The Atlantic - The Liberal Misinformation Bubble about Youth Gender Medicine

[Lisa]

IKR? That’s a pretty amateur error. That’s why it’s a little hard to take his claims of professional experience seriously. I’m skeptical.

That is putting it very mildly. The claim that being transgender is a symptom of an other disorder was debunked 30 years ago. They are only a few quacks who still believe that idea. I met one of them as a psychiatrist about 30 years ago.

Eating disorders are not socially transmitted. To say they are is laughable. They are often a symptom of deeper depression or even PTSD/CPTSD stemming from child abuse. Ask me how I know this?

 

[bomberfox]

Facts are better than the terms of those in denial of their mental illness. Biological gender cant be changed. Cultural expressions can be and thats called a cross dresser or transvestite. A man cant become a woman in reality and if one believes they can thats delusional thinking. He can express himself as female but cant force society to define it as normal

There is no mental illness. Trans people are not going anywhere.

 

[bomberfox]

In every case we see a premorbid emotional disturbance or personality disorder. When on truly believes they can change biology thats delusional thinking. Honest psychology defines this as a socially transmitted mental disorder like eating disorders. It affects those who already have emotional problems

No it really doesnt.

 

[bomberfox]

Lawsuits from the kids who were ruined have started.

This thing became huge not least because of profit motive. Hopefully that will end it as well. :-/

It hasnt ended for over 100 years. Trans healthcare isnt going anywhere so we can improve it or destroy it all and watch the bodies fall.

That is the reality.

 

[Master Debator]

Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden - PMC

The treatment for transsexualism is sex reassignment, including hormonal treatment and surgery aimed at making the person's body as congruent with the opposite sex as possible. There is a dearth of long term, follow-up studies after sex ...

pmc.ncbi.nlm.nih.gov

Results​

The overall mortality for sex-reassigned persons was higher during follow-up (aHR 2.8; 95% CI 1.8–4.3) than for controls of the same birth sex, particularly death from suicide (aHR 19.1; 95% CI 5.8–62.9). Sex-reassigned persons also had an increased risk for suicide attempts (aHR 4.9; 95% CI 2.9–8.5) and psychiatric inpatient care (aHR 2.8; 95% CI 2.0–3.9). Comparisons with controls matched on reassigned sex yielded similar results. Female-to-males, but not male-to-females, had a higher risk for criminal convictions than their respective birth sex controls.

Conclusions​

Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group.

In addition a graduate degree in psychopathology 30 years experience in 4 hospitals 8 years in private practice. I have published in a peer reviewed journal and many articals read world wide on infant and child trauma.

Okay then. Can you explain why the conclusion doesnt line up with your statements and conclusions? It says sex reassignment alleviated gender dysphoria. That suicide rates remain higher than that of the general population after treatment doesnt discount the benefit of gender affirming care and your own link says as much.

 

[Hamish Howl]

Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden - PMC

The treatment for transsexualism is sex reassignment, including hormonal treatment and surgery aimed at making the person's body as congruent with the opposite sex as possible. There is a dearth of long term, follow-up studies after sex ...

pmc.ncbi.nlm.nih.gov

Results​

The overall mortality for sex-reassigned persons was higher during follow-up (aHR 2.8; 95% CI 1.8–4.3) than for controls of the same birth sex, particularly death from suicide (aHR 19.1; 95% CI 5.8–62.9). Sex-reassigned persons also had an increased risk for suicide attempts (aHR 4.9; 95% CI 2.9–8.5) and psychiatric inpatient care (aHR 2.8; 95% CI 2.0–3.9). Comparisons with controls matched on reassigned sex yielded similar results. Female-to-males, but not male-to-females, had a higher risk for criminal convictions than their respective birth sex controls.

Conclusions​

Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group.

In addition a graduate degree in psychopathology 30 years experience in 4 hospitals 8 years in private practice. I have published in a peer reviewed journal and many articals read world wide on infant and child trauma.

Okay.

So you believe that because of this you are empowered to make decisions for them?

 

[Hamish Howl]

Our new subject material expert here seems to believe that statistics drive individual behavior.

 

[Marvin Klein]

Okay.

So you believe that because of this you are empowered to make decisions for them?

Therapy isnt making decisions or choices for clients. Thats their responsibility. We ask questions that have them look inward and discover their emotional truth and their authentic self. Enabling a disorder is an ethical violation

 

[Hamish Howl]

Therapy isnt making decisions or choices for clients. Thats their responsibility. We ask questions that have them look inward and discover their emotional truth and their authentic self. Enabling a disorder is an ethical violation

Except that transgender is not a disorder. I would expect that you in your profession would keep current with the DSM.

 

[Marvin Klein]

Our new subject material expert here seems to believe that statistics drive individual behavior.

All behavior is driven by emotion and is always goal oriented. Often we dont know what the actual goal is. It involves interaction between the limbic system, emotion and memory, and the prefrontal cortex, reason explicit thinking and verbal awareness. The ability to correctly understand the non verbal emotional message form the LS is called coherence. People often get it wrong. Some have high C and others low C

 

[Hamish Howl]

All behavior is driven by emotion and is always goal oriented.

Nonsense. I have run my life by making more or less random decisions. It has worked out.

Often we dont know what the actual goal is.

True. Base jumping doesn't seem like a rational act, and I did it for years. I still don't know what I was accomplishing.

It involves interaction between the limbic system, emotion and memory, and the prefrontal cortex, reason explicit thinking and verbal awareness. The ability to correctly understand the non verbal emotional message form the LS is called coherence. People often get it wrong. Some have high C and others low C

That's great. I applaud your command of jargon. I would almost assume you were a philosophy. What does that have to do with sociology or statistics not governing at the individual level?

Are you one of those Susan Blackmore types that insists free will and consciousness don't actually exist because you're afraid of existing or some shit?

 

[CLAX1911]

If you could prove that willful misdiagnosis it would be a juicy malpractice claim with a huge payout.

I think they're already starting to sue

BTW when was the last time you went to the Dr for a checkup? Most people go twice a year for a checkup and routine tests.

So when you're taking hormone replacement therapy you only go for routine checkups?

How do you catch blockers and HRT? Speak English.

You understood what I meant have a good faith are you in good faith if you can but I don't think you can.

The hormones are part of a medical transition if the patient wants it and the Drs decide that it is warranted.

So it's just about what the patient wants not what's good for them?

 

[Lisa]

I think they're already starting to sue

The facts do not support your claims.

So when you're taking hormone replacement therapy you only go for routine checkups?

That is all a Dr does. He or she prescribes the hormones and then does routine checkups to monitor how the patient is reacting to the new medication. The first checkup is usually 30-45 days after the HRT starts, and then unless something adverse happens, the next appointment is 90 days and then they go back to only once every 6 months.

The trans patient typically sees their psychologist/therapist every 2 weeks as well. They also work toward the patient's transition goals, plus underlying mental health issues.

What were you told that the Dr does for transgender patients?

You understood what I meant have a good faith are you in good faith if you can but I don't think you can.

More word salad. Please learn to proofread and edit for clarity before you post. I refuse to translate your replies because you are too lazy to do so.

So it's just about what the patient wants not what's good for them?

I said its a joint decision between what the patient wants and needs, what is warranted by the diagnosis and the patients preexisting health. This is what gender affirming care means.

 

[CLAX1911]

The facts do not support your claims.

It is already happening you are in denial.

That is all a Dr does. He or she prescribes the hormones and then does routine checkups to monitor how the patient is reacting to the new medication. The first checkup is usually 30-45 days after the HRT starts, and then unless something adverse happens, the next appointment is 90 days and then they go back to only once every 6 months.

Sure.

The trans patient typically sees their psychologist/therapist every 2 weeks as well. They also work toward the patient's transition goals, plus underlying mental health issues.

They tend to be involved for decades

What were you told that the Dr does for transgender patients?

Transition and it seems to cost a lot.

More word salad. Please learn to proofread and edit for clarity before you post. I refuse to translate your replies because you are too lazy to do so.

Waaaaa waaaaa word salad waaaaa

I said its a joint decision between what the patient wants and needs, what is warranted by the diagnosis and the patients preexisting health. This is what gender affirming care means.

And nobody pays for anything.

 

[SayMyName]

Tthanks, CP. Good to see you are still out there. Neighborhood has changed a bit since all the craziest moved in.

 

[Phys251]

Tthanks, CP. Good to see you are still out there. Neighborhood has changed a bit since all the craziest moved in.

Wrong thread?

 

[bomberfox]

Therapy isnt making decisions or choices for clients. Thats their responsibility. We ask questions that have them look inward and discover their emotional truth and their authentic self. Enabling a disorder is an ethical violation

Its hard to believe you are an actual therapist because you just contradict yourself in the same sentence.