Thread by @TaniaAMarshall

Australian Judges to now oversee #transgender #teen treatment is a positive step forward and welcomed in order to safeguard children who are unable to give full #gillick #informedconsent theaustralian.com.au/nation/judges-…

Thank you @KLBfax for your #bravery and standing up for vulnerable children who deserve #safeguarding, should have been given full #gillick informed consent and should have had their immature prefrontal cortex, as a consequence of child development, taken into consideration

This decision supports the UK, Finland, and Sweden in an international shift towards caution for #children and safest ethical medical practice. The Australian #gender clinic remains unidentified at the moment

The Australian children’s hospital #gender ­clinic is now under review and the responsibility for treatment decisions have been given the judges. Will these judges recognise #gillick informed consent? The #teenage brain? The autistic brain?

New child patients at the hospital #gender clinic will now have to get court approval before they are able to have the go ahead with life-altering #crosssex #hormone treatments. Will this lead to children obtaining them on the #blackmarket?

This change has occurred as a result of valid concerns raised by a state solicitor’s office in relation to the risk of litigation #lawsuits such as the recent successful case brought against @TaviAndPort #GIDS clinic by the brave @KLBfax #kierabell

The Australian hospital gender clinic remains unidentified at this time, and I’m sure will be made known, in the future. I welcome this decision, which reflects the International shift towards caution & safeguarding in relation to children & teens #genderdysphoria #transgender

I would like to thank @Bernard_Lane for this fantastic coverage

@BlanchardPhD @ZUCKERKJ @will_malone @DrRDangelo @SashaLPC @stellaomalley3 @marcusevanspsyc @LisaLittman1 @LisaMarchiano

@GenderMapper @genderisharmful @genspect @widerlenspod @gencritgreen @HJoyceGender @GPv360 @OurDutyGrp @rGenderCritical @gentlemanbroad @GenderReportCA @GenderCritical_ @thegencrit

@Transgendertrd @BuckAngel @TransReflect @WeCantChangeSex

This did you who follow me will remember I hinted last week at lawsuits in relation to children and transition #ethics #gender @trans #detrans #genderclinic See 👉🏻👉🏻👉🏻 austlii.edu.au/cgi-bin/viewdo…

The Western Australia gender service now has to review its processes to ensure that the care they provide to children is of the highest standard and is also consistent with the requirements of the @TaviAndPort court decisions. I live tweeted from there…

The @TaviAndPort Bell v Tavistock is relevant to Australia because of the common law system and is a welcome stand joining with many others countries in using caution ⚠️

Apparently, the service does not consider the @TaviAndPort #Bell judgment a barrier to treatment, but that it clarifies legal framework within which treatment decisions for children are made. It’s important to noted that this clinic is reviewing its practice but this is a start

While the West Australia clinic is reviewing its practice, the treatment of gender dysphoria will be referred to the Court, and children will be represented independently by their lawyers

The WA #Gender clinic Service will still refer to court even where the child has demonstrated #Gillick competence, age meaning aged 16 +, parents both supportive, and clinicians support treatment. It appears the Review started in January 2021

This court case is troubling, to say the least. In this case, a young girl smhad begun refusing to play with stereotypical “girls" toys (#redflag) from the age 8. She started wearing shorts and tops (likely a tomboy) and became interested in roleplaying, as a male character (so?)

As part of the role play and trialling identity roles, she became a tomboy, wanting short hair and this equated to being a “boy” for her ( I have seen this in my clinic commonly).
My autistic girls would defying stereotypical femininity, rebelling against stereotypes (awesome)

FF to Age 13, when my child clients start ‘social transition’. Then would come the chest binding, change of name, and cutting hair shorter. The depression started with feeling down during that summer. She became angry that she could not have "treatment"…

She could not have proceeded with the process of medicalisation at the age age of 15 due to the WA gender clinic's review of its service. Meanwhile, naturally there is parental concern for her mental health and general level of functioning

So if she cannot get treatment, what was to happen? Did #clinicians Look at other causes of depression and low mood? Did she receive psychotherapy to help her with informed consent? To help her with understanding?

Was she provided with information about the #KeiraBell decision and the best interests of the child,m? How was her #gillick competence assessed? How did the clinician manage suicidal ideation?

clinician’s notes reveal the 16 year old child was well informed about the effects of testosterone and the impact on her body and brain. She said she had research it. What research did she read? This isn’t good enough. It appears the child understood the physical…

Ramifications and the physical changes to expect, the possible limitations, both emotional & the social consequences. The child reported that if she regrets her decision later, she feels confident that she'll get professional help...hmmm…from a detransitioner specialist?

It is noted that the child has had therapy, is intelligent and appears insightful. Is this #gillick? Was an IQ test done? Developments disorders screened? Prefrontal cortex taken into consideration? Is this the best case scenario for a child who chooses to take irreversible…

… irreversible drugs? With their immature prefrontal cortex, can they? This is the #teenage brain! Child thinks that testosterone will change her "whole life... will feel normal then... it is about "survival". Maybe it’s about an identity of others rather than develop her own?

Maybe have some more #therapy later if desistance does not repair the harm that has been caused? Doubtful Testosterone only will “save”her. The Australian #clinicians supported the transition, the child wanted it, the parents supported it…

…and the judge found the child could be 'transitioned.'
Whilst this may be possibly the end for this child questions remain. Should a child be allowed to play with any toy they want? Should they have hair whatever length they want?…

…Should children be allowed to wear whatever clothing they want? Should they be allowed to participate in any sport they want? Can this be done without telling them they are born in the wrong body? For the remaining #trans children, it is great news that the WA clinic is…

taking the @TaviAndPort #GIDS court case by #kierabell so seriously.@KLBfax you deserve a medal 🏅🏅🏅 now, we are assuming a neuritypical child. What about #autistic children and the autistic brain? What if an autistic child doesn’t have a diagnosis? No primary diagnosis…

Gender dysphoria is a symptom of #autism in a smaller group of #autistic children. Not all autistic children and teens experience this. Many autistic children and teens navigate their biological sex typically through the rite of passage known as puberty.

Are these issues being considered as they were when I reported on the @TaviAndPort appeal with @KLBfax present. This study discusses Sydney gender clinic being mindful of the @TaviAndPort #Bell case in its work with the Sydney approach seemingly more thoughtful will post soon

The Sydney clinic seems more thoughtful, less activist and possibly less biased or influenced and with less of an agenda, as compared to SJW activist approaches. The Sydney seems to be more ethical in their approach compared to other clinics in Australia and around the world?

More to come and references…

Check out this 2021 research paper advocating for #psychotherpy for #rogd #gendersysphoric children and #trans teens journals.sagepub.com/doi/full/10.11…

A lawyer from Melbourne Australia @ninavallins of @vic_women writes a great synopsis of the case where the WA gender clinic was seeking court approval prior to administering #crosssex hormones. This is pending the review of clinic in light of the precedent @TaviAndPort case.

Here, in this case the court relies on #Gillick competently and grants the application. I wonder what they, how they assess and the information covered or what is consisted full #gillick informed consent?

When a child cannot give #gillick full informed consent and parents are concerned for her mental health, then what? There is no way to make a child consent if they do not have the brain hardwiring to do so? #prefrontalcortex

Not once have I heard the wiring of the #autistic brain mentioned in terms of the high amount of girls who are naturally driven to systemising #stem making it challenging to get along or understand their female peers. This fact is so overlooked and is what sets them apart…

Their #neurotype is closely aligned with boys neurotyoes (systematisers) and for obvious reasons makes them feel ‘odd’, ‘different’, ‘weird’, an ‘outsider’ in relation to their female peers. I test for this in every assessment I complete. This is critical and in my new course

2015-2019 statistics on Australian gender clinics @GenderMapper

Something is amiss here 👉🏻 What’s going on with the Queensland childrens gender clinics? Why do both Queensland & WA have such disproportionately high numbers? For NSW, with more than 8 million people, they appear to have far fewer enrolled in gender clinics…

…therefore they have potentially been receiving irreversible treatments? A reasonable question to ask. What going on across Australia’s gender clinics @GenderMapper ?

A recent 2021 study found that #clinicians to “use a broad, holistic, systemic (i.e., biopsychosocial) framework that takes into account the full range of interacting factors—social, economic, relational, family, psychological, and biological…

that have defined the life circumstances of the child and the family seeking care for gender dysphoria. The study can be found here👇🏻journals.sagepub.com/doi/full/10.11…

Link to the recent West Australia June 2021 court case whic you can peruse here 👉🏻👉🏻👉🏻austlii.edu.au/cgi-bin/viewdo… I may or may not tweet this case out…

If you live in Australia & have a #trans child or gender dysphoria child & I want therapy @AustPsych threaten, harass, coerce #psychologists & question their ‘one size fits all approach’ to the ethical medical care of #trans children by telling us we can only practice this way 👇🏻

I’m relation to full @gillick informed consent, it is "highly unlikely" that a child aged 13 years or under would be competent to give consent to the administration of puberty It is doubtful that a child aged 14 or 15 years could understand and…

…weigh the long-term risks and consequences of the administration of puberty blockers.blockers. For children aged 16 years and over there is a presumption that they have the ability to consent to medical treatment given the long-term consequences of…

…clinical interventions in the case and given that the treatment is as yet innovative and experimental, the Court recognised clinicians may well regard these as cases where authorisation of the Court should be sought prior to commencing treatment.

The recent ruling states that “clinical interventions in the case and given that the treatment is as yet innovative and experimental, the Court recognised clinicians may well regard these as cases where authorisation of the Court should be sought prior to commencing treatment”.

#Australian Judges to oversee gender #transition decisions in court👉🏻👉🏻 archive.ph/gWxDo #rogd #transgender #children #gender #dysphoria #identity #frontallobes

#sexmatters, #gillick full informed consent matters, psychological testing matters, the immature prefrontal cortex matters, underlying missed diagnoses matter, trauma matters, sexual abuse matters, mental Heath matters for all children and teens who are #gender #dysphoric #trans

@AbigailShrier @DrDebraSoh @BenjaminABoyce @seerutkchawla @SexMattersOrg @cawsbar @SexNotGenderID @rogdmum @P_ROGDK @DadRogd @DadsRogd @press_enter77 @TinkDangerClose @4ROGDmamas @RogdFamily @ROGDAGOD

@MForstater @jessesingal @ImWatson91 @HormoneHangover @lacroicsz @SourPatches2077