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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 Tue 09-Apr-24 20:37:33

Galaxy

No child is in the wrong body, this is a terrible thing to tell children.

No one has to tell children this. Children express the feeling that they are in the wrong body. It doesn't come from outside it is an internal thing. The difficulty for parents will be helping the child cope with that feeling but not providing any other support.

Galaxy Tue 09-Apr-24 20:20:25

No child is in the wrong body, this is a terrible thing to tell children.

Mollygo Tue 09-Apr-24 20:09:05

Thanks Urmstongran. Sadly it will be too late for some, and others will ignore the advice and be encouraged to do so.

valdavi Tue 09-Apr-24 20:03:00

When something that's been a real entity for many years becomes - for want of a better word - fashionable (Gender identity and ADHD being two at the moment), I do think that the 100% classic patient who would wonder what was wrong with them & be subject to remarks by their peers even in a world where most people had never heard the terms, are the ones that suffer in the end. Young children with ADHD to the extent they're a danger to themselves, young adolescents who are absolutely miserable stuck in the wrong body, these just have to queue up with others who may just scrape enough criteria for a diagnosis & feel that they could be happier / more fulfilled in their lives & treatment might help.I don't agree with puberty blockers being handed out as the Tavistock clinic was, but for the classic full-blown cases of gender identity, 20 or even 18 years may be too late, tragically so.

Smileless2012 Tue 09-Apr-24 19:48:41

Telling parents that socially affirming their child's chosen gender at a young age is sensible advice. They can be supported by knowing that they don't have to make a decision right now, by having it explained to them that puberty can be a confusing time and that they, their parents are always there and willing to talk about whatever they need to talk about.

Encouraging children to wait is not ignoring them, it's responsible parenting with the child's best interests being uppermost in their parents minds.

Galaxy Tue 09-Apr-24 19:48:17

No they will desist, that is what all the evidence is indicating.

Syracute Tue 09-Apr-24 19:40:06

Glorianny

Smileless2012

Highlighting what's wrong with a current system isn't negative advice.

leave these kids alone so that they have time to make the right decisions and choices is good advice.

Telling parents not to socially affirm a child's gender choice is though. That's not leaving them alone that's denying their very real feelings. The problems for parents who have to ignore what their child is telling them, and try to support them and maintain a loving relationship, will be huge. They will need supportive counselling which I suspect they will not get.

If they don’t get the help that they need per NHS it will drive them underground . They will look for help on the internet and get drugs /hormones on the internet which would be a huge step backwards. Very dangerous !

Doodledog Tue 09-Apr-24 19:08:31

It would be so good if that happened, and if more funding were given to research into the conditions you mention. It would be even better if that research could record findings by sex and not 'gender'.

Urmstongran Tue 09-Apr-24 19:05:29

Wheniwasyourage

Galaxy

They will be treated or supported for the conditions they have, anxiety, autism, etc instead of a 'treatment' which is more and more being shown to be an experiment on young people.

This

👏👏👏

Wheniwasyourage Tue 09-Apr-24 18:47:43

Galaxy

They will be treated or supported for the conditions they have, anxiety, autism, etc instead of a 'treatment' which is more and more being shown to be an experiment on young people.

This

Glorianny Tue 09-Apr-24 18:27:36

Smileless2012

Highlighting what's wrong with a current system isn't negative advice.

leave these kids alone so that they have time to make the right decisions and choices is good advice.

Telling parents not to socially affirm a child's gender choice is though. That's not leaving them alone that's denying their very real feelings. The problems for parents who have to ignore what their child is telling them, and try to support them and maintain a loving relationship, will be huge. They will need supportive counselling which I suspect they will not get.

Smileless2012 Tue 09-Apr-24 17:39:40

Highlighting what's wrong with a current system isn't negative advice.

leave these kids alone so that they have time to make the right decisions and choices is good advice.

Galaxy Tue 09-Apr-24 17:33:24

They will be treated or supported for the conditions they have, anxiety, autism, etc instead of a 'treatment' which is more and more being shown to be an experiment on young people.

Glorianny Tue 09-Apr-24 17:03:28

I just hope the report comes out with some positive advice for parents and for gender questioning children. Being told what not to do really isn't the most helpful thing is it? And the lack of services will throw many families into hugely difficult crises. In fact I can't think of any other condition where only negative advice is available, or considered acceptable. If anyone can I'd be delighted to know. Meantime my concern is how those children and families will cope, because they are not going to go away.

Galaxy Tue 09-Apr-24 16:21:42

Thank goodness. It's also worth noting that there will be forceful kickback to this and much of it is likely to be aimed at her. I have a lot of admiration for her.

Wheniwasyourage Tue 09-Apr-24 16:11:42

Thanks, Urmstongran. Perhaps the pendulum is starting to swing the other way at last and we may get a balanced approach which will help those few with genuine gender dysphoria without endangering the future of confused children and young people.

M0nica Tue 09-Apr-24 16:08:43

I find the whole previous approach so frightening because I am sure had I been where so many of these children were in 90s and 00s, I could well have been under-pressure to see gender change as a valid way forward.

Iam64 Tue 09-Apr-24 16:08:07

When I worked with adolescents in residential care settings, there was a recognised phenomenon of self harm outbreaks. Months would pass with none. A new resident would arrive, almost always a girl, who would scratch at her arms, using a needle often. The behaviour would spread fast and stop remarkably quickly after staff intervened. Kindly I must add. I’m not minimising self harm or gender dysphoria, simply commenting on the demands on teachers, parents all those involved in helping children and young people negotiate growing up.

AGAA4 Tue 09-Apr-24 15:57:11

Thanks Urmstongran. It's not a good idea for anyone to change gender until they are fully mature adults.

Doodledog Tue 09-Apr-24 15:50:26

Yes, it's sobering to think that these days it takes bravery to speak out about something like this.

I hope the report is taken seriously and not used as a way of shouting down biological realism.

Callistemon21 Tue 09-Apr-24 15:40:47

No doubt someone will be along shortly to put the highly qualified, experienced and eminent Dr Cass on the naughty step along with Joanne Rowling and others who dare to challenge their agenda.

Iam64 Tue 09-Apr-24 15:33:04

Thanks urmston. Its reassuring that those of us accused of bigotry, ignorance, in need of education and more , share the views of Dr Cass

Callistemon21 Tue 09-Apr-24 15:30:22

Thank you Urmstongran
At last.
Dr Cass and her team have researched this thoroughly and looked at all aspects and reasons why gender dysphoria. is increasing.

Let's hope we can now find some balance and perspective and can stop children being pressurised into changes they are not ready for and before they are really old enough to decide and why.

Witzend Tue 09-Apr-24 15:23:28

Smileless2012

I know when we get older we can be accused of looking back through rose tinted glasses, but I do think how lucky I was to have been a child and teenager in the 60's and 70's. I wouldn't want to be one now.

Nor me, and I do worry about the Gdcs, all still well pre teen.
Smartphones weren’t anywhere near a Thing when dds were even at uni. One girl on dd1’s floor in hall on her first year was the only one to have even an old-style mobile phone, and she’s still referred to as Sarah Mobile!

Aveline Tue 09-Apr-24 15:21:43

Glad to read this. Some daylight at last.