{"id":151896,"date":"2024-03-22T09:37:00","date_gmt":"2024-03-22T13:37:00","guid":{"rendered":"https:\/\/doppleronline.ca\/rwddev\/?p=151896"},"modified":"2024-03-24T09:35:31","modified_gmt":"2024-03-24T13:35:31","slug":"childhood-gender-transition","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/childhood-gender-transition\/","title":{"rendered":"The shaky foundation of childhood gender transition | Commentary"},"content":{"rendered":"\n

By Dr. J. Edward Les <\/em><\/p>\n\n\n

<\/broadstreet-zone><\/strong><\/div>\n\n\n\n

The debate around childhood \u201cgender transition\u201d has become so toxic as to render calm and rational discussion nearly impossible. Each side is quick to smear their opponents as malevolent or ignorant\u2014or both.<\/p>\n\n\n\n

It\u2019s easy to lose sight of the fact that most of us simply want what\u2019s best for our kids. It\u2019s high time we reverted to that principle as our guiding star, particularly in the immediate aftermath of the explosive \u201cWPATH Files<\/span><\/a>.\u201c These leaked files shine a bright light on the troubling quality of the \u201cStandards of Care\u201d issued by the World Professional Association for Transgender Health (WPATH) and the questionable\u2014and often outright lack of\u2014science underpinning those \u201cstandards.\u201d<\/p>\n\n\n\n

Reading through a report by Environmental Progress<\/span><\/a> on the files, an Ernest Hemingway quote comes to mind: \u201cAll things truly wicked start from innocence.\u201d<\/p>\n\n\n\n

The report references an excellent 2023 review by Abbruzzese et al. (\u201cThe Myth of Reliable Research in Pediatric Gender Medicine<\/span><\/a>\u201d) describing Dutch researchers in the late 1980s and early 1990s as among the first to champion the \u201cinnovative practice\u201d of pediatric sex-trait modification. They weren\u2019t motivated by malevolence but were genuinely looking to improve the lot of transgendered adults suffering from the disconnect between their physical bodies and their gender identity. (Historically, gender identity disorder is a real, but rare, affliction.)<\/p>\n\n\n\n

Their motivations were innocent enough\u2014laudable, even. But their analysis was shot through with methodological errors and has since been thoroughly discredited<\/span><\/a>.<\/p>\n\n\n\n

Yet as Abbruzzese et al. detail in their paper, the Dutch experiment \u201cescaped the lab\u201d; the small, flawed study diffused rapidly through the international medical community as justification for puberty suppression of gender-confused children as a prelude to cross-sex hormones and surgical modification. And despite the lack of proper evidence, those practices were adopted by WPATH as the \u201cstandard of care.\u201d<\/p>\n\n\n\n

That, coupled with the social-media-enabled explosion in adolescents identifying as transgender in the mid-2010s, led directly to where we are today: science replaced by full-blown ideology.<\/p>\n\n\n\n

Jurisdictions like the UK, Norway, Sweden, Finland, and France have belatedly realized the harm<\/span><\/a> caused by these experimental practices and have begun severely curtailing their use. Britain just announced<\/span><\/a> a ban on puberty blockers for minors under 18, outside of regulated clinical trials. Yet Canada and the United States remain laggards.<\/p>\n\n\n\n

The release of the WPATH Files\u2014a collection of messages from an internal WPATH chat system, along with a video of an internal panel discussion\u2014should change that. It\u2019s clear, as whistleblower Jamie Reed<\/span><\/a> put it recently, that transgender clinicians have been \u201cbuilding the plane while flying it.\u201d<\/p>\n\n\n\n

In the files, Dr. Daniel Metzger, a pediatric endocrinologist in B.C. and a co-author of the Canadian Paediatric Society\u2019s position statement on gender-affirming care for youth in Canada, openly admits that gender clinicians are \u201coften explaining these sorts of things to people who haven\u2019t even had biology in high school yet,\u201d and \u201cmost of the kids are nowhere in any kind of a brain space to really, really, really talk about it in a serious way.\u201d<\/p>\n\n\n\n

Fellow WPATH member and child psychologist Dr. Dianne Berg, co-author of the child chapter of WPATH\u2019s \u201cStandards of Care,\u201d confesses that for children and adolescents it\u2019s \u201cout of their developmental range to understand the extent to which some of these medical interventions are impacting them.\u201d And worse, even parents aren\u2019t sufficiently health-literate to comprehend the effects of treatment protocols proposed for their gender-confused children.<\/p>\n\n\n\n

Per Dr. Berg: \u201cWhat really disturbs me is when the parents can\u2019t tell me what they need to know about a medical intervention that apparently they signed off for. \u2026 [This is] not what we need to be doing ethically.\u201d<\/p>\n\n\n\n

Yet a lack of ethics is on full display. Gender transition of children with coexisting autism, developmental delay, or other mental health challenges is openly encouraged. Fertility concerns are downplayed or dismissed. The long-term harms of puberty blockers, cross-sex hormones, and irreversible surgeries are shunted aside.<\/p>\n\n\n\n

WPATH has been long considered the leading authority on the care and treatment of individuals with gender dysphoria, and is frequently cited by organizations like the American Medical Association, the American Academy of Pediatrics, the Endocrine Society, and the Canadian Pediatric Society as the basis for their policies of \u201cgender affirming care.\u201d WPATH, in turn, points to these organizations as lending credence to their own Standards of Care.<\/p>\n\n\n\n

It\u2019s the very definition of circular reasoning.<\/p>\n\n\n\n

Except that in this case it\u2019s a circular firing squad\u2014and it\u2019s kids who are taking the bullets. If that isn\u2019t wicked, I don\u2019t know what it is.<\/p>\n\n\n\n

Dr. J. Edward Les, M.D., is a pediatrician in Calgary and a senior fellow at the Aristotle Foundation for Public Policy<\/span><\/a>. <\/em><\/strong><\/p>\n\n\n

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<\/p>\n","protected":false},"excerpt":{"rendered":"

By Dr. J. Edward Les  The debate around childhood \u201cgender transition\u201d has become so toxic as to render calm and rational discussion nearly impossible. 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