I often hear that it’s “unethical” to have control groups in studies looking at the effects of puberty blockers and cross sex hormones on gender dysphoria. >>
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But uninterrupted puberty and therapeutic counseling result in appx 85% desistance of gender dysphoria. This means the *control* group already has an 85% success rate. It’s unethical *not* to have a control group. //
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Replying to @will_malone
Unfortunately you have misread the literature on this. I’ve pointed this out before, so think it might be intentional? Desistence data show the resolution of symptoms occurs before Tanner 2. GnRHa treatment only occurs from Tanner 2. You are conflating two different groups.
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Replying to @drjackyhewitt @will_malone
1. Dr. Hewitt, there is research evidence in the literature that many lesbians don't fully accept and integrate their orientation until early 20s. How do you square this with medical intervention starting as early as 12 or 13? (Cites are in this article).https://4thwavenow.com/2016/01/25/the-surgical-suite-modern-day-closet-for-todays-teen-lesbian/ …
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2. Further, what is your opinion re: the growing population of detransitioned lesbians who say internalized homophobia was key to their temporary trans identification? These women thought they were trans long after Tanner 2.
@gnc_centric@exitsign_@SourPatches2077 for example.2 replies 2 retweets 34 likes -
Replying to @4th_WaveNow @drjackyhewitt and
3. To put a finer point on it, we now have girls as young as 13 in the US obtaining double mastectomies & undergoing irreversible (and sterilizing) testosterone treatment. How do we know some of them wouldn't grow to be happy adult lesbians if supported but encouraged to wait?
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Replying to @4th_WaveNow @will_malone and
I think the issues you raise are valid, and here is what I think are the key issues: there is a changing population presenting with youth GD, and there are some significant differences in treatments provided at different centres. Published data relate primarily to /1
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Replying to @drjackyhewitt @4th_WaveNow and
earlier cohorts undergoing thorough assessment. These data may not be transferrable to other populations. However, it is incorrect to misrepresent the original data. /2
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Replying to @drjackyhewitt @will_malone and
"Thorough assessments" is really key here. Many detransitioners are talking about the dangers of informed consent and too-hasty approval of medical transition. Also, contrary to the earlier cohorts, many proto-heterosexual kids are being medically transitioned (vs. desisting). /1
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Replying to @4th_WaveNow @drjackyhewitt and
This seems like a big red flag. How many clinicians really discuss with their clients the difficulties they may face with relationships? It's easy to find the many accounts by "gay trans men" who are rejected by "cis" gay men because of the penis factor.../2
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Are you aware that some detransitioners are also acknowledging the impact of social contagion (particularly Tumblr/YouTube vlogs) as factors in their temporary trans ID? These women need to be taken seriously and they mostly are not by gender clinicians. /3
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Replying to @4th_WaveNow @will_malone and
Thorough assessment and informed consent are different things, but are equally important. Both data and opinion on peer influence was recently presented in depth at the 2018
@EuroSPE Science Symposium ‘The Science of Gender’.2 replies 0 retweets 3 likes -
Replying to @drjackyhewitt @4th_WaveNow and
Thorough assessment is working exactly as intended. There’s never been a single individual who accessed medical treatment under age of med consent who has regret having said access. Thank you for being a tireless advocate for Trans youth!
#ProtectTransKids#EndConversionTherapy1 reply 0 retweets 0 likes - Show replies
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