You’re conflating the medical and surgical abuse of children and supporting and affirming gender identity. I don’t see the point in taking it to the extreme when these examples are the exception and not the rule.
Indeed, a RCT would be difficult. However, no one is bothering to study dysphoric youth who ARE supported in gender atypicality but not endorsed as opposite sex. Why? That's what's lopsided. Full disclosure: Our group includes such families. Some have happily desisted.
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Existing research seems to indicate that support in gender non-conformity (the word atypical is inherently biased)--whether socially or medically--sufficiently improves psychosocial functioning. Perhaps it is an issue of how "endorsement of opposite sex" is operationalized?
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*significantly, not sufficiently.
End of conversation
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In other words, the dysphoria is drastically reduced when non-comformity or a trans identity is affirmed. Again, this may have something to do with how these variables are measured and perhaps researchers haven't thought about the need to differentiate.
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Or made differentiating really doesn't make a damn bit of difference for many gender non-conforming or trans folks.
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