So what?
If patients present with lumbago, they treat the lumbago.
When the complaint is that they think that they are the opposite sex of their own body, isn’t that “hell enough” for them, must also we torture them with their own existence?
The problem is we can do an objective test to determine the lumbago issue but we cannot for gender incongruence. The possibilities of what may cause gender incongruence are many and varied so the risk of misdiagnosis is high.
We already have evidence for this by the many who have been wrongly disagnosed as Trans due to poor and sloppy processes but more importantly because there is no evidence basis for the ideology theat many so called experts were advocating. Such as automatic affirmation just because a person said so.
If you like using examples take the other body dysmorphia disorders like anorexia. We don't affirm the subjective belief when a person rejects their body as being too overweight when they are grossly thin. We first look at the psychological issues that may underpin why the person may feel this way.
We err on the side of caution and look holistically at what is going on instead of jumping to conclusions based on a limited and ideological view which has no evidential basis. Around 85% of all young people who believe and feel they are trans end up aligning with their nate sex and gender including many gays who have been wrongly disagnosed as trans.
But t seems the basis for much of trhe treatment of young people with body dysmorphia has been to automatically afform them based on a belief rather than science. That has caused untold harm which is beginning to emerge.
Thanks to Cass, evidence not ideology will be used to guide children seeking gender advice
The publication of Hilary Cass’s final report on healthcare for gender-questioning children laid bare the devastating scale of NHS failures of a vulnerable group of children and young people, buoyed by adult activists bullying anyone who dared question a treatment model so clearly based on ideology rather than evidence.
The devastating report questions the ethics of those who put young people on life-altering pathways based on little but professional hunches
www.theguardian.com
This Page is [ARCHIVED CONTENT] and shows what the site page https://cass.independent-review.uk/home/publications/final-report/ looked like on 10 Mar 2025 at 14:36:33
cass.independent-review.uk
Right, we’re going to “make mistakes” with some people, and the only way forward is to learn what “not to do” by trying something that (on its face might seem like a pretty good idea to attempt); somebody had to be the first ones to take polio vaccines too
Thats not how we have practiced medicine for decades. We used evidence based approaches. We don't use kids as guinea pigs with unscientific experimentation of ideas that have not been proven. But for some reason treatment for gender dysphoria is made different due topolitical ideology and not based on evidence.
Why throw out long and tried basis for medicine and health. Its no different to using Creationism as the basis for education about life. Creationism was defeated because there was no evidential basis for it. The same with Trans ideology, its a belief and not science.
Maybe we’ll abandon such research in the future? Who knows? But we cannot do “more research” without providing the exact “treatments” being decried!?
We already have well tested treatments for these problems as they are no different to other human problems that effect the psychology. Especially considering that the period in question is already a confusing time for any adolescent. The time and tested approach is to investigate all possible causes, past trauma, mental illness, Autism, sexual abuse, childhood trauma ect.
Then after that if there is a persistent dysphoria then other treatment options can be considered including transitioning. But we don't do it the other way around and go head long into an unproven treatment or unscientific disagnostic measures and then realise later that the issue was psychological all along. 9 times out of 10 its psychological issues and at the very least may identify the person as Gay and not Trans or help them overcome the rejection of their own body.
Advocacy for a psychosexual minorities ≠ trans ideology, sorry, no dice.
Like I said we now have evidence that an ideology was being pushed on young people as the go to treatment option which has misdisagnosed and harmed young people. This ideology has now been stopped in place of psychotherapy and affirmative treatment is only offered after rigorous therapy and as alast option under clinical assessment conditions.
In my experience, I’ve not met many people who were totally happy with the body that they got for “this ride”, should I know them well enough to ask, (it’s a great “ice-breaker” question when one wants to really engage with others, in a real way.) Most of these same people are not transgender, they accept the body that they got and move on.
Self image problems is a normal part of adolescence. Questioning your sex and gender, experimenting in opposite sex behaviour are part of development. But ideologues have interpreted this as being trans when its not. Thats because they have a limited outlook and unfounded assumptions about human nature.
Basically its based on social constructionism and the belief that there is no natural basis for male and female and that we can be reconstructed into the opposite sex. There is no scientific basis for this and its a belief and not fact.
Humans are designed a certain way. Usually our gender aligns with our physical reality. But sometimes this process can breakdown. Do you honestly think that humans are designed to have the opposite gender identity to their physical bodies. That is a horrible state to be in no matter how we look at it.
Tell me if they found a way to realign a persons sex and gender prenatally like they do with other problems do you think this should be an option. Or is the idea of p[romoting a new normal where people live the opposite of their physical reality.
Not everyone gets to be so lucky as to have that life, and they feel out of place with their own bodies, why’s helping them “evil”?
No one is saying we should not help people with these problems. The issue is how we do that. To myself and many others the current ideas and assumptions some Trans ideologues have to this is on par with encourage people to indulge in their psychological problems and delusional thinking and is dangerous.
So its a pretty big issue and very divided. But the only way to sort this is through evidence based science and not ideological beliefs that have no rational basis but rather is based oin subjective feelings and beliefs.
“Things didn’t used to be this way, back in my day!” ?
Paul Lynde sang “What’s the Matter with Kids Today” in 1962, back when his homosexuality could have landed him in prison in most states. If that was punishment for being gay, why would transgender people wish to “appear” at all? They were there but we didn’t see them because they felt as prey.
Yes sexuality and gender are very emotive subjects. More so it seems than other human problems and disorders. I think part of the problem with Trans is that ideologes don't even want to entertain the idea that it could possibly a problem, a disorder or misalignment in normal human functioning but rather a normal human varient like race.
Thus we have laws that at the very least discourage the investigation of other possible causes but rather push automatic affirmation and at worse prosecutes those who don't want to affirm and go along. How can we have a holistic approach ot medicine when we ban certain treatment and causes in the first place due to a belief that there is no medicial or psychol;ogical problem in the first place.
We’re going too fast?
How s l o w should we be going?
Its not a case of speed but using evidence based approaches and not ideological ones. Going to fase means cutting corners and assuming that you know all the answers when you don't.
We don't need to do anything different that we have not done for all human health and wellbeing problems. Which is the holistic approach which acknowledges that there is no single reason but the possibility of any number of reasons physically, psychologically, emotionally, developmentally and socially.
Any approach that denies this holistic approach and limits options down to one cause and solution regardless of the evidence should be viewed with skepticism as its too simplistic when we know its more complex than that.
