… [Hanging] trans rights on the thin peg of gender identity, a concept clumsily adapted from psychiatry and strongly influenced by both gender studies and the born-this-way tactics of the campaign for marriage equality [was a mistake]. [It] has won us modest gains at the level of social acceptance. But we have largely failed to form a coherent moral account of why someone’s gender identity should justify the actual biological interventions that make up gender-affirming care. If gender really is an all-encompassing structure of social norms that produces the illusion of sex, critics ask, why would the affirmation of someone’s gender identity entail a change to their biology? As a result, advocates have fallen back on the clinical diagnosis of gender dysphoria, known until about a decade ago as gender identity disorder, defined as the distress felt at the incongruence of gender identity and biological sex. The idea that trans people fundamentally suffer from a mental illness has long been used by psychiatrists to decide who “qualifies” for transition-related care and who does not. By insisting on the medical validity of the diagnosis, progressives have reduced the question of justice to a question of who has the appropriate disease. In so doing, they have given the anti-trans movement a powerful tool for systematically pathologizing trans kids.
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We will never be able to defend the rights of transgender kids until we understand them purely on their own terms: as full members of society who would like to change their sex. It does not matter where this desire comes from. When the TARL [(trans-agnostic reactionary liberal)] insinuates again and again that the sudden increase of trans-identified youth is “unexplained,” he is trying to bait us into thinking trans rights lie just on the other side of a good explanation. But any model of where trans people “come from” — any at all — is a model that by default calls into question the care of anyone who does not meet its etiological profile. This is as true of the old psychiatric hypothesis that transsexuality resulted from in utero exposure to maternal sex hormones as it is of the well-meaning but misguided search for the genes that “cause” gender incongruence. It is most certainly true of the current model of gender identity as “consistent, insistent, and persistent,” as LGBTQ+ advocates like to say. At best, these theories give us a brief respite from the hail of delegitimizing attacks; they will never save us. We must be prepared to defend the idea that, in principle, everyone should have access to sex-changing medical care, regardless of age, gender identity, social environment, or psychiatric history. This may strike you as a vertiginous task. The good news is that millions of people already believe it.
I’m feeling a little divided here. On one hand I definitely don’t look at trans people like there’s something wrong with them, or that there’s some sort of mental illness involved. But I also don’t know how I feel about giving hormone therapy to someone who’s not considered an adult. Please correct me if I’m wrong, but certain hormone therapy treatments can cause permanent effects on the body, that if the individual who received it were to for some reason decide the therapy was a mistake, are unreversable. It feels like we have to find that fine line between not infringing on people’s rights to be themselves, but also not let children make life altering decisions with reckless abandon.
For me its simple. No body changes that cannot be undone until they are selfsufficent.
I agree, hold off puberty until they are sure they want the one that would irreversibly happen without intervention.
It sounds simple on the surface, but I struggle with weighing the risk of prescribing gender-affirming care to someone who will regret it later in life and forcing someone to endure puberty that they will regret later in life. A strong case can be made that some kids will identify as transgender due to childhood trauma or neurodivergence. It’s also undeniable that there are hundreds of thousands of people who regret going through puberty that doesn’t match their gender. I’d be curious to see statistical data about these groups to truly measure the risks on either side. There’s also an interesting study of neuroanatomy in trans women showing strong similarities to cisgender women. I wonder if this data can be used to help mitigate the potential risks of gender-affirming care?
puberty blockers =/= horemone therapy
they are reversable, and give time for trans kids to sort out any hesitancy towards transition without going through either puberty. so many people think that the idea lf puberty blockers is to give kids e/t when its just to give ghe kids time to discover themselves
So question, if in a hypothetical situation someone was on puberty blockers until they were 21, what would happen with their body once they go off them?
as far as i know puberty begins as normal
@Nikki Thank you for this
Do puberty blockers fall under the classification of gender affirming care, or is only hormone therapy and surgery? Perhaps I was incorrect.
they can, but arent exclusive to gender affirming care. in most cases, kids arent getting hormone therapy, theyre getting blockers until they get older
Ok that’s what I had assumed, but I might have been vague with my comment. I should have said “the risks of certain types of gender-affirming care”.
im in the same boat in that case, i just am so hesitant on laws being made. in the wrong hands they will be made to prevent any care (puberty blockers) when its a tiny subset of kids getting hrt in the first place
i just dont want anyone to have to go through the wrong puberty like i did, its awful
I’m sorry you had to experience that and I hope you’re doing well!
For what it’s worth, it’s not like they give these treatments at the first whim of the kid.
Did you read the article? Because you’re repeating some rhetoric they address.
I did, and I find myself largely in agreement with the author. I was citing the article and a linked source when I talked about the rare case of people who regretted transitioning. Was there a specific claim I made that the article refuted? Maybe I missed something?
Giving every single cis and trans child puberty blockers seems kinda unethical, also what about people who are never self-sufficient? Do they just not get to go through puberty? Isn’t that dangerous?
Puberty is irreversible.
Going through the wrong puberty can (and frequently does) lead to suicide.
Suicide is also irreversible.
Puberty blockers allow children to delay puberty so that they can decide which puberty they would like to have.
Cis people love to do polemics about “what if they end up going through the wrong puberty!!!” ignoring that this is literally what you’re forcing trans kids to go through
It’s also pretty condescending to assume that the community hasn’t already spent way more time thinking about how to deal with such a complex problem that effects them so much.
It’s always best to ask questions first before jumping to conclusions.
@A_Toasty_Strudel @gAlienLifeform recent study shows that only %1 percent of trans youth detransition and not all of them are detransitioning because they made a mistake. Even between these people who detransition, they are still happy that they got to try and transition. There are lots of studies backing up starting transition early. If I was able to I would have started before going through the wrong puberty and the changes puberty makes are irreversible. Being a trans is not a mental health, they treated it as mental health and didn’t help at all. Why so much stigma around transitioning when the satisfaction for this treatment is one of the highest in any kind of medical procedure?
That’s why the first thing they’re given are puberty blockers to give them more time to make such an incredibly important decision. If the permanent effects of being given hormones for the wrong sex is so damaging and severe, it goes both ways. The permanent effects of doing nothing and becoming the wrong gender is just as bad as if you made a mistake and we’re given the wrong hormones.
I think the policy of delaying it is the right choice. That gives more time to provide mental health treatment and provide as much assurance that they’re making the right choice to live their lives in the body they feel most comfortable in. I assure you, everyone is acutely aware of the repercussions and permanence of making the wrong decision which is why time is prioritized over providing hormone treatment early.
Conservatives trying to ban all trans care including puberty blockers, and taking away that time I view as equally as bad as forcing a child to take the wrong hormone drugs.
No offense, but you should ask these questions first before assuming that the community that is so affected by these problems and have spent a ton of time thinking about it and considering options hasn’t already explored the problem in detail already. Your concerns are valid, but you should ask how these problems are being dealt with instead of assuming they aren’t being dealt with.
Literally going through puberty also causes similar permanent changes to the body