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Hyggieia's avatar

Such a great point about it being rooted in empathy. I completely agree where that’s where most get their drive to advocate for GAC. Though when you take a step back from advocating for a specific treatment to advocating to relieve distress for a certain presentation, the picture gets clearer and more rooted in typical medicine. You can start with kids in distress from gender dysphoria. We know, we know in a neutral but loving and supportive environment 80% of kids will desist during the puberty process. That is a fabulous rate of distress reduction with no medical interventions. Next we can move on to the other 20% who are still persistently distressed beyond puberty. There are certain populations more likely to desist within them—those who have unresolved trauma following assault that then gets properly addressed, those who were influenced by a peer group where transitioning was a popular choice, those who have identity confusion in other areas of their life. For people who fall into this category, the bar to transition should clearly be much much higher and caution should be advised. Then there is the population who is potentially best case scenario—a stable sense of identity that did not waver starting in childhood and persisting through the teen years into the mid twenties without a history of unresolved trauma or comorbid contributors. This population deserves thorough, neutral, exploratory therapy that honestly delves into the pros and cons of what a transition would mean—not a literal change of sex but instead risky cosmetic procedures with lifelong medical care and an impact on fertility, interpersonal relationships, and discrimination. Within this population, these people deserve honest studies they can look through and think about their decisions as adults in their twenties to carefully consider high quality evidence that shows what they would be signing up for. To me this would be compassionate, empathetic care. What we currently have is institutions flat out lying to patients about what they can expect so they are misled about the risks they would be taking with a transition. They are being lied to about the risks of NOT transitioning—being told that they will kill themselves if they don’t transition. Only the person experiencing years of their own stable dysphoria can weigh the pros and cons for themselves, but they deserve the real information. That there are a high number of people who were in their same shoes who ended up regretting their decisions because of certain factors—they deserve to know those factors. Our institutions have utterly failed this group of distressed people by advocating for one treatment option among many, rather than advocating for the people themselves to have the best possible outcome they can find.

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Hyggieia's avatar

I think of the absurdity when comparing with other conditions—such as obesity. We do not advocate for bariatric surgery for everyone who is obese. We advocate for the overall health and wellbeing of these people—starting with lifestyle changes, diet changes, environmental changes. For severe, refractory cases, bariatric surgery is a consideration. Though with open and honest research, we’ve discovered new medications that seem to really work for some people in lieu of surgery such as ozempic. We research the environmental factors that contribute to obesity. When patients consider bariatric surgery, they carefully weigh the honest pros and cons and there are constantly studies being done to help patients better know the risks and benefits. We’ve gone mad with gender focusing on advocating for a treatment, not the patients themselves.

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Sufeitzy's avatar

Nice report back. It’s telling that a therapist “can tell” that someone “is something”. The only truth involved is that the person claims to be delusional. Psychiatry and psychology are built on an unfortunate foundation of Victorian era heresay and guesswork, each article like this just confirms it is resistant to empirical science.

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Mike Casey's avatar

No.

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Gerda Ho's avatar

Evidence suppression and downright lying …for a profit! The trans ideology is nothing but lies that people get caught in! This dangerous ideology has to be stopped before it harms more people! It’s a medical scandal unlike any other!

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Gerda Ho's avatar

The gender ideology is based on nothing but lies and those who fall for those lies are either totally ignorant of basic biological facts or totally brainwashed. The gender cult must be stopped before more people get harmed by its brutality!

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