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Cass report from England says little evidence to support current treatments for gender confused children

Perdy

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Jul 25, 2015
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Four years in the making, the report has firmly established new, cautious policies on treating youth gender distress in England that are an ocean apart from the liberal treatment practices prevalent in blue U.S. states.

The report characterizes pediatric gender-transition treatment as based on “remarkably weak evidence.” This involves prescribing minors puberty blockers and cross-sex hormones — a medical practice that England’s recently-shuttered pediatric gender clinic enthusiastically observed and that all major U.S. medical societies support.

England joins an expanding crop of Western European and Scandinavian nations whose health authorities have each performed an about-face on this hot-button issue during the 2020s. These nations now prioritize psychological care for gender-distressed youths, a population that suffers from markedly high rates of other psychiatric disorders, suicidality and autism.
While the report is quintessentially British in its measured tone, it nevertheless offers a scathing critique of the efforts by the nation’s pediatric gender clinic to care for the fast-expanding population of adolescents, in particular biological girls, who are burdened by severe distress about their gender. It portrays prescribing practices as having strayed egregiously off-course from their relatively cautious origins, and from the evidence base.

Among the clinic’s many former staffers to have blown the whistle against it, claiming it provided shoddy care and often cursory screening before prescribing gender-transition treatment, is psychiatric nurse Susan Evans. She expressed vindication over the findings of the new report, which, she said, “recommends a holistic cautious psychological approach offering support and therapy rather than the more superficial affirmation approach and hormones as the first-line treatment.”

Laura Edwards-Leeper is an Oregon psychologist who helped first import the pediatric gender-transition treatment model to the United States from its roots in the Netherlands in 2007.More recently she has become a leading voice advocating caution from within the American field.

“If this isn’t the final reckoning for U.S. pediatric gender medicine, I’m not sure what will be,” Dr. Edwards-Leeper said of the English report’s long-awaited publication. “Now is the time for the field to catch up with much of the rest of the Western world and take an honest look at our current clinical practices for gender distressed young people.”


@FtWorthHorn07
@Sark2Texas
You guys still supporting the junk science?






 
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