2/"older studies may not adequately predict outcomes for today’s far larger, more diverse trans and gender-questioning population."
3/ "Ignoring detransitioners’ experience isn’t just harmful to them; it also means that doctors and scientists miss out on much-needed data that could improve gender-affirming care for future patients."
4/ "Detransition has become a political cudgel to challenge any and all gender care for young people."
5/ "clinicians who receive threats of violence for assisting trans youth are vulnerable to developing myopic positions and overly optimistic clinical practices that ignore detransitioners’ accounts."
6/ "Opponents of gender care for youth aren’t just capitalizing on stories like Beck’s; they are also weaponizing scientific uncertainty. The existing research has major gaps."
7/ "Much of the recent evidence is based on follow-ups conducted about 2 years or less after a patient initiates a transition. But the few studies that have examined detransition suggest that the average time to detransition can be about 4-8.5 yrs."
8/ "The need to know more about detransition is all the more urgent amid a surge of new patients lining up at gender clinics."
9/ "researchers don’t yet have enough data to know whether today’s patients will detransition at higher or lower rates than the patients who were approved for treatment in decades past."
10/ "For patients to give informed consent to med treatment, they need to know about the range of possible outcomes. Meanwhile, drs & clinics need guidelines & services to support people who wish to detransition, but to our knowledge no formal standards are widely accepted"
11/ Although Genspect disagrees with some statements made in this article, on these points we can agree. We're proud to offer help to detransitioners, as well as those who are in a more uncertain space, through our program Beyond Transition: genspect.org/beyond/
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🧵IMPORTANT POINTS re: @WPATH's SOC8 by @JamesCantorPhD: 1/ WPATH published its own systematic review of the effectiveness of "gender affirming" hormones. Safety wasn't considered in the scope of the review. WPATH came to this conclusion:
2/Of 8 studies cited for *minors*, 4 showed improvement, 4 failed to improve. Instead of describing results as "mixed"/"inconsistent," the abstract reads "Hormone therapy was associated w/ increased QOL [Quality of Life], decreased depression, & decreased anxiety." Data tables:
3/In contrast, U.K, Finland & Sweden ran systematic, comprehensive reviews of safety & effectiveness of puberty-blockers/cross-sex hormones on adolescents w/GD. All concluded-little evidence of benefit off-setting known & unknowns risks of medicalized transition of minors.
New in today's @TheEconomist- THREAD 1/"Aside from public schools, another covid and culture-war casualty, no institution had a steeper fall in confidence in 2021 than the [US] medical establishment, according to Gallup, a pollster." economist.com/united-states/…
2/"Some Democrats have misrepresented the medical consensus around how best to help children with gender-related distress, presenting this as a closed matter when there is no global scientific consensus."
3/ "The cherry-picking of evidence by medical bodies such as the @AmerAcadPeds American Academy of Paediatrics helps explain why Republicans have become twice as likely as Democrats to believe scientists have agendas beyond the pursuit of scientific fact."
SCOTLAND:
"UK ministers fear it may lead to gender tourism and allow biologically male Scottish inmates in English jails, including rapists, to demand to be put in women’s prisons....
"There is also concern that people who change gender in Scotland would have a different legal sex when entering England and Wales, that IT infrastructure used to administer benefits would have to be overhauled, and that organisations offering single-sex spaces for women could...
"...be forced to adopt differing policies depending where they are in the UK."
Basically, it's an unsustainable, unmaintainable mess.
Happy New Years to our friends and supporters! Here's a quick 🧵 outlining some good news from this year.
1/UK: the Tavistock gender clinic, deemed unfit for purpose by the Cass Review, was ordered to close. Gender-distressed minors will now be treated in regular children’s hospitals w/a whole-person, developmental approach to gender dysphoria.
2/SWEDEN: psychological interventions will now be the first line of treatment for gender-distressed minors. Medical transition can only take place in clinical research settings. Half of the pediatric gender clinics in the country were closed.
1. The unreserved voice of @wesyang added much to our discussion of gender ideology. We thank him for sharing the many personal stories via: wesleyyang.substack.com Here is a just a sampling.
2.The tragic story of Yaeli’s suicide & the contribution of CA family court that ruled Martinez was an abusive parent, placing Yaeli in foster care, stating that the 12-year old was competent to manage her own medical care. wesleyyang.substack.com/p/nobody-wants…
3. Abel Garcia’s story of receiving “gender affirming” hormone treatment on his very first visit. Abel’s story is consistent with so many other detransitioners who were simply affirmed with no assessment or therapeutic intervention. wesleyyang.substack.com/p/i-realized-t…