As working with people with gender dysphoria requires a different model of understanding, it remains legitimate to listen, assess, explore, wait, watch development, offer skilled support, deal with co-morbidities and prior traumas, and consider use of a variety of models of care. While respecting individuals’ right to a different viewpoint, it is neither mandatory to affirm their beliefs nor automatic that transition is the goal, particularly when dealing with children, adolescents and young adults. These risk closing the ‘open future’, as well as life-long physical problems including lack of sexual function, infertility and medical dependency. With 85% desistance amongst referred transgender children (8) and increasing awareness of detransitioning (9, 10), unquestioning ‘affirmation’ as a pathway that leads gender dysphoric patients to irreversible interventions cannot be considered sole or best practice.
More good-quality research trials are required to provide reliable evidence of clinical and cost-effectiveness of a range of approaches, including patient selection. These will surely include exploration of underlying unhappiness with the goal of achieving body/mind reintegration. In contrast to previous medical scandals that pathologised homosexuality, something different may be happening here. In effect, transitioning children who would otherwise have grown up lesbian, gay or bisexual may introduce another form of conversion (6). A well intentioned but permanent medical pathway for all is unlikely to achieve the best long-term outcomes. Confirming disgust in natal sex or external sexual organs, especially for those with prior childhood trauma, risks medical collusion with, or reenacting of, abuse.
Source: Safeguarding adolescents from premature, permanent medicalisation | The BMJ
A recent High Court case has found that a tax debt of one spouse can be shifted to another during a divorce property settlement, which lawyers say is unprecedented and could leave the richer spouse with the debts of their former partner.
www.abc.net.au/news/2019-01-21/what-is-mine-is-yours-until-taxes-do-us-part/10726020 [category Aust, inequity]
Pope Francis said on Tuesday that the Roman Catholic Church had faced a persistent problem of sexual abuse of nuns by priests and even bishops, the first time he has publicly acknowledged the issue.
Catholic nuns have accused clerics of sexual abuse in recent years in India, Africa, Latin America and in Italy, and a Vatican magazine last week mentioned nuns having abortions or giving birth to the children of priests. But Francis has never raised the issue until he was asked to comment during a news conference aboard the papal plane returning to Rome from his trip to the United Arab Emirates.
www.nytimes.com/2019/02/05/world/europe/pope-nuns-sexual-abuse.html [category global, sexual violence]
Feminists who believe that transgender women are still men should not be barred from speaking at universities because their views do not break the law, students have been told.
A 51-page set of guidelines also informs students that views that “offend, shock or disturb others” are not grounds to prevent someone expressing them. Concerns have been raised that free speech at universities is being restricted because groups have deemed that some opinions are too offensive to be heard or amount to hate speech.
www.thetimes.co.uk/article/students-told-not-to-ban-speakers-for-transphobia-vq3vctl8j [category global, trans]