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News & politics

Dr. Hilary Cass - report re trans.

(433 Posts)
Urmstongran Tue 09-Apr-24 14:32:37

This, from Suzanne Moore today in The Telegraph:

“ When Dr Hilary Cass was commissioned to report on standards of care within the NHS, it was as if finally an adult had stepped into the room. She and her team have looked at the evidence and practices that have evolved the affirmative model (designed to support and affirm an individual’s gender identity) and found much wanting. She also signalled the high levels of comorbidities with gender dysphoria. A high proportion of girls who did not want to be girls were autistic. Many had troubled childhoods or had been in care. Many were gay. All of this resulted in the unravelling of Gids and a ban on puberty blockers.

In the full report, due to be published this week, Cass is not only concerned with medical intervention but is also expected to come out against “social transition”. This is not something that happens within the health service, but it is, she says, an “active intervention because it may have significant effects on the child or young person in terms of psychological functioning. There are different views on the benefits versus the harms of early social transition… it is not a neutral act and better information is needed about outcomes.”

Some believe that socially transitioning kids locks them into an identity and medical pathway that is detrimental. Cass says that gender expression is indeed fluid and changeable for adolescents and that many may take till their mid-20s to settle. In other words, leave these kids alone.”

Maybe, just maybe, we are turning a corner regarding this topic. I hope so.

Glorianny Wed 10-Apr-24 10:25:26

Callistemon21

Glorianny

Doodledog

The phrase has sprung up over the past few years. It has to come from adults. I never heard a single child say they were ‘in the wrong body’ when I was growing up, and none of my children’s friends said it either. It has had to come from somewhere.

I don't suppose you knew children who were autistic, dyslexic or dyspraxic either. Times change.

Of course we knew children who were autistic, dyslexic at least 60 years ago!

Child Guidance Clinics? Schools which had specialist teachers for children with dyslexia?

I think, despite the fact that we know more now, there was more help available then than now.

As for dyspraxia, no, I don't think that was so recognised until recently.

Sorry Callistemon21 you are so wrong. Even 30 years ago I had to fight for a dyslexia diagnosis for my obviously very bright but virtually illiterate son. Still one of his English teachers wrote on his report "X is very bright but unfortunately this is not evidenced in his written work."

When Doodledog was at school dyslexia was not generally recognised although the theory had been in existence since the 1880s.

In 1978 the Warnock Report on special educational needs was published by the then Department for Education and Science. Here, the government’s antipathy to the term was proactive. The report’s author, Baroness Mary Warnock, recalls being summoned by a senior civil servant of the Department, who told her that she ‘should not suggest that there is a special category of learning difficulty called dyslexia'

Come to think of it its much like the trans issue isn't it? Some think it's real ,some think it's not, some don't want to mention it.

Callistemon21 Wed 10-Apr-24 10:21:07

Luckygirl your DGC is lucky to have the loving support of the family and I hope this new report will ensure that the NHS will instigate new and sympathetic protocols to help young people - children! - who are trying to work out their feelings at such a sensitive age.

Callistemon21 Wed 10-Apr-24 10:12:51

Doodledog

I wasn’t engaging with the comments about dyslexia etc, as I suspect they were goading.

My comment was about the phrasing of the term ‘in the wrong body’. A bit like ‘authentic self’ it is a buzzword that children hear from adults - if that were not the case they would all express the concept differently.

I wasn’t engaging with the comments about dyslexia etc, as I suspect they were goading.
Yes, they were, perhaps I shouldn't have bothered either. It was goading, particularly from someone who, from what we have been told, must have known better. I was just astonished.

Iam64 Wed 10-Apr-24 10:06:48

It’s good your grandchild has a loving supportive family. Also that the Cass Report is here to guide their nhs support

It will be interesting to see how it impacts on election statements

Doodledog Wed 10-Apr-24 09:47:52

From what I have seen so far (obviously I haven't read the whole report yet) it looks very promising.

I'm pleased that the results have come through ahead of the serious electioneering, as it means that both parties can take it on board when forming policies.

It will be interesting to see how those who have been so vocal about their position will react. I haven't seen any comment from politicians yet, but there will have to be some serious eating of words, and I hope they have the humility to admit that they were wrong. I wouldn't blame those who have suffered as a result of the culture wars for gloating a bit, but I also hope that there will be temporary 'YES" and then a more reasonable conversation which allows the climbdown to happen with dignity.

Smileless2012 Wed 10-Apr-24 09:37:49

It's so beneficial when someone with actual experience contributes to these discussions so thank you Luckygirl flowers.

Yes. unfortunately she's going to get some flack Jane which for me will increase the reports credibility.

JaneJudge Wed 10-Apr-24 09:28:58

It sounds like a very pragmatic approach has been taken and I agree, there will be a backlash against the Dr.

Bridie22 Wed 10-Apr-24 09:15:20

Hopefully this long awaited report will be a wake up call to all involved in some of these awful experimental treatments on our young children, a lot of people need to hang their heads in shame.
Luckygirl, I hope your grandchild receives whatever is best for them, they have a loving family support group.

GrannyGravy13 Wed 10-Apr-24 08:59:56

Luckygirl3 I wish your DGC well, and it seems they are surrounded by a loving family who have their best interests at heart.

Luckygirl3 Wed 10-Apr-24 08:48:07

As the grandmother of a young person who wishes to be a different gender, I welcome this report.

The central finding is: "The reality is we have no good evidence on the long-term outcomes of interventions to manage gender-related distress."

No other condition is treated in this way - no other child is given treatments that are essentially experimental and can have detrimental effects for the whole of their lives.

The finding that autism is linked to gender dysphoria is well-known, and applies in my family. My GC has gone from a fervent desire to change gender to a wish to be referred to as "they" - a big shift. Breast binders are in use and there is still the desire for double mastectomy, but that cannot happen (too ill with auto-immune disease), but things are gradually changing.

What is needed is time - time to reflect and put a toe in the water of relationships and adult life. And during that time, support needs to be given. Taking the wishes as set in concrete and needing treatment is a very bad route to go down. It does not allow time for the confusion and hormonal mayhem to settle.

We have to tread gently and sympathetically with these young people and not leap into untried treatments with no proper research to back it.

It is a minefield and each family has to tread a difficult path - providing support and love, whilst also ensuring that no harmful treatment is given.

GrannyGravy13 Wed 10-Apr-24 08:35:09

I think the journalists name is Hannah Barnes.

GrannyGravy13 Wed 10-Apr-24 08:34:33

I listened to Dr Cass and an investigative journalist (Hannah ?) this morning and totally agree with both of them.

I was particularly taken with the argument that the human brain is not fully developed until age 25, so why would any medical intervention be offered at puberty…

Smileless2012 Wed 10-Apr-24 08:27:20

I wish I was a boy/girl or I want to be a boy/girl are what children say but being in the wrong body! I agree Doodledog isn't and had come from adults.

Mollygo Wed 10-Apr-24 08:09:00

Doodledog

I wasn’t engaging with the comments about dyslexia etc, as I suspect they were goading.

My comment was about the phrasing of the term ‘in the wrong body’. A bit like ‘authentic self’ it is a buzzword that children hear from adults - if that were not the case they would all express the concept differently.

In young children hearing it from adults is definitely accurate.

I remember that advert where a child says My mum says I’m a right little madam!

Children might say one day, “I wish I was a boy/girl and go on to explain why they want that, without having any idea of what being a boy/girl really entails. That was part of growing up.
Now it has been acted upon with no chance for a change of mind and sometimes with irreversible consequences.

DiamondLily Wed 10-Apr-24 07:38:24

Good to see that professionals are finally understanding some of the damage done.👍

Curtaintwitcher Wed 10-Apr-24 07:15:26

This is something else which has been forced through by people who have no knowledge of the problem. No wonder so many children are confused and worried. Gender is not something any child should be concerned about unless they really do have a problem. I think we all go through a stage when we are curious about sexuality and wonder what life would be like as the opposite sex. It's perfectly normal, not a sign that a child is in the wrong body.

Doodledog Wed 10-Apr-24 02:12:46

I wasn’t engaging with the comments about dyslexia etc, as I suspect they were goading.

My comment was about the phrasing of the term ‘in the wrong body’. A bit like ‘authentic self’ it is a buzzword that children hear from adults - if that were not the case they would all express the concept differently.

Callistemon21 Tue 09-Apr-24 23:00:47

Glorianny

Doodledog

The phrase has sprung up over the past few years. It has to come from adults. I never heard a single child say they were ‘in the wrong body’ when I was growing up, and none of my children’s friends said it either. It has had to come from somewhere.

I don't suppose you knew children who were autistic, dyslexic or dyspraxic either. Times change.

Of course we knew children who were autistic, dyslexic at least 60 years ago!

Child Guidance Clinics? Schools which had specialist teachers for children with dyslexia?

I think, despite the fact that we know more now, there was more help available then than now.

As for dyspraxia, no, I don't think that was so recognised until recently.

Doodledog Tue 09-Apr-24 22:49:26

I really don’t think that the reason this is a recent phenomenon is because of previous pressure to conform. But anyway, I was talking about the phrase ‘in the wrong body’. That is not something that pops into the head. The children who say it wouldn’t all express themselves in exactly the same way. It’s been put in their heads by someone or something.

Mollygo Tue 09-Apr-24 22:23:10

Primrose53

It’s scary that these girls who are self harming are getting info online, making friends with other kids in similar positions and using all the jargon they use to describe the stage of cutting themselves.

It is also scary that some parents are almost encouraging their kids to transition.

And even more scary when you read reports that many of these children have comorbidities like autism, dyslexia or mental health issues and are encouraged to think that surgery or taking drugs with irreversible effects which will remove future life choices will help them.

Primrose53 Tue 09-Apr-24 22:10:33

It’s scary that these girls who are self harming are getting info online, making friends with other kids in similar positions and using all the jargon they use to describe the stage of cutting themselves.

It is also scary that some parents are almost encouraging their kids to transition.

Syracute Tue 09-Apr-24 21:52:22

Doodledog

The phrase has sprung up over the past few years. It has to come from adults. I never heard a single child say they were ‘in the wrong body’ when I was growing up, and none of my children’s friends said it either. It has had to come from somewhere.

That would be because you would have been more pressured to conform . Boys were made fun of if they were sissy’s . You only need to hear the stories of older transgender people to know how much was hidden . Many would run away at first opportunity to larger cities . Many at a very young age .

Glorianny Tue 09-Apr-24 21:37:42

Doodledog

The phrase has sprung up over the past few years. It has to come from adults. I never heard a single child say they were ‘in the wrong body’ when I was growing up, and none of my children’s friends said it either. It has had to come from somewhere.

I don't suppose you knew children who were autistic, dyslexic or dyspraxic either. Times change.

Doodledog Tue 09-Apr-24 21:29:37

The phrase has sprung up over the past few years. It has to come from adults. I never heard a single child say they were ‘in the wrong body’ when I was growing up, and none of my children’s friends said it either. It has had to come from somewhere.

Galaxy Tue 09-Apr-24 20:48:33

It is a phrase that even mermaids dont use anymore after realising it was harmful. We are adults.