Ethical Principles for the Management of Children with Disorders of Sex Development: A Systematic Approach for Individual Cases

Lynn Gillam, Jacqueline K. Hewitt, Garry L. Warne

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Researchpeer-review

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The Fifth World Congress on Family Law and Children’s Rights (Halifax Resolutions,, August 2009) adopted a resolution endorsing a new set of ethical guidelines for the management of infants and children with disorders of sex development (DSD) (Halifax Resolutions,, 2009), based on the ethical principles developed by our group. In this chapter, we outline these principles and explain their basis. The principles are intended as an ethical foundation for treatment decisions for DSD, especially regarding type and timing of genital surgery for infants and young children. These principles were formulated by an analytic review of clinician’s reasoning in particular cases, in relation to established principles of bioethics, in a process consistent with the Rawlsian concept of reflective equilibrium as the method for building ethical theory.

Original languageEnglish
Title of host publicationDisorders of Sex Development: An Integrated Approach to Management
Number of pages11
ISBN (Electronic)9783642229640
ISBN (Print)9783642229633
Publication statusPublished - 1 Jan 2012
Externally publishedYes

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