UK officially fucks Trans kids over

KarlLBKarlLB Shipmate
edited June 2023 in Epiphanies
https://twitter.com/TabitaSurge/status/1670695396547481600

One take home from this - if kids or staff want to abuse trans kids by misgendering them, there's diddly-squat anyone can do about it.

Bullies please form an orderly line...
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Comments

  • KarlLBKarlLB Shipmate
    Take home 2 - if a trans kid is not accepted at home, they are utterly alone as the school also must refuse to accept their gender identity.

    How many suicides is the government willing to accept in its bigoted agenda?
  • ArethosemyfeetArethosemyfeet Shipmate, Heaven Host
    This is guidance for England, right? They're not trying to impose this shit in Scotland?
  • KarlLBKarlLB Shipmate
    You are right. Although I wouldn't put it past them to challenge contrary Scottish guidance.
  • KarlLBKarlLB Shipmate
    Meanwhile, it's not hateful enough for Miriam Caites: https://twitter.com/miriam_cates/status/1670726595571511298

    Why do these people hate transgender people so much?
  • ArethosemyfeetArethosemyfeet Shipmate, Heaven Host
    KarlLB wrote: »
    Meanwhile, it's not hateful enough for Miriam Caites: https://twitter.com/miriam_cates/status/1670726595571511298

    Why do these people hate transgender people so much?

    Because they've been forced to shut up about hating brown and gay people so their pent up hatred now gets directed at trans folk.
  • They need somebody to blame, and misdirect attention to. We're not at fault, it's the woke lot.
  • HuiaHuia Shipmate
    KarlLB wrote: »
    Meanwhile, it's not hateful enough for Miriam Caites: https://twitter.com/miriam_cates/status/1670726595571511298

    Why do these people hate transgender people so much?

    Because they've been forced to shut up about hating brown and gay people so their pent up hatred now gets directed at trans folk.

    I think this is depressingly accurate.

    I don't have any young people in my life, but I do know from my own life how important it was to have trustworthy adults that I could confide in about other issues. For some school may be the only safe place.
  • KarlLBKarlLB Shipmate
    NHS England has announced puberty blockers will no longer be prescribed for anyone under 18.

    The TERFs and far right on X are getting sticky keyboards over it they're so excited. Draw your own conclusions.
  • DoublethinkDoublethink Admin, 8th Day Host
    Sky has the story, I note the NHS are trying to move to formal clinical trials this year though.
  • LouiseLouise Epiphanies Host
    edited March 2024
    Sky doesn't appear to have spoken to trans people. I'll see what I can find - and update this post as I see more

    Maggie Baska from Pink News has spoken to Mermaids and has a more context:

    https://www.thepinknews.com/2024/03/12/trans-puberty-blockers-nhs-england-prescribe-gender-affirming-healthcare/

    Trans news site 'What the trans' haven't done a write up yet but have commented on X/Twitter

    (I know Twitter is objectionable but it's still where a lot of the trans journalists are - and where they'll respond before they write pieces later)

    comment on ignoring trans voices in consultation

    A note from a post quoted on that thread '3492 responses were strongly in favour of blockers, just 180 opposed them'

    Evan Urquhart (Assigned Media) is also at the early take on Twitter stage so far but has a different angle:
    This would be worse news for young trans people in Britain if the years long waiting list for a first appointment hadn't already nullified any benefit from puberty blockers for these kids...
    You can't block puberty after it happens. The UK hasn't been seeing trans youth in time for blockers to make a difference in the first place. Unsurprisingly, when they've looked they've found little benefit to a treatment they're providing years too late.
  • DoublethinkDoublethink Admin, 8th Day Host
    edited March 2024
    I am not sure when the story went live, at the point I googled I could find little but Sky - nothing on the BBC for example. (Though it looks to have been put on the BBC about 40 minutes ago now.)
  • LouiseLouise Epiphanies Host
    edited March 2024
    Yes it's at the 'early take' stage. I also don't think this applies to NHS Scotland.

    Trans and non binary run charity TransActual has a statement - partly quoted below...

    https://transactual.org.uk/blog/2024/03/12/transactual-statement-on-nhs-englands-decision-to-stop-commissioning-puberty-blockers/

    TransActual condemns the new NHS England policy to stop commissioning puberty blockers for trans young people. This is a cruel new element of the war on trans youth. It will irreparably damage people’s health, wellbeing and life chances and departs from international medical practice to pursue a political agenda. In combination with schools guidance that seeks to control the gender presentation of all children, rather than banning conversion practices, government is trying to restrict any kind of transition for young people.

    The majority of trans young people will now be only able to access blockers via private prescription or on the grey market without medical support, creating inequality between rich and poor trans people and leading to riskier approaches. This policy is almost certain to be challenged in the courts both now and in the future, when those young people impacted by this decision seek damages for what it has done to them...
  • KarlLBKarlLB Shipmate
    Sky has the story, I note the NHS are trying to move to formal clinical trials this year though.

    Yes; aforementioned voices on X are already calling for them to be abandoned.
  • CrœsosCrœsos Shipmate
    KarlLB wrote: »
    NHS England has announced puberty blockers will no longer be prescribed for anyone under 18.

    So no puberty blockers except for those who have already gone through puberty. Some folk saying about horses and barn doors comes to mind.
  • Barnabas62Barnabas62 Shipmate, Host Emeritus
    Absolutely. It’s a clumsy, politically motivated, interference in essentially personal matters. I’ve written to my MP to complain.
  • Yup
  • Gee DGee D Shipmate
    Crœsos wrote: »
    KarlLB wrote: »
    NHS England has announced puberty blockers will no longer be prescribed for anyone under 18.

    So no puberty blockers except for those who have already gone through puberty. Some folk saying about horses and barn doors comes to mind.

    That was my immediate reaction. Just a thought - is it possible that the same drug could legitimately be prescribed for something innocuous?
  • LouiseLouise Epiphanies Host
    The same drugs are prescribed for precocious puberty in cis youngsters and have been for decades. They have some known side effects which are not news to anyone and which are only made controversial when anti-trans prejudice is brought into the mix.
  • Precocious puberty is not innocuous and can be a harbinger of some real nasties such as hypothalamic ( midbrain) tumours.
  • LouiseLouise Epiphanies Host
    I took Gee D to be meaning innocuous in the sense of politically seen as innocuous (uncontroversial) but if he meant medically innocuous (medically harmless) then yes indeed.
  • KendelKendel Shipmate
    KarlLB wrote: »
    Why do these people hate transgender people so much?

    It's important to keep gender categories neat and tidy for misogynists. I mean, it's important that they know precisely whom to dominate and now. Otherwise we are confusing the power structure.
  • Gee DGee D Shipmate
    Louise wrote: »
    I took Gee D to be meaning innocuous in the sense of politically seen as innocuous (uncontroversial) but if he meant medically innocuous (medically harmless) then yes indeed.

    No, my question (and it was a real question from a position of simply not knowing) was along the lines: "Can this drug also be used to treat sore throats?".
  • DoublethinkDoublethink Admin, 8th Day Host
    Well they are sex hormones, so already used for contraception, hrt etc
  • Medicine must rely on evidence, when that evidence is not gathered and drugs are prescribed then tragedies such as Thalidomide occur. There is also the principle of do no harm.

    As yet there is NO evidence base of EITHER the SAFETY or EFFICACY of puberty blockers in cases of gender disphoria. There is also no evidence to support the assertion that these are entirely reversible when you stop taking them.

    THIS is the outrage, that children who identify as trans are being given drugs with no proven efficacy or safety and some evidence of harm eg significant bone thinning amongst others. These children and their parents have been sadly let down by the system, it is a disgrace. Bring on clinical trials before dishing out drugs.

    Giving those who cannot consent drugs on the advice of experts who lack an evidence base and paid for by tax payers as healthcare is not a private matter.
  • LouiseLouise Epiphanies Host
    edited March 2024
    Yet this post doesn't give any evidence or link to any scientific or medical article.

    This link might be behind a paywall for you but if you're reading it for the first time you might be able to get in. It gives a basic survey with links to other articles and points out the political nature of attacking these drugs

    https://www.scientificamerican.com/article/what-are-puberty-blockers-and-how-do-they-work/

    Some snips
    These medications [gonadotropin-releasing hormone agonists (GnRHas)] are well studied and have been used safely since the late 1980s to pause puberty in adolescents with gender dysphoria. They have been used routinely for even longer in children who enter puberty too early and in adults with a range of other medical conditions...

    But despite the evidence for the safety and efficacy of puberty-delaying treatments, some lawmakers across the U.S. have spread false claims about the drugs and other gender-affirming treatments as part of their efforts to ban or severely restrict access to health care for transgender people

    The bioethicist consulted in the article Simona Giordano of Manchester University points out that beneficial use of gonadotropin-releasing hormone agonists (GnRHas) goes back to the 1960s and that it's a 'mischaracterization' to claim they are experimental drugs.
    She is puzzled by the extra scrutiny these treatments receive, considering their benefits and limited risks. “There are no sound clinical, ethical or legal reasons for denying them to those in need,” she says.
  • Barnabas62Barnabas62 Shipmate, Host Emeritus
    edited March 2024
    Evangeline

    I don't think your post is accurate. The drugs used as puberty blockers have been used successfully for years in treating children with precocious puberty and I know of no studies which show short term or long term effects from their use for this purpose.

    You are right that greater research is needed re long term effects for help with transgender children. The one long term study I know showed no harmful effect but that probably needs more confirmation.

    Studies also differ in their assessments of the psychological benefits of the use of puberty blockers; some have claimed significant benefit but others (e.g. NICE) have criticised the methodology of those studies. To that extent it is an open question.

    From what I have seen, and particularly by reference to the three decades of use in precocious puberty, there is no identifiable side effect health risk to children in taking the medication. It is not NICE approved in the UK but that seems largely related to disputes over psychological benefits.

    So I believe that it is a private matter, not a legal one, and best left to family decisions helped by informed professional advice.

  • LouiseLouise Epiphanies Host
    edited March 2024
    Simona Giordano (mentioned above) has co-authored a scientific journal editorial on this which is open-access and which goes into detail on the ethics of the issue and the medical background

    Int J Transgend Health. 2020; 21(2): 113–121.
    Is puberty delaying treatment ‘experimental treatment’?

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430465/
    Conclusions
    Puberty delaying medications are currently provided off label to adolescents affected by gender dysphoria and this particular use cannot be investigated by a RCT. [randomized controlled trial] We have shown that this does not mean they are experimental drugs or are provided experimentally. Whether or not these (or even approved drugs) are ethically prescribed depends on whether they are likely to serve the patient’s health interests based on the evidence available at the time of prescription.

    The published literature provides insight into the likely benefits of GnRHa. In summary, they reduce the patient’s dysphoria (Cohen-Kettenis & Pfäfflin, 2003, p. 171; Kreukels & Cohen-Kettenis, 2011, p. 467), reduce the invasiveness of future surgery [ for long list with references please see the article]

    In light of the collected and published evidence, it seems that the international clinical community has found a sensible point of balance: GnRHa can be prescribed to adolescents who experience strong and distressing dysphoria. GnRHa is not usually recommended for prepubertal children, when there is still significant uncertainty around the future gender identity development trajectory. The reaction to pubertal development will be part of the clinical assessment. In this way, most likely GnRHa will only be given to those who most likely will choose to continue to transition, but should the patient change their mind, then no permanent changes will have been effected (whereas, should an untreated person transition, permanent changes of pubertal development will only be partially reversible surgically)... [ bit about parents keeping an open mind etc]

    Trans people are harmed when these drugs are not available and if you look at what trans people have to say about their own medical treatment they are clear that these drugs are something they want to be available for them as a choice. Attempts have been made to manufacture scares about them but that has a lot more to do with anti-trans motives and prejudice disguised as fake concerns than anything to do with science.

  • GwaiGwai Epiphanies Host
    @Evangeline Posting in Epiphanies means not making unattributed (and inaccurate) statements.

    In this case that happens to be inaccurate (others have posted sources) and is used as an anti-trans talking point.

    Gwai,
    Epiphanies Host.
  • From the American Society of Pediatricians https://acpeds.org/transgender-interventions-harm-children
    Transgender Interventions Harm Children
    No Evidence that Transgender Interventions are Safe for Children
    There is not a single long-term study to demonstrate the safety or efficacy of puberty blockers, cross-sex hormones and surgeries for transgender-believing youth. This means that youth transition is experimental, and therefore, parents cannot provide informed consent, nor can minors provide assent for these interventions. Moreover, the best long-term evidence we have among adults shows that medical intervention fails to reduce suicide.

    Puberty blockers may cause mental illness

    Puberty blockers may actually cause depression and other emotional disturbances related to suicide. In fact, the package insert for Lupron, the number one prescribed puberty blocker in America, lists “emotional instability” as a side effect and warns prescribers to “Monitor for development or worsening of psychiatric symptoms during treatment.” Similarly, discussing an experimental trial of puberty blockers in the U.K., Oxford University Professor Michael Biggs wrote, “There was no statistically significant difference in psychosocial functioning between the group given blockers and the group given only psychological support. In addition, there is unpublished evidence that after a year on [puberty blockers] children reported greater self-harm, and the girls also experienced more behavioral and emotional problems and expressed greater dissatisfaction with their body—so puberty blockers exacerbated gender dysphoria.”

    Puberty blockers may cause permanent physical harm

    Temporary use of Lupron has also been associated with and may be the cause of many serious permanent side effects including osteoporosis, mood disorders, seizures, cognitive impairment and, when combined with cross-sex hormones, sterility.
    ]

    ACPac.org.uk. Say:
    Research and evidence-based practice

    There is little evidence which allows clinicians reliably to predict whether a child who presents with gender dysphoria will continue to experience gender incongruence in adulthood, whether their incongruence will desist, and/or whether they will come to identify in another way. In short, there is as yet no reliable way to predict whether transitioning will alleviate any young person’s distress or further contribute to it.
    There is a lack of robust, high-quality evidence regarding the safety and effectiveness of using puberty blockers and cross sex hormones to treat gender dysphoria in adolescents[17]. The long-term consequences of such treatment are also unknown[18]. Our view is that high-quality, longitudinal data is required to help determine when a medical intervention is or is not indicated, and to identify which groups it is appropriate for.

    It is unconscionable to continue experimenting on children.

    The interim Cass report shows what a travesty this is and how badly vulnerable children are being let down by a system that rushes PBs and ignores every other neurological/mental/social vulnerability.

  • DoublethinkDoublethink Admin, 8th Day Host
    edited March 2024
    I would point out that you have linked to the American College of Pediatricians, rather than the American Academy of Pediatrics.

    The Southern Poverty Law Centre describes the American College of Pediatricians as a fringe hate group.

    I will temporarily close this thread, pending the resolution of the related Styx thread.

    Doublethink, Admin
  • Alan Cresswell Alan Cresswell Admin, 8th Day Host
    We are reopening this thread as we consider the Styx thread resolved. We remind everyone to observe the Epiphanies guidelines, especially in regard to providing reputable sources for potentially contentious views. If you are still unclear about those guidelines, please seek clarity on the Styx thread before posting here.

    Alan
    Ship of Fools Admin
  • Returning to the topic; first I want to say that trans teens are obviously an extremely vulnerable group and it is entirely right that people want to look for ways to help them.

    But it isn't entirely clear what the best help is.

    I don't have personal experience of gender dysphoria, but I do have some experience of the complexities of another group of vulnerable children. In that situation a large percentage are put into "treatment" that they say, when adults, was destructive for them. It isn't entirely unknown for experimental treatments to be given to children with limited scientific backing for their efficacy.

    Again, I don't know the truth here. I dislike the way that hateful conservatives seem to be trying to dominate the conversation by trying to subvert and deny the lived reality of trans people (in a way that I remember some trying to deny that learning disabilities and say that dyslexia was laziness in my school class).

    And for me that is the worst thing here, trans kids are continuing to suffer whilst a 'debate' stoked by hateful people swirls around the internet.
  • DoublethinkDoublethink Admin, 8th Day Host
    edited March 2024
    A particular dilemma for everyone involved is that there is no risk free option, I have a non-binary relative who is an adult now. When they were a teenager they had what was thought to be very severe anorexia. They only really started to recover when their parents became very out n proud in supporting their queer identity. You stop menstruating if your body weight is low enough, and my impression is that their distress at this aspect of puberty is what led to their hospitalisation as a teenager. (For a child to be hospitalised with anorexia you have to be life threateningly ill, we could have lost them before they ever grew up.)
  • KarlLBKarlLB Shipmate
    /tangent @KoF ABA for autism?
  • Mm bingo
  • DoublethinkDoublethink Admin, 8th Day Host
    edited March 2024
    /cont tangent My bugbear is that abuse of behavioural models in Lovaas ABA has given a terrible reputation to other forms of behavioural therapy such as Positive Behavioural Support; that are basically about training the people around the individual to meet their needs rather than trying to teach people to mask and “pass for normal”.

    (ETA grammar, DT, Admin)
  • KarlLBKarlLB Shipmate
    KoF wrote: »
    Mm bingo

    Which interestingly is an example of a form of conversion therapy - "discouraging" autistic behaviour in favour of being "normal".

    It stands therefore in stark contrast to affirmative approaches to gender dysphoria. It seems to me that ABA is to autism as conversion therapy is to gender dysphoria.

    It's probably wise not to pursue this too far on this thread, but it's an interesting point to ponder.
  • DoublethinkDoublethink Admin, 8th Day Host
    You could open a new thread, she tempts …
  • KarlLBKarlLB Shipmate
    You could open a new thread, she tempts …

    Fortunately for me I only know ABA by reputation; I'm too old for my presentation of autism to have been recognised as such as a child - I was just a "weird kid".
  • Oh dear, I'm sorry to have opened that can of worms. ABA is... yeah.

    I'm not even sure I have the energy.
  • DoublethinkDoublethink Admin, 8th Day Host
    @KarlLB would you like me to split this off into its own thread ?
  • KarlLBKarlLB Shipmate
    KoF wrote: »
    Oh dear, I'm sorry to have opened that can of worms. ABA is... yeah.

    I'm not even sure I have the energy.

    Don't be sorry. It sheds an interesting light on the affirming and conversion approaches to gender dysphoria, and societal attitudes to diversity and difference, and the aims of treatment.

    I saw a conservative meme the other day where one person says that such and such needs to be "normalised", and the supposed hero of the meme responds with "if it needs normalising then it isn't normal!" and it struck me that this is how some people think. If you diverge from the statistical norm too much then that's inherently wrong. Most people are straight so gay is wrong and needs curing. Most people are neurotypical so being autistic needs curing. Most people are cis so being trans is wrong and needs curing. If it can't be cured it must be hidden. Calls for acceptance and equity are characterised as calls for special treatment. Persist and you're "ramming it down our throats".

    There is a common theme here. Draw attention to it and you're slammed as Woke.
  • KarlLBKarlLB Shipmate
    @KarlLB would you like me to split this off into its own thread ?

    I'm not sure. I don't know if we have enough people with a dog in the fight regarding ABA, but there's possibly a Purg thread in the post here I've just made concerning underlying attitudes to diversity and difference.
  • [Deleted User][Deleted User] Posts: 0
    edited March 2024
    I'll try to start a thread; it is going to be tricky as I'm sure most have very limited understanding of the starting points of the discussion.
  • DoublethinkDoublethink Admin, 8th Day Host
    KarlLB wrote: »
    @KarlLB would you like me to split this off into its own thread ?

    I'm not sure. I don't know if we have enough people with a dog in the fight regarding ABA, but there's possibly a Purg thread in the post here I've just made concerning underlying attitudes to diversity and difference.

    I think that would probably sit best in Epiphanies.
  • LouiseLouise Epiphanies Host
    Heh - massive crosspost - I was coming here to say the same as Karl

    Yes similar things happen with autistic kids and behaviourist therapies which I escaped the danger of by being diagnosed so late.

    And in the adult community people who've been through that or know people who've been through it are the strongest campaigners against it because people grow up and find their voices - so it becomes obvious that it didn't help.

    That's why it's important to look at the adult community whether it be from dyslexia, autism or ADHD and see what most people who have lived these things growing up and experienced them have to say.

    In this case - see the links I posted earlier - it's fairly clear where the bulk of trans people are on this being an option for adolescents to consider and there's something like thirty years of experience to draw on - someone who was say 13 in the 1990s would be in their thirties to forties now.

    And yet the huge push to attack adolescents having this choice comes overwhelmingly from people who also attack trans people across the board for religious or ideological reasons and not (see previous links) from the community themselves, so this at once suggests to me that something different is going on.
  • Ok sorry I have jumped the gun and started a thread elsewhere.
  • DoublethinkDoublethink Admin, 8th Day Host
    No worries - I’ve moved it over.
  • Barnabas62Barnabas62 Shipmate, Host Emeritus
    Posted in the Styx
    Barnabas62 wrote: »
    Re precocious puberty and transgender, issues of safety and efficacy. It’s on the borderline between being a Styx issue and the Epiphies thread issue. I’m happy to discuss that in the Epiphanies thread.

    On this thread, I’ll confine myself to summarising this way. Safety is one factor, efficacy another. The PB drugs work safely in delaying puberty with precocious puberty cases. There is evidence of that. What that evidence says about efficacy with trans children may be debated.

    If I may open the discussion here.

    One of the criticisms of the Cass report has been that it ignored or discounted the evidence of safe use of puberty blockers in cases of puberty blockers. The argument appears to be that it’s not relevant, since precocious puberty is one thing, trans is another.

    My dispute with that viewpoint is that it glosses over the difference between drug safety and drug efficacy. PB drugs have been used safely for over thirty years in precocious puberty cases. The medical effect is to delay the onset of puberty since it be beneficial to the health of children experiencing precocious puberty. PBs are successful in producing that delay. Hence their continuing use for that purpose.

    That evidence does not of course confirm the efficacy of using PBs with trans children. That can be debated. But safety is another matter. Why should a drug proven to be safe in delaying puberty with precocious puberty cases by unsafe with trans cases?

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