Theweakeredge AMA - Reboot

• "Transgender individuals are known to be a population at risk for multiple mental health challenges, as well as negative and dangerous sequelae of maladaptive coping behaviors." 
  
• The point here is that it is medical error to simply assume that the self-reported psychological harms associated with being trans are because you're trans. 
  
• There is almost always something else going on, which goes to the conceptual problems in even delineating those who are actually trans from those who just have a fetish.  
  
• The article additionally references:
  
• Corliss 2008, which describes hormone-seeking behavior of transgender youth who, despite having multiple co-morbidities (depression, anxiety, behavioral health issues and other co-morbidities), conclude by self-diagnosis that they are transgendered without any kind of diagnosis of that sort.
  
• Reisner 2015, which notes that, "[c]ompared with cisgender matched controls, transgender youth had a twofold to threefold increased risk of depression, anxiety disorder, suicidal ideation, suicide attempt, self-harm without lethal intent, and both inpatient and outpatient mental health treatment." 
  
• Olson 2015, which describes the pre-existing psychological baselines of self-identified transgendered youth from the ages of 12-24 years; finding that "More than half of the youth reported having thought about suicide at least once in their lifetime, and nearly a third had made at least one attempt."
  
• Yet, there is no evidence whatsoever that so-called "hormone replacement" therapies, puberty-blocking "therapies," or other such pharmaceutical interventions meaningfully improve anything. 
  
• It's not like any of those findings are new, either.  Since the 1980s-1990s, e.g., articles such as Coates 1990, summarize findings as early as 1954 to 1990 identifying that so-called gender dysphoric disorders almost only occur "in the context of significant family psychopathology." 
  
• Granted, Coates 1990 was published in the context of the DSM-III, although gender-dysphoric disorders were amply recognized along similar diagnostic criteria then as now.   Little has changed, including the complete lack of clinical evidence supporting that so-called hormone or puberty-blocking therapies yield any sort of identifiable benefit.
  

• That means that if you think you're a girl born in a boy's body at age 9, by age 14 there's an 85% chance you're not going to feel the same way.
  
• Specifically, "the large majority (about 85%) of prepubertal children with a childhood diagnosis did not remain GD/gender incongruent in adolescence."  That means that, for about 85% of the so-called "trans kids" who the "gender affirming" types want to pump full of hormones and neuter/castrate as some kind of "therapy," they'll grow out of it by the time they even hit puberty. 
  
• Potentially because, according to Zucker 2012, children conflate the concept of a sexual fetish or paraphyllia with what a gender even is.  Of course, "identity disorder and transvestic fetishism youth [also] had high rates of general behavior problems and poor peer relations." 
  
• See also, Steensma 2011, which finds that childhood gender identity disorders of all kinds tend to revert at some point throughout adolescence, even if such children became aware of gender-nonconforming feelings from a very early age.  
  
• The clinical literature demonstrates that, for example, according to Steensma 2013, there is no clear underlying biological basis for any onset gender identity disorder, and gender identity development depends at least on a complex interplay between biological, environmental and psychological factors including sex-related experiences in adolescence; specifically "males who discover the association between dressing in female clothing and intensely pleasant sexual sensations in early adolescence." Read: it's a fetish. 
  

• One such risk is that any kid that transitions finds themselves in the 85% majority of prepubertal children with a childhood diagnosis of some kind of gender identity disorder, according to Hembree 2017.   Notably, if you decide to transition, you cannot transition back.  Puberty-blocking pharmacological "therapies" and hormone replacement "therapies" are not reversible, as the clinical literature cautions.  
  
•  Further, hormone replacement or suppression "therapies," and sex-reassignment surgeries profoundly increase the risk of both suicidal ideation and behavior.  For example, Dhejne 2011, the largest study on this subject, from Sweden, finds that surgically "[s]ex-reassigned persons also had an increased risk for suicide attempts," and prevalence of psychiatric inpatient care.  It turns out that, according to the data, 10-15 years after surgical reassignment, the suicide rate of those who had undergone sex-reassignment surgery rose to 20 times that of comparable peers. 
  

Hormone treatment is not recommended for prepubertal gender-dysphoric/gender-incongruent persons. Those clinicians who recommend gender-affirming endocrine treatments—appropriately trained diagnosing clinicians (required), a mental health provider for adolescents (required) and mental health professional for adults (recommended)—should be knowledgeable about the diagnostic criteria and criteria for gender-affirming treatment, have sufficient training and experience in assessing psychopathology, and be willing to participate in the ongoing care throughout the endocrine transition. We recommend treating gender-dysphoric/gender-incongruent adolescents who have entered puberty at Tanner Stage G2/B2 by suppression with gonadotropin-releasing hormone agonists. Clinicians may add gender-affirming hormones after a multidisciplinary team has confirmed the persistence of gender dysphoria/gender incongruence and sufficient mental capacity to give informed consent to this partially irreversible treatment. Most adolescents have this capacity by age 16 years old. We recognize that there may be compelling reasons to initiate sex hormone treatment prior to age 16 years, although there is minimal published experience treating prior to 13.5 to 14 years of age. For the care of peripubertal youths and older adolescents, we recommend that an expert multidisciplinary team comprised of medical professionals and mental health professionals manage this treatment.

This shit really happened and happens in nations with private cops.

Soft-Utilitarianism