Being on puberty blockers for 3 years means 3 years not developing in brain or body---falling farther and farther behind friends and classmates.
How is that reversible?
Open letter of resignation:
My 27-year association with Society for the Scientific Study of Sexuality must come to an end. In the present culture war between science and popular appeal, the SSSS Board of Directors selected the latter.
Medically transitioning adolescent girls for being insecure about their femininity is like recommending cardiac transplants for broken hearts.
Decisions are being based on metaphor, not science.
Never in my life would I have guessed I'd be disagreeing so strongly with
@jonstewart
. Yet, Stewart's interview with Leslie Rutledge on the science of trans- issues missed and misrepresented a great deal of the research. These were the major gaps...
Does this count as conversion therapy?:
A guy says he's not sexually attracted to transpeople, and a transperson suggests that he must overcome his issues so that he is?
Hair is key to affirming transgender and gender nonconforming people’s identity, but they often have trouble accessing haircuts that help them look the way they feel.
A photographer has documented some of these experiences.
How can one consent to orgasm-blocking treatments if one doesn't know what orgasms are?
Specifically, how can a prepubescent child weigh the risks of sacrificing what they cannot know?
Despite claims that blocking puberty gives time for decision-making, no one can answer the obvious:
How is it possible for a child to discover "This isn't as bad as I feared" when they are blocked from experiencing it?
Fears are resolved by confronting them, not avoiding them.
For very many teen girls, "trans" doesn't mean "I feel like a man." It means "I don't feel like a perfect woman and want out of the race." That's why "non-binary" etm. are so popular.
Hard to shake the observation that the explosion in cases parallels the advent of social media.
Once a healthcare provider (mis)represents the science as saying their child would be at substantial risk of death by suicide if not permitted to transition, it is hard to think of parents' subsequent decisions as "informed consent."
No. Sex evolved approximately 2 billion years ago. The idea that natural phenomena come to exist only when humans label them is human chauvinism. Sex was here before us, and (if we leave anything living behind) will be here after.
Binary sex is a (man) invented modern (late 18th century) taxanomic convention. The dividing line is if it’s time. We know that people have many ‘Sex’ variations & not just those called intersex. Enough variation that we cannot say that each human will be on side 1 or 2. So…
"‘Gender-Affirming Care Is Dangerous. I Know Because I Helped Pioneer It.’
"My country, and others, found there is no solid evidence supporting the medical transitioning of young people.
"Why aren’t American clinicians paying attention?"
Whenever someone says "Words are violence," all I hear is, "I am so emotionally dysregulated that I cannot scale my reactions appropriately to different situations."
#ClusterB
Gender affirmative therapy is for affirming the therapist, not the client.
It takes no talent, training, or skill to tell people what they want to hear. Helping youth process what they need but DON'T want to hear does.
If need-for-affirmation is all you see, the need is yours.
It is perfectly legitimate to debate the fairness of MtF transfolk competing on female sports teams.
Shaming
#autogynephilia
, however, is unfair. AGP appears to be simply another atypical sexuality that people do not ask for and cannot change.
Rainbows are no longer pride symbols.
They are virtue signals.
It no longer takes guts to show a pride flag.
It takes guts to question anything done it its name.
How can one distinguish "I'm a boy" from "I'm afraid of being a girl?"
How can one distinguish "I don't want to grow up to be a man" from "I don't want to grow up"?
How can one distinguish "I don't want to have children" from "Yet"?
@LeorSapir
@wpath
@thecassreview
I'm having trouble reconciling these:
"I approached this analysis as a non-binary researcher, as a parent of a trans child, and with experience as a parent-service user"
Studies of gender dysphoric kids all show that most turn out gay/lesbian, not trans.
People claim puberty-blockers give kids "time to choose," but not discussed is the obvious: Blocking puberty blocks onset of sex drive, so blocks the chance for them to compare at all.
We have studies saying mental health doesn't improve from transition.
We have studies saying mental health does improve, but can't tell if from psychotherapy or medical transition.
We have 0 studies showing meds superior to therapy.
And: Psychotherapy does not cause sterility.
How can prepubescent youth give consent---INFORMED consent---to forgoing all orgasm for all their lives?
How can a prepubescent mind appreciate the experience sufficiently for the consent to represent *informed* consent?
Calling it "scientifically supported" doesn't make it scientifically supported.
Calling it "life-saving" doesn't make it life-saving.
Calling it "medically necessary" doesn't make it medically necessary.
Calling it "well established" doesn't make it well established.
It's impossible to ban conversion therapy for sex orientation AND gender identity.
Transition IS conversion therapy:
Transition is the difference between a gay son and a straight daughter.
Banning therapy to become comfortable as gay IS the pressure to live as straight.
The research has NOT shown transition to improve mental health. The research is much more consistent with the psychotherapy that accompanies medicalized transition being what improves mental health. No medicalized intervention has been shown to add beyond that.
Premises:
1. Someone feels ugly, fears rejection.
2. Person identifies as Asexual, escaping social pressure to date.
3. Person attends psychotherapy. Their self-esteem improves, and they feel ready to try dating and sex.
Question:
Was this conversion therapy of asexuality?
There exists no scientific evidence whatsoever to support the claim of a neurological origin of gender identity. Such evidence exists for sexual orientation and the paraphilias, but not for gender identity.
"Transgender youth have higher rates of mental health issues..."
Yes, there's substantial evidence showing that.
"...because of the stigma"
No, there's no evidence showing that.
Correlation <> causation, Drs.
And stigma doesn't cause ADHD or autism spectrum disorder.
Correlations between adolescent gender dysphoria and suicidality are not well explained by being a result of transphobia. But they are very well explained by their both being a result of social contagion, for which adolescent (bio) females are the most susceptible.
Every child treated for gender dysphoria in the last decade will have their medical records scrutinised to see if NHS care is causing more harm than good.
Changing the law so researchers can study data on ~9,000 adolescents given counselling or drugs.
The WPATH response to the
#WPATHFiles
is remarkable in its vacuity. A science- and evidence-based organization would respond with science and evidence.
The Cass Report included systematic reviews of the relevant studies. From those:
Social transition review: Turban et al (2021) is "low quality"
Puberty blocker review: Turban et al (2020) is "low quality"
Hormone review: Turban et al (2022) is "low quality"
Outcomes research about medical transition is invalid without the detransitioners.
"Survivorship bias or survival bias is the logical error of concentrating on entities that passed a selection process while overlooking those that did not."
More:
The WPATH president claims credibility on the basis of other medical associations. Yet, those other associations claim credibility on the basis of WPATH.
The table below, however, lists *all* studies in their systematic reviews, along side the lists from the European ones.
New study out on suicide rates in trans folk. The article analyzed *actual* completed suicides rather than self-reported thoughts or attempts:
0.80% in transwomen
0.25% in transmen
For those following the
#ROGD
debates:
A group of psychology organizations claimed ROGD doesn't exist. In this blog post, I review the science behind their conclusion, summarizing the studies they somehow neglected.
The BBC has dropped Mermaids, The Gender Identity Research and Education Society (GIRES), The Gender Trust, and The LGBT Foundation from its information page for transgender people.
Research does NOT show transition reduces suicidality. Research shows people with better mental health are more likely to be permitted to transition.
(The misunderstanding is an example of the famous correlation-causation error.)
You can't know what the "settled science" is without first running a systematic review. No American medical assn conducted such a review of the safety and effectiveness of medicalized transition of minors. The European public health care systems that DID all said the opposite.
Good morning! A reminder that healthcare for transgender people is settled science. Every major medical association supports this critical life-saving care.
What doesn't count as Evidence-Based Medicine:
- Testimonials from satisfied customers.
- Providers' promises to make you a satisfied customer.
- Associations of providers saying their dues-paying members are approved to make you a satisfied customer.
- Any survey of the above.
Psychology has long shown that the most effective means of changing prejudiced minds is simply for the groups to interact: Exactly the opposite of cancellation culture.
#cancelcancelculture
#ccc
No, blockers block the very brain and sexual development they need to overcome their fears of growing up. They need help confronting those anxieties, not help avoiding them. There is no evidence blockers improve anything beyond psychotherapy. (Agreed re access problem.)
I have yet to see a logical answer:
Sonogram at month 6 of pregnancy shows unborn child is male.
What do you call the “sex assigned at birth” when there’s been no birth?
The explosive popularity of affirmation-on-demand is not because it is so comforting for the client, but because it is so comforting for the clinician.
I cannot help but compare:
GLB rights were fought mostly with feminist, collective, communication-based methods.
Trans rights are fought mostly with authoritarian, think-what-I-tell-you, punitive consequence methods.
It's hard not to put this together with Reuters' interview with Dr. Marci Bowers, WPATH’s president saying even minors should not be “blaming the clinician or the people who helped guide them,” she said. “They need to own that final step.”
One of the most widely cited clinical guidelines for treating people with gender dysphoria is from The Endocrine Society. Rarely does one see the disclaimer included at the end:
Useful comparison:
"Transwomen are women" and
"My adopted children are my children."
One's adopted child can be one's child for every personal, social, and even legal circumstance, but it still doesn't mean you can donate a kidney to each other.
Interestingly, cis-women are more likely to *attempt* suicide than cis-men, but cis-men are more likely to *complete* suicide than cis-women.
The pattern among transfolk matches biological sex rather than their social gender.
The problem of the extreme right is its unholy alliance with antisocial personality disorder. The problem of the extreme left is its unholy alliance with borderline and histrionic personality disorder. Moderate is the new radical.