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Transgender children Transgender children

11-05-2019 , 10:54 PM
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The fact that reinforcement operates to maintain or increase behavior is called the law of effect, and it is one of the very few laws in basic psychology. The bottom line is that we psychologists (and society at large) need to be clearer about how to simultaneously support victims without reinforcing a culture of victimhood. As psychotherapists know, it is a complicated and thin line.
https://www.psychologytoday.com/us/b...ic-sensitivity

Last edited by itshotinvegas; 11-05-2019 at 10:58 PM. Reason: granted, this is an opinion peice, so carries less weight....start sarcasm: odd a professor bringing up law of effect.
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11-05-2019 , 11:04 PM
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Originally Posted by Trolly McTrollson
I mean, you're not wrong about Ohio here. But when your hobby is getting punched in the face, I'd say you're on thin ground to be criticizing anyone else's pastimes.
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11-05-2019 , 11:10 PM
Grunching a little, did we get an opinion from itshot on whether kids can be conditioned into being hetero/homosexual?
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11-05-2019 , 11:26 PM
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Originally Posted by Max Cut
Grunching a little, did we get an opinion from itshot on whether kids can be conditioned into being hetero/homosexual?
You can do better. Children can be conditioned to be something they are not.

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Operant conditioning is based on the work of B. F. Skinner. Operant conditioning is a form of learning in which the motivation for a behavior happens after the behavior is demonstrated. An animal or a human receives a consequence after performing a specific behavior. The consequence is either a reinforcer or a punisher. All reinforcement (positive or negative) increases the likelihood of a behavioral response. All punishment (positive or negative) decreases the likelihood of a behavioral response. Several types of reinforcement schedules are used to reward behavior depending on either a set or variable period of time.

....

Remember, the best way to teach a person or animal a behavior is to use positive reinforcement.....

...

Remember, the best way to teach a person or animal a behavior is to use positive reinforcement. For example, Skinner used positive reinforcement to teach rats to press a lever in a Skinner box. At first, the rat might randomly hit the lever while exploring the box, and out would come a pellet of food. After eating the pellet, what do you think the hungry rat did next? It hit the lever again, and received another pellet of food. Each time the rat hit the lever, a pellet of food came out. When an organism receives a reinforcer each time it displays a behavior, it is called continuous reinforcement. This reinforcement schedule is the quickest way to teach someone a behavior, and it is especially effective in training a new behavior. Let’s look back at the dog that was learning to sit earlier in the chapter. Now, each time he sits, you give him a treat. Timing is important here: you will be most successful if you present the reinforcer immediately after he sits, so that he can make an association between the target behavior (sitting) and the consequence (getting a treat).

https://courses.lumenlearning.com/ws...-conditioning/
For something outdated, it's pretty much taught to all psychology students.

I mean, slot machines rely on this law, which the law led to the discovery of intermittent rewards....and for one of our resident narcissist, path of exile does too. Intermittent rewards drives compulsive behavior.

Last edited by itshotinvegas; 11-05-2019 at 11:32 PM.
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11-05-2019 , 11:30 PM
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Originally Posted by itshotinvegas
You can do better. Children can be conditioned to be something they are not.
Sorry, that's not clear to me. Do you think a homosexual can be conditioned to be heterosexual?
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11-05-2019 , 11:35 PM
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Originally Posted by Max Cut
Sorry, that's not clear to me. Do you think a homosexual can be conditioned to be heterosexual?
You are missing the nuance. They can be conditioned to say they are homosexual, or heterosexual. Tell me there is not a list a mile long of gay guys who don't come out to their parents. Kid's can and do live lies to placate their parents idealistic vision of them, good intentions, or not.

Last edited by itshotinvegas; 11-05-2019 at 11:46 PM.
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11-05-2019 , 11:50 PM
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Originally Posted by itshotinvegas
You can do better. Children can be conditioned to be something they are not.

Children isn’t really necessary in this sentence depending on the extremity of the conditioning. Sexuality and gender can’t be conditioned tho, that’s kind of our whole point.

Conditioning a heterosexual into a homosexual or a cisgender into a transgender is a much, much different conversation - and the one relevant here.

That’s probably where one of your (many) disconnects lie.

Edit: slow ponied.
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11-05-2019 , 11:57 PM
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Originally Posted by TimmayB
Children isn’t really necessary in this sentence depending on the extremity of the conditioning. Sexuality and gender can’t be conditioned tho, that’s kind of our whole point.

Conditioning a heterosexual into a homosexual or a cisgender into a transgender is a much, much different conversation - and the one relevant here.

That’s probably where one of your (many) disconnects lie.

Edit: slow ponied.
You've missed it, as well.

They can be conditioned to be something they are not. In other words, they can be conditioned to live a lie. This is not an issue of lack of clarity on my part.


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Would you let your child wear their Halloween consume to school every day? A little more provocative, what if the kid was goofing around, however the attention and response from the parent is desirable, and the kid keeps going along with it to please the parent.

I'm not saying letting a kid wear child's kid clothing it's abusive (or, that it should not be allowed by the parent), but you look at how a kid describes abuse, and they never say the word abuse, and they do not look at the parents behavior, negatively, even when talking to doctors.

A seven year old goofs around, and the parent indulges that, pretty soon the kid is trying to live according to an idealistic version of themselves, through their parents eyes, that originated from the kid goofing around. The kid may be continuing to embrace it simply because he thinks it makes his parents happy.

There is merit to the argument, "we will talk about that when you are older", because even well meaning support can be damaging. The mother is already talking about blocking puberty. That is a big tell that this is about her, not her kid. No way in hell are seven year olds, and most preteens, intimately familiar with themselves to know whether they are trans, and certainly not enough to know that you as a parent will support blocking puberty, years before that decision would be made.
It's a forgone conclusion, positive reinforcement will encourage kids to continue along the path of trans, even when they were not really serious, and will continue saying it due to the positive response from the parent. The law of effect.

You all keep missing this is about the kids who are not actually trans.

Last edited by itshotinvegas; 11-06-2019 at 12:10 AM.
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11-06-2019 , 12:01 AM
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Originally Posted by matt hirschhorn
I lol'd. Touche, sir.
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11-06-2019 , 01:01 AM
People should really read this:

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The most cult-like behavior I’ve seen in the trans community has been among the doctors and therapists.
https://medium.com/@mariacatt42/advi...s-9a3e34a2e5ba
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11-06-2019 , 01:59 AM
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Originally Posted by itshotinvegas
People should really read this:

Quote:
The most cult-like behavior I’ve seen in the trans community has been among the doctors and therapists.
https://medium.com/@mariacatt42/advi...s-9a3e34a2e5ba
As a programmer, I am very familiar with medium and it is an excellent forum with excellent articles, and this is one of them. A caveat to that is that the author never explicitly states that a teen should not transition, but lays out thoughtful ways a trans teen, or a trans person of any age for that matter, can navigate life, which is a really impactful message.

That said, I am growing tired of mh in this thread and his incessant posts. Imho, itshotinvegas and Abbaddabba are examples of opposing opinions, although tasteless at times, that strengthen our own. But mh is just a disruptive pos missing several chromosomes. I have never witnessed someone take such a massive beating and continue to, in his own ignorance, refuse to change and stick around even though no one, at least to my understanding, wants him here. I think it best, for my own sanity, to leave this thread until he is either perma-banned or leaves on his own accord, not that anyone needs or wants me to stay. I know to a high degree I am being hypocritical, since others have stated that people have been un-perma-banned and I, more or less, said it made sense because opposing ideas were important, and I accept that criticism. Nevertheless, I believe this is a good decision for me and am going to move forward with it as he adds nothing to the conversation, and continues to double down in his ignorance from what I can only imagine is some form of emotional fragility. It was great conversing and debating with all of you, I have learned a lot from everyone and grown as a person from the interactions I have had here. Hope yall have a good one.
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11-06-2019 , 02:34 AM
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Originally Posted by itshotinvegas
You've missed it, as well.

They can be conditioned to be something they are not. In other words, they can be conditioned to live a lie. This is not an issue of lack of clarity on my part.




It's a forgone conclusion, positive reinforcement will encourage kids to continue along the path of trans, even when they were not really serious, and will continue saying it due to the positive response from the parent. The law of effect.

You all keep missing this is about the kids who are not actually trans.
OK, as much as you want to try to say that you're not talking specifically about Luna in a thread about Luna, get to the point of the subject of this thread. Do you think that Luna is being conditioned to be something that she is not, and what is your evidence of this, or, if you don't think that your immense verbiage about child conditioning is applicable to the OP, why the hell are you blabbing so much?
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11-06-2019 , 03:51 AM
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Originally Posted by wiiziwiig
As a programmer, I am very familiar with medium and it is an excellent forum with excellent articles, and this is one of them. A caveat to that is that the author never explicitly states that a teen should not transition, but lays out thoughtful ways a trans teen, or a trans person of any age for that matter, can navigate life, which is a really impactful message.

That said, I am growing tired of mh in this thread and his incessant posts. Imho, itshotinvegas and Abbaddabba are examples of opposing opinions, although tasteless at times, that strengthen our own. But mh is just a disruptive pos missing several chromosomes. I have never witnessed someone take such a massive beating and continue to, in his own ignorance, refuse to change and stick around even though no one, at least to my understanding, wants him here. I think it best, for my own sanity, to leave this thread until he is either perma-banned or leaves on his own accord, not that anyone needs or wants me to stay. I know to a high degree I am being hypocritical, since others have stated that people have been un-perma-banned and I, more or less, said it made sense because opposing ideas were important, and I accept that criticism. Nevertheless, I believe this is a good decision for me and am going to move forward with it as he adds nothing to the conversation, and continues to double down in his ignorance from what I can only imagine is some form of emotional fragility. It was great conversing and debating with all of you, I have learned a lot from everyone and grown as a person from the interactions I have had here. Hope yall have a good one.
One of my best friends is missing a chromosome, and even though he is exceptionally bright, the condition creates chemical imbalances that require monthly injections. Fine to criticize MH, but not sure using a real-life serious condition is a great rhetorical device in which to do so. For example, I've heard conservatives use the term "libtard", which is demeaning to mentally challenged persons.
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11-06-2019 , 04:14 AM
Quote:
Originally Posted by wiiziwiig
As a programmer, I am very familiar with medium and it is an excellent forum with excellent articles, and this is one of them. A caveat to that is that the author never explicitly states that a teen should not transition, but lays out thoughtful ways a trans teen, or a trans person of any age for that matter, can navigate life, which is a really impactful message.

That said, I am growing tired of mh in this thread and his incessant posts. Imho, itshotinvegas and Abbaddabba are examples of opposing opinions, although tasteless at times, that strengthen our own. But mh is just a disruptive pos missing several chromosomes. I have never witnessed someone take such a massive beating and continue to, in his own ignorance, refuse to change and stick around even though no one, at least to my understanding, wants him here. I think it best, for my own sanity, to leave this thread until he is either perma-banned or leaves on his own accord, not that anyone needs or wants me to stay. I know to a high degree I am being hypocritical, since others have stated that people have been un-perma-banned and I, more or less, said it made sense because opposing ideas were important, and I accept that criticism. Nevertheless, I believe this is a good decision for me and am going to move forward with it as he adds nothing to the conversation, and continues to double down in his ignorance from what I can only imagine is some form of emotional fragility. It was great conversing and debating with all of you, I have learned a lot from everyone and grown as a person from the interactions I have had here. Hope yall have a good one.
Looking forward to seeing your polling data, sir.
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11-06-2019 , 04:20 AM
Quote:
Originally Posted by wiiziwiig
As a programmer, I am very familiar with medium and it is an excellent forum with excellent articles, and this is one of them. A caveat to that is that the author never explicitly states that a teen should not transition, but lays out thoughtful ways a trans teen, or a trans person of any age for that matter, can navigate life, which is a really impactful message.

That said, I am growing tired of mh in this thread and his incessant posts. Imho, itshotinvegas and Abbaddabba are examples of opposing opinions, although tasteless at times, that strengthen our own. But mh is just a disruptive pos missing several chromosomes. I have never witnessed someone take such a massive beating and continue to, in his own ignorance, refuse to change and stick around even though no one, at least to my understanding, wants him here. I think it best, for my own sanity, to leave this thread until he is either perma-banned or leaves on his own accord, not that anyone needs or wants me to stay. I know to a high degree I am being hypocritical, since others have stated that people have been un-perma-banned and I, more or less, said it made sense because opposing ideas were important, and I accept that criticism. Nevertheless, I believe this is a good decision for me and am going to move forward with it as he adds nothing to the conversation, and continues to double down in his ignorance from what I can only imagine is some form of emotional fragility. It was great conversing and debating with all of you, I have learned a lot from everyone and grown as a person from the interactions I have had here. Hope yall have a good one.
I can certainly relate to the bolded. Know for sure that I'm not NEEDED here, and pretty likely that almost nobody WANTS me here.

Yet, here I am.....
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11-06-2019 , 04:49 AM
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Originally Posted by matt hirschhorn
I want to ask you something, is the brain on fire hypothesis talked about a lot in your field? Specifically, it's correlation with depression?
I don't know what this hypothesis is, but if it's referencing the movie I just googled, then yes, anti-NMDA receptor encephalitis is a thing. Not common but certainly a possible cause of psychiatric symptoms.

Quote:
Originally Posted by itshotinvegas
Your response to if a drug was safe, was entirely based on what another doctor said. No research, no education, no nothing other than what fellow doctors said.
I'm not really sure why you think this to be true. First, I said that the endocrinologist gave a talk on the subject. In medicine, that's understood to not just be chit chat in the office, but instead it's a presentation which reviews the evidence and current state of clinical practice.

Second, I explicitly stated that I also had done my own research in the past.

I'm almost curious why you also included in this post a description of what a psychiatrist and psychologist are, but since this is the second time in this thread where you've made up what I said, I don't think I actually care.
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11-06-2019 , 05:52 AM
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Originally Posted by ganstaman
The whole point of being a doctor and actually studying this stuff is so we can not only interpret the research but also apply what is known to figure out the best we can what to do in an area which is not well known. Endocrinology is not my field so I certainly don't know enough about pubertal blockers and pubertal hormones, but the endocrinologists who do deal with this feel they are relatively safe medications.
And for context...a post preceding the one above:

Quote:
Originally Posted by ganstaman
There's very little downside to pubertal blockers, at least until some age. Once stopped, the body should get back on track as if we hadn't intervened.
Yeah....I'm still waiting for which research led you to believe there is little downside risk, for off label use, non-FDA approved treatment, and is classified as experimental, that led to this response, where you essentially passed the buck. Your entire argument can be summed up as, I'm a doctor, or they are a doctor trust me/them.

Last edited by itshotinvegas; 11-06-2019 at 06:16 AM.
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11-06-2019 , 06:04 AM
https://www.fda.gov/patients/learn-a...ed-drugs-label

Odd, you can't answer some questions the FDA recommends when a doctor suggest off-label use..

Especially when you have stuff like this:

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"We've moved beyond thinking of puberty as simply raging hormones," says Carol Worthman, professor of anthropology at Emory University. "Major advances in understanding of brain development clearly show that the sociological and psychological impacts during puberty are just as important as the hormones."
https://www.eurekalert.org/pub_relea...-tio031419.php
But we have doctors wanting to halt it, so there is potential to modify it.

Last edited by itshotinvegas; 11-06-2019 at 06:33 AM.
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11-06-2019 , 12:15 PM
Quote:
Originally Posted by itshotinvegas
And for context...a post preceding the one above:



Yeah....I'm still waiting for which research led you to believe there is little downside risk, for off label use, non-FDA approved treatment, and is classified as experimental, that led to this response, where you essentially passed the buck. Your entire argument can be summed up as, I'm a doctor, or they are a doctor trust me/them.
Ever get around to telling us your medical school background?
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11-06-2019 , 12:40 PM
[QUOTE=ganstaman;55574890]I don't know what this hypothesis is, but if it's referencing the movie I just googled, then yes, anti-NMDA receptor encephalitis is a thing. Not common but certainly a possible cause of psychiatric symptoms.


My question is do you think a decent percentage of the population that suffers from depression is just stemming from elevated systemic inflammation?

Also, people suffering from depression have higher markers of c-reactive protein and IL-6 by up to 50%. Obviously this is just a association, but.

There have been studies of individuals injected with lipopolysaccharide (endotoxin)/ interferon gamma (cytokine)/ or placebo (saline water), and depressive symptoms resulted in the endotoxin/cytokine group, but not in the placebo group. Also, I don't think this information is getting out to the public like it should.
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11-06-2019 , 12:44 PM
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Originally Posted by master3004
Ever get around to telling us your medical school background?
I'm perfectly fine with this. If you don't have a medical school background, you can't post anything in politics and society.
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11-06-2019 , 01:20 PM
Quote:
Originally Posted by itshotinvegas
Yeah....I'm still waiting for which research led you to believe there is little downside risk, for off label use, non-FDA approved treatment, and is classified as experimental, that led to this response, where you essentially passed the buck. Your entire argument can be summed up as, I'm a doctor, or they are a doctor trust me/them.
Here's the thing -- I don't actually care about convincing you. I don't have the time to dedicate to this forum to get into what will inevitably be a long drawn-out discussion requiring lots of research, reading and interpreting studies. It can often be hard to fully understand even a single study without being well-versed in the background that led to that study. You've already twice made up what I've said so I can't even expect that this will be an honest discussion.

The research is certainly out there if anyone else wants to get into this. And others here who already trust me may appreciate the information.

Quote:
Originally Posted by matt hirschhorn
My question is do you think a decent percentage of the population that suffers from depression is just stemming from elevated systemic inflammation?

Also, people suffering from depression have higher markers of c-reactive protein and IL-6 by up to 50%. Obviously this is just a association, but.

There have been studies of individuals injected with lipopolysaccharide (endotoxin)/ interferon gamma (cytokine)/ or placebo (saline water), and depressive symptoms resulted in the endotoxin/cytokine group, but not in the placebo group. Also, I don't think this information is getting out to the public like it should.
There's certainly does appear to be a correlation between general inflammation and psychiatric disorders. However the studies trying to use various anti-inflammatories really aren't all that convincing. I think this would get out to the general public more if we could be more sure that it actually worked especially compared to current treatments. There are a lot of associations that can be made between various lab test and scans with psychiatric disorders, but none are really leading us to as of yet worthwhile treatments.
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11-06-2019 , 01:32 PM
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Originally Posted by ganstaman


There's certainly does appear to be a correlation between general inflammation and psychiatric disorders. However the studies trying to use various anti-inflammatories really aren't all that convincing. I think this would get out to the general public more if we could be more sure that it actually worked especially compared to current treatments. There are a lot of associations that can be made between various lab test and scans with psychiatric disorders, but none are really leading us to as of yet worthwhile treatments.
Alright, thanks. Actually I have one more question. What does the newest research on OCD (Obsessive compulsive disorder) say? + are there any new treatments for it? Also, Have you heard of inositol? Do you have an opinion on it being used for ocd?

Last edited by tul6700; 11-06-2019 at 01:48 PM.
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11-06-2019 , 02:12 PM
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Originally Posted by ganstaman
Here's the thing -- I don't actually care about convincing you.
That is your perogative. You've said some stuff that flies in the face of all research I've read. Being a doctor is not a rebuttal to a challenge about what you've said. When you said little down side , and the internet is full of articles from reputable news outlets that has doctors saying the risk is unknown....and you have countless people saying they really don't know how this stuff will affects you until you do it....

Quote:


https://www.pbs.org/wgbh/frontline/a...wn-and-unknown

However, the use of puberty blockers to treat transgender children is what’s considered an “off label” use of the medication — something that hasn’t been approved by the Food and Drug Administration. And doctors say their biggest concern is about how long children stay on the medication, because there isn’t enough research into the effects of stalling puberty at the age when children normally go through it.

The answer to the question is, there is no research that tells you there is little down side....you being a doctor does not change that.
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11-06-2019 , 02:52 PM
For people who want a doctor's perspective, and will lay it out:

Quote:
Growing Pains Problems with Puberty Suppression in Treating Gender Dysphoria



The use of puberty suppression and cross-sex hormones for minors is a radical step that presumes a great deal of knowledge and competence on the part of the children assenting to these procedures, on the part of the parents or guardians being asked to give legal consent to them, and on the part of the scientists and physicians who are developing and administering them.


We frequently hear from neuroscientists that the adolescent brain is too immature to make reliably rational decisions, but we are supposed to expect emotionally troubled adolescents to make decisions
about their gender identities and about serious medical treatments at the age of 12 or younger. And we are supposed to expect parents and physicians to evaluate the risks and benefits of puberty suppression, despite the state of ignorance in the scientific community about the nature of gender identity.

The claim that puberty-blocking treatments are fully reversible makes them appear less drastic, but this claim is not supported by scientific evidence. It remains unknown whether or not ordinary sex-typical pubertywill resume following the suppression of puberty in patients with gender dysphoria. It is also unclear whether children would be able to develop normal reproductive functions if they were to withdraw from puberty suppression. It likewise remains unclear whether bone and muscle development will proceed normally for these children if they resume puberty as their biological sex. Furthermore, we do not fully understand the psychological consequences of using puberty suppression to treat young people with gender dysphoria.

More research is needed to resolve these unanswered questions. At the same time, research into how and why gender dysphoria occurs, persists, and desists must also continue, as it could elucidate new ways to help people cope with gender dysphoria with less permanent and drastic treatments than sex reassignment.

In light of the many uncertainties and unknowns, it would be appropriate to describe the use of puberty-blocking treatments for gender dysphoria as experimental. And yet it is not being treated as such by the medical community. Over the course of decades, experimental medicine has developed many norms, standards, and protocols, including human subjects protections, the use of institutional review boards, and carefully controlled clinical trials, as well as long-term follow-up studies. These longstanding practices are meant to make experimental medicine more
rigorous and to serve the interests of patients, physicians, and the community. But when it comes to the use of puberty-blocking treatments for gender dysphoria, these standards and protocols seem to be almost entirely absent—a fact that ill serves patients, physicians, the community, and the search for truth. Physicians should be cautious about embracing experimental therapies in general, but especially those intended for children, and should particularly avoid any experimental therapy that has virtually no scientific evidence of effectiveness or safety. Regardless of the good intentions of the physicians and parents, to expose young people to such treatments is to endanger them.

While there is much that is not known with certainty about gender dysphoria, there is clear evidence that patients who identify as the opposite sex often suffer a great deal. They have higher rates of anxiety, depression, and even suicide than the general population. Something must be done to help these patients, but as scientists struggle to better understand what gender dysphoria is and what causes it, it would not seem prudent to embrace hormonal treatments and sex reassignment as the foremost therapeutic tools for treating this condition.

https://www.transgendertrend.com/wp-...ayerMcHugh.pdf


Quote:
Lawrence S. Mayer, M.B., M.S., Ph.D. is a scholar in residence in the Department of Psychiatry at the Johns Hopkins University School of Medicine and a professor of statistics and biostatistics at Arizona State University.

He is a biostatistician and epidemiologist who focuses on the design, analysis, and interpretation of experimental and observational data in public health and medicine, particularly when the data are complex in terms of underlying scientific issues.


Paul W. Hruz, M.D., Ph.D. Hruz
Associate Professor of Pediatrics, Cell Biology & Physiology
Associate Professor of Pediatrics, Endocrinology and Diabetes

Paul Rodney McHugh (born 1931) is an American psychiatrist, researcher, and educator. He is University Distinguished Professor of Psychiatry at the Johns Hopkins University School of Medicine[1] and the author, co-author, or editor of seven books within his field.
It's clear to me, the only people who want to elaborate on the risk, are people who are concerned with this course of treatment.

Last edited by itshotinvegas; 11-06-2019 at 03:10 PM.
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