It looks like you're using an Ad Blocker.
Please white-list or disable AboveTopSecret.com in your ad-blocking tool.
Thank you.
Some features of ATS will be disabled while you continue to use an ad-blocker.
originally posted by: redshoes
a reply to: JoshuaCox
I think perhaps you are mis informed about the actual medical practice for kids who appear to be living with gender identity disorder.
First off, only about 20% of minors who express a preference to switch genders actually go on to transition into their chosen gender once they are old enough.
Secondly, medical intervention is not prescribed until the child is about to enter puberty. Any medical intervention at that point is limited to delaying puberty in order to allow the child to mature to the point that they are capable of understanding the potential risks and consequences of their actions.
Thirdly, medical intervention is limited by law and WHO recommended practices to hormone treatment that can be easily addressed by stopping treatment and allowing the patient to revert to their birth gender. Surgical treatment is not permitted until the patient has become an adult legally. And any medical intervention must be prescribed by a certified specialist and psychologist.
The guidelines dictated by the WHO for when and how to prescribe treatment are fairly stringent, even in the case of fully matured adults. The underlying principal is that gender dsyphoria is a recognized medical and psychiatric condition and treatment is only prescribed when there is sufficient evidence to suggest that the patients life, or quality of life, is in jeopardy if no intervention is made.
Legally, it is not not possible for a child to consent to changing their gender, even without medical intervention, until they reach the age of maturity. And even then in most countries they need to make a declaration which is judged and validated by a judge.
I live in Ireland, where we recently changed the law to allow adults to legally change their gender by making a declaration. Its one of four countries in the world who provide this legal support to transgendered individuals. It is not possible for a minor to legally change their gender if they are under age without approved assessments made by psychiatric professionals and the approval of a court.
Lastly the vista of parents who actively support or encourage their children to change gender is a myth. I know of no such case actually happening.
As with all medical interventions, there are laws that prevent doctors and parents from following any course of action that might endanger a child's physical well being.
originally posted by: JoshuaCox
originally posted by: redshoes
a reply to: JoshuaCox
I think perhaps you are mis informed about the actual medical practice for kids who appear to be living with gender identity disorder.
First off, only about 20% of minors who express a preference to switch genders actually go on to transition into their chosen gender once they are old enough.
Secondly, medical intervention is not prescribed until the child is about to enter puberty. Any medical intervention at that point is limited to delaying puberty in order to allow the child to mature to the point that they are capable of understanding the potential risks and consequences of their actions.
Thirdly, medical intervention is limited by law and WHO recommended practices to hormone treatment that can be easily addressed by stopping treatment and allowing the patient to revert to their birth gender. Surgical treatment is not permitted until the patient has become an adult legally. And any medical intervention must be prescribed by a certified specialist and psychologist.
The guidelines dictated by the WHO for when and how to prescribe treatment are fairly stringent, even in the case of fully matured adults. The underlying principal is that gender dsyphoria is a recognized medical and psychiatric condition and treatment is only prescribed when there is sufficient evidence to suggest that the patients life, or quality of life, is in jeopardy if no intervention is made.
Legally, it is not not possible for a child to consent to changing their gender, even without medical intervention, until they reach the age of maturity. And even then in most countries they need to make a declaration which is judged and validated by a judge.
I live in Ireland, where we recently changed the law to allow adults to legally change their gender by making a declaration. Its one of four countries in the world who provide this legal support to transgendered individuals. It is not possible for a minor to legally change their gender if they are under age without approved assessments made by psychiatric professionals and the approval of a court.
Lastly the vista of parents who actively support or encourage their children to change gender is a myth. I know of no such case actually happening.
As with all medical interventions, there are laws that prevent doctors and parents from following any course of action that might endanger a child's physical well being.
Then you have never watched pageant moms... Sure it's not gender related, but I think the mentality of those mothers could easily transfer.
You have people who kidnap, rape , murder, exc exc, exc their own children, yet the thought that some crazy parent could influence such a thing is impossible??
Parents push their kids to be all kinda stuff constantly, there are 7 billion of us.
Also I have seen many videos of 5 to 10 year olds who's parents have swapped them already. They are almost used as "awe look how sweet he looks" advertisements.
You might be %100 right about the ability for your body to undo hormone therapy, I am not knowledgeable about that, but it seems hard to believe, since puberty is so important to development, and pharm stuff rarely doesnt come with a long list of negatives.
I don't think there is any psyc evaluation you can take at 9 or 10 that can tell you how you will want to live your life at 20 or 30.
originally posted by: luthier
originally posted by: Woodcarver
a reply to: JoshuaCox
These issues are decided by medical proffessionals who have spent their careers dealing with people with these problems. They do have tests that determine whether these kids are acctually fit for such procedures.
Do you understand the physical differences that can be observed in people who are fit for such procedures? There are plenty. You cannot fool the hormone tests and the brain functionality measures that must be undertaken to determine whether a person is a valid candidate.
The truth is that there are millions of people who feel that they were born with the wrong bits. That makes it a natural phenomenon. This is as old as the written word. Science is just now catching up.
The studies show that there is a much better rate of success when they go through this transition at a young age than if they wait till after puberty.
We thought that about add. Turns out the tests aren't accurate. Hell the NEJM did a report on the amount of drug trials that had been peer reviewed that were flawed, had conflicts of interest, or were completely false when retried. 1/3 of drug trials were false and half had left out important findings.
I definitely would not just trust DR's and pharma to decide the guidelines without serious thought and education by the parents.
For instance in Australia you have to have five drs agree on any permanent changes. It may be the same for hormone blockers.
I have been evolving with this issue talking to advocates and having had a trans boy highschool wrestler student on our highschool team.
I do not think though that the medical profession alone should be guiding the decisions in the US. I think if the parents are baligerant or blocking the children's identity they probably won't do the research in which case something like Australia should be set up.
Most findings show its not just hormone blockers but good useful therapy is also needed. We are such a quick fix society I don't think it's out of question to be cautious of medical trends.
Thay being said if the child has been thoroughly evaluated I don't think hormone blockers before the first stage of puberty is a bad thing.
I don't know where the whole 4 year old thing came from. But that obviously is an age you still want to evaluate and allow the child to have the gender they ide tify with. There is no need for chemical or other procedures other than therapy. There are some early examples of Drs I believe went to far to young but they are not accepted by the medical community as whole.
originally posted by: kaylaluv
No medical intervention is done to any four year old. The OP is talking out his rear. The only discussion about four year olds involved allowing them to dress according to the gender they identify with and perhaps changing their name. This usually happens after consultations with a mental healthcare professional who recommends it after the child has shown serious signs of distress and depression. In every case I have read about, the child's depression symptoms virtually disappear when they are able to live as the gender they identify with.
No good parent would just ignore their four year old if the child is telling them they want to "go back to heaven" because they are too unhappy to live anymore.
originally posted by: JoshuaCox
I don't think there is any psyc evaluation you can take at 9 or 10 that can tell you how you will want to live your life at 20 or 30.
originally posted by: luthier
originally posted by: Woodcarver
a reply to: JoshuaCox
These issues are decided by medical proffessionals who have spent their careers dealing with people with these problems. They do have tests that determine whether these kids are acctually fit for such procedures.
Do you understand the physical differences that can be observed in people who are fit for such procedures? There are plenty. You cannot fool the hormone tests and the brain functionality measures that must be undertaken to determine whether a person is a valid candidate.
The truth is that there are millions of people who feel that they were born with the wrong bits. That makes it a natural phenomenon. This is as old as the written word. Science is just now catching up.
The studies show that there is a much better rate of success when they go through this transition at a young age than if they wait till after puberty.
We thought that about add. Turns out the tests aren't accurate. Hell the NEJM did a report on the amount of drug trials that had been peer reviewed that were flawed, had conflicts of interest, or were completely false when retried. 1/3 of drug trials were false and half had left out important findings.
I definitely would not just trust DR's and pharma to decide the guidelines without serious thought and education by the parents.
For instance in Australia you have to have five drs agree on any permanent changes. It may be the same for hormone blockers.
I have been evolving with this issue talking to advocates and having had a trans boy highschool wrestler student on our highschool team.
I do not think though that the medical profession alone should be guiding the decisions in the US. I think if the parents are baligerant or blocking the children's identity they probably won't do the research in which case something like Australia should be set up.
Most findings show its not just hormone blockers but good useful therapy is also needed. We are such a quick fix society I don't think it's out of question to be cautious of medical trends.
Thay being said if the child has been thoroughly evaluated I don't think hormone blockers before the first stage of puberty is a bad thing.
I don't know where the whole 4 year old thing came from. But that obviously is an age you still want to evaluate and allow the child to have the gender they ide tify with. There is no need for chemical or other procedures other than therapy. There are some early examples of Drs I believe went to far to young but they are not accepted by the medical community as whole.
And as far as I know, that is literally the only measuring stick.
If there were DNA tests or brain scans that confirmed it, I'm all in.
I don't like making life altering changes to grade school children by using 100% subjective means....
originally posted by: angryhulk
I think it is wrong. I think it is unethical.
If my 3 year old daughter began telling me she was a boy I would laugh it off and tell her to continue playing, just like I did when she told me she was a dinosaur 2 weeks ago.
All this new-age nonsense is growing arms and legs, to the point that some kids at school now have a list of genders to choose from when it used to be 'boy' or 'girl', remember those?
Sorry if I just offended anyone. Given the world we live in I probably did.
4 year old's (as referred to in the op) are smart, they really are, but in essence they don't have a bloody clue what they want to be or do when they grow older.
originally posted by: dogstar23
a reply to: JoshuaCox
It seems to me that proponents of this aren't willing to fully consider the consequences, and aren't willing to accept that some children (such as one with gender identity issues), might just have to learn to cope with their differences, and should wait until at least 18 before making MAJOR and PERMANENT medical decisions about altering their bodies (whether chemically or surgically.)
originally posted by: luthier
originally posted by: JoshuaCox
originally posted by: redshoes
a reply to: JoshuaCox
I think perhaps you are mis informed about the actual medical practice for kids who appear to be living with gender identity disorder.
First off, only about 20% of minors who express a preference to switch genders actually go on to transition into their chosen gender once they are old enough.
Secondly, medical intervention is not prescribed until the child is about to enter puberty. Any medical intervention at that point is limited to delaying puberty in order to allow the child to mature to the point that they are capable of understanding the potential risks and consequences of their actions.
Thirdly, medical intervention is limited by law and WHO recommended practices to hormone treatment that can be easily addressed by stopping treatment and allowing the patient to revert to their birth gender. Surgical treatment is not permitted until the patient has become an adult legally. And any medical intervention must be prescribed by a certified specialist and psychologist.
The guidelines dictated by the WHO for when and how to prescribe treatment are fairly stringent, even in the case of fully matured adults. The underlying principal is that gender dsyphoria is a recognized medical and psychiatric condition and treatment is only prescribed when there is sufficient evidence to suggest that the patients life, or quality of life, is in jeopardy if no intervention is made.
Legally, it is not not possible for a child to consent to changing their gender, even without medical intervention, until they reach the age of maturity. And even then in most countries they need to make a declaration which is judged and validated by a judge.
I live in Ireland, where we recently changed the law to allow adults to legally change their gender by making a declaration. Its one of four countries in the world who provide this legal support to transgendered individuals. It is not possible for a minor to legally change their gender if they are under age without approved assessments made by psychiatric professionals and the approval of a court.
Lastly the vista of parents who actively support or encourage their children to change gender is a myth. I know of no such case actually happening.
As with all medical interventions, there are laws that prevent doctors and parents from following any course of action that might endanger a child's physical well being.
Then you have never watched pageant moms... Sure it's not gender related, but I think the mentality of those mothers could easily transfer.
You have people who kidnap, rape , murder, exc exc, exc their own children, yet the thought that some crazy parent could influence such a thing is impossible??
Parents push their kids to be all kinda stuff constantly, there are 7 billion of us.
Also I have seen many videos of 5 to 10 year olds who's parents have swapped them already. They are almost used as "awe look how sweet he looks" advertisements.
You might be %100 right about the ability for your body to undo hormone therapy, I am not knowledgeable about that, but it seems hard to believe, since puberty is so important to development, and pharm stuff rarely doesnt come with a long list of negatives.
You can safeguard issues like your concerns but you will never eliminate them. Thay can't be a reason to deny good parents and drs from helping their kids. I don't believe that is a good arguement. It's like saying we shouldn't have cars because people drive under the influence.
The switches parents are doing for the most part of these young children you describe are done with the aid of therapists and non paermanent changes. The few that do this as a pet project are always going to happen in any realm of medicine. Parents who think there kids are allergic to everything (with no medical assement), pagentry as you say, theater dance math anything parents do the wrong thing sometimes. That is not a reason not to help the kids that need help.
I agree though there should be a system that has redundant safeguards in the medical system to help alleviate misdiagnosis and to get parents involved and educated.
originally posted by: luthier
originally posted by: angryhulk
I think it is wrong. I think it is unethical.
If my 3 year old daughter began telling me she was a boy I would laugh it off and tell her to continue playing, just like I did when she told me she was a dinosaur 2 weeks ago.
All this new-age nonsense is growing arms and legs, to the point that some kids at school now have a list of genders to choose from when it used to be 'boy' or 'girl', remember those?
Sorry if I just offended anyone. Given the world we live in I probably did.
4 year old's (as referred to in the op) are smart, they really are, but in essence they don't have a bloody clue what they want to be or do when they grow older.
I don't think you really have understanding of the situation.
I live in SC so all the NC bathroom stuff is pretty close to home. There was a marine dad and his wife with a trans 6 year old who had to come to terms with his kids is not just pretending to be a dinosaur as you say. This is a real issue. The suicide rates of trans kids is not acceptable.
originally posted by: kaylaluv
originally posted by: dogstar23
a reply to: JoshuaCox
It seems to me that proponents of this aren't willing to fully consider the consequences, and aren't willing to accept that some children (such as one with gender identity issues), might just have to learn to cope with their differences, and should wait until at least 18 before making MAJOR and PERMANENT medical decisions about altering their bodies (whether chemically or surgically.)
Transgender people who wait until after puberty to start make those changes have much higher rates of depression and suicide then those who started the transition before puberty. Fact.
[/quote
That is what made me change my opinion of the issue. Sometimes you have great thoughts and ideas that don't translate into reality. I used to think 18 was the age to do it.
I don't feel comfortable with cross hormone therapy at 13-14 I think hormone blockers are better but I am learning I don't really know.
I do think more studies have to be done on any dangers to hormone blockers and brain development at least for the sake of explaining all the side effects for the most informed choices.
Man such a tough issue. I do think you should be cautious of the medical industrial complex and be an informed parent to make sure your getting good advice.
originally posted by: angryhulk
If my 3 year old daughter began telling me she was a boy I would laugh it off and tell her to continue playing, just like I did when she told me she was a dinosaur 2 weeks ago.
originally posted by: JoshuaCox
originally posted by: luthier
originally posted by: JoshuaCox
originally posted by: redshoes
a reply to: JoshuaCox
I think perhaps you are mis informed about the actual medical practice for kids who appear to be living with gender identity disorder.
First off, only about 20% of minors who express a preference to switch genders actually go on to transition into their chosen gender once they are old enough.
Secondly, medical intervention is not prescribed until the child is about to enter puberty. Any medical intervention at that point is limited to delaying puberty in order to allow the child to mature to the point that they are capable of understanding the potential risks and consequences of their actions.
Thirdly, medical intervention is limited by law and WHO recommended practices to hormone treatment that can be easily addressed by stopping treatment and allowing the patient to revert to their birth gender. Surgical treatment is not permitted until the patient has become an adult legally. And any medical intervention must be prescribed by a certified specialist and psychologist.
The guidelines dictated by the WHO for when and how to prescribe treatment are fairly stringent, even in the case of fully matured adults. The underlying principal is that gender dsyphoria is a recognized medical and psychiatric condition and treatment is only prescribed when there is sufficient evidence to suggest that the patients life, or quality of life, is in jeopardy if no intervention is made.
Legally, it is not not possible for a child to consent to changing their gender, even without medical intervention, until they reach the age of maturity. And even then in most countries they need to make a declaration which is judged and validated by a judge.
I live in Ireland, where we recently changed the law to allow adults to legally change their gender by making a declaration. Its one of four countries in the world who provide this legal support to transgendered individuals. It is not possible for a minor to legally change their gender if they are under age without approved assessments made by psychiatric professionals and the approval of a court.
Lastly the vista of parents who actively support or encourage their children to change gender is a myth. I know of no such case actually happening.
As with all medical interventions, there are laws that prevent doctors and parents from following any course of action that might endanger a child's physical well being.
Then you have never watched pageant moms... Sure it's not gender related, but I think the mentality of those mothers could easily transfer.
You have people who kidnap, rape , murder, exc exc, exc their own children, yet the thought that some crazy parent could influence such a thing is impossible??
Parents push their kids to be all kinda stuff constantly, there are 7 billion of us.
Also I have seen many videos of 5 to 10 year olds who's parents have swapped them already. They are almost used as "awe look how sweet he looks" advertisements.
You might be %100 right about the ability for your body to undo hormone therapy, I am not knowledgeable about that, but it seems hard to believe, since puberty is so important to development, and pharm stuff rarely doesnt come with a long list of negatives.
You can safeguard issues like your concerns but you will never eliminate them. Thay can't be a reason to deny good parents and drs from helping their kids. I don't believe that is a good arguement. It's like saying we shouldn't have cars because people drive under the influence.
The switches parents are doing for the most part of these young children you describe are done with the aid of therapists and non paermanent changes. The few that do this as a pet project are always going to happen in any realm of medicine. Parents who think there kids are allergic to everything (with no medical assement), pagentry as you say, theater dance math anything parents do the wrong thing sometimes. That is not a reason not to help the kids that need help.
I agree though there should be a system that has redundant safeguards in the medical system to help alleviate misdiagnosis and to get parents involved and educated.
I think the crux of the argument isn't the potential for bad parents, Drs or misdiagnosis. It is allowing a 4 year old to make this kind of call. I think any parent would agree that at 4, their kid shouldn't have been making decisions that will effect them until that are at least 18.
There is nothing measurable about this diagnosis..it's based on no more then a questionnaire and a few psyc evaluations...psyc evaluations of a 4 year old....at least where swapping is concerned.. And the hormone decisions are made on a questionnaire and the psyc evaluation of an 8 year old!!!!
For people to make these kind of decisions for a child, I want some form of definitive test. Maybe they find the gene that controls it, and a DNA test would work. Maybe they find a brain scan that can diagnosis it.
If gender identity and sexual orientation is genetic/biological (and I think it is) we will find a test one day.
originally posted by: angryhulk
So in the spirit of not offending anyone I will depart the conversation.
originally posted by: JoshuaCox
originally posted by: luthier
originally posted by: JoshuaCox
originally posted by: redshoes
a reply to: JoshuaCox
I think perhaps you are mis informed about the actual medical practice for kids who appear to be living with gender identity disorder.
First off, only about 20% of minors who express a preference to switch genders actually go on to transition into their chosen gender once they are old enough.
Secondly, medical intervention is not prescribed until the child is about to enter puberty. Any medical intervention at that point is limited to delaying puberty in order to allow the child to mature to the point that they are capable of understanding the potential risks and consequences of their actions.
Thirdly, medical intervention is limited by law and WHO recommended practices to hormone treatment that can be easily addressed by stopping treatment and allowing the patient to revert to their birth gender. Surgical treatment is not permitted until the patient has become an adult legally. And any medical intervention must be prescribed by a certified specialist and psychologist.
The guidelines dictated by the WHO for when and how to prescribe treatment are fairly stringent, even in the case of fully matured adults. The underlying principal is that gender dsyphoria is a recognized medical and psychiatric condition and treatment is only prescribed when there is sufficient evidence to suggest that the patients life, or quality of life, is in jeopardy if no intervention is made.
Legally, it is not not possible for a child to consent to changing their gender, even without medical intervention, until they reach the age of maturity. And even then in most countries they need to make a declaration which is judged and validated by a judge.
I live in Ireland, where we recently changed the law to allow adults to legally change their gender by making a declaration. Its one of four countries in the world who provide this legal support to transgendered individuals. It is not possible for a minor to legally change their gender if they are under age without approved assessments made by psychiatric professionals and the approval of a court.
Lastly the vista of parents who actively support or encourage their children to change gender is a myth. I know of no such case actually happening.
As with all medical interventions, there are laws that prevent doctors and parents from following any course of action that might endanger a child's physical well being.
Then you have never watched pageant moms... Sure it's not gender related, but I think the mentality of those mothers could easily transfer.
You have people who kidnap, rape , murder, exc exc, exc their own children, yet the thought that some crazy parent could influence such a thing is impossible??
Parents push their kids to be all kinda stuff constantly, there are 7 billion of us.
Also I have seen many videos of 5 to 10 year olds who's parents have swapped them already. They are almost used as "awe look how sweet he looks" advertisements.
You might be %100 right about the ability for your body to undo hormone therapy, I am not knowledgeable about that, but it seems hard to believe, since puberty is so important to development, and pharm stuff rarely doesnt come with a long list of negatives.
You can safeguard issues like your concerns but you will never eliminate them. Thay can't be a reason to deny good parents and drs from helping their kids. I don't believe that is a good arguement. It's like saying we shouldn't have cars because people drive under the influence.
The switches parents are doing for the most part of these young children you describe are done with the aid of therapists and non paermanent changes. The few that do this as a pet project are always going to happen in any realm of medicine. Parents who think there kids are allergic to everything (with no medical assement), pagentry as you say, theater dance math anything parents do the wrong thing sometimes. That is not a reason not to help the kids that need help.
I agree though there should be a system that has redundant safeguards in the medical system to help alleviate misdiagnosis and to get parents involved and educated.
I think the crux of the argument isn't the potential for bad parents, Drs or misdiagnosis. It is allowing a 4 year old to make this kind of call. I think any parent would agree that at 4, their kid shouldn't have been making decisions that will effect them until that are at least 18.
There is nothing measurable about this diagnosis..it's based on no more then a questionnaire and a few psyc evaluations...psyc evaluations of a 4 year old....at least where swapping is concerned.. And the hormone decisions are made on a questionnaire and the psyc evaluation of an 8 year old!!!!
For people to make these kind of decisions for a child, I want some form of definitive test. Maybe they find the gene that controls it, and a DNA test would work. Maybe they find a brain scan that can diagnosis it.
If gender identity and sexual orientation is genetic/biological (and I think it is) we will find a test one day.