{"id":16878,"date":"2011-09-27T13:15:00","date_gmt":"2011-09-27T20:15:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=16878"},"modified":"2024-11-28T14:02:55","modified_gmt":"2024-11-28T22:02:55","slug":"managing-ethically-questionable-parental-requests-growth-suppression-and-manipulation-of-puberty","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=16878","title":{"rendered":"Managing ethically questionable parental requests: growth suppression and manipulation of puberty"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">David Isaacs, Bernadette Tobin, Julie Hamblin, Emma Slaytor, Kim C Donaghue, Craig Munns, Henry A Kilham<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"176\" height=\"232\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2024\/11\/jpaediatricschildhealth.jpg\" alt=\"Journal of Paediatrics and Child Health\" class=\"wp-image-17326\"\/><figcaption class=\"wp-element-caption\">Journal of Paediatrics and Child Health<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>Doctors sometimes struggle with ethically challenging requests for treatment from children&#8217;s parents. For instance, we have recently had two requests by parents of children, a girl and a boy, each with a severe developmental disability, for hormonal therapy to suppress growth and puberty: the girl&#8217;s parents requested, in addition, hysterectomy and mastectomy. We propose a reliable approach to assessing the ethical and legal aspects of these and other requests for \u2018non-therapeutic\u2019 treatment of a minor who lacks the capacity to give informed consent. We argue that a doctor should first assess whether the request is one that he or she can, in conscience, accede to, and then, if it is, seek the authorisation of a court. We outline considerations relevant to the doctor&#8217;s assessment of both the ethical issues and to the need for court authorisation.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Isaacs D, Tobin B, Hamblin J, Slaytor E, Donaghue KC, Munns C, Kilham HA. <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1440-1754.2011.02156.x\">Managing ethically questionable parental requests: growth suppression and manipulation of puberty<\/a>. J Paed Child Health. 2011 Sep 27;47(9):581-584. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>David Isaacs, Bernadette Tobin, Julie Hamblin, Emma Slaytor, Kim C Donaghue, Craig Munns, Henry A Kilham AbstractDoctors sometimes struggle with ethically challenging requests for treatment from children&#8217;s parents. For instance, we have recently had two requests by parents of children, a girl and a boy, each with a severe developmental disability, for hormonal therapy to &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=16878\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Managing ethically questionable parental requests: growth suppression and manipulation of puberty&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[362,824,554,2,1374,160,358],"tags":[2040,2042,2048,2046,2051,2053,2043,2044,2054],"post_folder":[],"class_list":["post-16878","post","type-post","status-publish","format-standard","hentry","category-body-reconfiguration","category-drugs","category-ethics","category-journal-article","category-paediatrics","category-sterilization","category-surgery","tag-bernadette-tobin","tag-craig-munns","tag-david-isaacs","tag-emma-slaytor","tag-henry-a-kilham","tag-informed-consent","tag-julie-hamblin","tag-kim-c-donaghue","tag-puberty-blockers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Managing ethically questionable parental requests: growth suppression and manipulation of puberty - 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