Psychiatric ethical issues of transgender people

Today, psychiatric care for people with transgender in the Russian Federation is difficult due to non-compliance ethical principles work of service. The article deals unresolved conflict regarding gender reassignment procedures between proponents "not allowed, forbidden" attitude psychiatrists issue permission sex only "real" transsexuals, and supporters opposite liberal towards issuing permission. almost all applicants. Our discusses issues help people. autonomy, harmlessness beneficence this are intended authors ethically write about adding not a diagnosis International Classification Diseases. This raises concerns benefits harms, principle respect autonomy beneficence, order provide good quality discuss problem psychiatrist mental health subjects. psychiatrist's subjects, medicalization medical paternalism considerations role subjects varying degrees health. propose an algorithm providing persons who have undergone reassignment, which includes in-depth examination by psychiatrists, psychologists, sexologists collegial conclusion on state person triad: mentally healthy or "have disorders", "borderline" "mental psychotic disorders".