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World Professional Association for Transgender Health (WPATH) Files

1353638404159

Comments

  • Moderators, Sports Moderators Posts: 7,506 Mod ✭✭✭✭cdeb


    The major issue with the suicide stat is that it overlooks the increasingly strong correlation between identifying as trans and issues such as autism/depression/history of brain trauma.

    The problem is that to ignore this is to ignore what the actual issue is. For these people, are they really trans, or are they suffering from a mental illness where the inclusivity of being trans attracts them like a moth to a light? (Again, the Cass Report suggests this). So by being compassionate, as NeutralHandle suggests, you run the risk of merely trying to treat the symptom rather than the actual disorder.

    The result, of course, is that the actual mental health issue is completely overlooked and suicide rates remain the same. In other words, by focussing on the wrong issue, you may feel you're being compassionate, but actually you've done nothing at all to help - which in a situation like this is a pretty bad thing to do.

    The "Trans or suicide myth" was called out by Cass btw. "Myth" is a pretty big word here, but it's in there.



  • Registered Users, Registered Users 2 Posts: 2,693 ✭✭✭rogber


    Exactly, there is a clear correlation between mental illness and identifying as trans and the mental illness often precedes the trans claim, not the other way around.



  • Registered Users, Registered Users 2 Posts: 217 ✭✭NeutralHandle


    Yeah there are lots of papers about the suicidality. First three google results for me are the following. I guess it's influenced by your previous behaviour on google. The whole first page is a variety of studies or reputable news sources discussing them

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178031/

    https://williamsinstitute.law.ucla.edu/press/transpop-suicide-press-release/

    https://www.google.com/amp/s/amp.cnn.com/cnn/2023/06/28/health/transgender-suicide-risk

    Even papers questioning some of the accepted ideas like the effects of transition quoted the rate of suicidality as fact.

    Who was in what trenches? How does showing compassion to a group relate to death threats or rape? Obviously rapists and people threatening murder should be dealt with in a judicial context, and I'm not suggesting any special treatment of them. Most trans people are more likely to be victims than perpetrators though. Most of them are or have been suicidal. I think lumping suicidal people in with rapists and people who threaten murder is unhelpful.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    So if 40% of people are now attempting suicide, despite there being medical and surgical treatments available to enable people to transition, where are all the trans people commiting suicide throughout history. Because presumably suicide rates must have been much higher when effective transition was almost impossible?

    Or could it be that transition doesn't actually improve their mental health or even harms it?

    Second. You still haven't explained what you mean by "showing kindness".

    If you mean not making nasty comments to people, then I don't think anyone on here disagrees.

    If you mean violence towards trans people, again, utterly unacceptable - but TBF that is a problem of male violence, and it's striking that the violence towards women comes, as always, from the male side, in this case from male transitioners, claiming to be female, but presenting the usual male violence towards women. Or from their male allies.

    Because what I mean by "in the trenches" is the appalling treatment of (mainly) women, though some men too, just for expressing scepticism about certain demands for supposed trans rights such as defining as "conversion therapy" any form of watchful waiting instead of immediate affirmation and social transitioning of young people with gender dysphoria.

    Lumping suicidal people in with rapists/murderers is exactly what trans rights activists do when they talk about the "trans umbrella". What I want to do is separate those out, not lump them in together.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Registered Users, Registered Users 2 Posts: 217 ✭✭NeutralHandle


    I mean that is the basic argument I've seen in favour of medical interventions - that it reduces suicidality. I've also seen papers questioning the research supporting that. Yes, suicide rates were much higher historically, and that is part of the argument in favour of interventions. The questions that are being asked are along the lines of -people with medical interventions have lower suicidality, but perhaps this is because more of them are sampled now and more non-transitioners were sampled decades ago when trans people did indeed commit suicide more frequently.

    I would rate my knowledge on the topic in general as enough to know that I don't know much about it at all. I would say that many people approach the conversation entrenched in one point of view or the other, and that is not great when it comes to expanding their knowledge. Personally, the only thing I do feel confident in knowing is that their suicidality is a real thing.

    I think I've expressed what I mean about a compassionate approach as well as I am able tbh. Part of what I am talking about is trying to move past the 'us vs them' mindset that exists on both sides of debates about this.



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  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    @Large bottle small glass

    Helen Joyce (I probably should have included a trigger warning before typing her name) talked about rapid onset gender dysphoria in one of her videos. She mentioned a visit to China a few years back, where she was describing her journalistic research. The Chinese thought she was joking as they had never heard of such a thing. She believes it's a social contagion similar to anorexia in times past.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    It's a more general point but still relevant here: the evidence for medical treatment of suicidality is weak. In particular there's lots of evidence to show that commonly prescribed drugs increase the risk of suicide, and the patient information leaflets for many common drugs have black box warnings for this reason.



  • Moderators, Sports Moderators Posts: 7,506 Mod ✭✭✭✭cdeb


    I would say that many people approach the conversation entrenched in one point of view or the other, and that is not great when it comes to expanding their knowledge.

    While that may be true, I think many posters on here have been looking at the medical studies into the area - the Cass Report and the problems with WPATH the last while. Hence the thread title of course.

    Both of these report a "Trans or Suicide Myth" which directly contradicts what you're saying.

    I think the question around compassionate approach for you here is - does that include an inclusive approach to trans ideology, or a questioning one? To look at volchitsa's bulemia example, would you encourage a person suffering from bulemia to embrace it and eat less, or to seek medical help for a mental health condition? The former could be seen as compassionate but is clearly very dangerous. The evidence increasingly suggests the same is true for people who identify as trans.

    I think that's an important point to clarify as it would guide further debate here.



  • Registered Users, Registered Users 2 Posts: 11,125 ✭✭✭✭chopperbyrne


    40% suicidal ideation is not the same as a 40% suicide rate.

    There is only one side that is pushing the suicide angle. Anyone who has done any training with crisis phone lines knows that you never present suicide as an option, or an inevitable to someone in distress, but that's exactly what trans activists do when they tell vulnerable children it's "transition or death", calling puberty blockers and cross sex hormones "life saving care", and the multiple reports of parents being told things like "Would you prefer a live son, or a dead daughter."

    When you constantly tell vulnerable people that transition is the only thing that will save their life, don't be surprised when those people become suicidal.

    I would expect that the 40% suicidal ideation rate is likely because after a placebo period, most who do transition likely realise that it has not solved any of their problems, especially those who medically transition which often has lifelong negative medical consequences.



  • Registered Users, Registered Users 2 Posts: 217 ✭✭NeutralHandle


    Those reports do not claim there is not a hugh rate of suicidality. They question whether interventions have any effect on it, as I mentioned in my previous post.

    The 41% statistic refers to the number who attempted suicide. I've seen figures more than double that for ideation.

    I have repeatedly said I do not know what approach is best for trans people. It is not related to my point, which is that discourse on this should be less combative regardless of stance. I feel like I'm being demanded to take a side, when my basic point is that the debate should not be approached in such 'us vs them' terms.



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  • Moderators, Sports Moderators Posts: 7,506 Mod ✭✭✭✭cdeb


    I don't think anyone is demanding you to take a side. I don't think such language really helps here to be honest.

    What we are looking to do is to actually to try understand your position better. Hence my post "I think the question around compassionate approach for you here is - does that include an inclusive approach to trans ideology, or a questioning one? To look at volchitsa's bulemia example, would you encourage a person suffering from bulemia to embrace it and eat less, or to seek medical help for a mental health condition? The former could be seen as compassionate but is clearly very dangerous. The evidence increasingly suggests the same is true for people who identify as trans."

    I think it's a perfectly reasonable question.



  • Registered Users, Registered Users 2 Posts: 217 ✭✭NeutralHandle


    It's a reasonable question when asked once. It is not a reasonable question when continuously repeated because you cannot accept an answer of "I don't know".



  • Moderators, Sports Moderators Posts: 7,506 Mod ✭✭✭✭cdeb


    Well to be fair you never actually answered it in the first place, so it's a reasonable question to ask again.

    But if your approach here is to suggest a "compassionate approach" is required and you're then unable to outline what this actually means (which is what I take from your reply of "I don't know"), then do you not think your line of debate starts to fall apart a bit?

    It also undermines your point about suicide rates - doubly so when you ignore the medical reports saying that these are likely a factor of depression or other mental health matters, of which trans identification is merely a symptom and not the root matter.



  • Registered Users, Registered Users 2 Posts: 10,445 ✭✭✭✭Birneybau


    But you don't seem to know much, just trotting out the very much dismissed suicidal rate numbers.

    I await your 'but but compassion ' response.

    We got here through extreme be-kindness



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    Again, can you give examples of what you would consider to be appropriate "noncombative" ways to approach the discussion please?

    But you do have an opinion on this, just one that seems disconnected from any practical examples. You keep saying "be kind", be "less combative" but you don't even know the names of major trans activist associations, so presumably don't know what they say on the issues.

    At what point does "I don't know" become an insufficient response on an issue? IMO, it's when you're using that ignorance to avoid explaining your position, but holding firm to it all the same.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Registered Users, Registered Users 2 Posts: 217 ✭✭NeutralHandle


    This is getting ridiculous tbh. I made very one very simple point. Then I responded to several posts arguing about things I had not said or repeating questions I answered. I'm not a medical professional. Saying I don't know what the right way of treating a suicide risk with a condition I have no understanding of is the most sane and reasonable position to take. For some reason that is snowballing into crazy bullshit arguments when my basic point is approach things in a less combative manner. Done with this silly conversation.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    I made very one very simple point.

    Well, you said "be less combative" and then refused to give any examples of what you mean.

    This is a discussion forum, so people are going to ask questions to clarify what you're saying, since TBF it's not clear. Calling that "snowballing into crazy bullshit" is frankly bizarre. It seems rather … combative. If you want a monologue, set up a blog.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Moderators, Sports Moderators Posts: 7,506 Mod ✭✭✭✭cdeb


    Yeah, this idea of taking a hissy fit when discussion is engaged in isn't acceptable to be honest. No-one was suggesting you "knew what the right way of treating a suicide risk" was - what we were suggesting was that you were attributing it to the wrong cause (ie not being kind to trans identifiers, as opposed to depression), and when we tried to engage in further debate to fully understand your point, you refused.

    It's not clear what you consider "crazy bullshit arguments" either.



  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    I thanked the quoted post, as I agree with the thrust of it. I dont agree with this bit though:

    "and it's striking that the violence towards women comes, as always, from the male side, in this case from male transitioners, claiming to be female, but presenting the usual male violence towards women"

    I agree that violence against women, or indeed men, is due to male perpetrators. However, males are not usually violent and male violence against women is not usual, though sadly far too common. It's easy enough to find documented evidence of extreme violence by women against other women, or men, though it is much rarer than the inverse case.

    My point doesn't doesn't undermine your argument though - all the horrific threats of violence in this particular sphere seem to be from trans women aka biological males.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    My point may have been unclear. What I'm saying is that just as men do not usually pose a threat to women, and yet we still have female-only spaces because it's impossible for women to tell in advance which men are a threat, similarly most trans women don't pose a threat to women either.

    IOW I don't need to think that all trans women are a threat to women to want to keep them out of female spaces, just that they pose the same level of threat as any man. Being a trans woman is not a special category of males that are safe for women.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



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  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    Thanks for the clarification. I'm not a women so I don't have the lived experience, but I suspect that regarding female-only spaces, as well as wanting to feel safe from physical/sexual assault there's a desire to feel comfortable.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    Yes, that’s true of course but women are regularly told that their comfort is unimportant compared to trans rights: the female swimmers who complained about Lia Thomas parading around the changing room with his penis out were advised to have counselling to help them deal with what was considered to be their problem. That’s why the argument tends to go straight to the risk of harm, as that should be harder to dismiss.

    But of course you are correct: women simply wanting to change without men around should be a sufficient reason in itself. In practice, sadly, it’s not.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    I watched an interview with Riley Gaines recently and she described that experience (i.e. being offerred counselling). She's highly articulate and remarkable lacking bitterness given the circumstances.

    I spoke on the other thread about the risks of physical injury if men are allowed into women's sports - that might be a rare occurrence but the possibility of psychological injury must be almost universal. Imagine having to endure what you described in the quoted post, and then having insult heaped on injury by having the organisation that is supposed to protect you telling you that you are the problem.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    And something else that it took me a while to get clear in my own mind (so socialised are we to prioritise male wishes over female needs) is that one can only consent to for oneself, not for other women.

    So even if many women really do have no problem with sharing female-only spaces and sports with a special category of males, that doesn’t mean that ALL women have consented.

    The reality is that most haven’t been asked anyway. It’s a just been assumed that their opinion doesn’t really matter.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    Indeed, and it appears that many of the new wave feminists, who would be of the "all women must unite in fighting the oppressive patriarchy" camp, are all in on the "men can be women, and shure why would anyone object to a woman waving her penis around in a women's changing room" mindset. (of course men in positions of responsibility are guilty of the moral cowardice and muddled thinking as well).



  • Registered Users, Registered Users 2 Posts: 1,487 ✭✭✭Vote4Squirrels


    Very concerning that the EHRC has moved to say that "women" in Equality Act legislation refers to "legal women" - i.e. those who are more likely than not to be fully anatomically male, but hold a Gender Recognition Certificate.

    The rights of women are further eroded - we can no longer request a female doctor or other staff for intimate medical care; the most intimate examinations from police searches and elderly care to the intrusive but necessary forensic examinations following a sexual assault - all can now be carried out by biological males and women can do nothing about it.

    This man has been sentenced for a litany of horrific offences - and during the trial it transpired he briefly identified as "non-binary" (which has no basis in law) and was able to access a rape shelter for women.

    https://news.stv.tv/scotland/former-snp-equalities-officer-jailed-for-string-of-sexual-and-physical-assaults

    As I approach 60 I am deeply concerned about accessing healthcare.



  • Registered Users, Registered Users 2 Posts: 10,239 ✭✭✭✭volchitsa


    Oh absolutely, and as I say I’m not immune to it myself, even though I’d consider myself to be fairly conscious of the whole subject. Certainly compared to a few years ago anyway.

    "If a woman cannot stand in a public space and say, without fear of consequences, that men cannot be women, then women have no rights at all." Helen Joyce



  • Registered Users, Registered Users 2, Paid Member Posts: 2,391 ✭✭✭aero2k


    There are so many areas in life that are not black or white (I'm nearly afraid to use that expression), and we have to live in the grey, but where we can be clear we need to do so unambiguously. It's not easy when there is so much obfuscation, much of it deliberate, most of it indiscriminate. It's probably more a discussion for the politics or philosophy forum but I'm not smart enough or educated enough to enter either domain😀!



  • Posts: 6,626 ✭✭✭ [Deleted User]


    A rockey road ahead if the Labour party decides to follow the politically motivated ban on puberty blockers

    https://www.bbc.com/news/articles/c6p2l7ze7m0o



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  • Posts: 6,626 ✭✭✭ [Deleted User]


    Before anyone starts in, are we to assume that the BMA is not an authoritive body in matters medical and that we should defer to the expertise of politicians ?



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