A reflection on how the absence of a psychodynamic perspective may disadvantage gender care and decision-making - Jillian Spencer, Roberto D’Angelo, 2025

https://journals.sagepub.com/doi/10.1177/10398562241312979

QUOTE

Abstract

Objective

To reflect on factors that may have led to the widespread implementation of gender affirming care (GAC) for minors by psychiatric clinical leaders despite the absence of a robust evidence base and the known risks of harm.

Conclusions

The progressive rejection of psychodynamic thinking by the profession of psychiatry may have contributed to psychiatrists failing to question key aspects of GAC for minors. Further, numerous unconscious factors potentially contribute to the foreclosure of thinking about the risks of gender medicine.