the physician, the psychiatrist, and the surgeon from the responsibility of making the decision.” His clinic’s model was appropriate, he says, because patients “sometimes present with symptoms of gender dysphoria that are actually related to other psychiatric problems. Or they will present in a state of a kind of acute, fulminating gender dysphoria without having experienced what it would really be like to live in the world as the opposite sex.” Psychiatric patients should not be their own doctors; as the saying goes, a lawyer who represents himself has a fool for a client. It’s an old idea:
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