Advertisement
If you have a new account but are having problems posting or verifying your account, please email us on hello@boards.ie for help. Thanks :)
Hello all! Please ensure that you are posting a new thread or question in the appropriate forum. The Feedback forum is overwhelmed with questions that are having to be moved elsewhere. If you need help to verify your account contact hello@boards.ie

World Professional Association for Transgender Health (WPATH) Files

Options
1356735

Comments

  • Registered Users Posts: 365 ✭✭Gentlemanne


    If this report reveals that trans people aren't getting the adequate healthcare they need, then I agree we should work on improving that standard :^)



  • Registered Users Posts: 8,145 ✭✭✭ceadaoin.


    "Benign or non cancerous growths". In the instances referenced in the files, they were cancerous (hepatocarcinoma). Bit different. I'm sure you know that liver cancer is a fatal diagnosis for most people and there are known links with testosterone levels.

    I actually do think that loads of women aren't informed or aware of the potentially serious side effects of taking the pill. But that doesn't really have anything to do with children being given experimental treatment off label with no knowledge of long term effects does it?



  • Registered Users Posts: 157 ✭✭billgibney


    But not one of them have changed their sex.

    Imagine the cocktail of drugs needed for a man to produce milk and then throw Viagra into the mix.

    Nobody with an ounce of responsibility could say the milk produced was good for babies.

    Nothing to do with trans but with child protection.



  • Registered Users Posts: 16,161 ✭✭✭✭Grayson


    Yep. And there's very little in original post. I went to the page that was linked in the tweet in the OP.

    There's a number of articles such as their executive summary which don't actually reference or quote anything.

    And then there's the excerpts document. https://static1.squarespace.com/static/56a45d683b0be33df885def6/t/65e6daabe13bf54cc3c829f3/1709628077018/U_WPATHExcerpts.pdf


    That's a series of quotes. Some are anecdotal. None provide any context. None are cross linked back to the original source.

    The "original source" is this. https://static1.squarespace.com/static/56a45d683b0be33df885def6/t/65e6d9bea9969715fba29e6f/1709627904275/U_WPATH+Report+and+Files.pdf


    The document is crazy to put it mildly. All the original documents they reference are in screenshots at the end. So it's not searchable.

    they also make huge leaps. In one part, page 47-48, they take quotes from people working with trans people who say that transitioning really helps the mental health of trans people. They then claim that the people are saying they can cure schizophrenia by getting someone to transition. The quotes they use don't support their assumptions. Someone saying that transitioning helps a trans persons mental health is not the same as saying that it cures all mental illnesses. But that's what they say

    Numerous studies indicate that many adolescents experiencing adolescent-onset gender dysphoria suffer from multiple psychiatric comorbidities that pre-date the onset of distress about their sex.201,202,203,204 Detransitioner testimony supports the hypothesis that some mentally distressed people could be drawn to self-diagnosing as transgender after being led to believe that sex-trait modification procedures are a miracle cure for all their psychological suffering.................

    ...................................

    .................Suggesting that hormonal and surgical sex-trait modification interventions can improve depression, PTSD, and even schizophrenia is a breach of the requirement to present accurate information to the patient when obtaining informed consent. It is akin to a cosmetic surgeon telling a patient that a nose job is the remedy for depression or breast augmentation is the cure for bipolar disorder.


    Nothing they say supports this. I've read only a few pages but it's all along those lines. Take something and make a huge leap in logic.



  • Registered Users Posts: 4,539 ✭✭✭Shoog


    Child protection involves giving the treatment their doctor prescribed, and if that is for gender dymorphism puberty blockers and transitioning are treatments qualified doctors commonly prescribe.

    To deny such treatments is a child protection issue.



  • Advertisement
  • Registered Users Posts: 157 ✭✭billgibney


    You obviously didn't read my post

    I didn't mention any of the things you mentioned.

    Read it slowly and come back to me.



  • Registered Users Posts: 39,753 ✭✭✭✭Boggles


    "Benign or non cancerous growths". In the instances referenced in the files, they were cancerous (hepatocarcinoma).

    What page is that on?



  • Registered Users Posts: 365 ✭✭Gentlemanne


    It does matter and the fact you're not able to understand why proves you really only care about this as an angle to attack trans people.

    I'm assuming you mean puberty blockers by "experimental treatment off label with no knowledge of long term effects" since that's exclusively what minors receive. Children with precocious puberty take them too, it's hardly off-label or experimental. Unless you're a medical professional familiar with these drugs the language you're using is purely emotional.

    It might seem a radical position here but I actually trust doctors and families to make this decision for children in a very tough spot, over the anti-trans cohort who love making it even tougher for those children under the guise of advocacy.



  • Registered Users Posts: 20,929 ✭✭✭✭Ash.J.Williams


    There is a lot on this topic not to be taken seriously



  • Registered Users Posts: 8,145 ✭✭✭ceadaoin.


    It is off label, they aren't approved for that purpose. There's already been a class action lawsuit against a drug company by women given blockers to delay their precocious puberty and who suffered all kinds of ill effects in adulthood. And they went through puberty, there is zero evidence about the long term effects of stopping the natural puberty process and replacing it with a cocktail of synthetic cross sex hormones.



  • Advertisement
  • Moderators, Sports Moderators Posts: 25,828 Mod ✭✭✭✭Podge_irl


    Sounds very anecdotal and far from clinical or scientific.

    This is the increasingly prevalent consensus on current treatment methods also. This is why English, Finnish, Sweden and some others who have conducted systemic reviews have generally rowed back on following WPATH guidance. Not because they think it is necessarily wrong, just that it lacks the evidential basis required of other medical treatments.

    Generally speaking, it takes two sides to fight a culture war. There is a lot of heat and not much light often brought to the discussion, but the need for some systemic and properly controlled testing seems pretty clear.



  • Moderators, Sports Moderators Posts: 25,828 Mod ✭✭✭✭Podge_irl


    it's hardly off-label

    It is, quite literally, off-label and not advised by the manufacturer.

    I (largely) trust doctors too. But there is a standard of evidence expected of medical treatments.



  • Moderators, Science, Health & Environment Moderators Posts: 18,146 Mod ✭✭✭✭CatFromHue


    Chemotherapy is very useful in treating cancer but I wouldnt put much faith in it to treat a broken leg so the application the treatment is being used for is important.

    Using a puberty blocker for gender dysphoria is a different application than for precocious puberty. In one there is a biological need and the patient comes off the drug so as to have their puberty at a "normal" age. In the other the patient is going on the drug at the age their "normal" puberty starts and stays on indefinitely. In one puberty happens in the other it doesn't so you shouldn't compare them. There is a very good reason any health body that has done a systematic review has moved their use in gender dysphoria back to an experimental only setting as they've gone through the experimental stage to show they're safe and effective to use for that application.

    As I've posted earlier in this thread the issue of consent here is a problem as going on a blocker is a life altering decision which has long term consequences. Children and adolescents aren't allowed to make such long term decisions in other aspects of their life as they're just not able to as they're children and adolescents. Members of the WPATH in these files are openly talking about how these kids just don't understand the consequences of this treatment. How can they consent if everyone knows they haven't a clue what they're doing?



  • Registered Users Posts: 82,016 ✭✭✭✭Overheal


    I actually do think that loads of women aren't informed or aware of the potentially serious side effects of taking the pill.

    Misogyny?



  • Registered Users Posts: 8,310 ✭✭✭Quantum Erasure


    Sounds like you mean ... religious indoctrination

    That's what it looks like all-right, reading some of the responses here



  • Registered Users Posts: 6,913 ✭✭✭timmyntc


    Posts like this are why boards is dying. You and I and everyone else knows full well that post was not in the slightest bit misogynistic. The pill is prescribed to women, so the only group of people who possibly could be uninformed about it's prescription to them, is... Wait for it... Women!



  • Registered Users Posts: 7,064 ✭✭✭volchitsa


    The problem there is your circular logic: the REASON why puberty blockers and transitioning have become a standard treatment is BECAUSE of advice from WPATH. That advice was supposedly based on the best evidence available.

    The leaked documents show that people involved with WPATH knew that wasn't true, and that the scientific basis was actually very weak. This matters all the more because puberty blockers have never been properly tested for teenagers with gender dysphoria, and are given off licence as experimental treatments. Not Best Medical Evidence, as would normally be expected.



  • Registered Users Posts: 8,145 ✭✭✭ceadaoin.


    What? Only in the sense that medical professionals aren't informing women of these risks and often brush off any concerns and symptoms raised. Same old.

    Constantly using tropes like "pearl clutching", and insinuating that women raising concerns are hysterical maude Flanders won't someone think of the children types is certainly coming from a place of not really liking women though. As is lecturing us about our own bodily functions and hormones that you clearly know nothing about. Hope that helps.



  • Registered Users Posts: 39,753 ✭✭✭✭Boggles


    Only in the sense that medical professionals aren't informing women of these risks

    Have you citation for this claim?



  • Registered Users Posts: 411 ✭✭Enter name here


    A better solution for these people suffering would be this site.

    https://www.wpanet.org/



  • Advertisement
  • Registered Users Posts: 4,539 ✭✭✭Shoog




  • Registered Users Posts: 8,145 ✭✭✭ceadaoin.


    Well aside from my actual experience. Here is one

    https://pubmed.ncbi.nlm.nih.gov/30031980/#:~:text=At%20the%20same%20time%2C%20research,dissatisfaction%20may%20undergird%20these%20patterns.


    Although women in the United States use birth control at high rates, they also discontinue it at high rates, often citing dissatisfaction and side effects. At the same time, research shows that clinicians often neglect to discuss or discursively downplay the importance of side effects in contraceptive counseling. 


    And another


    And another




  • Registered Users Posts: 8,145 ✭✭✭ceadaoin.


    I should have said they aren't "BEING informed or MADE aware" of the side effects to make it super duper clear what I meant. Still wouldn't have stopped certain people trying to wilfully misinterpret for some failed attempt at a gotcha moment though I'm sure



  • Registered Users Posts: 4,539 ✭✭✭Shoog


    A doctor will highlight the main potential side effects for any medicine.

    They will not list the sometimes dozens of rarer side effects that can occur. All medicines have full disclosure of all potential side effects within their packaging.



  • Registered Users Posts: 7,064 ✭✭✭volchitsa


    Oh look, a man telling a woman she‘s wrong about her own medical experience. Even when links to studies saying the exact same thing have been provided.

    It's quite funny in a way.



  • Registered Users Posts: 16,161 ✭✭✭✭Grayson


    The leaked documents don't show that WPATH knew it wasn't true.

    Earlier I actually went and started reading the document that was released with the leaks. I even linked it. Please show me in that document exactly where they state that they knew they weren't working on best evidence. Because if you can't do that, then you're just repeating what others have told you.



  • Registered Users Posts: 3,135 ✭✭✭Hamsterchops


    Glad you posted this, although as you alluded to, with the wokeism of the day being so pervasive don't expect too much shock or amazement at the findings ......

    Some countries like Ireland, New Zealand, Canada, OZ and certain US States are so embroiled & signed-up to the ideology, that no matter what is revealed re kids puberty blockers & "corrective" surgeries, people will still blame the report and not the practice.

    Good luck with this thread.



  • Registered Users Posts: 39,753 ✭✭✭✭Boggles


    According to what I could access of that, it basically states some clinicians do not dwell on rare side effects for healthy women.

    Which is perfectly reasonable and makes sense, if Doctors started ranting and raving about the rare side effects of Paracetamol no one would take it.



  • Moderators, Science, Health & Environment Moderators Posts: 18,146 Mod ✭✭✭✭CatFromHue


    Best evidence shows that children and adolescents can't make long term life changing decisions. I've linked it here already that the Doctors here are encountering this and still continuing. Remember in the latest standards of care the WPATH removed many min age limits for various treatments.

    Best evidence is that detransition exists and for most other treatments you'd study where they went wrong to improve the service.

    acknowledgment that de-transition exists even to a minor extent is considered off limits for many in our community,” WPATH President Marci Bowers 

    Then there's also stuff like this

    I’m missing why you are perplexed… The mere presence of psychiatric illness should not block a person’s ability to start hormones if they have persistent gender dysphoria, capacity to consent, and the benefits of starting hormones outweigh the risks…So why the internal struggle as to ‘the right thing to do?’” Dr. Dan Karasic, lead author of WPATH Standards of Care 8 mental health chapter

    “It would be great if every patient could be perfectly cleared prior to every surgical intervention, but at the end of the day it is a risk/benefit decision…if the patient can’t follow the dilation schedule, they may lose depth, but as long as they’re capable of making that decision of sound mind while informed of the risks, then that may be all you can do.” Doctor

    So you've one doctor saying as long as they're of sound mind the patient knows the risks what happens is down to them and another doctor saying it shouldn't matter if they've psychiatric illness, which I would have thought would limit their capacity to consent.

    I've said already this is pointing out that trans healthcare is sub standard and improving it only benefits trans people.



  • Advertisement
  • Registered Users Posts: 16,161 ✭✭✭✭Grayson


    Except you're wrong. Best evidence shows that teens can make those decisions. Plus you're ignoring the other stuff in that file where they said they wouldn't do anything without parental consent. That's the important thing there. They need a referral from a psychologist and parental consent before any treatment begins. So you're deliberately phrasing it in such a way to imply that there's no medical review and no parental consent needed.

    Psychiatric illness should not be a blockage to any treatment. Capacity to consent is what's important. And it specifically mentions that. You can be mentally ill and still be capable of making informed consent. The fact that you've been diagnosed with low level depression does not mean that you can't make an informed decision about your medical treatment. Yes, there will be times when a person is mentally ill and incapable of making a decision, but the fact that there's a mental illness does not automatically disqualify someone. If that was the case no-one who's ever prescribed antidepressants would be able to receive any other medical treatment because according to you they can't consent.



Advertisement