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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 Wed 10-Apr-24 11:15:00

Callistemon21

.^ It meant if you could afford to pay your child would get the help they needed.^

Nope. It was not private.

Because you had a poor experience doesn't mean it happened everywhere.

But it wasn't mainstream was it?
It was UK education policy- hence the Warnock report. Hence "specific reading difficulties" Hence "a middle-class problem".
Really Callistemon21 One teacher in one area not in a school isn't evidence that it was widely accepted.

Glorianny Wed 10-Apr-24 11:22:48

I do think there are some similarities between the attitude to dyslexia which existed in government and some professional education bodies and the attitude to trans issues now.
It didn't have such a huge impact as trans issues have (although the percentage of people imprisoned in the UK who are dyslexic is very high, so there is impact)
But the shifting of opinions, the blaming of parents, the refusal to deal with the issue are all similar.

Dyslexia brain research in the 1980s led to a real change in attitude. Let's hope somewhere someone is conducting some similar research which will help families and transchildren.

Doodledog Wed 10-Apr-24 11:24:21

Smileless2012

I hope if any parents do take their children out of the UK for help, they do plenty of research. That said I hope that they digest this report in full and are led by the common sense information provided.

I hope so too. I have only seen the headlines and heard a bit of discussion about it, but regardless of what the finer points turn out to be I think it would be foolish to ignore a detailed report in favour of ideology.

GrannyGravy13 Wed 10-Apr-24 11:25:29

Doodledog

Smileless2012

I hope if any parents do take their children out of the UK for help, they do plenty of research. That said I hope that they digest this report in full and are led by the common sense information provided.

I hope so too. I have only seen the headlines and heard a bit of discussion about it, but regardless of what the finer points turn out to be I think it would be foolish to ignore a detailed report in favour of ideology.

👏👏👏

Wheniwasyourage Wed 10-Apr-24 11:25:36

Perhaps a new thread on the topic of dyslexia would be a good idea, Glorianny, and then the discussion of the Cass report wouldn't be diluted.

GrannyGravy13 Wed 10-Apr-24 11:30:47

Puberty blockers come with serious side effects/consequences

Infertility
Risk of blood clots
Weight gain
Acne
Dyslipidaemia
Elevated liver enzyme’s
Polycythaemia
Hair los

I for one do not think any of the above are acceptable risks.

LizzieDrip Wed 10-Apr-24 11:33:45

I am going to stick my head above the parapet here and agree with Glorianny. As a teacher in a mainstream school in the ‘80s we were told, by the LA Special Needs Adviser, not to use the term dyslexia but to say specific reading difficulties. Yes, it seems unbelievable today, but 50 years ago dyslexic was not accepted, by many, as actually existing. Arguably, the current trans issue is at that stage now. I expect this option will enrage posters. I read the personal ‘venom’ with which some people address Glorianny because they disagree with her. The current trans threads on GN are extremely one-sided (apart from Glorianny) - I believe there are others who wish to express differing views but do not want to be personally attacked. The trans debate has become toxic IMO, and the people who will suffer will be the youngsters stuck in the middle of it all.

Glorianny Wed 10-Apr-24 11:37:19

This is an interesting article from a parent and trans child view
www.theguardian.com/society/2024/apr/10/mother-criticises-agenda-from-above-cass-report-trans

I like the trans person's view that puberty blockers should not have been the first target, it should be waiting lists.

I wonder does anyone know if private treatment will still be available in the UK?

Glorianny Wed 10-Apr-24 11:40:00

LizzieDrip

I am going to stick my head above the parapet here and agree with Glorianny. As a teacher in a mainstream school in the ‘80s we were told, by the LA Special Needs Adviser, not to use the term dyslexia but to say specific reading difficulties. Yes, it seems unbelievable today, but 50 years ago dyslexic was not accepted, by many, as actually existing. Arguably, the current trans issue is at that stage now. I expect this option will enrage posters. I read the personal ‘venom’ with which some people address Glorianny because they disagree with her. The current trans threads on GN are extremely one-sided (apart from Glorianny) - I believe there are others who wish to express differing views but do not want to be personally attacked. The trans debate has become toxic IMO, and the people who will suffer will be the youngsters stuck in the middle of it all.

Thanks LizzieDrip I sometimes feel if I said the moon was not made of green cheese someone would say it was, just because it was me!

Callistemon21 Wed 10-Apr-24 11:42:55

Wheniwasyourage

Perhaps a new thread on the topic of dyslexia would be a good idea, Glorianny, and then the discussion of the Cass report wouldn't be diluted.

Good idea.

Then Glorianny can make other assumptions about others' experiences without steering this thread in a different direction.

Doodledog Wed 10-Apr-24 11:46:09

I am not disagreeing about Dyslexia. I am saying that it has nothing to do with the phraseology used by trans children, which I believe has not come from the children themselves.

Words and phrases are important because they represent concepts, and removing words restricts the nuances with which we can communicate. Conversely, creating a vocabulary drives the discourse - eg during Covid we quickly started talking about the R rate, social distancing, anti-vaxxers and so on. Mapping changes in vocabulary onto cultural changes can be very enlightening - another example would be looking at the vocabulary surrounding race.

In the case of trans issues, the TRAs grabbed the narrative and refused to discuss the topic, and then forced people to use unnecessary pronouns, which suggested complicity with their agenda. The very concept of misgendering is about vocabulary, as is the erasure of words and phrases that define women. Words matter.

I agree that the debate has become toxic, but not that this is because more people on GN are biological realists than not. I would like more people with opposing views to join in, and would always be respectful and as reasonable as possible if they do the same. When people start calling me 'pathetic', continually divert the conversation away from the subject, refuse to answer basic questions yet demand answers to their own, however, then yes, I will push back, as will others. What else are we going to do?

LizzieDrip Wed 10-Apr-24 11:47:40

Thanks LizzieDrip I sometimes feel if I said the moon was not made of green cheese someone would say it was, just because it was me!

Yes, I know what you mean Glorianny. It’s a very sad approach and one which serves to close down open-minded debate.

Glorianny Wed 10-Apr-24 11:58:08

Doodledog

I am not disagreeing about Dyslexia. I am saying that it has nothing to do with the phraseology used by trans children, which I believe has not come from the children themselves.

Words and phrases are important because they represent concepts, and removing words restricts the nuances with which we can communicate. Conversely, creating a vocabulary drives the discourse - eg during Covid we quickly started talking about the R rate, social distancing, anti-vaxxers and so on. Mapping changes in vocabulary onto cultural changes can be very enlightening - another example would be looking at the vocabulary surrounding race.

In the case of trans issues, the TRAs grabbed the narrative and refused to discuss the topic, and then forced people to use unnecessary pronouns, which suggested complicity with their agenda. The very concept of misgendering is about vocabulary, as is the erasure of words and phrases that define women. Words matter.

I agree that the debate has become toxic, but not that this is because more people on GN are biological realists than not. I would like more people with opposing views to join in, and would always be respectful and as reasonable as possible if they do the same. When people start calling me 'pathetic', continually divert the conversation away from the subject, refuse to answer basic questions yet demand answers to their own, however, then yes, I will push back, as will others. What else are we going to do?

I don't think dyslexia came from children. Parents used it. The children said "I can't read. I'm trying my best." kept losing things, were disorganised. The parents asked for help and didn't get it until they pushed and eventually tests were given. Still a huge number were only found when they went to Higher Ed.

I don't think trans comes from children. I think children say their body doesn't feel right, say they feel like a girl if they are a boy and want to change. Parents use the term trans. As puberty hits the child becomes more distressed at the body changes.

The problems will remain. It would have been good to see some proper services for children and not long waiting lists.

Iam64 Wed 10-Apr-24 12:52:07

LizzieDrip

^Thanks LizzieDrip I sometimes feel if I said the moon was not made of green cheese someone would say it was, just because it was me!^

Yes, I know what you mean Glorianny. It’s a very sad approach and one which serves to close down open-minded debate.

Oh, The irony of accusing the majority of wanting to close down open minded debate, particularly when open debate on this significant report is being sideline into a discussion on when exactly dyslexia etc was first recognised in most schools

Gloriannie you aren’t alone in wanting proper services without long waiting lists for children. Our family has joined the growing list of families pooling financial resources to ensure a child is seen assessed and helped along with their parents .
From my brief look at the news, we aren’t the only Northern European country re-examining treatment for children with gender dysphoria

DiamondLily Wed 10-Apr-24 12:54:34

Dyslexia may or not have been recognised as such some years ago, in some areas, but the methods of “treating/accommodating”it would have been very different anyway.

But, that’s another subject entirely anyway.

Trans related treatments generally involve body changing drugs etc - and no one knows the exact future risks with all that on children’s health.

The report also seems to recognise that social media is having a huge influence, and that the unhappiness in some children can be about a variety of other issues.

Changing their gender won’t make those children any happier.

The report seems to be have been well received by most professionals involved in child care.🙂

JaneJudge Wed 10-Apr-24 13:06:52

dyslexia, dyscalculia and dyspraxia fall under SpLD now and is the terminology used
there are also lots of people in prison with learning disabilities and/or autism.
lots of care leavers in prison
specific prisons for these with autism or LD
we let a lot of young people down in this country from the minute they are born. I can't see that improving after the meeting I have just sat through!

Glorianny Wed 10-Apr-24 13:14:36

Iam64

LizzieDrip

Thanks LizzieDrip I sometimes feel if I said the moon was not made of green cheese someone would say it was, just because it was me!

Yes, I know what you mean Glorianny. It’s a very sad approach and one which serves to close down open-minded debate.

Oh, The irony of accusing the majority of wanting to close down open minded debate, particularly when open debate on this significant report is being sideline into a discussion on when exactly dyslexia etc was first recognised in most schools

Gloriannie you aren’t alone in wanting proper services without long waiting lists for children. Our family has joined the growing list of families pooling financial resources to ensure a child is seen assessed and helped along with their parents .
From my brief look at the news, we aren’t the only Northern European country re-examining treatment for children with gender dysphoria

I didn't sideline any debate.
I have also brought the debate back to trans issues by highlighting parallels between the historic attitudes to dyslexia and the present trans debate.

Re-examining treatment is fine. Condemning treatment but leaving long waiting lists isn't. Trans children won't go away, and for those who can't afford private care the future looks bleak. I've just looked at my local clinic
Person at the top of the list for initial assessment has waited almost 6 years and hasn't yet an appointment.
Person at top of list for second appointment (diagnosis and treatment proposal) has waited over 5 years and hasn't yet a date.
Quite how those people are coping I don't know

Mollygo Wed 10-Apr-24 13:19:02

Callistemon21

^Sorry Callistemon21 you are so wrong^

Sorry, Glorianny, if you had that experience in your area.

However, I am not wrong.

Not wrong at all, except possibly by Geographical area. We managed to get an assessment of dyslexia for my child, way back in the 1990s. It was a struggle, but we got it.
The problem of getting an assessment for children I was teaching remained difficult - with private companies charging parents, to tell them that their child who couldn’t kick a football, or tie shoelaces or a tie (none if which they’d been taught to do) were dyslexic.
We are much better trained to deal with dyslexia now, but none of the several children I’ve had assessed as dyslexic have claimed to be in the wrong body. It concerns me that some parents are already questioning whether their child’s struggles with reading and writing may be to do with them being in the wrong body.

Glorianny Wed 10-Apr-24 13:34:58

Mollygo

Callistemon21

Sorry Callistemon21 you are so wrong

Sorry, Glorianny, if you had that experience in your area.

However, I am not wrong.

Not wrong at all, except possibly by Geographical area. We managed to get an assessment of dyslexia for my child, way back in the 1990s. It was a struggle, but we got it.
The problem of getting an assessment for children I was teaching remained difficult - with private companies charging parents, to tell them that their child who couldn’t kick a football, or tie shoelaces or a tie (none if which they’d been taught to do) were dyslexic.
We are much better trained to deal with dyslexia now, but none of the several children I’ve had assessed as dyslexic have claimed to be in the wrong body. It concerns me that some parents are already questioning whether their child’s struggles with reading and writing may be to do with them being in the wrong body.

How would you feel if a child was waiting for 5 years for an assessment for dyslexia? Not treatment or help just an assessment.

DiamondLily Wed 10-Apr-24 13:37:21

The BBC have quite an informative article on the findings:

www.bbc.co.uk/news/health-68770641

GrannyGravy13 Wed 10-Apr-24 13:49:34

Statement from Wes Streeting (Labour MP)

LizzieDrip Wed 10-Apr-24 14:07:19

Solid comment from Wes Streeting - thanks GrannyGravy. Hopefully the Cass report will engender greater measured debate and more research - particularly longitudinal studies - around the issue of transgender. This could lead to more effective, appropriately targeted support for the young people involved in the future. It should also serve to debunk some of the myths and misinformation about transgender that currently circulate. Polarised arguments of ‘right / wrong’ don’t move anything forward in life. Who knows, perhaps a body of research might demonstrate results that, 50 years in the future, will render today’s toxic debate unbelievable.

Doodledog Wed 10-Apr-24 14:32:56

I would very much like to think so.

A science-based approach, rather than an ideological one. Debate, rather than 'No Debate'. Targeted support rather than a blanket approach. All of those things would be very much better than the way things have been for some time.

GrannyGravy13 Wed 10-Apr-24 14:35:55

Doodledog

I would very much like to think so.

A science-based approach, rather than an ideological one. Debate, rather than 'No Debate'. Targeted support rather than a blanket approach. All of those things would be very much better than the way things have been for some time.

Definitely agree.

It has to be science/biology over ideology especially when dealing with pre-pubescent children.

Callistemon21 Wed 10-Apr-24 14:46:03

Mamie

Apologies for adding to the thread derailment but:
As a SENCO in a state school I was supporting children with dyslexia in the late seventies and in our LA we were working with a specialist Educational Psychologis, the Dyslexia Association and peripatetic teachers. I then became an adviser and worked with a Paediatrician with specialist knowledge of dyspraxia in the late 8Os, as the condition was increasingly recognised in our schools. Having had the opportunity to work on a wide regional basis I know from experience, that while provision in LAs varied, there was also a great deal of knowledge and support available.
To return to the topic, I am pleased to see that such a compassionate, informed and pragmatic report is now available to those working in this difficult area.

Thankyou Mamie for your post, yes, the thread was becoming derailed but I think accusations aimed at posters needed to be refuted.
I'm not going to state where I worked, but it was back in the 1960s and early 1970s where I was a trainee and the staff included Educational Psychologists, PSWs, and a teacher who specialised in dyslexia and the problems it could cause.