Thread by @_oatc_

1/"Identity with" was too ambiguous to be a reliable predictor of need for medical intervention come puberty, instead, the problem with DSM-IV GIDC was the lack of requirement for physical dysphoria - #GenderIncongruence - which a reanalysis of…

https://twitter.com/ErinInTheMorn/status/1636809623213600769?s=20

2/… of 🇳🇱 research showed was the sole reliable indicator/symptom linked to persistence. This was always known (📽️ Head of 🇳🇱 clinic, 1995) but #ConversionTherapy clinics instead insisted GNC symptoms - which they claimed indicated pre-trans kids…

3/…who they could "cure" - be included, and then, when the kids swept in by that didn't meet the different criteria for GD of Adolescents & Adults, which applied as soon as puberty started, they claimed - & still claim - they'd "desisted". Their clinics didn't even record…

4/…whether patients had physical dysphoria. An independent audit of the records of 🇬🇧GIDS whose founder was head of HBIGDA/WPATH's Children's Committee & close with 🇨🇦 & the DSM's Zucker - in 1999, published in IJT said the lack of that meant their claims of desistence…

5/…("cures") were baseless. Instead, GIDS switched to claiming that, even though it was the 🌎largest pediatric gender clinic they were totally unable to tell who would still be trans at 18yo & so none could be given medical intervention or should get #GenderReconition - a…

6/…stance it held until 2014 when peer clinics shamed GIDS into testing the Dutch Protocol - which uses physical dysphoria - as part of an international study & found that a reliable indicator, but it still opposes #GenderRecognition <18yo & backs those old desistance stats 😱

7/ A prevailing question is why 🇳🇱 analysts (eg Steensma) were producing high desistance figures based on GIDC in the 2000s when their own clinic only used physical dysphoria for the Dutch Protocol? Were they really all so cowed by the aggressive Zucker?

8/ Another question is why so many researchers still go along with Zucker in insisting upon the validity of those old stats, now lying that they were done using more recent diagnostics
- some even claim the 2018 ICD #GenderIncongruence was used, pre-2013, even in the 1980s.

9/ It's almost as if they're trying to erase the importance of the differences in WHO ICD Sexual Health section #GenderIncongruence diagnoses🖼️, which are purely for medical intervention. 🏴󠁧󠁢󠁥󠁮󠁧󠁿&🇳🇴 reports try to gaslight them as if just a traditional umbrella term for trans issues

10/ Child therapist Diane Ehrensaft Phd, in her 2016 'The Gender Creative Child', describes🖼️, in her family-friendly language, receiving Thomas, Steensma et al's reanalysis of the 🇳🇱"desistance" statistics, finally affirming what she had seen in clinics for years.

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