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A review of the current literature suggests that this protocol is founded upon an unscientific gender ideology, lacks an evidence base, and violates the long-standing ethical principle of “First do no harm.” Gender Dysphoria in Children: This Debate Concerns More than Science Gender is a term that refers to the psychological and cultural characteristics associated with biological sex.It is a psychological concept and sociological term, not a biological one.And that, in the world of gender, is really problematic.” Not only does she claim that “First do no harm” is subjective, but she later also states that it should be left to the child decide what constitutes harm based upon their own subjective thoughts and feelings.Given the cognitive and experiential immaturity of the child and adolescent, the American College of Pediatricians (the College) finds this highly problematic and unethical.

This view ultimately cost him his 30-year directorship of the Child Youth and Family Gender Identity Clinic (GIC) at the Center for Addiction and Mental Health in Toronto.[H]istorically we come from a very paternalistic perspective…[in which] doctors are really given the purview of deciding what is going to be harmful and what isn’t.Others, however, identify as post-modernists who reject teleology.What unites the two groups is a traditional interpretation of “First do no harm.” For example, there is a growing online community of gay-affirming physicians, mental health professionals, and academics with a webpage entitled “First, do no harm: youth trans critical professionals.” They write: We are concerned about the current trend to quickly diagnose and affirm young people as transgender, often setting them down a path toward medical transition….

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