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dc.contributor.authorBewley, S
dc.contributor.authorClifford, D
dc.contributor.authorMcCartney, M
dc.contributor.authorByng, R
dc.date.accessioned2019-01-31T10:15:59Z
dc.date.issued2019-04
dc.identifier.issn0960-1643
dc.identifier.issn1478-5242
dc.identifier.urihttp://hdl.handle.net/10026.1/13262
dc.description.abstract

More individuals are requesting medical assistance for gender uncertainty or dysphoria and provision of adult NHS gender identity services (GIS) is changing. Despite minimal medical input to polarised debates, several issues are potentially concerning: reports of poor care; rapid rises in referrals of children and young people to GIS; public conflation of biological sex with socially influenced gender roles; and extensive uncertainty in the evidence base to guide practice. Medical practice should happen within robust human rights frameworks where individual patients always have their concerns heard. Generalists, with expertise in whole-person care, handling uncertainty and complexity, have a key role when consulted by identity-questioning and transgender individuals for routine care, gender identity concerns, treatments recommended by private or NHS services, or for referral. Presentations with prior emotional trauma, co-existing mental or neurodevelopmental issues, or ‘bridging hormones’ requests may make primary care professionals uneasy. Without a considered approach to practice, high-quality evidence and guidance, a policy of active ‘affirmation’ and ‘treat or refer’ may lead to more people receiving medical interventions with uncertain outcomes.

dc.format.extent170-171
dc.language.isoen
dc.publisherRoyal College of General Practitioners
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectAdolescent
dc.subjectAdult
dc.subjectChild
dc.subjectGender Dysphoria
dc.subjectGender Identity
dc.subjectHealth Services Needs and Demand
dc.subjectHumans
dc.subjectReferral and Consultation
dc.subjectSex Counseling
dc.subjectSexual Behavior
dc.subjectSexuality
dc.subjectUnited Kingdom
dc.titleGender incongruence in children, adolescents and adults
dc.typejournal-article
dc.typeEditorial Material
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000462765000013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue681
plymouth.volume69
plymouth.publication-statusPublished
plymouth.journalBritish Journal of General Practice
dc.identifier.doi10.3399/bjgp19X701909
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dcterms.dateAccepted2018-11-17
dc.rights.embargodate2020-3-27
dc.identifier.eissn1478-5242
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.3399/bjgp19X701909
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-04
rioxxterms.typeJournal Article/Review


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