@article {Ashley637, author = {Florence Ashley}, title = {Flawed reasoning on two dilemmas: a commentary on Baron and Dierckxsens (2021)}, volume = {48}, number = {9}, pages = {637--638}, year = {2022}, doi = {10.1136/medethics-2021-107647}, publisher = {Institute of Medical Ethics}, abstract = {A recent paper by Teresa Baron and Geoffrey Dierckxsens (2021) argues that puberty blockers and hormone therapy should be disallowed before adulthood on prudential and consent-related grounds. This response contends that their argument fails because it is predicated on unsupported premises and misinterpretations of the available evidence. There is no evidence that a large proportion of pubertal and postpubertal youths later discontinue medical transition. Meaningful assent is a viable and commonly accepted alternative to meaningful consent in paediatric bioethics. And finally, the primary purpose of transition-related interventions is to actualise youths{\textquoteright} gendered self-image, not treat an underlying mental illness.}, issn = {0306-6800}, URL = {https://jme.bmj.com/content/48/9/637}, eprint = {https://jme.bmj.com/content/48/9/637.full.pdf}, journal = {Journal of Medical Ethics} }