Correction: Transgender Surgery Provides No Mental Health Benefit

I’ve blogged about this before, but it bears repeating.

An influential study on the value of treating gender-dysphoric patients with gender-affirming care has been corrected, not retracted, after the authors admitted flaws in their research.

The study, published in the American Journal of Psychiatry, initially claimed that gender-affirming care led to significant improvements in mental health outcomes. However, after widespread criticism and a 10-month review, a major correction was issued.

The corrected conclusion states that there was no improvement in mental health after surgical treatment.

According to this critical reading of the study in Public Discourse, the study’s original results were significantly altered when proper statistical methods were applied. Additionally, the limited data collection (only one year of data) would result in worse findings with better data.

The corrected research now suggests, at best, no improvement in mental health outcomes for patients receiving gender-affirming care. Some research even indicates that such care can lead to worse outcomes over time, with anxiety, depression, and suicide rates 19 times higher than the general population.

The correction undermines one of the pillars supporting the claim that puberty blockers, hormones, and gender reassignment surgeries improve mental health in patients.

The major flaws in the study, including an extremely biased population and a high rate of loss to follow-up required a correction. The revised statistical analysis, even with this biased sample, found no benefit in providing puberty blockers, hormones, or surgery to gender dysphoric patients.

One issue was the significant loss to follow-up; many patients who participated in the study were considered “lost,” leaving researchers with an unreliable data sample. Additionally, the authors only measured three outcomes and overlooked key data, such as completed suicides and other healthcare visits, potentially related to gender-affirming treatments.

Sounds like cherry-picking data to obtain desired results.

The Public Discourse article also references a 2011 study from Sweden, which analyzed 324 patients who underwent sex reassignment over thirty years. This study found that when followed for more than ten years, the sex-reassigned group had nineteen times the rate of completed suicides and nearly three times the rate of all-cause mortality and inpatient psychiatric care compared to the general population.

Finally, the article discusses the delay in publishing critical letters regarding the study, and the resulting correction that revealed no advantage to surgery for the subject population. The authors of the original study admitted that their conclusion was too strong, which contributed to the momentum for gender-affirming treatments that may not actually provide benefits.

I’d say that correcting “too strong” is not nearly strong enough. Bodies were mutilated. Young people were sterilized. But studies like this were used to provide the pretext that allowed Professional Medical Associations like WPATH to elevate these dangerous treatments, that provide NO BENEFIT, as our latest, “wisest” “standards of care.”

A Great Reckoning is coming. I hope and pray.

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The Problem is in the Mind. Not The Body.

The Transgender Children’s Crusade

With its vision of autonomous young people in touch with their innermost desires, gender identity negates all we know about growing up.

Kay Hymowitz: The Transgender Children’s Crusade

To grasp the novelty of gender identity, compare its idea of child nature with that of child psychology. The psychological approach is predicated on an idea that seems glaringly obvious to most people today: young minds differ from those of adults. Jean Piaget, one of the field’s first theorists of cognitive development, called the first two years the sensorimotor stage, when infants and toddlers explore the outside world through sensory means. They only gradually gain control of their arms and hands as they grab at their clothes and their hair, pull at their genitals, or reach for a caretaker’s necklace or hair. Anyone who has cared for a toddler knows that toddlers’ emotions are so fleeting that they forget the banana that they just demanded in a fit of red-faced rage, once distracted by a bright shiny object.

Here are other truths about young children known to experts and parents alike. They are prone to magical thinking; they believe, as Jazz Jennings did, that a fairy will change their penis into a vagina, or that they play with invisible companions, like the castle-dwelling ninjas that my grandson used to “fight” when he was five. Their sense of time is primitive. Young children have trouble thinking about being six years old; imagining themselves as 20, as they would need to do to know their identity, is like science fiction. Their personalities change; the placid infant turns into a chatterbox five-year-old, who suddenly turns into a withdrawn ten-year-old. Dysphoria itself is often a temporary condition. Assuming that they don’t socially transition, as Jazz did, the large majority of dysphoric young children will desist as they get older; most will become gay.

Yet pediatric gender experts have put psychology’s idea of the child out to pasture. In their view, kids, even those who have yet to pull themselves up in their cribs, are capable of insight that many adults don’t have. “Kids understand themselves better, and at a much younger age, than adults assume. This includes their gender identity,” theorists at the University of Pennsylvania Graduate School of Education maintain. Today’s prodigies intuit their gender identities before they can talk. Diane Ehrensaft, director of mental health at the University of California–San Francisco and one of the foremost exponents of youthful gender dysphoria, explained at a 2016 conference how preverbal children could communicate gender distress. A boy infant might pull at the snaps of his onesie, she answered, in order to “make a dress”; he is sending a “gender message” that he really wants to be a girl. Likewise, a toddler tugging at the barrettes in her hair is not trying to ease the pulling at her scalp; she’s demonstrating that she wants to be a boy.

In the past, when a child showed signs of gender dysphoria, clinicians took a stance of “watchful waiting,” an approach that recognized the inherent volatility and cognitive immaturity of creatures still sleeping in their Batman jammies and leaving cookies for Santa Claus. The essentialist logic of gender identity, however, requires teachers, parents, and therapists to take a “gender-affirming” approach. A boy who declares himself a girl must be validated: no questions asked, no therapeutic probing about anything else that might be troubling the child. The enlightened child has spoken. “If you listen to the children, you will discover their gender. It is not for us to tell, but for them to say,” writes Ehrensaft.

Source: City Journal

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Love Refuses To Affirm Confusion

Sweden Steps Back From the Edge – Part 2

The Society for Evidence-Based Gender Medicine has the story. Click through to read the full Twitter thread.

Starting with Numero Uno in the thread….

Click “Read the full conversation on Twitter.”

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Stop Experimenting On Our Children!