Purely personally I suspect the Tavistock, unlike clinics that've had no problem doing valuable and informative studies over the years, *never* wanted to treat trans youth and still doesn't, and is deliberately sabotaging this in recent cases with their willful incompetence
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Their child psychologists are adherents of Marchiano-style psychoanalytic nonsense, and it gets really bad, probably worse than you'd expect (thread)https://twitter.com/ZJemptv/status/1021562997272190981 …
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Meanwhile other clinics have no problem generating extremely useful evidence like this https://genderanalysis.net/2020/05/four-recent-studies-confirm-benefits-of-medical-transition-for-trans-adolescents/ … and this https://genderanalysis.net/2020/03/why-gender-questioning-youth-continue-or-discontinue-puberty-blockers/ … and this https://genderanalysis.net/2020/01/puberty-blockers-can-be-beneficial-for-trans-girls-even-in-late-adolescence/ … and this https://genderanalysis.net/2017/08/do-all-trans-youth-on-puberty-blockers-go-on-to-transition/ ….
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the terf obsession with placebo-controlled trials is another sign of how they love to import scientific phrases without scientific understanding as even a cursory familiarity with medical ethics would tell you that placebo-controlled trials are not the only thing happening
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How could you not cite Smith and Pell (2003) or Yeh et al. (2018)? :P
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Smith and Pell is hilarious.
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Rather than trying to equivocate the quality of evidence in observational studies vs. randomized double-blind controlled studies, maybe the idea only observational studies can yield good hypotheses and designs for controlled studies? Observation is prior!
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There is also duration. A cross-sectional study is different from a longitudinal 1. Most obviously, a cross-sectional observational study (ie data collection a 1 timepoint, bunch of correlations) is difficult to interpret.
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Update: a few years later later somebody went ahead and did a randomized controlled trial of parachute effectiveness.https://www.bmj.com/content/363/bmj.k5094/rapid-responses …
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