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. These factors comprise both the external world (i.e. At least15 states are considering similar pieces of legislation relating to gender dysphoric minors and medical treatments. But the rate then cratered in 2019, after the release of a Swedish documentary, Trans Train, that exposed the lack of science behind the gender transition movement and highlighted people who regretted the devastating, life-altering procedures. We posit that there are multiple, interweaving factors bearing down on girls and young women that have collided at this particular time causing a distress seemingly related to gender and their sex. A7: A strong dislike of ones sexual anatomy. 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. It is notable that even speaking about these observable, and clinically relevant, factors are seen by some as evidence of a form of anti-trans rhetoric. American activists distort the situation in European countries to defend an aggressive approach to pediatric gender medicine. The country now emphasizespsychotherapy for minors with gender dysphoria instead. The body we are born into is, therefore, just that. 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. Now some are pumping the brakes. 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. Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. 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 WebGOP Texas senators pull their support for allowing some transgender kids to keep receiving puberty blockers and hormone therapy. From this position, the gender identity, however conceptualised, must have been formed through the developmental processes that the young person has undergone. In late 2019, the Swedish National Council on Medical Ethics proposed that the Ministry of Health and Social Affairs task three government agencies to strengthen the knowledge base for the assessment and treatment of gender dysphoria among children and adolescents. The sharp drop-off in referrals in Sweden corresponded to the realization by parents and General Practitioners that sending children to a gender clinic would not necessarily provide them with additional assessment or services, but rather put them on a fast-track to puberty blockers and cross-sex hormones. There is embarrassment inherent in growing breasts, of these being noticed and pejoratively commented on and, worse, groped. Andy Beshear. As far as minors are concerned, there are no medical treatment[s] that can be considered evidence-based, Finlands Council for Choices in Health Care said in 2020. 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 recent months, several countries health authorities found that theevidence base is insufficient to justify routine early medical interventions for gender-dysphoricminors. The summary of this review is available in English here: https://www.sbu.se/en/publications/summary-availablegender-dysphoria-in-children-and-adolescents-an-inventory-of-the-literature/. Your email address will not be published. Meanwhile, last year, Arizona,Alabama, Arkansas, and Texas bannedminors from receiving surgeries related to gender transition. The NBHWs reversal comes amid a larger international reckoning on experimental transgender practices. 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 As far as minors are concerned, there are no medical treatment[s] that can be considered evidence-based,, In the U.K., the British High Court banned puberty blockers for children under 16 for several months last year, ruling that minors could not give consent for the experimental drugs. Even for patients whose gender issues appeared first in childhood and intensified in adolescence (a pathway that is required for hormonal eligibility under the Dutch protocol but optional under the American-affirmative one), COHERE recommends that the first-line treatment for gender dysphoria is psychosocial support and, as necessary, psychotherapy and treatment of possible comorbid psychiatric disorders. In the same document, COHERE emphasizes that gender reassignment of minors is an experimental practice. This includes minors transitioned under the Dutch protocol. 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. 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 Your email address is stored securely and we do not share your email with anyone else. The guidelinesalso mentioned that a key study on puberty blockers, whichutilized a comparison group of waitlisted adolescents, failed to show a statistically significant difference between the treated andwaitlisted groups at the study end-period at 18 months. Senate Bill 14, by Sen. Donna Campbell, R-New Braunfels, would prohibit 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. 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.. 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. We would consider the use of therapy to help alleviate this distress as virtually mandatory, as this is what we usually apply to distress. In San Francisco, subtleand not-so-subtlefavoritism is determining which residents benefit from preferences in public education, home loans, and government grants. Sexual feelings awaken amidst sexual harassment and press reports of misogynist hate crimes. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. WebFri Feb 25, 2022 - 2:53 pm EST STOCKHOLM, Sweden (LifeSiteNews) Sweden formally recommended against puberty blockers and other transgender hormone drugs for Of the avalanche of gender dysphoria cases being referred, he says: Unlike the epidemic of self-harm behavior, (gender dysphoria) care providers are not exploring to find the right treatment. One 11-year-old girl given puberty suppressors at Karolinska Childrens Hospital ended up with osteoporosis and damaged vertebrae, Swedish outlet SVT reported. Swedens five other gender clinics have recently backed away from the practices as well, according to Medscape Medical News. 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. Preliminary results from the study, which began in 2010, were reported as very unimpressive, with adolescents after one year of puberty suppression showing an increase in internalising problems and body dissatisfaction, especially natal girls. Moreover, the cohort that received puberty blockers showed no statistically significant difference from the cohort that received only psychotherapy. 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. Three mistaken efforts state legislators should avoid. Marylands corporate DEI mandates go even further than Golden State legislators dared. WebOpponents counter that the United States is out-of-step with European countries including Sweden, Finland, and the U.K., which have found that the benefits of puberty blockers and The bill includes an exemption for children currently receiving puberty blockers or hormone therapy to treat gender dysphoria. Referrals have remained steadily lower, indicating that the medical necessity of gender transition was questionable for many of the youth being referred for treatment. Multiple reviews commissioned by NHS England, including. Their pain is real, their way of making sense of it may be helpful, but it may not. 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. The Finnish gender identity services program is a worldwide leader in pediatric gender medicine. 17th February 2020 At least on the other side of the world. After being assessed over 12 appointments, across two years, involving Emily Do Not Sell or Share My Personal Information. Autism spectrum disorders are more common in people with gender dysphoria [10], and it may be people who are more sensitive to such effects. It is from this place that we speak. WebEmily, a 12-year-old trans girl from Liverpool, was first referred to the Tavistock by her GP in May 2017. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. But they are doing so under tight For example, an attempt to encourage children to play with gender appropriate toys (or more accurately sex-appropriate: prescribed ways females and males are expected to behave) and peers, and engage in similar behaviours and activities. 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. 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. Leor Sapir is a fellow at the Manhattan Institute. Among other differences, the female version includes questions on menstruation while the male version includes questions about erections. It assumes that gender identity is innate and immutable, that some kids are just born trans and can know this from as young as toddlerhood. There isnt. Why? It is not unreasonable to hypothesise that developing gender dysphoria, and alighting on a trans identity as the way of understanding, can, in some instances, be the solution (cure) to the problem of being 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. 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. Over the past decade, he says research has proven that supportive psychotherapy can reduce or stop self-harm behaviour within 3 months. Bodies become the site onto which they can project their perceived failure to live up to societys expectations of them and also their internal, psychic pain. WebMost laws in this category, like that of Tennessee, would ban puberty blockers and hormone treatment from being used to treat gender dysphoria. The findings from these reviewsthat the certainty of benefits is very lowguided the hand of policymakers there to restrict access to hormones. A fundamental limitation of all the uncontrolled studies included in this review is that any changes in scores from baseline to follow-up could be attributed to a regression-to-the mean (because patients tend to report for care at the peak of their distress). This presentation was delivered at a Swedish Medical Ethics Council Seminar February 6, 2020, You may find it here: The real debate between red states in the U.S. and European health authorities is not about whether there is good evidence for pediatric gender transition. 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. 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. Some countries initially embraced puberty blockers and cross-sex hormones for children several years ago, but are now taking a step back. This approach, also known as medical "affirmation,"has been endorsed by theWPATH Standards of Care 7 guideline. We have wondered whether the early attempts to intervene in respect of gender dysphoric children have been problematic in themselves. These guidelines represent a major departure from the WPATH "Standards of Care," and are a vital step towards safeguarding vulnerable youth from medical harm./1https://t.co/ci2zjOsC0W. Furthermore, how they looked, lived and loved needed no apology. Dawning same-sex attraction can occur against a backdrop of homophobia; as well as a dearth of everyday, run-of-the-mill lesbian visibility. The Senate also gave initial approval to Senate It will be very interesting to see how the official clinical guidelines in Sweden take shape and evolve over the next 2 years. A common claim by Americans who oppose state restrictions on gender-affirming care is that Sweden, Finland, and the U.K. have not done away with hormonal interventionsand therefore that Republican lawmakers who seek such restrictions are going beyond Europe, and presumably against what European health authorities recommend. In the U.S., the issue of medical intervention for gender dysphoric children has pitted opposing government forces against one another. 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 The government received a major backlash from the scientific community, however. People who commit suicide have an underlying mental illness that requires expert treatment and care. The hospital was first in Sweden to conduct gender identity assessments for kids and openly performed mutilating sex change surgeries on children, including a girl subjected to a mastectomy at 14. Front Royal, VA 22630, 157 Catharine St N, Unit 2 Do you have access to that data yet? Greg Abbott on Tuesday directed all state agencies to treat hormone drugs and sex change surgeries for gender-confused minors as child abuse under state law and investigate any reported cases. Does the Swedish experience tell us something about the hype and potential disillusionment surrounding the practice of medically transitioning children? Texas Attorney General Ken Paxton had declared in a legal opinion the day before that the practices violate Texas statutes against child abuse. 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. 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 The study concluded that"medicalgender reassignment is not enough to improve functioning and relieve psychiatric comorbidities.". 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. WebIn the past two years, medical authorities in Sweden, Finland, and France have started to turn their backs on puberty blockers, also called GnRH analogues, or drugs that are used to People with gender dysphoria usually exist within a healthy body, regardless of how they feel about it. A number ofUS states have recently introducedlaws banning the use of hormonal interventions in gender-dysphoric minors. Therefore, it is not possible to ascertain to what extent gender dysphoria alone contributes to suicide, since these psychiatric diagnoses often precede suicide., Swedish news coverage of this report also reports that the authoritys survey shows that people with gender dysphoria, especially young people, have a high incidence of concomitant psychiatric diagnoses, self-harming behavior or suicide attempts compared with the rest of the population. Further, The diagnoses that stand out are depression, anxiety disorders, ADHD and autism.. 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. Is embarrassment inherent in growing breasts, of these being noticed and pejoratively commented and... 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