Transgender, a Challenge for the Conservative Mindset

Scepticalscribe

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I understand your opinion on the issue. But this is an extremely rare occurrence. Your are more likely to be struck by lightning than to be a transgender woman who wins a national competition. I believe the “threat” of transgender women taking over women’s sports is greatly exaggerated.
I beg to differ.

And, if it is relatively rare now - and not as rare as you seem to suggest - unless challenged, it will become much less rare.

And, if it is not addressed - and challenged - now, it may well become the norm.

I think it interesting that those who have written (on this thread, and elsewhere) with concerns tend to fall into one of two categories: One are women, and the other are parents (of either gender) of daughters.

For the most part men, even liberal men, just don't really see this, and are not listening; it doesn't have a direct bearing on them, or their lives, and is thus partly reduced to a vague, pseudo scientific, detached discussion of balancing supposedly equivalent rights of different groups. One can only assume such a posture of lofty impartialty when the topic in question has no direct bearing on how one gets to live one's own life.

Think of the advantages a team comprised of trans athletes would have over a team comprised of (mere) female athletes, and of the temptations (to coaches, schools, etc) to seek and select for the athletes - or sportspeople - who will bring victory and glory to the team (and whatever that team represents).

This could give rise to a world - a mindset - where anyone who has been born as a woman isn't deemed a good enough "woman", to seriously compete (or be able to win) in women's events.

The message that this gives to young girls is appalling - that, leaving aside that the world is not designed for you and cultural, socio-economic, legal structural inequalities still exist, persist, (and some women's rights are being challenged and rolled back, reversed as I write and not only in Afghanistan) - but that, even in the part of the world that is reserved for you, (such as women's sports) you can be out-competed and defeated by those who were born male, with all of the social, cultural, economic - and, in the case of sport, - physical advatages that being born male affords you. That, even in women's events, being female is not good enough, not least because you are the wrong kind of female. That is an appalling message to want to send to young girls.

Moreover, this is a subject with ramifications that extend far beyond sport.

There are a few other - general - points I wish to make.

We hear much of the concerns of transwomen, but - and, to my mind, this is instructive - very little about the concerns, or facilitating the needs of transmen (although their numbers are not insignificant).

Obviously, this will hardly apply to sport (transmen will bring little by way of competitive advantage to any male sport) but it sees to me that there are wider, cultural, issues also at play here. Nevertheless, transmen do not present a direct challenge to existing situations or structures; if anything, they are almost invisible.

Put bluntly, I suspect that some of the transwomen - men who have transitioned to some degree (or wholly) to being female - having been born male, and socialised as male from a young age, - may well be bringing some of the attitudes of male entitlement and male privilege (not to mention elements of classic toxic masculinity) that they absorbed culturally and socially as young males, or as boys, or male teenagers, into the new female world that they have chosen to inhabit.

For, this desire of some of the more perfervid of the TRA movement, to demand the right to define what it is to be a woman, (reduced to weird definations where one is viewed as womb bearers, cervix bearers, with the word woman excised completely) what it is to be female, strikes me as an especially egregious example of male entitlement, - one that I find outrageous - and - as a woman - is something that I find it extraordinarily offensive.

It is quite one thing to defend trans rights, and to support the right of trans people to express themselves (and live in, and as) their preferred gender and try to help bring about a shared world where this is possible.

However, it is quite another where some in the trans movement arrogate to themselves the right to define what it is to be female, and where some groups with a pronounced preference for female only spaces - or, in the case of lesbians - female only sexual preferences - come under surprisingly sustained, and sometimes, quite vehement, attack.

Moreover, I will note that (in my experience) those who write - invariably glibly - that "life is unfair" (more usually a lazy right wing argument to defend an unjust status quo in socio-economic matters) have rarely experienced structural or systemic unfairness in their own lives.

However, as a woman, I'm tired of hearing "life is unfair" when it is used (as it almost invariably is used) to defend a policy or view or stance that simply perpetuates unfairness, refusing to acknowledge, let alone address it.

Moreover, those who write that there are "two injustices", or "unfairnesses" here, fail to distinguish (not least because they do not see the issues as applying to themsleves) that the burden of "unfairness" will not fall equally; asking women to "put up with" potential (or real) unfairness in order to facilitate the need for inclusion of transpeople is, to my mind, an ask too far, and is a facile argument (and one, note, not made by any of the women who have written on this topic).

The degrees of unfairness are not equivalent, and it is disingenuous to attempt to argue that it is. An entire gender - half of the human race - should not be asked to accept "unfairness" - or sacrifice their safety - in the interests of seeking to accommodate others.
 
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mollyc

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On a much more biological level, trans female athletes will never know what it's like to wake up the morning of a sportsing event with horrible cramps, or a flow that is hard to contain. Or try to fit on a tech suit for swim and also learn how to use tampons for the first time (both on the same day) when you are 12. Many won't know how much breasts can get in the way of sportsing (although in fairness, many biological women are small chested and have this as advantage over other biological women). Trans female athletes won't know what it's like to suffer from such lack of body fat that they don't even menstruate properly (thinking of gymnasts in particular)....

Biological women have a lot of "disadvantages" already in physical prowess, and now we are supposed to be matched against people who can never have these issues at all?
 

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And, if it is relatively rare now - and not as rare as you seem to suggest - unless challenged, it will become much less rare.

And, if it is not addressed - and challenged - now, it may well become the norm.
What evidence do you have to support this prediction of future events?
 

SuperMatt

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I think it interesting that those who have written (on this thread, and elsewhere) with concerns tend to fall into one of two categories: One are women, and the other are parents (of either gender) of daughters.
I take the people on this forum at their word when they say it is about the competition to them. I certainly wish there were a way to include transgender women in sports that would be fair to everybody. It seems that it has been figured out in some sports, while the jury is still out in others (such as swimming).

As for the public’s opinion on transgender people, polling indicates it is a generational gap more than a gender gap.

47% of people ages 18-24 oppose transgender women in sports
76% of people aged 45-54 oppose the same

As for women vs men on the topic? This forum is perhaps the inverse of overall opinion. Men are less accepting of transgender women in sports.

72% of men think athletes should compete based on their birth gender
53% of women think the same

Interestingly, while about 2/3rds of people oppose transgender women competing in women’s sports (with the justification that they’d have an advantage, correct?), 52% of people also oppose transgender men competing in men’s sports. So that indicates that at least some of the opposition out there is not just based on competitive advantages, but on general attitudes towards transgender people. I don’t believe that to be the case among the esteemed members of this forum though. I understand there are honest concerns, although I disagree on the solutions.

 

mollyc

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Oh, and let's not forget the fact that biological women can often be discriminated against, and have lost sponsorships, just because they get pregnant. And of course now those athletes have even more difficulty if they didn't plan the pregnancy and need to terminate it for some reason.
 

Herdfan

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I take the people on this forum at their word when they say it is about the competition to them.

And now we add injury to the list of reasons this is a bad idea:


I co-managed a Co-Ed softball team in a local league for years. The other manager and I had one rule: No girls playing 3rd base. We were playing in the A-B class and the guys just hit the ball down the line too hard. We did let a girl play first, but she was also a damn good college player and tough as hell. But even she played back against a left-handed guy. I witnessed a girl playing first get her front teeth knocked out on a hard throw by a guy from 3rd. He didn't do anything wrong, he was just trying to get the runner. His balled tailed up and over the top of her glove right into her mouth.
 

rdrr

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I co-managed a Co-Ed softball team in a local league for years. The other manager and I had one rule: No girls playing 3rd base. We were playing in the A-B class and the guys just hit the ball down the line too hard. We did let a girl play first, but she was also a damn good college player and tough as hell. But even she played back against a left-handed guy. I witnessed a girl playing first get her front teeth knocked out on a hard throw by a guy from 3rd. He didn't do anything wrong, he was just trying to get the runner. His balled tailed up and over the top of her glove right into her mouth.

I am not sure what your story has anything to do with the point of the thread. It just comes off as sexist implying the girl got hurt playing with boys. It seems that this injury could have happened to any gender, or are you implying that because she was a girl her hand-eye coordination was below average?
 

Herdfan

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I am not sure what your story has anything to do with the point of the thread. It just comes off as sexist implying the girl got hurt playing with boys. It seems that this injury could have happened to any gender, or are you implying that because she was a girl her hand-eye coordination was below average?

No, she was actually a pretty good player. She just was not used to how hard a guy can throw a ball and she didn't make the adjustment.
 

Scepticalscribe

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I am not sure what your story has anything to do with the point of the thread. It just comes off as sexist implying the girl got hurt playing with boys. It seems that this injury could have happened to any gender, or are you implying that because she was a girl her hand-eye coordination was below average?
Come on.

Read @Herdfan's post.

He wrote nothing about her hand-eye coordination (which I don't doubt was probably excellent if she was "a damned good college player"), but drew attention to how hard an adult - or adolescent - male can throw (which derives from upper body strength).
 

Renzatic

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Come on.

Read @Herdfan's post.

He wrote nothing about her hand-eye coordination (which I don't doubt was probably excellent if she was "a damned good college player"), but drew attention to how hard an adult - or adolescent - male can throw (which derives from upper body strength).

If this is the same story I’m thinking of, it happened in my neck of the woods. When it first broke, no one was reporting the transgender angle, but plenty of people were spreading the word through the rumor mill. It became something of a big deal thereafter, primarily due to the culture war aspect of it.
 

thekev

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He wrote nothing about her hand-eye coordination (which I don't doubt was probably excellent if she was "a damned good college player"), but drew attention to how hard an adult - or adolescent - male can throw (which derives from upper body strength).

Guys are probably more used to how hard other guys can throw, but if it was a hard enough throw to knock out someone's teeth, a teenage guy still could have been badly injured by it. I kind of wish more emphasis was put on safety with some of these sports, as that's a horrible injury to sustain, particularly at a young age.
 

AG_PhamD

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This topic is such a minefield. And too often these transgender-male-female interface issues are not rational and dictated by extreme opinions.

Speaking about MTF in sports, I think the fundamental problem is that depending on when the person transitions makes a significant difference. The development of someone who never undergoes male puberty is quite different than a male who transitions at age 17.

Frankly, my biggest concern is the astronomical rise in children identifying as trans and how easily hormone blockers/replacement can be initiated. When you factor in proposed or actual legislation allowing parents to not even be informed of treatment (let alone authorize it), not requiring psych evaluations before treatment, etc - this all just sounds like insanity.

The notion puberty blocking drugs “just hit the pause button” ignores a whole host of risks and consequences- the full extent of which we’re still not entirely aware of. Relatively recently a number of western countries have decided to rethink the extent to which these drugs are used.

Considering the proportion of people who appear to revert their gender identity back to their biological sex, you would hope we could better assess patients to help them. And when you consider other data around transpeople and the astronomical rise in cases, particularly FTM, there are numerous indications many of these cases may be a social phenomenon rather than a biological/psychological one. Additionally, some cases of GID may be caused by other underlying factors or psychological conditions that may be temporary or treatable without having to resort to hormones and surgery.

Unfortunately, doing research on trans-identifying subjects is extremely difficult. If there is any chance the research could suggest doing anything but fulfilling the wishes of the trans activists, no one want to be involved and no one wants to fund it for fear of backlash. And I know a great number of extremely influential medical professionals who have serious concerns with how we currently handle transgender healthcare but it’s just too dangerous professionally to discuss.

This is not to say trans people do not exist. It’s not to say trans people shouldn’t receive gender affirming case. It’s not to say trans people should be treated poorly in society.

My concern is that we have a large number of people seeking potentially risky treatments with longterm permanent consequences, the majority of whom may come to regret their decision down the road. Children and adolescents are particularly volatile in their beliefs. Being able to best delineate where and when treatment is foundational to modern healthcare. Yet it seems trans healthcare has been entirely hijacked by activists and fear.

It concerns me when you see medical organizations using terms like “sex assigned at birth” in their official guidelines (rather than biological sex). This is a sociology term not a medical one - your sex is your sex, no one “assigns” it.

To be clear, I believe trans activists are entirely well intentioned. Trans people have clearly suffered enormously in our society. But ensuring the rights and safety of the population should not mean providing serious medical interventions without some deeper analysis.

I have no problem with people choosing to live out their gender identity in the way they feel is most congruent. And I’m happy to support these people. I have no problem with adults making informed decisions about medical interventions. When it comes to children, because of what the data shows and the nature of children, I think it’s important to exercise an extra degree of caution before making major, life changing decisions- including puberty blockers.
 

rdrr

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No, she was actually a pretty good player. She just was not used to how hard a guy can throw a ball and she didn't make the adjustment.

Come on.

Read @Herdfan's post.

He wrote nothing about her hand-eye coordination (which I don't doubt was probably excellent if she was "a damned good college player"), but drew attention to how hard an adult - or adolescent - male can throw (which derives from upper body strength).
I think I know what your are trying to say, but for me and I don't think my response is "Come on" comment. It still comes across with a bit of sexism twist, by saying men throw harder that is why there was an injury to this girl. I have personally played against female softball pitchers that throw hard enough to knock out a tooth or a few. Injuries happen in sports all the time, and sometimes it is tragic, and by no means does it have to do with gender.

I don't know why it's such a hot button topic transgenders in sports, and the funny thing is you only hear about protecting girls sports. I cannot recall the debate or outrage when a transgender male plays with boys, and how the field of play is unfair. Again a bit of sexist view. Parents cry foul all the time when it comes to sports and "fairness". I think most of the outrage comes from the delusional idea that their child will make it in professional sports. Occasionally you hear about an outcry when the rare kid who potentially will make it professionally gets questioned or tossed out of a Rec-League when they are perceived to be too good. I have had it in my area not too long ago, they basically made the parents prove his age, still questioned it and then eventually banned him from playing in the Rec-League all because he was too good.
 
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Herdfan

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I think I know what your are trying to say, but for me and I don't think my response is "Come on" comment. It still comes across with a bit of sexism twist, by saying men throw harder that is why there was an injury to this girl. I have personally played against female softball pitchers that throw hard enough to knock out a tooth or a few. Injuries happen in sports all the time, and sometimes it is tragic, and by no means does it have to do with gender.

Absolutely girls can throw hard. Ever seen male players try to hit a Fastpitch pitch? They struggle for sure.

But in FP, the rubber is 43' and the top players are throwing in the lower 70's (MPH). In baseball, the rubber is 60.5' and the top players throw 90+. To the batter, the reaction times are similar. But which pitch do you want to be hit by?

Also, guys who come to softball from baseball are used to throwing a ball across a diamond based on 90' bases, not 60/65. So guys are used to slinging across as hard as they can because the runner gets to 1st so much faster. A put out at 1st on a ball hit to 3rd is a much harder play in softball than baseball.
 

Scepticalscribe

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I think I know what your are trying to say, but for me and I don't think my response is "Come on" comment.
You're a guy, a dude, right?

I am a woman.

No, you don't know what I am trying to say.

I think I know what your are trying to say, but for me and I don't think my response is "Come on" comment. It still comes across with a bit of sexism twist, by saying men throw harder that is why there was an injury to this girl. I have personally played against female softball pitchers that throw hard enough to knock out a tooth or a few. Injuries happen in sports all the time, and sometimes it is tragic, and by no means does it have to do with gender.

Look: Men do throw harder, they hit and punch harder, far harder, their reach is greater, their lung capacity is more capacious, they can lift weights, and suitcases effortlessly (and I write this with gritted teeth, still spitting with fury, for it killed me, as an ardent feminist, in my teens and twenties, to have to admit that men were physically stronger).

Yes, injuries happen. C'est la vie, etc,

But - quelle surprise - you are missing the point.

This is not sexism, but a concern for safety (for women).

When guys (dudes) play against women, their strength will tell; and yes, the number of injuries (the women will suffer) will increase, and - more to the point - the severity of these injuries will be more pronounced. And that is done to physical differences that arise as a result of puberty.

Now, of course, there are women who excel in sports (privately, in that quiet corner of my mind, I cheer them on, madly and passionately), and who can destroy (many, most) men in a sporting contest; but, they are very much a tiny minority.

However, my point is that those who are born into - and go through puberty in - male bodies have an extraordinary physical advantage in the vast majority of sports, an advantage that is particularly telling when they compete against women, that is, people who have experienced puberty as someone who was born female, someone who becomes a woman.


I don't know why it's such a hot button topic transgenders in sports, and the funny thing is you only hear about protecting girls sports. I cannot recall the debate or outrage when a transgender male plays with boys, and how the field of play is unfair. Again a bit of sexist view. ......
Seriously?

Okay: Two reasons why there is no such debate re transgender males in sports:

1: Transgender males have gone through puberty as females, as women. From a physical perspective they will bring no advantage whatsoever to a (mixed) sporting team, let alone a team comprised of males; indeed, unless (as an individual) they were personally exceptionally talented as an individual sportsperson, they would bring little (if anything) to a male team in terms of strength, power, reach.

Skill and experience and endurance are something else, and there, they may well excel, but most transgender men fly well under the radar.

2: Precisely because they went through - experienced - puberty as women, they do not have the physical advantage (strength, reach, oxygen capacity, power) puberty grants to males, and thus, will not be a threat to anyone - male or female - in any team when they throw, tackle, hit, etc. They simply will not have the brute force to be able to bash someone's (a woman, because men's skulls are thicker) skull or brains in when they throw something. Physically, a trans man will not be able to harm a women with a throw - or a blow, or a hit, or a strike - the way a man, or a trans woman will be able to do.
 
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This topic is such a minefield. And too often these transgender-male-female interface issues are not rational and dictated by extreme opinions.

Speaking about MTF in sports, I think the fundamental problem is that depending on when the person transitions makes a significant difference. The development of someone who never undergoes male puberty is quite different than a male who transitions at age 17.

Frankly, my biggest concern is the astronomical rise in children identifying as trans and how easily hormone blockers/replacement can be initiated. When you factor in proposed or actual legislation allowing parents to not even be informed of treatment (let alone authorize it), not requiring psych evaluations before treatment, etc - this all just sounds like insanity.

The notion puberty blocking drugs “just hit the pause button” ignores a whole host of risks and consequences- the full extent of which we’re still not entirely aware of. Relatively recently a number of western countries have decided to rethink the extent to which these drugs are used.

Considering the proportion of people who appear to revert their gender identity back to their biological sex, you would hope we could better assess patients to help them. And when you consider other data around transpeople and the astronomical rise in cases, particularly FTM, there are numerous indications many of these cases may be a social phenomenon rather than a biological/psychological one. Additionally, some cases of GID may be caused by other underlying factors or psychological conditions that may be temporary or treatable without having to resort to hormones and surgery.

Unfortunately, doing research on trans-identifying subjects is extremely difficult. If there is any chance the research could suggest doing anything but fulfilling the wishes of the trans activists, no one want to be involved and no one wants to fund it for fear of backlash. And I know a great number of extremely influential medical professionals who have serious concerns with how we currently handle transgender healthcare but it’s just too dangerous professionally to discuss.

This is not to say trans people do not exist. It’s not to say trans people shouldn’t receive gender affirming case. It’s not to say trans people should be treated poorly in society.

My concern is that we have a large number of people seeking potentially risky treatments with longterm permanent consequences, the majority of whom may come to regret their decision down the road. Children and adolescents are particularly volatile in their beliefs. Being able to best delineate where and when treatment is foundational to modern healthcare. Yet it seems trans healthcare has been entirely hijacked by activists and fear.

It concerns me when you see medical organizations using terms like “sex assigned at birth” in their official guidelines (rather than biological sex). This is a sociology term not a medical one - your sex is your sex, no one “assigns” it.

To be clear, I believe trans activists are entirely well intentioned. Trans people have clearly suffered enormously in our society. But ensuring the rights and safety of the population should not mean providing serious medical interventions without some deeper analysis.

I have no problem with people choosing to live out their gender identity in the way they feel is most congruent. And I’m happy to support these people. I have no problem with adults making informed decisions about medical interventions. When it comes to children, because of what the data shows and the nature of children, I think it’s important to exercise an extra degree of caution before making major, life changing decisions- including puberty blockers.

Agreed on all points. What adolescent doesn't say "this is me now" when joining a new scene/clique/fandom? People don't seem to realize that children and adolescents go through phases. No, that is not me saying "trans is just a phase", it is me saying that some children who are not trans might be mistaken for trans because they are going through a phase and are being encouraged to pursue this path by well-meaning people who are not appreciating the consequences of what they are doing. Gender non-conformity is not uncommon in children. Some studies indicate that gender non-conformity is more likely to correspond with homosexuality or bisexuality later in life. As a young boy, I went through a phase of wanting to be a girl (giving myself a girl's name, wearing my sister's clothes, playing with girl's toys)...but it turned out to be a phase. It may or may not have presaged my bisexuality, I don't know, but it was not a permanent thing and I did not end up being trans. Nowadays I feel like it would've been taken as a sign that I was trans and I should begin "socially transitioning" (which is often the first step towards hormones and puberty blockers). Trans activists are far too gung ho about supposed trans children. A child becoming disillusioned with gender norms and roles does not mean they are trans. I am firmly pro-LGBT but I never approach anything without questioning it and I think we need to be a lot more careful about what we're doing to children.
 
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AG_PhamD

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Agreed on all points. What adolescent doesn't say "this is me now" when joining a new scene/clique/fandom? People don't seem to realize that children and adolescents go through phases. No, that is not me saying "trans is just a phase", it is me saying that some children who are not trans might be mistaken for trans because they are going through a phase and are being encouraged to pursue this path by well-meaning people who are not appreciating the consequences of what they are doing. Gender non-conformity is not uncommon in children. Some studies indicate that gender non-conformity is more likely to correspond with homosexuality or bisexuality later in life. As a young boy, I went through a phase of wanting to be a girl (giving myself a girl's name, wearing my sister's clothes, playing with girl's toys)...but it turned out to be a phase. It may or may not have presaged my bisexuality, I don't know, but it was not a permanent thing and I did not end up being trans. Nowadays I feel like it would've been taken as a sign that I was trans and I should begin "socially transitioning" (which is often the first step towards hormones and puberty blockers). Trans activists are far too gung ho about supposed trans children. A child becoming disillusioned with gender norms and roles does not mean they are trans. I am firmly pro-LGBT but I never approach anything without questioning it and I think we need to be a lot more careful about what we're doing to children.

I have worked in mental health for about a decade at a leading psych hospital. The number in youth trans patients from a decade ago compared to today is astounding.
Recently, the NHS in the UK has states it plans on altering its guidelines for treatment of trans youth due to an internal review.
The proposals say that the new clinical approach will for younger children “reflect evidence that in most cases gender incongruence does not persist into adolescence” and doctors should be mindful this might be a “transient phase”.

Instead of encouraging transition, medics should take “a watchful approach” to see how a young person’s conditions develop, the plans state.

When a prepubescent child has already socially transitioned, “the clinical approach has to be mindful of the risks of an inappropriate gender transition and the difficulties that the child may experience in returning to the original gender role upon entering puberty if the gender incongruence does not persist”.

They also found:
(1) a significant and sharp rise in referrals; (2) poorly-understood marked changes in the types of patients referred; (3) scarce and inconclusive evidence to support clinical decision-making, and (4) operational failures of the single gender clinic model, as evidenced by long wait times for initial assessment, and overall concern with the clinical approach.

Some of the proposed changes:
1. Eliminates the “gender clinic” model of care and does away with “affirmation”
2. Classifies social gender transition as an active intervention eligible for informed consent
3. Establishes psychotherapy and psychoeducation as the first and primary line of treatment
4. Sharply curbs medical interventions and confines puberty blockers to research-only setting
7. Reaffirms the preeminence of the DSM-5 diagnosis of “gender dysphoria” for treatment decisions

More details here:

This is a radical departure from the current mainstream American treatment philosophy. Whether or not all these changes are adopted we shall see.

I believe there are a number of plausible expositions as to why we’re seeing such an increase in cases that are worth exploring. The argument that it’s because of greater social acceptance is probably true to a small degree but I don’t think has merit as the primary factor. And to my knowledge there is no evidence to make that claim despite its public popularity.
 

mollyc

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I have worked in mental health for about a decade at a leading psych hospital. The number in youth trans patients from a decade ago compared to today is astounding.
Recently, the NHS in the UK has states it plans on altering its guidelines for treatment of trans youth due to an internal review.


They also found:


Some of the proposed changes:






More details here:

This is a radical departure from the current mainstream American treatment philosophy. Whether or not all these changes are adopted we shall see.

I believe there are a number of plausible expositions as to why we’re seeing such an increase in cases that are worth exploring. The argument that it’s because of greater social acceptance is probably true to a small degree but I don’t think has merit as the primary factor. And to my knowledge there is no evidence to make that claim despite its public popularity.
your comments are always so thoughtful
 

AG_PhamD

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your comments are always so thoughtful
That’s very nice of you to say.

I meant to post this along with my previous post.
1667117949188.png


Sweden was considering a number of laws to reduce the age of gender affirming surgery from 18 to 15 and allow children as young as 12 to legally change their gender The government’s health dept was asked to review the evidence. They concluded basically the same thing as the UK. Hormone blockers are not to be used in children under 18 except in the rare “classic cases” when very young children display gender incongruence and distress.

Summary is available here:

I would like to highlight this bit:
  • Currently, the NBHW assert that the risks of hormonal treatments outweigh the benefits for most gender-dysphoric youth:
    • Poor quality/insufficient evidence: The evidence for safety and efficacy of treatments remains insufficient to draw any definitive conclusions;
    • Poorly understood marked change in demographics: The sharp rise in the numbers of youth seeking to transition and the change in sex ratio toward a preponderance of females is not well-understood;
    • Growing visibility of detransition/regret: New knowledge about detransition in young adults challenges prior assumption of low regret, and the fact that most do not tell practitioners about their detransition could indicate that detransition rates have been underestimated.

Meanwhile we have states where children as young as 13 can receive gender affirming interventions without parental consent or evidently even notification. We have groups advocating that requiring psych evaluations is “gatekeeping” and “dehumanizing”.

I suppose these people don’t realize that psych exams are not uncommon before major surgical interventions- such as spinal reconstruction and bariatric surgery. It’s required for pain management programs. In the case of gender surgeries, it’s not just about does the individual’s gender identity, a lot of it is assessing if they’re prepared to cope with the recovery process. And honestly, what is healthcare these day but an endless series of gatekeepers? You practically can’t even take someone’s blood pressure without getting a prior authorization from insurance these days…
 
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