The second article examines the stress that trans children experience in UK schools.
It highlights trans inclusion as an essential component of a school's duty of care. Schools have a responsibility to safeguard the mental health of trans children. 3/6
It's also an unaccountable & inflexible source of delay & denial.
'We've got approval for a 1st study on NT "early onset" binary kids with no complexities who hit full criteria for GD in childhood (tiny fraction of pop)
Everyone else = back luck, no study protocol for you yet
Kids get denied healthcare not cos there is a 'ban', no of course not, but because they are sadly not eligible for entry into the only study the NHS has chosen to prioritise.
This is laid out in black and white in the equality impact statement. In the annex in the small print.
Someone else just said something that gave me chills.
How many kids who are enrolled will end up in the 'control group'? This isn't stated anywhere in this weeks documents.
But the whole point of the NICE reviews was to argue for RCTs and control groups.
I've published two peer reviewed articles on trans children and social transition. A third article is due out shortly, centring trans children's views & experiences
I would like to call attention to alleged comments made this week by Dr Hillary Cass on this topic. (short thread)
Supposedly Dr Cass said "Social transition is a powerful intervention. Whether it’s the right outcome for any one child is a complex decision to make". Supposedly she proposed schools should not affirm trans children without parental permission. I did not hear this first hand.
I want to challenge this (alleged) comment on a three fronts.
Firstly, social transition is NOT an intervention.
Denying a child's identity. Ignoring them, rejecting their self-knowledge, is a FAR BIGGER intervention than simply following their lead.
Every time I hear an update from different sources about the Cass review, which is fairly frequent, I feel less and less hopeful, & more & more convinced that we as a community should more clearly call it out as a harmful & illegitimate threat to trans people of all ages.
I ask all institutional stakeholders who are engaged with this harmful, unaccountable & illegitimate process to consider now where your ethical red lines are. How much harm till you call them out. I fear where Cass is heading. @Genderintell@Mermaids_Gender@Nancy_M_K@LGBTfdn
@Genderintell@Mermaids_Gender@Nancy_M_K@LGBTfdn I know trans communities & organisations hold no power over the Cass review. I understand that many are engaged as a form as damage control. There should still be ethical red lines for disassociation with this process & calls for genuine accountability to trans communities.
Even on listing gender (slide 11) they have split it into male, female and other, whilst stating that other includes trans male and trans female.
They asked people to put themselves on a spectrum from 'affirmative' at one end, to 'cautious' at the other end. Cautious is not the opposite of affirmative! Most participants said they were cautious. Well of course - you've presented affirmative as the opposite of cautious!
Let me remind you how trans youth healthcare works in England right now. I will share an example based on the current reality. Let's consider Dan (*made up person). Dan came out to his parents at age 11. That was in 2017. 1/
By early 2018 his parents had listened to him enough to go to the GP and ask for a referral to the Tavistock GIDS, the only NHS service available. He was 12 by the time the referral was sent in early 2018. 2/
Dan turned 13 in early 2019, still just waiting. 3/
Does it problematise trans-ness?
Does it suggest trans-ness itself needs diagnosis & clinical control?
Does it respect the existence of trans children?
Does it fail to acknowledge & address the legacy of pathologisation?
My fear from the start with this Cass review is that it is being carried out by individuals & a system that has never properly recognised & reflected on its own cis-supremacist biases.
Even from a first read through, there are so many places where deep-rooted biases are clear to see.
From the avoidance of even mentioning trans children.
To the suggestion that social transition requires diagnosis.