napody
they hinted with talk of experimental procedures that adequate information isnt being given. Therefore does that mean adults can't give informed consent at present too? Given that the 'informed' bit needs adequate accurate information which isn't available? Are they telling adults that long term effects are unclear?
This is a really interesting question and I don't really know the answer.
Adults can give informed consent to experimental treatment, for example in a randomised controlled trial. In a clinical trial, there are very strict ethical procedures to make sure the risks and benefits of any potential treatment, as well as any uncertainty around those, are clearly and accurately presented to the patient. Adults can also consent for their children to take part in clinical trials.
Furthermore, adults can consent to do things that permanently alter their bodies - like getting a tattoo or having cosmetic surgery. However, those procedures are also regulated. An adult can't ask a surgeon to remove a healthy organ or amputate a limb just because they demonstrate that they understand the risks and have signed a consent form. The closet we get to that is probably altruistic organ donation by living donors. Medical ethics doesn't allow doctors to cause harm to patients unless the benefit gained has the potential to outweigh the harm.
To me, puberty blockers for gender dysphoria look like they are harm all the way down: potentially increased suicidality, potential impact on brain development, very high conversion to cross-sex hormones and a lifelong medical regime, infertility and reduced sexual function. The argument in favour was supposed to be that it would prevent distress from going through puberty, but the early evidence from the Tavistock trial indicated increased mental health difficulties, so that argument fell apart.
I think if a new trial was designed, where all the risks of puberty blocker treatment were clearly explained, and where the analysis process and evaluation were clearly defined, it would be possible for parents to consent for their children to be treated with blockers within the context of the trial. But that would rely on clinicians presenting the existing evidence accurately. Which it sadly doesn't seem that we can trust the Tavistock to do.
Incidentally, it's quite hard to run an effective trial for blockers. The number of patients treated per year is small, the number of years you have to wait to measure outcomes is large (probably at least 5, which is a very long follow-up period) and it's not possible to blind participants to the group that are in, because the effects of puberty are obvious.