{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:39:09Z","timestamp":1777433949420,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the treatment of gender dysphoria described in Bell v Tavistock (UK 2020). Bell documents the treatment and sequelae of a 16-year-old adolescent referred to the Tavistock with gender dysphoria. Her case highlights contrasts between gender affirming care and comprehensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Consistent with other western centres, in the 2010s, the Tavistock began treating patients with gender dysphoria under the \u2018Dutch protocol\u2019 for gender affirming care. Bell reveals concerning lapses of clinical governance influenced by activists and linked to patient harm. The recent suspension of a senior child psychiatrist from an Australian public hospital service after questioning the evidence base and ethical foundation of gender affirming care underlines the need to resolve these uncertainties to address the crisis in the treatment of gender dysphoria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562231211130","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T11:55:46Z","timestamp":1699530946000},"page":"26-31","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Gender dysphoria: Reconsidering ethical and iatrogenic factors in clinical practice"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6814-3062","authenticated-orcid":false,"given":"George","family":"Halasz","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, Monash Medical Centre, Monash University, Clayton, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9145-0212","authenticated-orcid":false,"given":"Andrew","family":"Amos","sequence":"additional","affiliation":[{"name":"Division of Tropical Health and Medicine, College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-10398562231211130","volume-title":"ICD-11: international classification of diseases","author":"World Health Organization","year":"2022","edition":"11"},{"key":"bibr3-10398562231211130","volume-title":"Gender incongruence and transgender health in the ICD","author":"World Health Organization"},{"key":"bibr4-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2100644"},{"key":"bibr5-10398562231211130","volume-title":"The cass review Independent review of gender identity services for children and young people: interim report","year":"2022"},{"key":"bibr6-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0000245"},{"key":"bibr7-10398562231211130","unstructured":"Tavistock Bv (2020) High Court, Administrative Division, case CO\/60\/2020, Courts and Tribunal Judiciary [Online]. Available at: https:\/\/www.judiciary.uk\/judgments\/r-on-the-application-of-quincy-bell-and-a-v-tavistock-and-portman-nhs-trust-and-others\/ (accessed 18 July 2023)."},{"key":"bibr8-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02472-8"},{"key":"bibr9-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1080\/00049530.2021.1900747"},{"key":"bibr10-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2012.169.8.875"},{"key":"bibr11-10398562231211130","unstructured":"Tavistock Bv. Court of appeal. 2021. Court of Appeal, Civil Division, case CO\/60\/2020, Courts and Tribunal Judiciary website [Online]. Available at: https:\/\/www.judiciary.uk\/judgments\/bell-and-another-v-the-tavistock-and-portman-nhs-foundation-trust-and-others\/ (accessed 18 July 2023)."},{"key":"bibr12-10398562231211130","volume-title":"Time to think: the inside story of the collapse of the Tavistock\u2019s gender service for children","author":"Barnes H","year":"2023"},{"key":"bibr13-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(21)00139-5"},{"key":"bibr14-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-02163-w"},{"key":"bibr15-10398562231211130","first-page":"e36425","volume":"15","author":"Jackson D","year":"2023","journal-title":"Cureus"},{"key":"bibr16-10398562231211130","volume-title":"A clinical guide for therapists working with gender-questioning youth","author":"Ayad S","year":"2022"},{"key":"bibr17-10398562231211130","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-022-02076-6"},{"key":"bibr18-10398562231211130","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.582688"},{"key":"bibr19-10398562231211130","volume-title":"Protecting children takes courage","author":"Sladden J","year":"2023"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562231211130","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562231211130","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562231211130","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:52:20Z","timestamp":1777377140000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/10398562231211130"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,9]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1177\/10398562231211130"],"URL":"https:\/\/doi.org\/10.1177\/10398562231211130","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,9]]}}}