A pre-teen trans kid who has seen GIDS for years, & is now approaching puberty, was just told by GIDS that there is no possibility of them getting blockers until years into puberty. Saying they will be forced through the wrong puberty. Saying this directly to a scared trans kid.
They are also withdrawing care for 17 year olds. GIDS are voluntarily going beyond the requirements of the court case.
We know GIDS did a terrible job of advocating for trans kids. We know some deeply transphobic GIDS clinicians wanted exactly this situation - for their role to be the psychoanalysis of trans kids for decades, without end, without any route to medical care.
Yes the judges were deeply cisnormative, transphobic & ignorant. But they also noticed the deep incompetence of GIDS. The systemic failings.
The judges clearly considered between two options A) GIDS are competent & puberty blockers essential B) GIDS are incompetent & puberty blockers reckless. They overlooked option C) GIDS are incompetent & puberty blockers essential. The level of harm caused by GIDS is astonishing
For years I've faced hostility for my critique of GIDS. By people who agree with the facts, but who feel that a critique of GIDS weakens trans healthcare. But I am absolutely clear - we are in this mess in the UK because of the transphobia and incompetence of GIDS.
The current situation where GIDS cannot prescribe yet can interrogate and undermine the self-esteem of trans kids is worse than having no GIDS at all. While there is zero route to healthcare through GIDS, tell families with trans kids to stay the hell away from the place.
For so many years, week in, week out, I have heard stories of families coming back from GIDS sessions in pieces. Of kids crying for days after an appointment. Of GIDS as the number one threat to their self-worth. Absolutely no more.
There is no purpose to GIDS now. It causes active harm and is now of no benefit to the vast majority who reach it. There are better sources of support for gender exploration, for support with minority stress, for support for ignorant parents.
For years people harmed by GIDS have been afraid to rock the boat. Putting up with abuse on the narrow hope of access to healthcare. Now that boat has well and truly sank.
This is the time to look beyond GIDS. To demand better for trans kids. To acknowledge a toxic establishment can be worse than no establishment at all. To acknowledge the harm can outweigh any minor benefit. Protect trans kids - keep them away from GIDS #BoycottGIDS
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UPDATE: Of course GIDS have interpreted the judgement in the worst possible way. No under 16s will get blockers without a court order. Updated GIDS service specifications here. More to follow: england.nhs.uk/wp-content/upl…
Trans kids already receiving blockers via GIDS will either a) go through a court process to continue the current regime if their clinician thinks they will pass the higher standard of consent or b) their current blockers will be withdrawn & they will be forced through puberty.
What they are proposing is beyond cruel. Of course some trans kids are fine with endogenous puberty. But for some it is the end of the world. Some have dreaded it for years, with puberty blockers as a lifeline. These kids go through hell to jump through GIDS assessment hoops.
Feeling super sick and scared. Has anyone got any details? How the fuck can I keep my daughter safe in this transphobic trash fire of a country. #ProtectTransKids
Seems to suggest that informed consent for blockers (already a thing) also requires the child to convince that they not only understand the blocker, but also understand the impact of HRT & of any surgery they may choose to have at age 18 on fertility & sexual function.
Trans masc kids may start puberty at age 8, especially children of colour. So we want cis psychoanalysts talking to trans 8 year olds about potential impact of surgery they may or may not choose to have a decade in the future, in order to consent to a reversible and safe blocker?
Today my copy of "Gender Explorers: Our Stories of Growing Up Trans and Changing the World" by Juno Roche @JustJuno1 arrived. I sat down and didn’t stop reading until the end. Here’s a short review. 1/10
I've chatted with Juno at a Mermaids residential. They are lovely. Yet I still opened the book with some trepidation. Books about trans children can be heavily impacted by an author's own agenda, & tend to pathologise either the children or the parents (or both). 2/10
This book is so different. Juno has very cleverly stepped back and allowed the voices of trans children & adolescents to take centre stage. And their voices shine. 3/10
@KatyMontgomerie The majority of the studies from which the 80% average is calculated were published prior to 1988, namely Bakwin 1968; Lebowitz 1972; Zuber 1984; Money and Russo 1979; Green 1987 etc. These papers were based on data from even earlier (50’s, 60’s, 70’s).
@KatyMontgomerie They didn't bother to distinguish between trans girls and feminine boys as both were considered equally pathological. The author of some of the above studies literally had a study called "The Sissy Boy" study.
"Understand that gender questioning and gender diversity are common, not pathological and frequently begin in early childhood". 2/6
Health professionals need to:
"Help parents, schools & other agencies to adopt a supportive, flexible and responsive attitude to affirm a child’s expressed sexuality and gender, whilst being sensitive to change over time. This will involve making appropriate adjustments." 3/6