Diary

#HB2: Acceptance of 'transgenderism' is actively harmful for children

From the American College of Pediatricians, not exactly an evil reich-wing group:

Gender Ideology Harms Children

Originally posted March 21, 2016 – a temporary statement with references. A full statement will be published in summer 2016. Updated with Clarifications on April 6, 2016.

The American College of Pediatricians urges educators and legislators to reject all policies that condition children to accept as normal a life of chemical and surgical impersonation of the opposite sex. Facts – not ideology – determine reality.

  1. Human sexuality is an objective biological binary trait: “XY” and “XX” are genetic markers of health – not genetic markers of a disorder. The norm for human design is to be conceived either male or female. Human sexuality is binary by design with the obvious purpose being the reproduction and flourishing of our species. This principle is self-evident. The exceedingly rare disorders of sex development (DSDs), including but not limited to testicular feminization and congenital adrenal hyperplasia, are all medically identifiable deviations from the sexual binary norm, and are rightly recognized as disorders of human design. Individuals with DSDs do not constitute a third sex.1
  2. No one is born with a gender. Everyone is born with a biological sex. Gender (an awareness and sense of oneself as male or female) is a sociological and psychological concept; not an objective biological one. No one is born with an awareness of themselves as male or female; this awareness develops over time and, like all developmental processes, may be derailed by a child’s subjective perceptions, relationships, and adverse experiences from infancy forward. People who identify as “feeling like the opposite sex” or “somewhere in between” do not comprise a third sex. They remain biological men or biological women.2,3,4
  3. A person’s belief that he or she is something they are not is, at best, a sign of confused thinking. When an otherwise healthy biological boy believes he is a girl, or an otherwise healthy biological girl believes she is a boy, an objective psychological problem exists that lies in the mind not the body, and it should be treated as such. These children suffer from gender dysphoria. Gender dysphoria (GD), formerly listed as Gender Identity Disorder (GID), is a recognized mental disorder in the most recent edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-V).5 The psychodynamic and social learning theories of GD/GID have never been disproved.2,4,5
  4. Puberty is not a disease and puberty-blocking hormones can be dangerous. Reversible or not, puberty- blocking hormones induce a state of disease – the absence of puberty – and inhibit growth and fertility in a previously biologically healthy child.6
  5. According to the DSM-V, as many as 98% of gender confused boys and 88% of gender confused girls eventually accept their biological sex after naturally passing through puberty.5
  6. Children who use puberty blockers to impersonate the opposite sex will require cross-sex hormones in late adolescence. Cross-sex hormones (testosterone and estrogen) are associated with dangerous health risks including but not limited to high blood pressure, blood clots, stroke and cancer.7,8,9,10
  7. Rates of suicide are twenty times greater among adults who use cross-sex hormones and undergo sex reassignment surgery, even in Sweden which is among the most LGBQT – affirming countries.11 What compassionate and reasonable person would condemn young children to this fate knowing that after puberty as many as 88% of girls and 98% of boys will eventually accept reality and achieve a state of mental and physical health?
  8. Conditioning children into believing a lifetime of chemical and surgical impersonation of the opposite sex is normal and healthful is child abuse. Endorsing gender discordance as normal via public education and legal policies will confuse children and parents, leading more children to present to “gender clinics” where they will be given puberty-blocking drugs. This, in turn, virtually ensures that they will “choose” a lifetime of carcinogenic and otherwise toxic cross-sex hormones, and likely consider unnecessary surgical mutilation of their healthy body parts as young adults.

Michelle A. Cretella, M.D.
President of the American College of Pediatricians

Quentin Van Meter, M.D.
Vice President of the American College of Pediatricians
Pediatric Endocrinologist

Paul McHugh, M.D.
University Distinguished Service Professor of Psychiatry at Johns Hopkins Medical School and the former psychiatrist in chief at Johns Hopkins Hospital

For a PDF version click here: Gender Ideology Harms Children.

The footnotes are at the bottom of this article.

The left will be aghast at this article, but one thing is clear: the political pressures, including those coming from the Obama Administration, to ‘normalize’ ‘transgenderism,’ or gender dysphoria, including the exposure of children to people manifesting this condition through the attempts to allow people to use public restrooms and bathrooms consistent with their perceived ‘gender identity’ rather than their biological sex, is actually harmful to children. If a child has some level of gender identity confusion, and is exposed to situations which support transgenderism, he may be more likely to fail to adjust to his given biological sex. As the authors of the referenced article asked, “What compassionate and reasonable person would condemn young children to this fate knowing that after puberty as many as 88% of girls and 98% of boys will eventually accept reality and achieve a state of mental and physical health?” Why would we ever want to do anything which might increase the number of children who fail to overcome gender dysphoria, leading them into adulthoods marked by, at best, unhappiness over their physical bodies and quite possibly expensive and still unsatisfactory surgical results?

More, the attempts by the left to expose children to ‘transgenderism’ are efforts to make the ‘transgendered’ appear to be a normal part of everyday life, in an attempt to make the ‘transgendered’ seem like just another part of normal rather than a mental illness. Let me be clear here: for the adult ‘transgendered,’ those very few people who did not have prepubescent confusion settle down into a normal life, the last thing that they want is for children with gender disphoria to be cured! The greater the number of people who suffer from this condition, the more normal the people who have it appear.

The facts are clear: the push for the normalization and accommodation of the ‘transgendered’ is a political action taken by adults, for adults, and their concerns are not at all for children. The “LGBT” (lesbian, gay, bisexual, and transgender) interest group is one in which parenthood and child rearing is simply not much of a concern, because the relationships they pursue do not normally lead to having children. That parents would raise objections to the admission of the opposite sex into public restrooms and showers, to protect their children, is simply not a concern with which homosexuals and transsexuals can identify.

This is why debating with them is so very futile: they do not appreciate the concerns of normal people, and thus see those concerns as nothing significant enough to merit compromise or consideration. Since ‘acceptance’ by normal society is of great concern to them, they cannot see any merit in compromising on that compared to concerns on the part of other people that they see as trivial.

We can have sympathy for the unfortunate people plagued by gender dysphoria, but having sympathy does not and should not mean somehow accepting their condition as just another form of normal, or accepting their condition as anything other than a mental illness.
__________________________________

References from American College of Pediatricians article:

  1. Consortium on the Management of Disorders of Sex Development, “Clinical Guidelines for the Management of Disorders of Sex Development in Childhood.” Intersex Society of North America, March 25, 2006. Accessed 3/20/16 from http://www.dsdguidelines.org/files/clinical.pdf.
  2. Zucker, Kenneth J. and Bradley Susan J. “Gender Identity and Psychosexual Disorders.” FOCUS: The Journal of Lifelong Learning in Psychiatry. Vol. III, No. 4, Fall 2005 (598-617).
  3. Whitehead, Neil W. “Is Transsexuality biologically determined?” Triple Helix (UK), Autumn 2000, p6-8. accessed 3/20/16 from http://www.mygenes.co.nz/transsexuality.htm; see also Whitehead, Neil W. “Twin Studies of Transsexuals [Reveals Discordance]” accessed 3/20/16 from http://www.mygenes.co.nz/transs_stats.htm.
  4. Jeffreys, Sheila. Gender Hurts: A Feminist Analysis of the Politics of Transgenderism. Routledge, New York, 2014 (pp.1-35).
  5. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Arlington, VA, American Psychiatric Association, 2013 (451-459). See page 455 re: rates of persistence of gender dysphoria.
  6. Hembree, WC, et al. Endocrine treatment of transsexual persons: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2009;94:3132-3154.
  7. Olson-Kennedy, J and Forcier, M. “Overview of the management of gender nonconformity in children and adolescents.” UpToDate November 4, 2015. Accessed 3.20.16 from www.uptodate.com.
  8. Moore, E., Wisniewski, & Dobs, A. “Endocrine treatment of transsexual people: A review of treatment regimens, outcomes, and adverse effects.” The Journal of Endocrinology & Metabolism, 2003; 88(9), pp3467-3473.
  9. FDA Drug Safety Communication issued for Testosterone products accessed 3.20.16: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm161874.htm.
  10. World Health Organization Classification of Estrogen as a Class I Carcinogen: http://www.who.int/reproductivehealth/topics/ageing/cocs_hrt_statement.pdf.
  11. Dhejne, C, et.al. “Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden.” PLoS ONE, 2011; 6(2). Affiliation: Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm, Sweden. Accessed 3.20.16 from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885.