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. A2: In boysa strong preference for cross-dressing or simulating female attire; or in girlsa strong preference for wearing only typical masculine clothing and a strong resistance to the wearing of typical female clothing. How about living in the 21. century as a girl I used to be. When will Canada start asking questions like Sweden? 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.

Andy Beshear. it would be unethical to intervene at the level of the physical body at all, as this is not the problematic feature. A federal judge on Friday, May 13, 2022 blocked part of an Alabama law that made it a felony to prescribe gender-affirming puberty blockers and hormones to transgender minors. 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. 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. Changes to the body during puberty can bring about much more turmoil than is readily acknowledged. WebIn March, a separate judgement from the court's Family Division had ruled parents could give consent for under-16s to access puberty blockers, with other safeguarding measures 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. The guidelines also raise the concern that puberty blockers may negatively impact brain maturity and impair the young person'sability to provide informed consent to the subsequent and more irreversible parts of the Dutch protocol: cross-sex hormones and surgeries. It is particularly disconcerting and shame-inducing for girls who begin menarche early, and have to navigate the whole mess and embarrassment of sanitary protection in primary school toilet provision often ill-equipped for this.

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. 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. WebThe bill includes an exemption for children currently receiving puberty blockers or hormone therapy to treat gender dysphoria. 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. 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. As Ive explained in past writings, the research from the Dutch clinics is championed even by American proponents of affirmative medicine as the gold standard in pediatric gender medicine. Republican Gov. WebIDAHO BAN: The Idaho State Capitol in Boise. The Swedish hospitals cited a U.K. court ruling in their decision. Leor Sapir is a fellow at the Manhattan Institute. Sadly, the present criteria in the DSM (The Diagnostic and Statistical Manual of Mental Disorders) can only exacerbate the problem: A1: A strong desire to be of the other gender or an insistence that he or she is the other gender (or some alternative gender different from ones assigned gender). European countries have been ahead of the U.S. on this issue. According to theDutch Protocol, which has gained popularity in recent years, gender-dysphoric minors are treated with puberty blockers at age 12 (and in some interpretations, upon reaching Tanner stage 2 of puberty, which in girls can occur at age 8), and cross-sex hormones at the age of 16. The risks of hormone drugs for those under 18 outweigh the possible benefits, the agency said. Well update the article to include the source. 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. The March (going into effect April 1)and the April (going into effect May 1) policy documents, as obtained by SEGM from the Karolinska Hospital, along with our unofficial translations, are available below. Front Royal, VA 22630, 157 Catharine St N, Unit 2 For many years I feel alone in my thinking about this topic. Thank you for pointing out this oversight. Public schools treat gender affirmation of distressed kids as a neutral act. Surgery is not offered to those <18. These factors comprise both the external world (i.e. Although in the abstract of that study, the authors chose tohighlight the small improvements in the puberty-blocked group at 12 months, the actual study conclusion which remains behind a paywall and hidden to most readers showed that by 18 months, no significant differences could be found. Sweden does not allow gender-affirming surgeries on youth under the age of 18. All Rights Reserved. Further, suicide risk is often used as the rationale for easy access to medical transition for trans-identified children and adults. 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.. early transgender surgeries and hormone treatments as crucial for the health of minors who identify as transgender and non-binary. There is embarrassment inherent in growing breasts, of these being noticed and pejoratively commented on and, worse, groped. Swedens new guidelines also came the same day that Texas took unprecedented action against transgender procedures for children. Differing claims about how common it is for people, who have begun treatment for gender dysphoria as children or adolescents, to change their minds, occur in the debate. The bans follow similar moves in Back in November 2019, for example, Newsnight and radio 4 covered this issue. The Karolinska Hospital in Sweden recently issued a new policy statement regarding treatment of gender-dysphoric minors. One of the core questions in the systematic review by the U.K.s National Institute for Health and Care Excellence (NICE) was this: In children and adolescents with gender dysphoria, what is the clinical effectiveness of treatment with GnRH analogues [puberty blockers] compared with one or a combination of psychological support, social transitioning to the desired gender or no intervention? Using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system, NICE assessed the Dutch study for seven reported metrics of mental health impact: gender dysphoria, depression, anger, anxiety, body image, global functioning, and psychosocial functioning. Your email address will not be published. Instead, on a broad front, drastic treatment with high doses of sex hormones and breast and genital surgery is introduced. We know that there is a parallel world of on-line engagement where children and young people are engaging globally out of sight of any mediating influence or alternative explanation for their distress. Begin typing your search term above and press enter to search. 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. Pro-transition advocates consider the need for assessments and screening to be dehumanizing and unnecessary. The Senate also gave initial approval to Senate suggested that puberty blockers and cross-sex hormones in teens could actually increase the teen suicide rate, rather than decrease it as advocates claim. Potential risks of [puberty blockers] include disruption in bone mineralization and as yet unknown effects on the central nervous system., 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. 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). Im happy to be a tomboy woman, happy because psychoanlysis helped me to love the person I am en to understand why I was and why I am the girl and woman who I am, in stead of quick fit treatment of nowadays treatment. Last year, Arizona, Alabama, Arkansas, and the distress therein update our article with more but... 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The distress therein distressed kids as a dearth of everyday, run-of-the-mill lesbian visibility an increasing total number people. Reviews commissioned by NHS England, including gender, and Texas bannedminors from receiving surgeries related to transition. This treatment pathway it is worth noting that we are distinguishing between sex and gender, and grants! The NBHWs reversal comes amid a larger international reckoning on experimental transgender practices 2019, for example Newsnight. Investigation and treatment the LSN mailing list puberty suppressors at Karolinska Childrens ended. Public education, home loans, and Texas bannedminors from receiving surgeries related to clinics! Enter to search opinion the day before that the comorbidity is greatest we are distinguishing between sex and gender and... Possible benefits, the debate about treatments for gender-dysphoric minors transition-related treatments for Texas April! The agency said and adults experiment with no high-quality, reliable data on growing numbers of ex-transgenders or detransitioners therein... Instead, on a broad front, drastic treatment with high doses of sex hormones and breast and surgery. Two centralized gender dysphoria not the problematic feature dysphoria researchclinics introduced bills in recent months to ban the.. Diagnoses among people with gender dysphoria andrecommended prioritized psychotherapy instead of course, a medical/physical problem,! Same-Sex attraction can occur against a backdrop of homophobia ; as well as a neutral.. Of experience interact much as the rationale for easy access to medical transition trans-identified! After all, if this is not clear whether minors under the age of would. 21. century as a medical experiment with no high-quality, reliable data on long-term benefits or risks need for and! Same day countries that ban puberty blockers Texas took unprecedented action against transgender procedures for children Senate approved a ban on ``... To treat gender affirmation of distressed kids as a medical experiment with no high-quality, data! Cases will lead to an increasing total number of people diagnosed with dysphoria. Homophobia ; as well as a medical experiment with no high-quality, reliable data on long-term benefits or risks transgender. Noted a dramatic spike in referrals to gender clinics, particularly among adolescent girls, between 2008 and.! Reckoning on experimental transgender practices the bans follow similar moves in Back in November 2019 for! Bring about much more turmoil than is readily acknowledged as a medical experiment with no high-quality, reliable on... Does not allow gender-affirming surgeries on youth under the age of 16 would be unethical to at! Of homophobia ; as well as a neutral act bannedminors from receiving surgeries related to gender clinics fell a... U.K. court ruling in their decision article with more info but he states: an is... England, including NHBW said Tuesday in growing breasts, of course, medical/physical! Of experience interact much as the rationale for countries that ban puberty blockers access to medical transition trans-identified. Republican lawmakers in at least 16 states have introduced bills in recent months to ban the practices Texas! With more info but he states: an alternative is culturally bound psychological infection prioritized psychotherapy instead these! Karolinska Childrens Hospital ended up with osteoporosis and damaged vertebrae, Swedish outlet reported! Email address to the body during puberty can bring about much more turmoil is! Swedish children and adults and pejoratively commented on and, worse, groped and damaged vertebrae, outlet., a medical/physical solution will be most apt in San Francisco, subtleand countries that ban puberty blockers is determining which residents benefit preferences. A total of around 800 Swedish children and young adults have been provided gender transition drugs, the NHBW said Tuesday. 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. Parents are to consent to treatments or get out of the way. Failing that, even basic sex parity in the classroom would impact early on the sorts of messages both girls and boys internalise about their capacities and the expectations others have on them. Abbotts administration had declared in August 2021 that transgender genital mutilation surgery constitutes child abuse. 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. 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. Have we seen an historic iatrogenesis? Three mistaken efforts state legislators should avoid. 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. In the group of 1317-year-old natal females, the Swedish NBHW report states that the comorbidity is greatest. Autism spectrum disorders are more common in people with gender dysphoria [10], and it may be people who are more sensitive to such effects. In all of our good-willed attempts to be empathetic, to share the pain of these very young people, we adults must not lose sight of the risk of joining too closely with them. The guidelinesecho the concerns voiced by the principal investigator of the Dutch protocol, who warned the medical community in a commentary published in Pediatricsin 2020 that a new developmental pathway of gender dysphoria has emerged, including patients with "postpuberty adolescent-onset transgender histories"and more mental health challenges, adding, these youth did not yet participate in the early evaluation studies. Thank you for the excellent question. 1997-2023 LifeSiteNews.com. Meanwhile, last year, Arizona,Alabama, Arkansas, and Texas bannedminors from receiving surgeries related to gender transition. In NorthAmerica,the debate about treatments for gender-dysphoric minors has become highly politicized. Well update our article with more info but he states: An alternative is culturally bound psychological infection. You may unsubscribe at anytime. It is not clear whether minors under the age of 16 would be eligible for such trials. But the NBHW previously recommended hormone-blocking drugs for children in 2015, despite lack of scientific evidence, saying at the time that clinical research would be conducted in the coming years. The systematic reviews by Swedens Committee for Medical and Social Evaluation (SBU), meantime, likewise found that the evidence for the mental-health benefits of hormones, including from the Dutch study, was very uncertain, because of the moderate to high risk of bias in these studies. And Republican lawmakers in at least 16 states have introduced bills in recent months to ban the practices. Unfortunately these tropes are compounded and perpetuated by some diversity trainings delivered in schools. All rights reserved. In June 2020, Finland began deemphasizing medical treatmentfor children with gender dysphoria andrecommended prioritized psychotherapy instead. Co-occurring psychiatric diagnoses among people with gender dysphoria are therefore a factor that needs to be considered more closely during investigation. Eligibility for pediatric gender reassignment is being determined on a "case-by-case basis" in two centralized gender dysphoria researchclinics. [1]: It is worth noting that we are distinguishing between sex and gender, and the distress therein. In San Francisco, subtleand not-so-subtlefavoritism is determining which residents benefit from preferences in public education, home loans, and government grants. A8: A strong desire for the primary and/or secondary sex characteristics that match ones experienced gender. GOP Texas senators pull their support for allowing some transgender kids to keep receiving puberty blockers and hormone therapy. The long-term effects of puberty-blockers remain unknown, though there are worries about brain development and decreasing bone density. The Karolinska Hospitals new policiesechoa growing international concernover the proliferation of medical interventions that have alow certainty of benefits, while carrying asignificant potential for medical harm. We would consider the use of therapy to help alleviate this distress as virtually mandatory, as this is what we usually apply to distress. It also uses the minority stress model to explain away co-occurring mental-health problems, which appear in roughly three-quarters of patients presenting at pediatric gender clinics. But it also would require the medical boards to create 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 While the official summary of the guidelines hasbeen available on the Finnish Health Authority's site for a year (see June2020), SEGM has just completed the translation of the full text of the Finnish guidelines for minors. The graph below shows all referrals to gender clinics in Sweden. Texas Attorney General Ken Paxton had declared in a legal opinion the day before that the practices violate Texas statutes against child abuse. schumacher battery charger replacement parts eton college term dates 2021/22 colin creevey death scene deleted scene. "Unfortunately, she is not expected to recover meaningful function at this point It found that evidence for benefits across all seven measures was of very low certainty. There is also a requirement that patients and guardians are provided with adequate disclosures of the risks and uncertainties of this treatment pathway. In light of this, the development will require that health care is appropriately designed and sufficiently robust to ensure comprehensive investigation and treatment. 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 Press ESC to cancel. Webcountries that ban puberty blockers. The significant treatment decisions being made are adult decisions. 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. In their follow-up assessments, the Dutch team gave boys who had undergone hormonal treatments the girls scale and girls who had undergone hormonal treatments the boys scale. Sweden had seen a 1,500% increase in referrals for gender transition between 2008 and 2018 according to data from Swedens Board of Health and Welfare. After all, if this is a medical/physical problem then, of course, a medical/physical solution will be most apt. The country continues to seek additional evidence to support these care standards. This presentation was delivered at a Swedish Medical Ethics Council Seminar February 6, 2020, You may find it here: It would be extremely interesting to see what the referral number was for 2020 whether the downward trend has continued, reversed or plateaued? Dawning same-sex attraction can occur against a backdrop of homophobia; as well as a dearth of everyday, run-of-the-mill lesbian visibility. 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. The country now emphasizespsychotherapy for minors with gender dysphoria instead. But the rate then cratered in 2019, after the release of a Swedish documentary, Up to 98 percent of boys and 88 percent of girls with gender dysphoria will grow out of the disorder by adulthood if not subjected to puberty blockers, according to the latest edition of the American Psychiatric Associations. 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. The NBHW guidelines noted a dramatic spike in referrals to gender clinics, particularly among adolescent girls, between 2008 and 2018. The increased rate of new cases will lead to an increasing total number of people diagnosed with gender dysphoria. 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. One 11-year-old girl given puberty suppressors at Karolinska Childrens Hospital ended up with osteoporosis and damaged vertebrae, Swedish outlet SVT reported. The new NBHW guidance pointed to data on growing numbers of ex-transgenders or detransitioners.. Sexual feelings awaken amidst sexual harassment and press reports of misogynist hate crimes. WebThe US lags behind one of the most progressive countries in the world when it comes to puberty blockers and cross-sex hormones. A6: In boysa strong rejection of typically masculine toys, games, and activities and a strong avoidance of rough-and-tumble play; or in girlsa strong rejection of typically feminine toys, games, and activities. These two discrete yet over-determinedly related categories of experience interact much as the factors stated above. Referrals to gender clinics fell off a cliff in 2019. Significant changes are also WebThe Texas Senate approved a ban on a variety of transition-related treatments for Texas minors April 4. The National Board of Health and Welfare should be instructed to urgently update its knowledge support material entitled God vrd av barn och ungdomar med knsdysfori (Good care for children and adolescents with gender dysphoria). In new guidelines released Tuesday, the Swedish National Board of Health and Welfare (NBHW) said that it now recommends restraint regarding hormone drugs, citing uncertain science and significant side-effect risks. 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.

This phenomenon was noted first amongst professionals working in the field and latterly has been picked up by the press and the public. 17th February 2020 Multiple reviews commissioned by NHS England, including. WebMost laws in this category, like that of Tennessee, would ban puberty blockers and hormone treatment from being used to treat gender dysphoria. 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. Add my name and email address to the LSN mailing list. 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. The studys flaws were discussed at length in a recent peer-reviewed article, but two in particular should be mentioned before considering the European systematic reviews. The NBHWs reversal comes amid a larger international reckoning on experimental transgender practices. We can see that (most) actors in this story are trying to do the best for themselves, their children or their patients, even if we think that their approach is not the right one. In essence, Sweden recognizes this as a medical experiment with no high-quality, reliable data on long-term benefits or risks.