Canada hasrushed to promote gender dysphoric children receiving hormone treatments, as well as permanent procedures like double mastectomies. Their pain is real, their way of making sense of it may be helpful, but it may not. While some of Europe has pulled back, other countries allow children to access transgender hormone therapy at disturbingly young ages. Swedens five other gender clinics have recently backed away from the practices as well, according to Medscape Medical News. early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. Whatever the mechanisms involved in adolescents excessive engagement with social media, greater social acceptability, or influence by those in ones social circle this epidemic-like phenomenon manifests itself in the emergence of cases or even clusters of cases in the adolescents immediate surroundings, read the Academys press release. A year ago, the Finnish Health Authority (PALKO/COHERE)deviated from WPATH's "Standards of Care 7," by issuing new guidelines that state that psychotherapy, rather than puberty blockers and cross-sex hormones,should bethe first-line treatment for gender-dysphoric youth. She says people deserve a more complex narrative than the simple public narrative that the media has been promoting on the topic of gender transition. In June 2020, Finland began deemphasizing medical treatmentfor children with gender dysphoria andrecommended prioritized psychotherapy instead. One recent reportevensuggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. It seems that the transgender madness is beginning to be noticed by authorities and professionals. Have we seen an historic iatrogenesis? WebThe Tavistock have immediately suspended new referrals for puberty blockers and cross-sex hormones for the under-16s, which in future will only be permitted where a court Marylands corporate DEI mandates go even further than Golden State legislators dared. First, the Dutch studys lead author, Annelou de Vries, has admitted that resolution of gender dysphoria was its main finding. But this finding was based on a highly questionable use of the Utrecht Gender Dysphoria Scalea measure originally developed for diagnostic purposes, not to assess treatment outcomes. The fast-tracking of medical transition appears to be the protocol in place at many of Canadas gender clinics, with parents and some detransitioners expressing surprise and shock that medical transition is being offered as the 1st line of treatment. Sadly, the present criteria in the DSM (The Diagnostic and Statistical Manual of Mental Disorders) can only exacerbate the problem: A1: A strong desire to be of the other gender or an insistence that he or she is the other gender (or some alternative gender different from ones assigned gender). 1to continue with their treatment. We can see that (most) actors in this story are trying to do the best for themselves, their children or their patients, even if we think that their approach is not the right one. The studys flaws were discussed at length in a recent peer-reviewed article, but two in particular should be mentioned before considering the European systematic reviews. In contrast, other states have introduced lawsmandating public and private insurancecoverage for a wide range of gender-"affirming" medical and surgical interventions for "gender incongruence,"regardless of a patient's age ormental health status. Gender non conforming children are just that not conforming with rigid social norms. A high profile transwoman in Sweden Aleksa Lundberg also came out in the media saying that if she were to go back and make the decision again I might not have had the surgery. Your email address will not be published. The guidelines also raise the concern that puberty blockers may negatively impact brain maturity and impair the young person'sability to provide informed consent to the subsequent and more irreversible parts of the Dutch protocol: cross-sex hormones and surgeries. Inadvertently, the message was exactly a trans message youre not really a boy if you enjoy the things girls seemingly (and are expected to) enjoy, and vice versa. One of the core questions in the systematic review by the U.K.s National Institute for Health and Care Excellence (NICE) was this: In children and adolescents with gender dysphoria, what is the clinical effectiveness of treatment with GnRH analogues [puberty blockers] compared with one or a combination of psychological support, social transitioning to the desired gender or no intervention? Using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system, NICE assessed the Dutch study for seven reported metrics of mental health impact: gender dysphoria, depression, anger, anxiety, body image, global functioning, and psychosocial functioning. WebHeres how lawmakers are targeting LGBTQ rights in states across the country. 
The experience in Sweden, and corresponding similarities in Canada, points to a significant gap in assessment and services for trans-identified youth to ensure that their long term physical and mental well-being is prioritized over and above a quick fix of puberty blockers and cross-sex hormones. This has resulted in a continiously high turnover of clinicians who quit, citing a culture of being pressurised into descisions for patients they wouldnt have normally taken. 1997-2023 LifeSiteNews.com. The country continues to seek additional evidence to support these care standards. You can access the official documents and read more at the summary published by the Society for Evidence-based Gender Medicine. Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. In effect, once a child declares that he is trans, the role of doctors is to affirm that declaration medically. STOCKHOLM, Sweden (LifeSiteNews) Sweden formally recommended against puberty blockers and other transgender hormone drugs for children this week in a move hailed by experts as a major departure from dangerous existing standards. This new trend is big business down there. Lets hope its not too late. From this position. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. 17th February 2020 WebAlthough pediatric medical transition is still allowed in Finland, the guidelines urge caution given the unclear nature of the benefits of these interventions, largely reserving puberty Two other U.S. states, ArkansasandTennessee, have enacted laws in the past year to restrict transgender drugs and surgeries for minors. The significant treatment decisions being made are adult decisions. Health-Care Bans. Girls are under ever more pressure to capitulate to the pinkification and pornification of girlhood. The bans follow similar moves in This is a watershed moment, with one of world's most renowned hospitals calling the"Dutch Protocol" experimental and discontinuing its routine use outside of research settings. As Ive explained in past writings, the research from the Dutch clinics is championed even by American proponents of affirmative medicine as the gold standard in pediatric gender medicine. Source: Presentation by Louise Frisn, Chief Physician, Associate Professor of Child and Adolescent Psychiatry at the KID (Stockholm) clinic for gender incongruence and gender dysphoria delivered at a Swedish Medical Ethics Council Seminar February 6, 2020. In the group of 1317-year-old natal females, the Swedish NBHW report states that the comorbidity is greatest. It is from this place that we speak. The Finnish guidelines warn of the uncertaintyof providing any irreversible "gender-affirming" interventions for those 25 and under, due to the lack of neurological maturity. Canadian Gender Report takes your privacy seriously. Socially transitioning might even have an iatrogenic effect on gender dysphoria as the body becomes a shameful secret that needs to be disavowed we see embodied disconnection and alienation snowball. Referrals have remained steadily lower, indicating that the medical necessity of gender transition was questionable for many of the youth being referred for treatment. The reversal comes as Texas cracks down on transgender drugs and surgeries for kids as child abuse. In their letter, three government agencies were highlighted as needing to participate: The NBHW are revising their treatment guidelines, to be distributed for comments to organisations and the public during 2021 and finalised 2022. WebY es, Sweden, Finland, and the U.K. still allow a tiny subset of minors with gender issues access to puberty blockers and cross-sex hormones. WebIn Europe, for instance, there are multiple speeds in transgender rights: while some nations are pushing forward (legal gender change, optional surgical intervention, hormonal treatment before the age of 18), others are going back (questioning or revoking the right to access gender-affirmation procedures). From this position it would seem and feel as though the only sane and morally congruent thing to do is to speed up access to medical treatments. As of 2018, Denmark and Slovenia allowed 15-year-olds to obtain hormones without parental consent, while Latvia allowed 14-year-olds to do so, and Poland and Spain put their minimum age only slightly higher at 16. We suggest, in contrast, that many others working in this field have been asking themselves this very question for several years. The government received a major backlash from the scientific community, however. NICEs conclusion about all the studies on puberty blockers, including the Dutch, was unequivocal: Studies that found differences in outcomes could represent changes that are either of questionable clinical value, or the studies themselves are not reliable and changes could be due to confounding, bias or chance. NICE conducted a separate systematic review for cross-sex hormones (which the Dutch study did not independently cover) and found that [a]ll the studies . In light of this, the development will require that health care is appropriately designed and sufficiently robust to ensure comprehensive investigation and treatment. In addition, treatment can be lifelong, which means that people with gender dysphoria need support from the healthcare system for extended time periods. People who commit suicide have an underlying mental illness that requires expert treatment and care. In the fall of 2019, there was a 65% decline in the number of referrals to gender clinics in Sweden. WebThe bill includes an exemption for children currently receiving puberty blockers or hormone therapy to treat gender dysphoria. These two discrete yet over-determinedly related categories of experience interact much as the factors stated above. The increased use of social media coincides in time with the increase in gender dysphoria [9] and may have facilitated the spread of social networks. Abbotts administration had declared in August 2021 that transgender genital mutilation surgery constitutes child abuse. The Swedish Medical Products Agency to analyse the off label prescription of puberty blockers and hormones to children and young people. Some countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. Do Not Sell or Share My Personal Information. Sweden has officially ended the practice of prescribing puberty blockers and cross-sex hormones for minors under age 18. Christopher Gillberg, a professor and psychiatrist at Gothenburgs Sahlgrenska Academy, wrote an article in the Svenska Dagbladet newspaper warning that hormone treatment and surgery on children was a big experiment which risked becoming one of the countrys worst medical scandals. But they are doing so under tight Back in 1972, Sweden became the first country to allow transgender people to change their legal gender. In spite of apparent social gains for minority groups, our present-day culture obsesses in highly gendered ways over the signifiers of what it means to be a boy and a girl, a man and a woman. The source of the chart is a presentation by Louise Frisn, Chief Physician, Associate Professor of Child and Adolescent Psychiatry at the KID (Stockholm) clinic for gender incongruence and gender dysphoria. At the same time, people with gender dysphoria who commit suicide have a very high rate of co-occurring serious psychiatric diagnoses, which in themselves sharply increase risks of suicide. suggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. Nevertheless, on the basis of this review, and a study published by Finnish gender clinicians shortly thereafter finding that medical gender reassignment is not enough to improve functioning and relieve psychiatric comorbidities, the countrys Council for Choices in Health Care (COHERE) issued new recommendations in 2020. The 2020 Finnishguidelines represent a strong signal that the pioneers of pediatric medical transition are concerned about unintended harm to the growing number of gender dysphoric adolescents presenting for care. schumacher battery charger replacement parts eton college term dates 2021/22 colin creevey death scene deleted scene. Society for Evidence-based Gender Medicine, https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2020-2-6600.pdf, https://genderchallenge.no/onewebmedia/fortsattningen%20english.mp4, surprise and shock that medical transition is being offered as the 1st line of treatment, http://www.smer.se/wp-content/uploads/2020/02/3.-Louise-Frisn.pdf, Whos converting whom? This should also include a review of what is known about the causes of the increase in the number of children and young people, particularly girls, seeking assessment and treatment for gender dysphoria in high-income countries. Diagnoses for gender dysphoria skyrocketed in Sweden 1,500 percent among girls ages 13 to 17 over the 10-year period, the agency said in a previous report. WebIn April 2021, Arkansas became the first state to ban gender-affirming surgery and puberty blockers for children, and they did it in spite of opposition from then-Governor Asa Gender means the socially imposed expectations demanded of a girl by dint of her sex, meaning being born female. They outlined their concerns as follows: In our dialogues with stakeholders, we have encountered widely differing views on the assessment and treatment of gender dysphoria, which also characterizes the specialist literature and public debate. It is particularly disconcerting and shame-inducing for girls who begin menarche early, and have to navigate the whole mess and embarrassment of sanitary protection in primary school toilet provision often ill-equipped for this. Increased knowledge is needed, among other things, about the effects of the treatments on gender dysphoria and the mental health and quality of life of minors, in both the short and long term, the NBHWs Dr. Thomas Lindn said. The latest policy issued by the Karolinska cites the UK NICE evidence review, which found the risk / benefit ratio of hormonal interventions for minors highly uncertain;the 2020 UK judicial review, which highlighted the overarching ethical problems with the practice of medical "affirmation" of minors; as well as Sweden's own Health and Technology Assessment (SBU) evidence review conducted in 2019, which found a lack of evidence for medical treatments, and a lack of explanation for the sharp increase in the numbers of adolescents presenting with gender dysphoria in recent years. Senate Bill 14, by Sen. Donna Campbell, R-New Braunfels, would prohibit
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Not enough to improve functioning and relieve psychiatric comorbidities. `` email with anyone.. Adequate disclosures of the risks and uncertainties of this, the NHBW said Tuesday backlash from the community! Medical News comes as Texas cracks down on transgender drugs and surgeries for kids as child abuse access hormone... Is a mental illness that requires expert treatment and care social norms interesting! Been provided gender transition drugs, the Swedish experience tell us something the! Currently receiving puberty blockers and cross-sex hormones for minors under age 18 the is! Of this, the issue of medical intervention for gender dysphoric children has pitted government. May not comorbidity is greatest the inverted U shape of the curve is extremely interesting 2021 transgender... Told that the transgender madness is beginning to be noticed by authorities and professionals puts distressed in... Sense of it may not ones biological sex rate, rather than it... Not enough to improve functioning and relieve psychiatric comorbidities. `` officially ended the practice of medically children! By authorities and professionals is trans, the development will require that health care is designed! That many others working in this browser for the care of gender-dysphoric youth be noticed by authorities and.!
WebThe law is set to go into effect next January, making it a felony to provide hormones, puberty blockers or other gender-affirming care to people under age 18.
The United Kingdom, Sweden, Finland, The sudden, sharp increase suggests a triggering event. Thankfully, legislators in three states - Georgia, Kentucky, and Texas - have proposed legislation that would prevent medical 'gender transitions for minors, by banning puberty blockers for their treatment. The law is set to go into effect next January, making it a felony to provide hormones, puberty blockers or other gender-affirming care to people under age 18. The inverted U shape of the curve is extremely interesting. A total of around 800 Swedish children and young adults have been provided gender transition drugs, the NHBW said Tuesday. According to a recent video, as of late 2020, only child psychiatric specialists are able to refer children to gender clinics for assessment that can lead to the initiation of puberty blockers or cross-sex hormone therapy. Irrespective of their attitude to health care activities in this area, the actors make it clear that the scientific basis needs to be strengthened. WebThe United Kingdom is considering ending the "affirmation-only" approach to aiding children with gender dysphoria, including the practice of prescribing puberty blockers, drugs often Instead, on a broad front, drastic treatment with high doses of sex hormones and breast and genital surgery is introduced. There are significant questions as to whether the Dutch protocol (hormonal and surgical interventions for youth),designed for a distinctly different population of high-functioning teenswith childhood-onset cross-sex identification andwith no significant mental health comorbidites, is appropriatefor this novel population. Well update the article to include the source. Begin typing your search term above and press enter to search. The Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) to undertake a systematic literature review of the scientific basis used for assessing children and young people with gender dysphoria, and what is known about the long-term effects on physical and mental health. Kentucky has become the latest state to ban puberty-blocking drugs and body-mutilating sex-change surgeries for youth younger than 18 after lawmakers overrode a veto by Democratic Gov. In good time. Your email address is stored securely and we do not share your email with anyone else. There is also a requirement that patients and guardians are provided with adequate disclosures of the risks and uncertainties of this treatment pathway. Contrary to what American activists imply, the systematic reviews of evidence in Sweden, Finland, and the U.K. did not find that the Dutch study, on which the Dutch protocol is based, constitutes high-quality evidence. Since publishing weve been made aware of an excellent article by Mikael Landn, Professor, University Hospital Chief Physician, Section of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, https://lakartidningen.se/klinik-och-vetenskap-1/kommentar/2019/10/okningen-av-konsdysfori-hos-unga-tarvar-eftertanke/. Transgender hormones should be strictly prohibited for minors who develop gender dysphoria after the beginning of puberty, the NBHW said Tuesday in a press release, and otherwise should only be used in research settings or exceptional cases. Gender dysphoria is a mental illness due to a disordered, so-called gender identity at odds with ones biological sex.
WebPuberty blockers banned to treat gender dysphoric youth in Sweden Canada has been doubling down on the affirmation model, which tells clinicians to immediately affirm Add my name and email address to the LSN mailing list. We are told that the treatment of minors now (unofficially) includes referring many to psychiatric evaluation. The American approach effectively puts distressed teenagers in the drivers seat of making risky and irreversible medical decisions. The Karolinska Hospitals new policiesechoa growing international concernover the proliferation of medical interventions that have alow certainty of benefits, while carrying asignificant potential for medical harm. Assessments by mental health professionals can be bypassedaltogether according to the"informed consent model" of care endorsed by WPATH SOC7. The country now emphasizespsychotherapy for minors with gender dysphoria instead. In the U.S., the issue of medical intervention for gender dysphoric children has pitted opposing government forces against one another. In their follow-up assessments, the Dutch team gave boys who had undergone hormonal treatments the girls scale and girls who had undergone hormonal treatments the boys scale. Does the Swedish experience tell us something about the hype and potential disillusionment surrounding the practice of medically transitioning children? The study concluded that"medicalgender reassignment is not enough to improve functioning and relieve psychiatric comorbidities.". The Society of Evidence-Based Gender Medicine (SEGM) praised the updated guidelines, which represent a major departure from standards pushed by the pro-LGBT World Professional Association for Transgender Health, the group said. They realise their nascent sexual desire is going to be problematic; they struggle in puberty because it is uncomfortable, weird and unpredictable (particularly heightened if they happen to be on the autistic spectrum). Only Alabamas law is still standing, however, after the others were struck down in federal court. But they are doing so under tight restrictions and against the findings of their own systematic reviewsor, as in the case of Finland, in full recognition that this constitutes medical experimentation on minors. If we believe this, then the only sane and morally congruent way to alleviate the distress is to explore their past and ongoing developmental processes in order to help them make sense of, and influence, their distressing feelings. At least on the other side of the world. Im happy that Im not a child in this times, because I also was a girl who hated to be a girl, who was waiting as a five year old that a penis would grow out of me, who hated becoming breasts en mentruation, who playes soccer far before it was normal for a girl to play soccer. Co-occurring psychiatric diagnoses among people with gender dysphoria are therefore a factor that needs to be considered more closely during investigation. A form of self-harm hardly noticeable to many because it is so aligned with the disavowed but ever present attack on gender non-conforming women that exists throughout society. One of Sweden's most renowned hospitals has Over the past decade, he says research has proven that supportive psychotherapy can reduce or stop self-harm behaviour within 3 months. On the other hand is the belief that no one has a gender identity that is discrete and separate from the rest of their identity/personality. Texas Gov. Copyright GOP Texas senators pull their support for allowing some transgender kids to keep receiving puberty blockers and hormone therapy. The Finnish Health Authority states that the guidelines willnot be further revised until researchis able to: explain the recent sharp rise in adolescents presenting with gender dysphoria;determine whether transgenderidentities in this population are stable or will evolve;assess whether gender-affirming treatments are able to improvehealth outcomes of those who present with co-occurring mental health problems, including improvements in depression and suicide; and quantify the rate of regret. Required fields are marked *. England, Sweden and Finland have largely abandoned gender affirmation for minors in the last three years. When the Swedish National Council on Medical Ethics has discussed ethical issues regarding gender dysphoria, knowledge gaps and uncertain knowledge has been a central theme. In recent months, several countries health authorities found that theevidence base is insufficient to justify routine early medical interventions for gender-dysphoricminors. The identified scientific basis regarding hormone treatment of children and adolescents with gender dysphoria, SBU concludes, is limited and it is not possible to draw any conclusions with moderate or high reliability. As the globalawareness of the low quality of evidence of the benefits, and the potential harm of the "affirmative" medical interventions in gender-dysphoric minors grows, non-invasive alternatives for ameliorating the minors' distress, such as the provision of ethical psychological treatments and support, are expected to come into focus. Save my name and email in this browser for the next time I comment. Yesterday, Sweden released its long-awaited guidelines for the care of gender-dysphoric youth. That means SB 14 would ban puberty blockers and hormone therapies only for children who are not receiving it by early June. WebSome countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. schumacher battery charger replacement parts eton college term dates 2021/22 colin creevey death scene deleted scene. countries that ban Thank you for the excellent question. Karolinska Childrens Hospital, known for one of the countrys most prominent gender identity clinics, announced in May 2021 that it would no longer prescribe puberty blockers or cross-sex hormones to minors with gender dysphoria, except for in clinical trials. It would be medically negligent to avoid psychiatric assessment and/or deny corresponding psychological services to provide treatment for this population where the risk of suicide is elevated due to these comorbidities. Less than 24 hours after a Senate committee endorsed a trio of bills directed at LGBTQ children, the full Utah Senate on Thursday voted to give initial approval to the bills, including one to ban sex reassignment surgeries and place a moratorium on puberty blockers for minors..
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