : For some years now, transidentity has had an increased visibility in France. Gender identity can be questioned by children and teenagers, which can lead to a request for a medically assisted gender transition. This transition can consist in puberty suppression or hormonotherapy with oestrogen or testosterone. Hence an increased concern about how the decision to initiate those treatments is taken, and on the criteria and tools used by doctors to take this decision.
We conducted a qualitative research study based on eight semi-directive interviews with psychiatrists and endocrinologists working within teams specialized in transgender children and teenagers care across France.
Our results show that the practitioners take the decision in collaboration with the children and their families. They were all using the international recommendations as tools to help them to take those decisions, and all of them underligned the importance of multidisciplinary meetings, and of the time taken to appraise and reflect on the youth gender identity before any decision. Several subjective criteria were highlighted, particularly the significance of listening to the youth request, the fixity of the transidentity across time, the suffering of the child, the evaluation of the comprehension of the expected and side effects of the treatments - particularly on fertility. The integration of the family in the decision process was essential, as well as their support. Finally, childhood and adolescence specificities must be taken into consideration in any medical assessment.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03550671
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Submitted on : Tuesday, April 26, 2022 - 9:32:49 AM
Last modification on : Thursday, April 28, 2022 - 3:11:47 AM

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  • HAL Id : dumas-03550671, version 1

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Maria Le Meur. La demande de transition de genre chez un mineur : comment prendre la décision d'initier une transition médicale ?. Ethique. 2021. ⟨dumas-03550671⟩

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