This is an article which, according to @jackturban MD describes "conversion therapy" which he says is illegal in 20 states (and in Canada if #BillC8 passes in its present form.) journals.sagepub.com/doi/abs/10.117… /2
The article describes an approach for treatment of gender dysphoria in young boys which is highly non-intrusive. Only the parents attend the therapy sessions which focus on such things as improving relations with the father and male peers. Parents are advised not to prohibit /2
cross-gender behavior but to respond with "benign neglect" Parents are told that the therapy is not intended to prevent homosexuality, which is not a medical condition. The article states that the goal of the treatment is to reduce the need for the "long and difficult process /3
of sex reassignment which includes hormonal and medical procedures with substantial risks and complications." I am not a medical doctor or psychologist so I can't say whether this treatment approach is effective but as a lawyer and citizen I can see no reason why it should be /4
illegal. The point here is that defenders of #Billc8 say that it permits exploration of gender identity issues but for the TRA community exploration can only be in one direction. I think it is very unlikely that a judge or jury would consider the kind of approach described in /5
this article as illegal "conversion therapy" but I think it is even more unlikely that a case would ever come to court because the doctors would be deterred by the simple threat of charges.
Here is the original tweet for those of you on @jack_turban 's blocklist.
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🧵The Cass Review and reviews in Sweden and Finland have recommended that puberty blockers only be used in a research setting. However, Cass was clear that any research studies would need ethical approval and the case for further research on children is not there. 1/
Before any more children are put at risk, the existing data on puberty blockers needs to be studied properly. A first step should be publishing the data from the Joanna Olson-Kennedy study which have been withheld for political reasons. 2/cnn.com/2024/10/25/hea…
The first children treated with puberty blockers for gender dysphoria are now young adults and we should have data on their health.The data linkage study the Cass Review proposed should be completed before any new clinical trials are authorized. 3/transgendertrend.com/adult-gender-c…
1/ The US Supreme Court decision on gender affirming care for minors will probably have less impact on gender medicine in general than anticipated. The bans only affect about half the states and only apply up to are 18. There are two other factors that will be more important.
2/ The first is litigation, which is starting against some of the biggest names in medicine. There are also investigations by state governments and congressional investigations will follow.
3/ Don't expect many doctors to be bankrupted; they have insurance to cover damages and legal costs. But insurance premiums will go up and more time in court and before congressional committees means less time seeing patients.
1/ Here's what Trump has said about stopping medical transition of minors. Some of it makes sense but other parts are questionable and probably unconstitutional.
2/ "I will sign and executive order instructing every federal agency to cease all programs that promote the concept of sex and gender transition at any age." Easy to do, and will make it easier to work for reform at the state and local level. Note that it includes adults.
3/ "I will then ask Congress to permanently stop federal tax dollars being used to promote or pay for these procedures ...."
Easily done and would cut off support for gender medicine under Medicare, Medicaid, prisons and military health plans.
1/ Some thoughts from Canada on how the US election will impact the gender debate. Rachel Levine will be fired and most of Biden's executive orders on the application of Title IX to sports and trans health care will be repealed.
2/ The Supreme Court will hear the Skremetti case on state bans on youth gender medicine before Trump takes office. If the case goes as expected, the result will be to leave the issue of youth gender medicine to the states.
3/ This will create a situation where half the states ban medical gender transition of minors and in the other half parents who won't consent to medical transition risk losing custody of their children. Neither side is likely to provide adequate mental health support.
1/ The authors of the Canadian Paediatric Society position statement on gender affirming care have now published a response to the recent letter to the editor calling for a review of the position statement in light of the Cass Review. academic.oup.com/pch/advance-ar…
2/ The response repeats falsehoods such as the claim that the systematic reviews commissioned by the Cass Review excluded studies which were not randomized control trials when in fact the systematic reviews considered and evaluated all types of studies. cass.independent-review.uk/home/publicati…
3/ The response relies heavily on a critique of the Cass Review by Dr. Meredithe McNamara et al. distributed by the "Yale Integrity Project." The first peer reviewed rebuttal to this paper has just been published. adc.bmj.com/content/early/…
1/ The proposals by @ABDanielleSmith to protect gender-questioning youth in schools and healthcare are generally consistent with best international practice and evidence but there are still a few problem areas. .
@ABDanielleSmith 2/ Banning gender reassignment surgery on minors should be a non-issue. Activists claim it never happens but it does. Someone too young to get a tattoo shouldn't be able to get an elective double mastectomy. nationalpost.com/news/young-det…
@ABDanielleSmith 3/ The proposal to restrict puberty blockers and cross sex hormones to children over 16 is close the the current policies in England, Sweden and Finland. These countries do make an exemption for patients enrolled in a research program.segm.org/Swedish-2022-t…