Increasingly in certain circles the idea is growing up that ‘intellectual property is theft’. With companies being concentrated into multimedia groups, literary works being captured electronically, products being created for a mass-media culture, commercial exchange on a worldwide scale, the legitimacy of the creator's literary and artistic property is being challenged. Originally the ‘droit d'auteur’ or copyright were mainly protective rules laid down by law to regulate the author's status. The legal system of literary and artistic ownership still ensures that (...) creators receive revenue each time their works are reproduced, adapted or communicated to the public. In addition the droit d'auteur has another aspect through the existence of moral right, which establishes a personal link between author and work. It is true that moral right, which is sometimes seen as an obstacle to economic development, is almost non-existent in the systems of law recognizing copyright, which do not incorporate the same balance of interests as between the author and the company. On the other hand, in its formulation the droit d'auteur takes a more human approach and to say that intellectual property is theft would be equivalent to weakening, or even eradicating, a system that protects individual creators facing the reality of the exploitation of their work. This is why this criticism of legitimacy should, in my view, be considered in the context of a debate about the status of the author. The electronic capture of creative works has meant that the general public has easier access to them. (shrink)

Florence Larocque et Anne-Marie Reynaud.

This book has been defined around three important issues: the first sheds light on how people, in various philosophical, religious, and political contexts, understand the natural environment, and how the relationship between the environment and the body is perceived; the second focuses on the perceptions that a particular natural environment is good or bad for human health and examines the reasons behind such characterizations ; the third examines the promotion, in history, of specific practices to take advantage of the health (...) benefits, or avoid the harm, caused by certain environments and also efforts made to change environments supposed to be harmful to human health. The feeling and/or the observation that the natural environment can have effects on human health have been, and are still commonly shared throughout the world. This led us to raise the issue of the links observed and believed to exist between human beings and the natural environment in a broad chronological and geographical framework. In this investigation, we bring the reader from ancient and late imperial China to the medieval Arab world up to medieval, modern, and contemporary Europe. This book does not examine these relationships through the prism of the knowledge of our modern contemporary European experience, which, still too often, leads to the feeling of totally different worlds. Rather, it questions protagonists who, in different times and in different places, have reflected, on their own terms, on the links between environment and health and tries to obtain a better understanding of why these links took the form they did in these precise contexts. This book targets an academic readership as well as an “informed audience”, for whom present issues of environment and health can be nourished by the reflections of the past. (shrink)

Taking regular walks when living with Parkinson’s disease has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, (...) usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors and delivered individualized musical stimulation for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor, uncontrolled gait rehabilitation program, using the BeatWalk application. The music tempo was being aligned in real-time to patients’ gait cadence in a way that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients used the application 78.8% of the prescribed duration and enjoyed it throughout the program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue, and falls did not increase. Fear of falling decreased and quality of life improved. After the program, patients improved their gait parameters in the six-minute walk test without musical stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance.Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT02647242. (shrink)

Les articles de ce recueil, réunis par des membres du Centre de Recherche en Poétique, Histoire Littéraire et Linguistique (EA 3003) de l'Université de Pau et des Pays de l'Adour, explorent les notions de perception, perspective et perspicacité dans plusieurs champs de recherche (linguistique, littérature, histoire des idées, philosophie et arts) et à diverses époques, du Moyen Age à la modernité. De l'univers sonore médiéval à l'esthétique de Debussy, de la linguistique populaire à l'étude linguistique des relations entre perception, cognition (...) et syntaxe, de Prévost à Proust en passant par Mark Twain ou Virginia Woolf, de la peinture américaine de Thomas Cole aux oeuvres vidéographiques contemporaines, cet ouvrage, tel un kaléidoscope, offre une myriade de perspectives sur la façon dont de simples locuteurs, des écrivains, des artistes ou des philosophes s'efforcent d'appréhender le monde. Les auteurs mettent en évidence les multiples stratégies rhétoriques, narratives ou esthétiques, entre autres, destinées à combler les failles d'une vision trop empirique ou à briser ou brouiller de façon perverse les écrans qui font obstacle à notre perception. Celle-ci survient parfois au terme d'une longue initiation, ou elle ne survient pas, tant il paraît difficile de jeter un regard surplombant sur un monde labile et opaque. La perception n'en demeure pas moins un catalyseur de la création, et aussi de la réception, voire de la re-création par un lecteur / spectateur perspicace qui aime être surpris de voir plus loin que son horizon d'attente. (shrink)

Dans ce livre richement illustré et documenté, Marie-Jo Bonnet s'interroge sur la symbolique du couple de femmes dans l'art, en privilégiant l'exemple français, et ressuscite des figures d'artistes oubliées, comme Louise Janin, ou méconnues, telles Louise Abbéma ou Claude Cahun. Tribades, précieuses, amazones et garçonnes sont conviées à livrer leurs secrets : Marie-Jo Bonnet s'intéresse à la mise en scène du désir, longtemps orchestrée en fonction des attentes du spectateur masculin,...

Pour les lecteurs francophones, voici deux ouvrages qui approfondissent les recherches pionnières mais non traduites d’Ute Gerhard et viennent combler une lacune sur l’histoire des féminismes allemands. Ils complètent les publications récentes d’Alice Primi et de Karen Offen et s’inscrivent dans la lignée des travaux de Marianne Walle, Rita Thalman, Marie-Claire Hoock-Demarle, pour ce qui est de la production en français. Tiré d’une thèse soutenue en 2011 à l’université de Strasbourg, le liv...

Lucie Aubrac, co-fondatrice du mouvement Libération, est une de nos héroïnes de la Résistance qu'il n'est plus nécessaire de présenter. Les spectaculaires évasions qu'elle organisa pour arracher son mari, Raymond Aubrac, des mains de Klaus Barbie notamment, font partie de la légende. Elle-même en fit le récit en 1984 dans un ouvrage intitulé Ils partiront dans l'ivresse (Seuil). Une bande dessinée américaine avait déjà, dans les années 1950, immortalisé l'histoire de « Lucie to the Res...

Lucie Aubrac, co-fondatrice du mouvement Libération, est une de nos héroïnes de la Résistance qu'il n'est plus nécessaire de présenter. Les spectaculaires évasions qu'elle organisa pour arracher son mari, Raymond Aubrac, des mains de Klaus Barbie notamment, font partie de la légende. Elle-même en fit le récit en 1984 dans un ouvrage intitulé Ils partiront dans l'ivresse (Seuil). Une bande dessinée américaine avait déjà, dans les années 1950, immortalisé l'histoire de « Lucie to the Res...

Le 13 juillet 1907, les femmes mariées obtiennent le droit de disposer librement de leur salaire. Sont concernés les 95 % de couples qui, au tournant du siècle, délaissent les possibilités de contrat pour adopter, par défaut, le régime de la communauté des biens. La nouvelle loi entend corriger les effets pervers de ce régime matrimonial qui fait du mari l’unique gestionnaire - y compris des produits du travail de son épouse. L’application de la loi se révèle pourtant très aléatoire, (...) comme en... (shrink)

Le 13 juillet 1907, les femmes mariées obtiennent le droit de disposer librement de leur salaire. Sont concernés les 95 % de couples qui, au tournant du siècle, délaissent les possibilités de contrat pour adopter, par défaut, le régime de la communauté des biens. La nouvelle loi entend corriger les effets pervers de ce régime matrimonial qui fait du mari l’unique gestionnaire - y compris des produits du travail de son épouse. L’application de la loi se révèle pourtant très aléatoire, (...) comme en... (shrink)

Sara Mills’ influential Foucauldian study of women’s travel writing, Discourses of Difference, heralded a turn from the consideration of individual female travellers as exceptions towards an analysis of the discursive pressures similarly exerted on all of them, through the awareness of normative expectations regarding the production and the reception of their writings. This article revisits panopticism in the genre by showing how travel writing reveals the intersection between the material plane and the discursive process. Through the parallel analysis of three (...) travel narratives, Anna Jameson’s Winter Studies and Summer Rambles in Canada, Isabella Bird’s A Lady’s Life in the Rocky Mountains, and Mary Kingsley’s Travels in West Africa, I show how their clothing and behaviour are enacted as signs of femininity for the benefit of their contemporaries, in texts whose diaristic form articulates the writing of the self and its exhibition to the public. I thus analyse how these travel narratives illustrate the intersection of the individual and the social in power relations and self-fashioning, and how their authors negotiate surveillance in gender performance. (shrink)

Après une agrégation de philosophie (1983), Marie-Dominique Couzinet s'est formée à la recherche en Italie, à l'Institut Universitaire Européen de Florence, et en France, au CNRS. Maître de conférences (1996) habilitée à diriger les recherches (2009), elle enseigne l'histoire de la philosophie de la Renaissance à l'Université Paris 1 Panthéon-Sorbonne (UFR de philosophie ; Centre d'Histoire des Systèmes de Pensée Moderne : EA 1451). Ses travaux portent sur la philosophie de la Renaissance au XVIe siècle en France et en (...) Italie, l'histoire et la transmission des savoirs dans la culture humaniste européenne et l'historiographie consacrée à la Renaissance. Elle est l'auteur de Méthode et histoire à la Renaissance. Une lecture de la Methodus ad facilem historiarum cognitionem de Jean Bodin (Paris, Vrin, 1996) ; Bibliographie des écrivains français : Jean Bodin, Paris- Rome (Éditions Memini, 2001), et Sub specie hominis. Études sur le savoir humain au XVIe siècle (Paris, Vrin, 2007). / This study analyzes the links between philosophy, humanism and scholarly culture according to Ramus, the great 16th-century pedagogue – a prime target of the so-called "critique of pedantry", which asserted that one had to choose between teaching and thinking. It offers new critical tools to approach his oeuvre. (shrink)

L’objectif de cet ouvrage collectif original est de mettre en lumière les processus d’invisibilisation et de stigmatisation des femmes et des minorités sexuelles, mais aussi leurs résistances et leurs combats. La taxinomie sexuelle binaire fondée sur l’opposition masculin/féminin est ici enrichie d’études novatrices sur les vêtements, les sexualités et les combats contre les discours dominants générateurs de stigmates et d’invisibilité. L’ouvrage, dont la préface de Michel Prum fait office d’...

In lieu of an abstract, here is a brief excerpt of the content:Basic Resources in Bioethics*Mary Carrington Coutts (bio)OrganizationsKennedy Institute of Ethics Georgetown University Washington, DC 20057 National Reference Center for Bioethics Literature 800-MED-ETHX or 202-687-3885The Hastings Center 255 Elm Road Briarcliff Manor, NY 10510 914-762-8500Society for Health and Human Values 6728 Old McLean Village Drive McLean, VA 22101 703-556-9222NOTE: There are numerous organizations in the United States and abroad that deal with bioethical issues. For a more comprehensive listing (...) of those organizations, see:American Hospital Association. Directory of Biomedical Ethics Organizations. Chicago: American Hospital Association, 1989.National Reference Center for Bioethics Literature. International Directory of Bioethics Organizations edited by Robert Iosco. Washington, DC: Georgetown University, 1986.Encyclopedia and DictionaryDictionary of Medical Ethics. Edited by A.S. Duncan, G.R. Dunstan, and R.B. Welborn. New rev. ed. New York: Crossroad, 1981. [End Page 75]Encyclopedia of Bioethics. Edited by Warren T. Reich. 4 vols. New York: Macmillan-Free Press, 1978; or 1982 reprint in 2 volumes available to members of the Kennedy Institute of Ethics through the membership office, 202-687-8099.Online DatabaseBioethicsline. Produced by the Kennedy Institute of Ethics for the National Library of Medicine. Searchable through the MEDLARS system. Focuses on questions of ethics and public policy in the fields of health care and biomedical research. Searches available upon request to the National Reference Center for Bioethics Literature. For information on securing a personal access code from the National Library of Medicine, call 800-638-8480.BibliographiesBibliography of Bioethics. Edited by LeRoy Walters and Tamar Joy Kahn. Washington, DC: Kennedy Institute of Ethics, Georgetown University. Issued annually since 1975. Corresponds to the BIOETHICSLINE database. Provides references to resources on ethical and public policy issues in medicine and biomedical research. Includes abstracts; arranged by broad subject categories.Ethics in Nursing. Edited by Terry Pence. 2nd ed. New York: National League for Nursing, 1986. An annotated bibliography of nursing ethics. Includes author and subject indexes.Goldstein, Doris M. Bioethics: A Guide to Information Sources. Detroit: Gale Research, 1982. A selected, annotated bibliography to the literature of bioethics.The Hastings Center's Bibliography of Ethics, Biomedicine and Professional Responsibility. Compiled by the staff of the Hastings Center. Frederick, MD: University Publications of America, 1984.Medical Ethics: An Annotated Bibliography. Edited by Mark Siegler, Peter A. Singer and David L. Schiedermayer. Philadelphia: American College of Physicians, 1988.Current Awareness ServicesNOTE: Several journals have sections where they highlight new publications. See, for example, the "In The Literature" section of the Hastings Center Report, or the "Medicolegal Reference Shelf" section of Law, Medicine and Health Care. Other services include:BioLaw. Edited by James F. Childress and Ruth D. Gaare. Frederick, MD: [End Page 76] University Publications of America, 1983 to present. Annual with bimonthly updates. (Previous title: Bioethics Reporter.) A compendium of articles and legal documents on ethical and legal issues in medicine, health care administration and human experimentation. Includes the text of important legal decisions in the Resources section.New Titles in Bioethics. Edited by Luanda Fitch Huttlinger. Washington, DC: National Reference Center for Bioethics Literature, Kennedy Institute of Ethics, Georgetown University. Published monthly 1975-1989; quarterly 1990—present. List of acquisitions by the National Reference Center for Bioethics Literature. Organized by subject categories. Includes ordering information for difficult-to-find items. Annual cumulation available.Scope Notes Series. Washington, DC: National Reference Center for Bioethics Literature, Kennedy Institute of Ethics, Georgetown University. A series of issue briefs including annotated bibliographies on the following popular bioethical topics:No 1. Dangerousness, September 1982, 5 p.No 2. Living Wills and Durable Powers of Attorney: Advance Directive Legislation and Issues, Revised February 1990, 15 p.No 3. Ethics Committees in Hospitals, Revised June 1989, 12 p.No 4. Diagnosis Related Groups and the Prospective Payment System, June 1984, 11 p.No 5. Baby Fae, January 1985, 19 p.No 6. Surrogate Mothers, Revised January 1988, 12 p.No 7. Withholding or Withdrawing Nutrition or Hydration, Revised September 1988, 12 p.No 8. AIDS: Law, Ethics and Public Policy, April 1988, 12 p.No 9. Bioethics Audiovisuals 1982 to Present, September 1988, 12 p.No 10. Ethical Issues in... (shrink)

Towards the end of the Byzantine Empire many texts of the Latin Fathers were translated into Greek, beginning with the De Trinitate of Augustine. This flurry of translation spurred discussion on the authority of the Fathers. The Greeks were now confronted with the problem of what one should do when the (presumably infallible) Fathers justify apparent heresy (the Filioque)? This question became crucial after the Council of Florence and the fall of the Byzantine Empire. What is the definition of (...) a Father? A saint? A disciple? Is it possible to honour a Father and yet refuse to follow him on a particular point of doctrine? (shrink)

Towards the end of the Byzantine Empire many texts of the Latin Fathers were translated into Greek, beginning with the De Trinitate of Augustine. This flurry of translation spurred discussion on the authority of the Fathers. The Greeks were now confronted with the problem of what one should do when the (presumably infallible) Fathers justify apparent heresy (the Filioque)? This question became crucial after the Council of Florence and the fall of the Byzantine Empire. What is the definition of (...) a Father? A saint? A disciple? Is it possible to honour a Father and yet refuse to follow him on a particular point of doctrine? (shrink)

Florence Tamagne présente dans ce livre dense, mais qui aurait parfois gagné à être plus ramassé, l'essentiel d'une thèse soutenue en 1998. Il faut se réjouir de cette publication, les travaux sur l'histoire de la sexualité étant fort rares. L'histoire de l'homosexualité présente de surcroît des difficultés propres. Elle souffre plus encore que l'histoire de l'hétérosexualité du silence des acteurs. L'auteur a donc fait feu de tout bois, combiné iconographie et littérature, discours sc...

This paper forms part of a wider study examining the history and sociology of nursing education in England between 1860 and 1948. It argues that the question of whether nursing was an art, science and/or social science has been at die ‘heart’ of a wider debate on die occupational status and disciplinary identity of nursing. The view that nursing was essentially an art and a ‘calling’, was championed by Florence Nightingale. Ethel Bedford Fenwick and her allies insisted that nursing, (...) like other professions, was a ‘scientific’ and technical enterprise. Social scientists later came to challenge nursing's claim to professionalism by analysing nursing work first within die context of industrial psychology. But they also advocated a rapprochement between nursing, health services and social science research, a challenge which we are in nursing, still striving to meet This paper argues for a strong coalition of nursing with its former nineteenth century ally, social science, in die continuing struggle for change within nursing and health care policy. Rather than searching for some rarified and purified essence of nursing knowledge, it argues that nurses need to join forces with sociologists and economists in striving to shape die agenda for health services research and provide die evidential basis for health policy transformation more generally. (shrink)

Modern knowledge of the grammarian Consentius’ De barbarismis et metaplasmis, a work valuable for the study of the Latin language, dates back to a relatively recent past: it was only in 1817 that its editio princeps was published by Ph.C. Buttmann, just a few years after the legal scholar A.W. Cramer came across a mention of the then unknown treatise in a ninth-century MS in the Bayerische Staatsbibliothek of Munich, numbered Clm 14666. Based on this solitary manuscript, H. Keil published (...) the short treatise in the fifth volume of his Grammatici Latini. With no little enthusiasm did W.M. Lindsay announce his unearthing of what, in his own words, had ‘long been a “desideratum”, a second authority’ for this text, in the MS F 15 III d at the Universitätsbibliothek Basel; this was followed by E.O. Winstedt's complete collation and M. Niedermann's critical edition. After about a century now there comes to light a third authority, surprisingly enough in a codex which has enjoyed such fame in the past decades that one might wonder how Consentius could have gone unnoticed in it for so long: this is the eleventh-century MS of Venice, Biblioteca Nazionale Marciana Lat. Z. 497, in which the De barbarismis et metaplasmis is contained on fols. 84vb 39 - 90va 39; moreover, a so-far-unnoticed quotation from it, together with one from Consentius’ De nomine et uerbo, is found on fol. 41vb 16–21 of the same manuscript in a famous grammatical florilegium. The codex, written in Romanesque minuscule and probably originating in Rome, is regarded as a handbook of liberal arts designed by Lawrence Archbishop of Amalfi, formerly a monk at Montecassino, thereafter a teacher in Florence and Rome, where he died in about 1049. Based on palaeographical evidence, F.L. Newton rightfully assumed as an exemplar for this codex a MS in Beneventan script, as some features can be detected that betray the scribal imitation of that typical South Italian script, namely the use of the distinctive abbreviation for eius as ‘ei in ligature with stroke through the descender of the i’, the Beneventan ti ligature for the assibilated sound, and the 2-shaped Beneventan interrogation sign, to which I would add the typical abbreviation for in as a long i cut by a horizontal stroke and the confusion of a and t. Interestingly enough, none of these features is found on fols. 66–95, those containing the new Consentius: from a codicological point of view, this is an autonomous section, written by a different scribe from the rest of the MS and preserving some grammatical texts generally attributed to insular authors, such as Smaragdus’ Liber in partibus Donati and part of the compilation entitled Pauca de barbarismo, which precedes the De barbarismis et metaplasmis; not surprisingly, the new text of Consentius displays numerous features of the Insular script, such as the symbols for enim, autem, eius, est, nihil and et. On this basis it is most likely that this whole section was never included in the Beneventan exemplar, but was added at the time and place of copying of our MS in order to enrich the grammatical content. (shrink)

In Machiavelli on Freedom and Civil Conflict: An Historical and Medical Approach to Political Thinking, Marie Gaille rethinks Machiavelli's conception of civil conflict. In complete opposition to the common view of Machiavelli as a defender of tyranny, this analysis brings new elements to the forefront: the use of medical metaphors to describe the body politic, its historical lifespan and its institutional arrangement. This study is also based on a comprehensive approach to Machiavelli's writings, including his most famous works, but also (...) The History of Florence, his correspondence, and his political, military and diplomatic reports. This study allows Marie Gaille to propose an original assessment of Machiavelli's insights for contemporary conceptions of democracy. This is a revised and translated edition of Conflit Civil et Liberté: la Politique Machiavelienne entre Histoire et Médecine, first published in French, in 2004 by Éditions Honoré Champion. (shrink)

La relation qu’entretient Leonardo Bruni à sa ville d’adoption, Florence, tant comme lettré humaniste que comme personnalité politique, est complexe. Elle constitue une « entrée » pertinente pour s’interroger sur le statut moral de la richesse privée à Florence au début du xve siècle. Peut-on être riche et bon citoyen ? En s’interrogeant sur les motivations qu’avait Leonardo Bruni en offrant une nouvelle traduction du traité pseudo-aristotélicien l’Économique à Cosimo de Médicis, on comprend que ce geste s’inscrit dans (...) un débat vivace, marqué par des prises de position théologiques et séculières initialement favorables à la pauvreté, mais aussi par une évolution de la relation entre l’Église et les marchands à Florence. En rupture avec toute idéalisation morale de la vie à la campagne, Bruni avance que la recherche privée de la richesse n’est pas nécessairement un vice. Il entend en proposer la démonstration à travers la peinture d’un homme qui réalise ses vertus dans la cité, en prônant par l’exemple une vie dans l’aisance et en contribuant à la prospérité et à la puissance de la cité. (shrink)

De son vivant, Josephine Butler (1828-1906) fut tout autant vilipendée que couverte d’éloges et, aujourd’hui encore, force est de constater que sa figure et son combat sont loin de faire consensus. Josephine Butler était-elle féministe? Ses convictions religieuses primaient-elles sur ses engagements en faveur de la condition des femmes? Tout en rendant accessible au public francophone les débats historiographiques quant à la sexualité à l’ère victorienne et les thèses débattues parmi les hi...

There is a rather famous “Fitch argument” that not everything that is true is knowable. There is a rather famous “Mary argument” that is often used to argue that reductive physicalism is false. This paper sets out the two side by side as the Fitch Knowability Paradox and the Mary Knowability Paradox. It is found that they have the same logical form and thus the question of validity can be evaluated with the same tools. Likening the (...) two is useful, since it avoids the problem that since the logical forms involved in intentional and experiential contexts are unknown, we cannot be in a position to evaluate whether the Mary is deductively valid without begging questions. (shrink)

Although informed consent models for prescribing hormone replacement therapy are becoming increasingly prevalent, many physicians continue to require an assessment and referral letter from a mental health professional prior to prescription. Drawing on personal and communal experience, the author argues that assessment and referral requirements are dehumanising and unethical, foregrounding the ways in which these requirements evidence a mistrust of trans people, suppress the diversity of their experiences and sustain an unjustified double standard in contrast to other forms of clinical (...) care. Physicians should abandon this unethical requirement in favour of an informed consent approach to transgender care. (shrink)

By attending to how people speak about their gender, we can find diverse answers to the question of what it is like to have a gender identity. To some, it is little more than having a body whereas others may report it as more attitudinal or dispositional—seemingly contradictory views. In this paper, I seek to reconcile these disparate answers by developing a theory of how individual gender identity comes about. In the simplest possible terms, I propose that gender identity is (...) how we make sense of our gender subjectivity, the totality of our gendered experiences of ourselves. Gender identity is constituted by gender subjectivity, but this constitutive relationship is underdetermined. While gender subjectivity may narrow the range of inhabitable gender identities, it is always compatible with more than one. To arrive at a gender identity, we arrange gender subjectivity like building materials. My theory helps us understand how different people offer seemingly incompatible accounts of their gender identity without questioning their authenticity or validity. They simply arrange similar building materials differently. (shrink)

Drawing on the principle of subsidiarity, this article develops a framework for allocating medical decision-making authority in the absence of capacity to consent and argues that decisional authority in paediatric transgender healthcare should generally lie in the patient. Regardless of patients’ capacity, there is usually nobody better positioned to make medical decisions that go to the heart of a patient’s identity than the patients themselves. Under the principle of subsidiarity, decisional authority should only be held by a higher level decision-maker, (...) such as parents or judges, if lower level decision-makers are incapable of satisfactorily addressing the issue even with support and the higher level decision-maker is better positioned to satisfactorily address the issue than all lower level decision-makers. Because gender uniquely pertains to personal identity and self-realisation, parents and judges are rarely better positioned to make complex medical decisions. Instead of taking away trans youth’s authority over their healthcare decisions, we should focus on supporting their ability to take the best possible decision for themselves. (shrink)