WebOpponents counter that the United States is out-of-step with European countries including Sweden, Finland, and the U.K., which have found that the benefits of puberty blockers and In the group of 1317-year-old natal females, the Swedish NBHW report states that the comorbidity is greatest. According to Karolinskas newest policy, whichwent into effect in May 2021, going forward, hormonal (puberty blocking and cross-sex hormone) interventions for gender-dysphoric minors may only be provided in a research setting approved by Swedens ethics review board. Contrary to what American activists imply, the systematic reviews of evidence in Sweden, Finland, and the U.K. did not find that the Dutch study, on which the Dutch protocol is based, constitutes high-quality evidence. We are seeing a generation of young people emerge who have been poorly served by local specialist provision: a phenomenon recognised and documented here. In contrast, other states have introduced lawsmandating public and private insurancecoverage for a wide range of gender-"affirming" medical and surgical interventions for "gender incongruence,"regardless of a patient's age ormental health status.
It seems that the transgender madness is beginning to be noticed by authorities and professionals. The Swedish Medical Products Agency to analyse the off label prescription of puberty blockers and hormones to children and young people. Christopher Gillberg, a professor and psychiatrist at Gothenburgs Sahlgrenska Academy, wrote an article in the Svenska Dagbladet newspaper warning that hormone treatment and surgery on children was a big experiment which risked becoming one of the countrys worst medical scandals. However, even if this were true, there would still be many questions about the long-term trade offs of pre and post puberty gender affirmation, and different regimens and operations. The Swedish hospitals cited a U.K. court ruling in their decision. WebBy James Dawson (Boise State Public Radio) April 5, 2023 8:42 a.m. Transgender people under the age of 18 in Idaho will no longer be able to get puberty blockers, hormone This gave a surprising impression of a lack of curiosity, insight and experience on the part of current clinicians. There are significant questions as to whether the Dutch protocol (hormonal and surgical interventions for youth),designed for a distinctly different population of high-functioning teenswith childhood-onset cross-sex identification andwith no significant mental health comorbidites, is appropriatefor this novel population.
One of Sweden's most renowned hospitals has This phenomenon was noted first amongst professionals working in the field and latterly has been picked up by the press and the public. WebThe US lags behind one of the most progressive countries in the world when it comes to puberty blockers and cross-sex hormones. The last clinic only uses puberty blockers in clinical trials. In the clinical setting we have become familiar with narratives, especially in younger children, resting almost entirely on the most superficial of signifiers: toys, activities, hair, clothes, a certain aesthetic upon which effectively the (self) diagnosis of trans is made, and a social role transition affected. Also, for some, the fear of leaving childhood behind, the terror of female adulthood, is overwhelming. Yesterday, Sweden released its long-awaited guidelines for the care of gender-dysphoric youth. At least on the other side of the world. After being assessed over 12 appointments, across two years, involving Emily the social, political and cultural sphere) and the internal (i.e. Finland did not ban puberty blockers outright, but said they should be prescribed on a case-by-case basis after careful consideration..
Girls who eschew these signifiers, who are uncomfortable or dissent from this demand, can often be lonely and isolated in their apparent idiosyncrasy.
The ruling is currently under appeal, with a hearing scheduled for June 2021. Update February, 2022:Sweden's National Board of Health and Welfare has followed the Karolinska's lead and issued a national policy update closely mirroring the policy adopted by the Karolinska. Texas Attorney General Ken Paxton had declared in a legal opinion the day before that the practices violate Texas statutes against child abuse. The 2020 Finnishguidelines represent a strong signal that the pioneers of pediatric medical transition are concerned about unintended harm to the growing number of gender dysphoric adolescents presenting for care. A3: A strong preference for cross-gender roles in make-believe play or fantasy play. But the rate then cratered in 2019, after the release of a Swedish documentary, Trans Train, that exposed the lack of science behind the gender transition movement and highlighted people who regretted the devastating, life-altering procedures. puberty blockers and hormone protocols. Gender non conforming children are just that not conforming with rigid social norms.
It is particularly disconcerting and shame-inducing for girls who begin menarche early, and have to navigate the whole mess and embarrassment of sanitary protection in primary school toilet provision often ill-equipped for this. While some of Europe has pulled back, other countries allow children to access transgender hormone therapy at disturbingly young ages. These advocates either dont know or are deliberately misleading the public about the discrepancy between the Dutch protocol and what is actually happening in American clinics. Greg Abbott on Tuesday directed all state agencies to treat hormone drugs and sex change surgeries for gender-confused minors as child abuse under state law and investigate any reported cases. Sweden does not allow gender-affirming surgeries on youth under the age of 18. We still have work to do in Canada and the USA is a whole different matter. There isnt. Hamilton, ON L8L 4S4. Why would you want to hold a person back from that?
It would be extremely interesting to see what the referral number was for 2020 whether the downward trend has continued, reversed or plateaued?
Clearly, the data from the Swedish NBHW does not support this position. For many years I feel alone in my thinking about this topic. The policy states thatcareful assessment of the patients maturity level must be conducted to determine if the patient is capable of providing meaningful informed consent. It could be the ultimate act of self-harm.
"Unfortunately, she is not expected to recover meaningful function at this point
Three mistaken efforts state legislators should avoid. According to a recent video, as of late 2020, only child psychiatric specialists are able to refer children to gender clinics for assessment that can lead to the initiation of puberty blockers or cross-sex hormone therapy.
Well update our article with more info but he states: An alternative is culturally bound psychological infection. 4 Family Life Lane The Karolinska Hospitals new policiesechoa growing international concernover the proliferation of medical interventions that have alow certainty of benefits, while carrying asignificant potential for medical harm. It is an unofficial translation. A6: In boysa strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girlsa strong rejection of typically feminine toys, games, and activities. These might have left children feeling alienated from themselves and internalising shame / disapproval. countries that ban puberty blockers. Finland was the first country to reverse course and recommend against hormone blockers for kids two years ago, due to the risks and paucity of scientific evidence. Since even boys who transition do not get periods, those who answered the questionnaire reported a low level of distress. The studies exhibit numerous methodological shortcomings, including confounding factors, lack of control groups, and high rates of attrition. Up to 98 percent of boys and 88 percent of girls with gender dysphoria will grow out of the disorder by adulthood if not subjected to puberty blockers, according to the latest edition of the American Psychiatric Associations Diagnostic and Statistical Manual of Mental Disorders. Multiple reviews commissioned by NHS England, including. Socially transitioning might even have an iatrogenic effect on gender dysphoria as the body becomes a shameful secret that needs to be disavowed we see embodied disconnection and alienation snowball. Save my name, email, and website in this browser for the next time I comment. A year ago, the Finnish Health Authority (PALKO/COHERE)deviated from WPATH's "Standards of Care 7," by issuing new guidelines that state that psychotherapy, rather than puberty blockers and cross-sex hormones,should bethe first-line treatment for gender-dysphoric youth. Begin typing your search term above and press enter to search. The increased rate of new cases will lead to an increasing total number of people diagnosed with gender dysphoria. These differences are partly about the facts and how they should be interpreted, and partly about values. In other words, the plummeting scores in gender dysphoria that the Dutch team reported as their main finding was not necessarily due to actually resolved dysphoria, but more likely to switching the scales. These factors comprise both the external world (i.e.
The studys flaws were discussed at length in a recent peer-reviewed article, but two in particular should be mentioned before considering the European systematic reviews. Great medical caution must be taken in children and adolescents, given the vulnerability, particularly psychological, of this population and the many undesirable effects and even serious complications that can be caused by some of the therapies available, the press release said.
Im happy that Im not a child in this times, because I also was a girl who hated to be a girl, who was waiting as a five year old that a penis would grow out of me, who hated becoming breasts en mentruation, who playes soccer far before it was normal for a girl to play soccer.
They realise their nascent sexual desire is going to be problematic; they struggle in puberty because it is uncomfortable, weird and unpredictable (particularly heightened if they happen to be on the autistic spectrum). WebSome countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. We are told that the treatment of minors now (unofficially) includes referring many to psychiatric evaluation.
After all, if this is a medical/physical problem then, of course, a medical/physical solution will be most apt. Copyright In this article (for which he won an award) he puts forward that culturally-linked psychologial infection (aka social contagion) is a possible explanation for the exponential increase in youth seeking gender transition.
You may unsubscribe at anytime. The study concluded that"medicalgender reassignment is not enough to improve functioning and relieve psychiatric comorbidities.". Significant changes are also Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. WebThe law is set to go into effect next January, making it a felony to provide hormones, puberty blockers or other gender-affirming care to people under age 18. WebY es, Sweden, Finland, and the U.K. still allow a tiny subset of minors with gender issues access to puberty blockers and cross-sex hormones. The risks of hormone drugs for those under 18 outweigh the possible benefits, the agency said. On the other hand is the belief that no one has a gender identity that is discrete and separate from the rest of their identity/personality. By submitting your information, you agree to allow LifeSiteNews to send you email communications. Pro-transition advocates consider the need for assessments and screening to be dehumanizing and unnecessary. One recent reportevensuggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. . Sweden has been one of the most progressive nations on transgender health care for decades. Less than 24 hours after a Senate committee endorsed a trio of bills directed at LGBTQ children, the full Utah Senate on Thursday voted to give initial approval to the bills, including one to ban sex reassignment surgeries and place a moratorium on puberty blockers for minors.. A form of self-harm hardly noticeable to many because it is so aligned with the disavowed but ever present attack on gender non-conforming women that exists throughout society. Currently there is no way to distinguish amongst these children and young people, other than subjective accounts emerging within a meta culture in which even suggesting that social contexts, let alone trauma and co-morbidity, can lead to gender dysphoria is seen as transphobic. It will be very interesting to see how the official clinical guidelines in Sweden take shape and evolve over the next 2 years. WebThe United Kingdom is considering ending the "affirmation-only" approach to aiding children with gender dysphoria, including the practice of prescribing puberty blockers, drugs often Preliminary results from the study, which began in 2010, were reported as very unimpressive, with adolescents after one year of puberty suppression showing an increase in internalising problems and body dissatisfaction, especially natal girls. Moreover, the cohort that received puberty blockers showed no statistically significant difference from the cohort that received only psychotherapy. Patients would also be unable to
Two other U.S. states, ArkansasandTennessee, have enacted laws in the past year to restrict transgender drugs and surgeries for minors.
With the new NHS guidance, England joins Finland and Sweden as the three European countries who have explicitly deviated from WPATH guidelines and devised treatment approaches that sharply curb gender transition of minors. Thank you for the excellent question.
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Since publishing weve been made aware of an excellent article by Mikael Landn, Professor, University Hospital Chief Physician, Section of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, https://lakartidningen.se/klinik-och-vetenskap-1/kommentar/2019/10/okningen-av-konsdysfori-hos-unga-tarvar-eftertanke/. A fundamental limitation of all the uncontrolled studies included in this review is that any changes in scores from baseline to follow-up could be attributed to a regression-to-the mean (because patients tend to report for care at the peak of their distress). In at least 20 other states, local legislatures are considering or have introduced bills that would similarly From this perspective, the problem is a tragedy of birth, as with other genetic or physical difficulties.
Other children suffered liver damage and reduced bone density, and some became suicidal. Their pain is real, their way of making sense of it may be helpful, but it may not. Potential risks of [puberty blockers] include disruption in bone mineralization and as yet unknown effects on the central nervous system., In the U.K., the British High Court banned puberty blockers for children under 16 for several months last year, ruling that minors could not give consent for the experimental drugs.
Critics have warned that research and data on gender dysphoric children and how various treatment paths affect them is limited. Marylands corporate DEI mandates go even further than Golden State legislators dared. In the past they might, indeed, have been labelled tomboys or cissy boys but they were not taken to professionals for affirmation of being wrongly assigned a sex at birth. Among other differences, the female version includes questions on menstruation while the male version includes questions about erections. This deeply disturbs the clinicians whose professional lives are dedicated to understanding the source and meaning of human distress. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. The review does not provide any opinions on the conclusions or methodology used in those studies.
The Biden administration has promoted early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. Surgical treatments are not part of the treatment methods for dysphoria caused by gender-related conflicts in minors, said FinlandsCouncil for Choices in Health Care, which issues recommendations on public health care.
WebHeres how lawmakers are targeting LGBTQ rights in states across the country. One of the core questions in the systematic review by the U.K.s National Institute for Health and Care Excellence (NICE) was this: In children and adolescents with gender dysphoria, what is the clinical effectiveness of treatment with GnRH analogues [puberty blockers] compared with one or a combination of psychological support, social transitioning to the desired gender or no intervention? Using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system, NICE assessed the Dutch study for seven reported metrics of mental health impact: gender dysphoria, depression, anger, anxiety, body image, global functioning, and psychosocial functioning. People with gender dysphoria, especially young people, have a high incidence of co-occurring psychiatric diagnoses, self-harm behaviors, and suicide attempts compared to the general population. In late 2019, the Swedish National Council on Medical Ethics proposed that the Ministry of Health and Social Affairs task three government agencies to strengthen the knowledge base for the assessment and treatment of gender dysphoria among children and adolescents. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); To support Canadian Gender Report, please donate. WebMost laws in this category, like that of Tennessee, would ban puberty blockers and hormone treatment from being used to treat gender dysphoria. It isnt. For most outcomes examined in this report, the evidence is insufficient and conclusions cannot be drawn. SBU also reported low confidence in the assessed health risks of hormonal interventions in minors. Leor Sapir is a fellow at the Manhattan Institute.
Irrespective of their attitude to health care activities in this area, the actors make it clear that the scientific basis needs to be strengthened. Although in the abstract of that study, the authors chose tohighlight the small improvements in the puberty-blocked group at 12 months, the actual study conclusion which remains behind a paywall and hidden to most readers showed that by 18 months, no significant differences could be found. A number ofUS states have recently introducedlaws banning the use of hormonal interventions in gender-dysphoric minors. We have wondered whether the early attempts to intervene in respect of gender dysphoric children have been problematic in themselves. What are the units for the graph and what is its source?
Inadvertently, the message was exactly a trans message youre not really a boy if you enjoy the things girls seemingly (and are expected to) enjoy, and vice versa. Your email address will not be published. Linked to this is the absence of critical feminist thought of the most elementary nature in the school curriculum. If people in their early teens are encouraged to think about their gender identity and are taught that gender dysphoria is a normal variant, it is not unlikely that some young people will direct their identity search towards gender identity. We can see that (most) actors in this story are trying to do the best for themselves, their children or their patients, even if we think that their approach is not the right one. Notes: Girls are under ever more pressure to capitulate to the pinkification and pornification of girlhood. The summary conclusions from that report state: The diagnosis of gender dysphoria is increasing in the population, especially among children and young adults, where the proportion of new cases among 13 17-year-old adolescents registered as female at birth has increased most. In the U.S., the issue of medical intervention for gender dysphoric children has pitted opposing government forces against one another. As the U.S. barrels toward allowing more children with gender dysphoria to get medical intervention to affirm their new gender identities, several European countries that have been ahead of the U.S. on this issue are pumping the brakes. Perhaps if they were left alone, and actively supported to be non conforming, this would inevitably dismantle some of the basis upon which trans is superimposed onto the presentation. Swedens five other gender clinics have recently backed away from the practices as well, according to Medscape Medical News. After years of experimenting on children, it is still not possible to draw any definite conclusions about the efficacy and safety of the treatments, based on scientific evidence, the SBU said. The change is a vital step towards safeguarding vulnerable youth from medical harm, SEGM added. Its part of a bigger push around the country. Press ESC to cancel.
And Republican lawmakers in at least 16 states have introduced bills in recent months to ban the practices. Some countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. The scale is sex-specific, which means that biological males and biological females are given different versions of it. Texas Gov. The ACLU pushes the potent but misleading affirm or suicide narrative.
The case was brought by Keira Bell, who argued the U.K.sonly youth gender identity clinic should have pushed back more when she expressed her desire to transition to male as a teen and hadsurgery to remove her breasts. The sharp drop-off in referrals in Sweden corresponded to the realization by parents and General Practitioners that sending children to a gender clinic would not necessarily provide them with additional assessment or services, but rather put them on a fast-track to puberty blockers and cross-sex hormones. In San Francisco, subtleand not-so-subtlefavoritism is determining which residents benefit from preferences in public education, home loans, and government grants.
Certainly, the explosive growth in natal females seeking gender transition is a new phenomenon throughout high-income countries. The law is set to go into effect next January, making it a felony to provide hormones, puberty blockers or other gender-affirming care to people under age 18. These treatments are potentially fraught with extensive and irreversible adverse consequences such as cardiovascular disease, osteoporosis, infertility, increased cancer risk, and thrombosis, the hospital acknowledged in a statement in May. First, the Dutch studys lead author, Annelou de Vries, has admitted that resolution of gender dysphoria was its main finding. But this finding was based on a highly questionable use of the Utrecht Gender Dysphoria Scalea measure originally developed for diagnostic purposes, not to assess treatment outcomes. Lets hope its not too late. Canadian Gender Report takes your privacy seriously. The significant treatment decisions being made are adult decisions. The guidelines reference a recentFinnish study, which noted that adolescents who were high functioning before cross-sex hormones continued to do well after, but thosewho had "psychiatric treatment needs or problems in school, peer relationships and managing everyday matters outside of homecontinued to have problems." STOCKHOLM, Sweden (LifeSiteNews) Sweden formally recommended against puberty blockers and other transgender hormone drugs for children this week in a move hailed by experts as a major departure from dangerous existing standards.
Differing claims about how common it is for people, who have begun treatment for gender dysphoria as children or adolescents, to change their minds, occur in the debate.
This is a watershed moment, with one of world's most renowned hospitals calling the"Dutch Protocol" experimental and discontinuing its routine use outside of research settings. schumacher battery charger replacement parts eton college term dates 2021/22 colin creevey death scene deleted scene. The Finnish Health Authority states that the guidelines willnot be further revised until researchis able to: explain the recent sharp rise in adolescents presenting with gender dysphoria;determine whether transgenderidentities in this population are stable or will evolve;assess whether gender-affirming treatments are able to improvehealth outcomes of those who present with co-occurring mental health problems, including improvements in depression and suicide; and quantify the rate of regret.
Does the Swedish experience tell us something about the hype and potential disillusionment surrounding the practice of medically transitioning children? The Swedish U-Turn on Gender Transitioning for Children, on The Swedish U-Turn on Gender Transitioning for Children. Swedish child psychiatrist, Sven Roman has compared the explosive growth in the number of cases of gender dysphoria to other psychiatric conditions, such as eating disorders and self-harm behaviour, that are known to spread with social contacts. a group running a voluntary observational study on youth who have been referred for puberty blockers and other hormone therapies in Canada. The summary of this review is available in English here: https://www.sbu.se/en/publications/summary-availablegender-dysphoria-in-children-and-adolescents-an-inventory-of-the-literature/. A4: A strong preference for the toys, games, or activities stereotypically used or engaged in by the other gender. If these early presenters and more importantly their parents, caregivers and educators had been vigorously instructed in some basic gender / sex deconstruction, its worth wondering whether trans as a solution to childhood GD would have gained such traction over the years. The Society of Evidence-Based Gender Medicine (SEGM) praised the updated guidelines, which represent a major departure from standards pushed by the pro-LGBT World Professional Association for Transgender Health, the group said. Crucially, it is important to acknowledge, that girls and young women have long recruited their bodies as ways of expressing misery and self-hatred. The legislation does not address hormone therapy or puberty blockers. Well update the article to include the source. There is embarrassment inherent in growing breasts, of these being noticed and pejoratively commented on and, worse, groped.
Research indicates youth become trapped in a one-way medical path as almost 98% who are prescribed puberty blockers proceed with medical transition even when there is no evidence of long-term benefits. If You agree I would like to show Your comment to my collegue psychotherapists and to others who can influence main stream thinking about gender dysphoria in the Netherlands. As Ive explained in past writings, the research from the Dutch clinics is championed even by American proponents of affirmative medicine as the gold standard in pediatric gender medicine. A federal judge on Friday, May 13, 2022 blocked part of an Alabama law that made it a felony to prescribe gender-affirming puberty blockers and hormones to transgender minors. The hospital was first in Sweden to conduct gender identity assessments for kids and openly performed mutilating sex change surgeries on children, including a girl subjected to a mastectomy at 14. WebAlthough pediatric medical transition is still allowed in Finland, the guidelines urge caution given the unclear nature of the benefits of these interventions, largely reserving puberty