Update February, 2022:Sweden's National Board of Health and Welfare has followed the Karolinska's lead and issued a national policy update closely mirroring the policy adopted by the Karolinska. Further, suicide risk is often used as the rationale for easy access to medical transition for trans-identified children and adults. These differences are partly about the facts and how they should be interpreted, and partly about values. And why no rebound? England, Sweden and Finland have largely abandoned gender affirmation for minors in the last three years. Research indicates youth become trapped in a one-way medical path as almost 98% who are prescribed puberty blockers proceed with medical transition even when there is no evidence of long-term benefits. 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. To be sure, the problems with the American affirmative model should not conceal the fact that the Dutch study itself rests on a very shaky empirical foundation. Irrespective of their attitude to health care activities in this area, the actors make it clear that the scientific basis needs to be strengthened. These treatments are potentially fraught with extensive and irreversible adverse consequences such as cardiovascular disease, osteoporosis, infertility, increased cancer risk, and thrombosis, the hospital acknowledged in a statement in May. In France, the countrysNational Academy of Medicine warned medical professionals in a March press release that the spike in young people saying they want to medically transition genders may be due to social contagion and urged medical personnel to approach this issue with extreme caution. 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. Thank You so much MM and AH. A5: A strong preference for playmates of the other gender. A last-minute change to the bill allows patients to continue taking puberty blockers or hormone therapy if they started those treatments before Aug. 28, 2023, when the law would take After being assessed over 12 appointments, across two years, involving Emily A4: A strong preference for the toys, games, or activities stereotypically used or engaged in by the other gender. 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. 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. 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. This corresponded with experts calling on the government to review clinical protocols and more balanced media coverage of the phenomenon of regret among gender transitioners, including the airing of a documentary entitled Trans Train. 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. Please SIGN this petition, which supports legal moves to prevent the 'gender-transitioning' of minors at a state and federal level. The results from the evidence review in Finland are harder to interpret because most of the studies evaluated involved adults, and the review did not rate the quality and reliability of the studies. Unfortunately these tropes are compounded and perpetuated by some diversity trainings delivered in schools. 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). According to Karolinskas newest policy, whichwent into effect in May 2021, going forward, hormonal (puberty blocking and cross-sex hormone) interventions for gender-dysphoric minors may only be provided in a research setting approved by Swedens ethics review board. The Biden administration has promoted early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. The summary conclusions from that report state: The diagnosis of gender dysphoria is increasing in the population, especially among children and young adults, where the proportion of new cases among 13 17-year-old adolescents registered as female at birth has increased most. 1to continue with their treatment. The exponential rise in adolescent natal females (teenage girls) presenting at gender identity services over the last few years has been well documented. 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. Canadian Gender Report takes your privacy seriously. Yesterday, Sweden released its long-awaited guidelines for the care of gender-dysphoric youth. It could be the ultimate act of self-harm. Abbotts administration had declared in August 2021 that transgender genital mutilation surgery constitutes child abuse. Psychic pain that arises out of the manifold implications of being a suffering human being: trauma, abuse, neglect, bullying, social ostracism, bereavement to name but a few. The Council also said more information is needed about the effects of different treatment methods on the mental wellbeing, social capacity and quality of life of children and youth, as well as on the disadvantages of procedures and on people who regret them.. As a final thought, the continual collapse of trans and gender non conforming children into one seamless category is highly problematic and moreover is, most likely, in part responsible for the self-perpetuating inflation of the identification of so-called trans kids. For many years I feel alone in my thinking about this topic. WebFinland revised its treatment guidelines in June 2020, prioritizing psychological interventions and support over medical interventions, particularly for youth with post-pubertal onset of gender dysphoria (currently the most common presentation). How about living in the 21. century as a girl I used to be. There is also a requirement that patients and guardians are provided with adequate disclosures of the risks and uncertainties of this treatment pathway. Surgical treatments are not part of the treatment methods for dysphoria caused by gender-related conflicts in minors, said FinlandsCouncil for Choices in Health Care, which issues recommendations on public health care. It isnt. Texas Attorney General Ken Paxton had declared in a legal opinion the day before that the practices violate Texas statutes against child abuse. Additionally girls struggle physically with puberty; as a change from the familiar, often unpredictable, body sprouting and changing, unwanted thoughts and feelings. The Finnish gender identity services program is a worldwide leader in pediatric gender medicine. Thank you for the excellent question. 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. Thus, biological males were asked whether experiencing menstruation caused them distress. Health-Care Bans. Furthermore, how they looked, lived and loved needed no apology. 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. They have recognized the experimental nature of treating minors with puberty blockers and hormones and have established new protocols that deviate significantly from WPATH and the professional associations that the Canadian government and healthcare authorities are listening to. This might be of interest to readers of this website: Dr. A. Hutchinson and Dr. M. Midgen are experienced clinicians who have both worked in the NHS Gender Identity Development Service for children and young people (GIDS). In the fall of 2018, Swedens Social Democrat government proposed a new law that would have reduced the minimum age for sex reassignment surgery from 18 to 15, remove any need for parental consent and allow children as young as 12 to change their legal gender. Save my name, email, and website in this browser for the next time I comment. Transgender drugs and surgeries are linked to numerous serious and life-threatening side effects, including sterilization, heart attack, and increased risk of cancer and stroke. Do you have access to that data yet? Gender means the socially imposed expectations demanded of a girl by dint of her sex, meaning being born female.
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. 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. Jack Turban, a prominent voice in the affirmative-medicine movement and a notorious source of misinformation on this issue, has said that not a single country in Europe has banned gender-affirming care for trans youth. The claim is true in a narrow and technical sense, but highly misleading. Sexual feelings awaken amidst sexual harassment and press reports of misogynist hate crimes. Brad Little on Tuesday, April 4, 2023, signed into law House Bill 71, which makes it a felony to provide puberty The study concluded that"medicalgender reassignment is not enough to improve functioning and relieve psychiatric comorbidities.". We can hear and respond to distress without agreeing with the other persons explanation of why they are experiencing it. This change occurred following a systematic evidence review,which found the body ofevidence for pediatric transition inconclusive. The Republican-led Legislature overwhelmingly voted to override Beshears veto on Senate Bill 150 Wednesday, voting 29-8 in the Senate A review published Tuesday by the Swedish Board of Medical and Social Evaluation (SBU), however, concluded that there have still never been any quality studies evaluating the drugs in minors with gender dysphoria. Swedens five other gender clinics have recently backed away from the practices as well, according to. Finlandrevised its treatment guidelinesin June 2020, prioritizingpsychological interventions and support over medical interventions, particularly for youth with post-pubertal onset of gender dysphoria (currently the most common presentation). 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). 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. He documents the process of discovery that the medical community went through to understand how to best treat these kinds of conditions. Officially and to date, the National Board of Health and Welfare has only released a preliminary report on The development of the diagnosis of gender dysphoria: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/ovrigt/2020-2-6600.pdf. It is simply not possible for a child or adolescent to conceptualise a loss of fertility or sexual pleasure before they have developed their adult body. Tennessee Identical Republican-sponsored bills to ban puberty blockers, hormone treatment, and gender transition surgeries were handily approved in Tennessee's Senate Judiciary Committee and the House Health Committee earlier this week. When will Canada start asking questions like Sweden? The increase in Sweden is being driven by youth 13-17 years old born female. 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 emotional, psychological and subjective). They have generated hypotheses to account for this noteworthy and concerning phenomenon and refute the claim that it arises solely out of reduced stigma and increased access to services. WebMost laws in this category, like that of Tennessee, would ban puberty blockers and hormone treatment from being used to treat gender dysphoria. Sweden does not allow gender-affirming surgeries on youth under the age of 18. In June 2020, Finland began deemphasizing medical treatmentfor children with gender dysphoria andrecommended prioritized psychotherapy instead. The review by the Swedish Agency for Health Technology Assessment and Assessment of Social Services has not found any evidence to explain the increase in prevalence of children and adolescents who seek gender transition and few studies on gender-affirming treatment. What are the units for the graph and what is its source? Rather, the debate is about whether children as young as eight with a strong desire for gender affirming drugs have the ability to understand fully and give informed consent to the long-term consequences of these interventionsand even if they can, whether this justifies enlisting them in an uncontrolled medical experiment. 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. it would be unethical to intervene at the level of the physical body at all, as this is not the problematic feature. The NBHWs reversal comes amid a larger international reckoning on experimental transgender practices. Great medical caution must be taken in children and adolescents, given the vulnerability, particularly psychological, of this population and the many undesirable effects and even serious complications that can be caused by some of the therapies available, the press release said. This raises the question whether the positive outcomes of early medical interventions also apply to adolescents who more recently present in overwhelming large numbers for transgender care.. Currently there is no way to distinguish amongst these children and young people, other than subjective accounts emerging within a meta culture in which even suggesting that social contexts, let alone trauma and co-morbidity, can lead to gender dysphoria is seen as transphobic. In the U.S., the issue of medical intervention for gender dysphoric children has pitted opposing government forces against one another. The scale is sex-specific, which means that biological males and biological females are given different versions of it. suggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. In effect, once a child declares that he is trans, the role of doctors is to affirm that declaration medically. . 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. Listening can occur at many levels. This deeply disturbs the clinicians whose professional lives are dedicated to understanding the source and meaning of human distress. Your email address will not be published. Mental-health professionals are there only to help the child cope with the stress that comes from being in a minority, since, as Turban puts it, most of society is awful., One source of confusion, therefore, concerns what, exactly, white-gowned activists like Turban mean when they say gender-affirming care. As Hilary Cass noted in her report to the U.K.s National Health Service, the American affirmative model removes the main guardrails put in place by the Dutch protocol, resulting in a lack of medical safeguarding. At least in its official policy, Europe is decidedly not practicing what Turban considers gender-affirming care.. It is an unofficial translation. WebThe Texas Senate approved a ban on a variety of transition-related treatments for Texas minors April 4. 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. She said she had believed that there was a more scientific basis for this healthcare but has since realized that that is not the case. 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. The long-term effects of puberty-blockers remain unknown, though there are worries about brain development and decreasing bone density. Andy Beshear. 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. This new trend is big business down there. However, that decision was overturned in September. WebThe US lags behind one of the most progressive countries in the world when it comes to puberty blockers and cross-sex hormones. Society for Evidence-Based Gender Medicine, Finland prioritizes psychotherapy over hormones, and rejects surgeries for gender-dysphoric minors, One Year Since Finland Broke with WPATH "Standards of Care", no significant differences could be found, Finnish_Guidelines_2020_Minors_Unofficial Translation.pdf, Finnish_Guidelines_2020_Minors_Original.pdf. WebPuberty blockers prevent genital tissue growth, which can make gender-affirming bottom surgeries more difficult, for example for male to female transitions, because if a boy 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 Trust has also seen lawsuits by children given that treatment who later regret their decisions.and of course those same lobbyists are blaming the Trust for that! Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. Thequalifying criteria for gender reassignmentof youth, articulated in the 2020 Finnish treatment guidelines, areconsistent with the original Dutch protocol, but represent a significant tightening of the more recent practices promoted by WPATH. 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. 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 . The lens of gender can seem very apt for these girls retrospectively to understand their difficulties: always feeling weird, not fitting in, struggling to understand social interactions and cues, bullied often, feeling themselves to be outside the norm. 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. The NBHW guidelines noted a dramatic spike in referrals to gender clinics, particularly among adolescent girls, between 2008 and 2018. Sweden has been one of the most progressive nations on transgender health care for decades. WebBy James Dawson (Boise State Public Radio) April 5, 2023 8:42 a.m. Transgender people under the age of 18 in Idaho will no longer be able to get puberty blockers, hormone What is known about this should also be included in the review. Thank you for pointing out this oversight. We are told that the treatment of minors now (unofficially) includes referring many to psychiatric evaluation. 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.. Adults and professionals have a duty to step back from the feelings, whether their own or the young peoples, in order to consider what is fundamentally in young peoples interests. We still have work to do in Canada and the USA is a whole different matter.

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. Actor who played St. John in Mel Gibsons The Passion of the Christ dies at 48, Sisters celebrate Transgender Day of Visibility in dissent from Church teaching, Trump pleads not guilty to all 34 felony charges brought by Soros-backed DA, BREAKING: Liberal Protasiewicz defeats conservative Daniel Kelly to flip Wisconsin Supreme Court, Transgender Nashville shooter spent months planning Christian school massacre, police say, Transgender hormones should be strictly prohibited for minors who develop gender dysphoria after the beginning of puberty, the NBHW said Tuesday in a, Transgender drugs and surgeries are linked to numerous, serious and life-threatening side effects, Swedens shift on dangerous transgender drugs also follows a. Karolinska Childrens Hospital, known for one of the countrys most prominent gender identity clinics, These treatments are potentially fraught with extensive and irreversible adverse consequences such as cardiovascular disease, osteoporosis, infertility, increased cancer risk, and thrombosis, the hospital acknowledged in a statement in May. WebEmily, a 12-year-old trans girl from Liverpool, was first referred to the Tavistock by her GP in May 2017. Begin typing your search term above and press enter to search. The body we are born into is, therefore, just that. In light of this, the development will require that health care is appropriately designed and sufficiently robust to ensure comprehensive investigation and treatment. Second, replication is a bedrock of scientific analysis, yet the only attempt to date to replicate the Dutch study, conducted in the U.K., failed. This despite the lack of any scientific evidence for these treatments for children, and probably not for young adults either. countries that ban puberty blockers. the social, political and cultural sphere) and the internal (i.e. European countries have been ahead of the U.S. on this issue. These factors comprise both the external world (i.e. 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. 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. The United Kingdom, Sweden, Finland, 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 But they are doing so under tight As Michael Biggs has pointed out, the full picture of the studys findings became public only after a prolonged campaign to force the researchers to publish their findings. At least15 states are considering similar pieces of legislation relating to gender dysphoric minors and medical treatments. The studies exhibit numerous methodological shortcomings, including confounding factors, lack of control groups, and high rates of attrition. Why? We are seeing a generation of young people emerge who have been poorly served by local specialist provision: a phenomenon recognised and documented here. Sweden has officially ended the practice of prescribing puberty blockers and cross-sex hormones for minors under age 18. 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