How many persons under 18 diagnosed as gender dysphoric receive genital surgery?
Sorry, but no. You are screaming arguments and not even acknowledging my personal experience. I have friends that are trans and they are happier now then they where. That is not something I can ignore, and it is not something I will. Just saying they should not transition doesn't cut it with me anymore.One of us is right and the other is wrong. I have a rational argument, not based on personal feelings, but on evidential science or the lack of it.
Shout? Nope. Argue? Yes.
Do anorexics experience their delusions daily? Yes. Does the frequency of one's delusions really matter in determining what is real and what is not? No.
What is true is that those who are deluded feel the effects of their delusions and need help. Counseling, not hormone drugs or the surgeon's mutilating scalpel, is in order.
If an adult suffering such delusions wants to subject themselves to drugs or mutilation, then I can only pray for them. More importantly, we know that some impressionable children going through puberty may experience a transient gender dysphoria. They should be protected from those who try to normalize such transient feelings and thereby give impetus to unnecessary medical interventions.
Denying reality to delusional feelings is not holding on to old understanding but practicing "democracy of the dead" (Chesterton). The novelty of ideas generated from one's feelings should be held suspect and not elevated to truth simply because those ideas are new.
I just think it's ironic that you use a quote that suggests one gets a grip on reality. Especially when you know who said it and to what he was referring.Yes, I know but thanks just the same.
Do you not know the goose-gander truism?
Due to HIPA getting numbers on this will be all but impossible. But then I am guessing that those wanting the numbers know that. When something is so controversial we have to rely on doctors being honest about it.I'm working on getting a comprehensive numbers post together but I'm working on it very slowly because my husband is sick and feverish... he's my first priority.
I am sorry for the time.
I worked 40+ years in health care, practicing internal and occupational medicine. My practice was affiliated with a highly ranked medical school and teaching hospital. Managing gender dysphoria is way outside of my field of expertise. But our med school has a transgender clinic, staffed by physicians and counselors experienced in adolescent, and adult transgender medical care. You are seriously mistaken if you think that proper diagnosis and treatment wasn't practiced. Before anything else was done, all patients had to undergo extensive psychiatric evaluations lasting 4-5 months. As I recall, about 1/2 of the patients were accepted for gender reassignment. For the next 6 months, the adolescent and adult patients began hormone injections for feminization or masculinization. They also began dressing, behaving, and living as a woman or man. I know they had to keep a diary and check in regularly at the clinic for followup and counseling. This all took close to a year. Only after that would gender affirming surgery be scheduled. Most of the patients were fortunate to have insurance coverage. But some were treated gratis.Thats the problem that proper disagnosis and treatment has not been allowed. The same ideology that disallows therapy for gender dyphoria under conversion therapy laws also denies that the sex hormone imbalance is an anomely in development. Heres a ethical dilemma. If medical tech comes up with a way to rebalance the sex hormones with the body do you think this should be a treatment option.
I don't think anyone is saying that transitioning is not an option for some. Its more a case of who should be transitioned. Your medical treatment example is a good one that follows the correct procedures. But I think theres still a question mark on long term satisfaction and mental illness as the better long term studies show a continuation of mental problems and in some cases even worse results.I worked 40+ years in health care, practicing internal and occupational medicine. My practice was affiliated with a highly ranked medical school and teaching hospital. Managing gender dysphoria is way outside of my field of expertise. But our med school has a transgender clinic, staffed by physicians and counselors experienced in adolescent, and adult transgender medical care. You are seriously mistaken if you think that proper diagnosis and treatment wasn't practiced. Before anything else was done, all patients had to undergo extensive psychiatric evaluations lasting 4-5 months. As I recall, about 1/2 of the patients were accepted for gender reassignment. For the next 6 months, the adolescent and adult patients began hormone injections for feminization or masculinization. They also began dressing, behaving, and living as a woman or man. I know they had to keep a diary and check in regularly at the clinic for followup and counseling. This all took close to a year. Only after that would gender affirming surgery be scheduled. Most of the patients were fortunate to have insurance coverage. But some were treated gratis.
And for the record, this is pasted from a 2022 study on patient satisfaction after 40 years of gender affirming surgery. Only 15 of 97 patients agreed to participate. True, this is a very small sample. But the overall outcome score was positive:
Both transmasculine and transfeminine groups were more satisfied with their body postoperatively with significantly less dysphoria. Body congruency score for chest, body hair, and voice improved significantly in 40 years' postoperative settings, with average scores ranging from 84.2 to 96.2. Body congruency scores for genitals ranged from 67.5 to 79 with free flap phalloplasty showing highest scores. Long-term overall body congruency score was 89.6. Improved mental health outcomes persisted following surgery with significantly reduced suicidal ideation and reported resolution of any mental health comorbidity secondary to gender dysphoria.
October 2022 - Volume 89 - Issue 4 : Annals of Plastic Surgery
In matters of science sensory evidence and reason rule. This thread is about two sciences -- biology and psychology. However, it would be foolish to presume science and reason are coextensive. In the search for truth, reason constrains science but not vice versa.I just think it's ironic that you use a quote that suggests one gets a grip on reality. Especially when you know who said it and to what he was referring.
It's interesting that only 1/2 were received. In today's world as we saw in gender clinics around the country nearly 100% were selected for reassignment with the affirmative care model. No psychological treatment was conducted. Nearly every child that went in for treatment was transitioned.I worked 40+ years in health care, practicing internal and occupational medicine. My practice was affiliated with a highly ranked medical school and teaching hospital. Managing gender dysphoria is way outside of my field of expertise. But our med school has a transgender clinic, staffed by physicians and counselors experienced in adolescent, and adult transgender medical care. You are seriously mistaken if you think that proper diagnosis and treatment wasn't practiced. Before anything else was done, all patients had to undergo extensive psychiatric evaluations lasting 4-5 months. As I recall, about 1/2 of the patients were accepted for gender reassignment. For the next 6 months, the adolescent and adult patients began hormone injections for feminization or masculinization. They also began dressing, behaving, and living as a woman or man. I know they had to keep a diary and check in regularly at the clinic for followup and counseling. This all took close to a year. Only after that would gender affirming surgery be scheduled. Most of the patients were fortunate to have insurance coverage. But some were treated gratis.
And for the record, this is pasted from a 2022 study on patient satisfaction after 40 years of gender affirming surgery. Only 15 of 97 patients agreed to participate. True, this is a very small sample. But the overall outcome score was positive:
Both transmasculine and transfeminine groups were more satisfied with their body postoperatively with significantly less dysphoria. Body congruency score for chest, body hair, and voice improved significantly in 40 years' postoperative settings, with average scores ranging from 84.2 to 96.2. Body congruency scores for genitals ranged from 67.5 to 79 with free flap phalloplasty showing highest scores. Long-term overall body congruency score was 89.6. Improved mental health outcomes persisted following surgery with significantly reduced suicidal ideation and reported resolution of any mental health comorbidity secondary to gender dysphoria.
October 2022 - Volume 89 - Issue 4 : Annals of Plastic Surgery
That works out to less than one patient a year. And only 15% of the total number. Another completely unreliable study sold as valid research to support the transitioning of children. It's not acceptable.And for the record, this is pasted from a 2022 study on patient satisfaction after 40 years of gender affirming surgery. Only 15 of 97 patients agreed to participate. True, this is a very small sample. But the overall outcome score was positive:
I can't acknowledge what you did not heretofore share. As to screaming, I try to follow Max Ehrmann's advice. I hope your friends are doing well.Sorry, but no. You are screaming arguments and not even acknowledging my personal experience.
Sex and gender in this case. It really seems to be a problem with some people that they're not one and the same thing. That is the reality. Why is it so difficult to grasp? Or, more accurately: Why do some people refuse to grasp it?In matters of science sensory evidence and reason rule. This thread is about two sciences -- biology and psychology.
Conservatives know that they are not the same thing, it's just that they believe there is only one allowable 'gender package' for each set of reproductive organs. Allowing nonconformity to the prescribed package is a recipe for social disorder. This has been particularly difficult for some men (especially for working class and rural men) as their prescribed gender package is becoming less functional in a changing society.Sex and gender in this case. It really seems to be a problem with some people that they're not one and the same thing. That is the reality. Why is it so difficult to grasp? Or, more accurately: Why do some people refuse to grasp it?
If you start an argument with 'Biological sex and gender are the same thing, therefore...' then everything after 'therefore'will be a waste of your time typing. On the other hand, if you start with 'Biological sex and gender are different, but...' then people might read what you have to say about it. They may not agree with what you say, but at least you can get your point over.
But it's a denial of reality. And I don't understand that. It's basically dishonest. We all can see the difference between a man who has all the attributes that society deems macho and one that has attributes that might be described as effeminate. They'll both be biological men, but we all understand that there's a significant difference in how they are perceived. And, much more importantly, how they perceive themselves.Conservatives know that they are not the same thing, it's just that they believe there is only one allowable 'gender package' for each set of reproductive organs.
It's not denied, it's branded as sin and has to be stamped out for the good order of society.But it's a denial of reality. And I don't understand that. It's basically dishonest. We all can see the difference between a man who has all the attributes that society deems macho and one that has attributes that might be described as effeminate. They'll both be biological men, but we all understand that there's a significant difference in how they are perceived. And, much more importantly, how they perceive themselves.
They are not the same. How can this possibly be denied?
As I said in a post upstream, if the argument was 'I can see there's a difference, but...' then I'd listen to any argument that followed. Including '...it's a sin and has got be stamped out'. But there are more than one or two that post constantly in threads like this that literally deny that there is a difference between sex and gender.It's not denied, it's branded as sin and has to be stamped out for the good order of society.
But it saves them having to argue about why one gender package is objectively superior to another--an argument which they know they generally lose.As I said in a post upstream, if the argument was 'I can see there's a difference, but...' then I'd listen to any argument that followed. Including '...it's a sin and has got be stamped out'. But there are more than one or two that post constantly in threads like this that literally deny that there is a difference between sex and gender.
It's not possible to have a reasonable discussion on that basis.