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. 2023 Dec;15(4):662-676.
doi: 10.1111/jftr.12527. Epub 2023 Jul 30.

An Examination of Power in a Triadic Model of Parent-Child-Pediatrician Relationships Related to Early Childhood Gender Development

Eline Lenne  1 , Christina J Sun  2 , Susanne Klawetter  1
Affiliations

An Examination of Power in a Triadic Model of Parent-Child-Pediatrician Relationships Related to Early Childhood Gender Development

Eline Lenne et al. J Fam Theory Rev. 2023 Dec.

Abstract

In this paper, the authors introduce the Triadic Model of Pediatric Care, an innovative conceptual framework for pediatric practice with transgender and gender diverse children. The Triadic Model of Pediatric Care consists of three experts-pediatricians, primary caregiver(s), and children-who each possess unique insights, knowledge, and decision-making power. This model guides pediatricians to provide gender-affirming care that acknowledges children as experts of their own experience and worthy of bodily autonomy, while also working to ensure primary caregiver(s) have the information and support necessary to provide a safe and nurturing developmental environment for their child. The authors provide a recommendation for how the Triadic Model of Pediatric Care might be applied in a pediatric healthcare setting and conclude with a summary of the model's implications, limitations, and future directions.

Keywords: child development; gender-affirming care; pediatrics; prepubescent; shared decision-making; transgender.

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Triadic Model of Pediatric Care
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