Ethics and the current ‘Affirmative Model of Gender Care’ have long since abandoned a preoccupation with ethics so why bother now?
Medical negligence, or malpractice, occurs when a healthcare provider's care falls below the expected standard, causing a patient harm.
I reference summary of six (of many) studies of the long term outcome following Gender ‘Transition’.
• Individuals who underwent sex reassignment surgery exhibited substantial higher risks of mortality, suicidal behaviour, and psychiatric\]
• Among individuals who underwent SRS, somatic morbidity increased from 19.1% pre-surgery to 23.2% post-surgery, with a mortality rate of 9.6%. The average age at death was 53.5 years.
• This observational study showed an increased mortality risk in transgender people using hormone treatment, regardless of treatment type. This increased mortality risk did not decrease over time
• Total mortality was 51% higher than in the general population, mainly from suicide, AIDS, CVS diseases, drug abuse and unknown causes
• Fifteen years after sex reassignment the quality of life is lower in the domains general health, role limitation, physical limitation & personal limitation.
• From 107,583 patients, matched cohorts demonstrated that those undergoing surgery were at significantly higher risk for depression, anxiety, suicidal ideation, and substance disorders than those without surgery.
. . . . .It is obvious that in each of these studies serious harms have occurred. Practitioners are legally obliged to inform parents and children of the magnitude and frequency of the risk in a clear and concise manner. Anything less represents Malpractice/Negligence.
And yet the premier of Victoria can publicly state that “ trans kids are fifteen times more likely to commit suicide “ in a manner which is critical of any sniff of challenge. Is she responding out of well intentioned but poorly informed beliefs, or is she just another social activist?
I can find NO evidence of a single trans child suicide in Australia, ever, and it is difficult to find any globally.
However, our Indigenous children aged 5-17 years have suicide rates five times that of their hon-Indigenous counterparts (Australian Bureau of Statistics).
Perhaps the Premier of Victoria should could focus her concern where the problem actually exists?
It is an unethical study if there is no followup on the experiments that Tavistock have carried out on children or the other hospitals across the world. This issue feels like one big unethical experiment on vulnerable children.
Medicine is very bad in understanding the cultural layer that it directly contributes to in the case of disease despite Foucaults insights and well established critiques of the DSM and its reification of conditions. They are also operating a double game with equivocating that there might be some inner gender identity we might all possess such that some proportion of children get dysphoria for a reason, that they are 'truly trans'. Of course those arguing the case retreat to the 'best treatment for dysphoria' type of medicine, which is really a very strange type of medicine, treating psychological distress with powerful hormones and a make believe existence.
There are many reasons for caution, we know so little about the base demographics of the groups in the dysphoric/trans umbrella and their journeys to that point. What is the role of peers, parents, the internet, what mental model do they have of the Self, identity, embodiment. What comorbidities?
And how is the underlying state really all that different from dissociative disorders, generalised anxiety, depersonalization/derealization? What is the overlap with OCD, diseases of control like eating disorders?
There is so much they could research but it's already stuck in this narrow little frame, and so many people are still reluctant to talk about this for fear of being seen as transphobic. What about the zeal of true believers in the process and their implicit pseudo-religious beliefs? How can genuine science occur in such an environment? A trial would already be very challenging as the control would know they are the control. In the current political climate this could easily have a strong nocebo effect.
I truly despair of how bereft of critical thought so many people seem to be and medicine in particular seems determined to keep repeating the same kind of mistakes.
Ethics and the current ‘Affirmative Model of Gender Care’ have long since abandoned a preoccupation with ethics so why bother now?
Medical negligence, or malpractice, occurs when a healthcare provider's care falls below the expected standard, causing a patient harm.
I reference summary of six (of many) studies of the long term outcome following Gender ‘Transition’.
• Individuals who underwent sex reassignment surgery exhibited substantial higher risks of mortality, suicidal behaviour, and psychiatric\]
• Among individuals who underwent SRS, somatic morbidity increased from 19.1% pre-surgery to 23.2% post-surgery, with a mortality rate of 9.6%. The average age at death was 53.5 years.
• This observational study showed an increased mortality risk in transgender people using hormone treatment, regardless of treatment type. This increased mortality risk did not decrease over time
• Total mortality was 51% higher than in the general population, mainly from suicide, AIDS, CVS diseases, drug abuse and unknown causes
• Fifteen years after sex reassignment the quality of life is lower in the domains general health, role limitation, physical limitation & personal limitation.
• From 107,583 patients, matched cohorts demonstrated that those undergoing surgery were at significantly higher risk for depression, anxiety, suicidal ideation, and substance disorders than those without surgery.
. . . . .It is obvious that in each of these studies serious harms have occurred. Practitioners are legally obliged to inform parents and children of the magnitude and frequency of the risk in a clear and concise manner. Anything less represents Malpractice/Negligence.
And yet the premier of Victoria can publicly state that “ trans kids are fifteen times more likely to commit suicide “ in a manner which is critical of any sniff of challenge. Is she responding out of well intentioned but poorly informed beliefs, or is she just another social activist?
I can find NO evidence of a single trans child suicide in Australia, ever, and it is difficult to find any globally.
However, our Indigenous children aged 5-17 years have suicide rates five times that of their hon-Indigenous counterparts (Australian Bureau of Statistics).
Perhaps the Premier of Victoria should could focus her concern where the problem actually exists?
It is an unethical study if there is no followup on the experiments that Tavistock have carried out on children or the other hospitals across the world. This issue feels like one big unethical experiment on vulnerable children.
Medicine is very bad in understanding the cultural layer that it directly contributes to in the case of disease despite Foucaults insights and well established critiques of the DSM and its reification of conditions. They are also operating a double game with equivocating that there might be some inner gender identity we might all possess such that some proportion of children get dysphoria for a reason, that they are 'truly trans'. Of course those arguing the case retreat to the 'best treatment for dysphoria' type of medicine, which is really a very strange type of medicine, treating psychological distress with powerful hormones and a make believe existence.
There are many reasons for caution, we know so little about the base demographics of the groups in the dysphoric/trans umbrella and their journeys to that point. What is the role of peers, parents, the internet, what mental model do they have of the Self, identity, embodiment. What comorbidities?
And how is the underlying state really all that different from dissociative disorders, generalised anxiety, depersonalization/derealization? What is the overlap with OCD, diseases of control like eating disorders?
There is so much they could research but it's already stuck in this narrow little frame, and so many people are still reluctant to talk about this for fear of being seen as transphobic. What about the zeal of true believers in the process and their implicit pseudo-religious beliefs? How can genuine science occur in such an environment? A trial would already be very challenging as the control would know they are the control. In the current political climate this could easily have a strong nocebo effect.
I truly despair of how bereft of critical thought so many people seem to be and medicine in particular seems determined to keep repeating the same kind of mistakes.