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via Lefteris Pitarakis, Associated Press |
After all, Ms. Rowling is a fantasy fiction writer. She has no training in medicine or behavioral health. Rowling has created a fuss because of her celebrity status in contrast to anything passing for erudition. She should save the fantasy fiction for Harry Potter.
Selected tweets
Many health professionals are concerned that young people struggling with their mental health are being shunted towards hormones and surgery when this may not be in their best interests. 4/11— J.K. Rowling (@jk_rowling) July 5, 2020
No one is being “shunted” into anything (shunt means shoved). Gender-affirming care requires the consent of the patient, their parents and multiple doctors. It is common among anti-trans agitators to suggest that people are being evilly influenced.
Many, myself included, believe we are watching a new kind of conversion therapy for young gay people, who are being set on a lifelong path of medicalisation that may result in the loss of their fertility and/or full sexual function. 5/11— J.K. Rowling (@jk_rowling) July 5, 2020
Rowling refers to “young” people which is ambiguous. If she is writing about children, they are a long way from cross-sex hormones. Prepubescent kids receive no medications. Just upon entering puberty (Tanner stage 2), children might receive puberty blockers which are fully reversible. In later teens, they might receive hormones.
Yes, cross-sex hormones might cause adverse side effects; something that no one denies. Again, the patient, parents and doctors must reach a consensus that the benefits outweigh the risks. The bottom line is that adolescents do remarkably well with their gender affirmed. Absent affirmation, the potential for self-harm skyrockets.
“Dr.” Rowling doesn't seem to offer any alternatives. Does she propose to talk people out of their gender dysphoria?
As I’ve said many times, transition may be the answer for some. For others, it won’t – witness the accounts of detransitioners.— J.K. Rowling (@jk_rowling) July 5, 2020
“The system sees surgery as the easy fix to girls who do not conform.”
https://t.co/cr1Zi4JnWR 7/11
What I do know is that it is difficult to qualify for surgery (in the U.S.). It requires approvals from two behavioral health specialists, the surgeon and the hospital. Candidates must be adults who demonstrate a complete understanding of reasonable expectations and must have lived as their gender for at least one year (“real life experience”).
The long-term health risks of cross-sex hormones have been now been tracked over a lengthy period. These side-effects are often minimised or denied by trans activists.https://t.co/fpIxW34AWr— J.K. Rowling (@jk_rowling) July 5, 2020
9/11
Hormones are administered by endocrinologists and require fully informed consent. If Rowling is referring to minors then informed consent includes parental consent.
Carl Henegan, professor of evidence-based medicine at Oxford University, has described the off-label use of puberty blockers on under-18s as an ‘unregulated live experiment on children’. https://t.co/dDAqENLXor— J.K. Rowling (@jk_rowling) July 5, 2020
10/11
There are significant problems with how the evidence for Gender-affirming cross-sex hormone has been collected and analysed that prevents definitive conclusions to be drawn. Similar to puberty blockers, the evidence is limited by small sample sizes; retrospective methods, and loss of considerable numbers of patients in the follow-up period.
The above appeared in a blog in contrast to a peer-reviewed academic journal but he makes a point that more research is necessary. In the United States, the Endocrine Society (the oldest medical peer organization in the country) recommends these interventions.
As does the Pediatric Endocrine Society. As does Dr. Jack Turban, one of the nation's leading experts on juvenile gender dysphoria. Dr. Turban is associated with Harvard Medical School and Mass General. Let's not forget the American Academy of Pediatrics, a proponent of the gender-affirming care model.
There does not exist some vast sinister conspiracy to mislead people.
None of that may trouble you or disturb your belief in your own righteousness. But if so, I can’t pretend I care much about your bad opinion of me. 11/11— J.K. Rowling (@jk_rowling) July 5, 2020
There are qualified outliers with divergent views of gender-affirming care. There is nothing wrong with considering their opinions.
Mis. Rowling, however, is not qualified and she is indulging in selective observation. It is not often but, from time to time, I have had the privilege of speaking with parents. I listen far more than I speak. My advice is always the same: Adhere to the best available medical science. Doing so offers the best odds of success.
People who investigate transgender care should start with the Standards of Care published by WPATH. That can be augmented with published studies. “Published” means articles that appear in reputable academic journals that engage in the rigorous peer review of submissions.
In conclusion, J.K. Rowling doesn't seem to appreciate the absence of an alternative. The aforementioned Jack Turban and a team of highly qualified researchers have determined that any exposure to gender identity conversion therapy has the potential to cause lifelong adverse mental health consequences. That paper was published to the Journal of the American Medical Association as opposed to tweets or blog posts.
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