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u/MadBodhi · 23 pointsr/news

This is a myth

http://www.huffingtonpost.com/brynn-tannehill/the-end-of-the-desistance_b_8903690.html


Over the past few years, an endless parade of “concerned” people (trolls) have trotted out the same statistic over and over again: 84 percent of transgender kids stop being transgender on their own. They have used this to justify everything from reparative therapy, to denying medical care to transgender teens, to suggesting that reparative therapy on adults will work.



The problem is that the desistance narrative is built upon bad statistics, bad science, homophobia and transphobia.



For starters, the most cited study (Steensma) which alleges a 84 percent desistance rate, did not actually differentiate between children with consistent, persistent and insistent gender dysphoria, kids who socially transitioned, and kids who just acted more masculine or feminine than their birth sex and culture allowed for. In other words, it treated gender non-conformance the same as gender dysphoria. Worse, the study could not locate 45.3 percent of the children for follow up, and made the assumption that all of them were desisters. Indeed, other studies used to support this also suffered from similar methodological flaws.



https://www.ncbi.nlm.nih.gov/pubmed/21216800




https://gidreform.wordpress.com/2014/02/25/methodological-questions-in-childhood-gender-identity-desistence-research/






As a result, the 84 percent desistance figure is meaningless, since both the numerator and denominator are unknown, because you have no idea how many of the kids ended up transitioning (numerator), and no idea how many of them were actually gender dysphoric to begin with (denominator). When Dr. Steensma went back in 2013 and looked at the intensity of dysphoria these children felt as a factor in persistence, it turned out that it was actually a very good predictor of which children would transition.


https://www.ncbi.nlm.nih.gov/pubmed/23702447



In other words, the children who actually met the clinical guidelines for gender dysphoria as children generally ended up as transgender adults. Further research has shown that children who meet the clinical guidelines for gender dysphoria are as consistent in their gender identity as the general population.


http://journals.sagepub.com/doi/abs/10.1177/0956797614568156



For the past decade, the biggest promoter of the desistance myth was Dr. Kenneth Zucker at the Center for Addiction and Mental Health (CAMH) in Toronto. He never missed an opportunity to speak to anti-LGBT organizations and news outlets, or to tout himself as the world’s top expert in transgender children. He denied practicing reparative therapy, despite a 2003 report in the Journal of the American Academy of Child and Adolescent Psychiatry which called his techniques “something disturbingly close to reparative therapy for homosexuals.”



https://www.queerty.com/dr-kenneth-zuckers-war-on-transgenders-20090206#ixzz2f9pCTnso



Twenty years ago, though, Zucker was also pushing hard for reparative therapy of potentially gay children who were too effeminate, in order to prevent them from growing up to be gay. In 1990, Zucker wrote:



>Two short term goals have been discussed in the literature: the reduction or elimination of social ostracism and conflict, and the alleviation of underlying or associated psychopathology. Longer term goals have focused on the prevention of transsexualism and/or homosexuality.



He felt that this was for the best, because, “a homosexual lifestyle in a basically unaccepting culture simply creates unnecessary social difficulties.” In other words, force children to change, rather than working to change a homophobic culture. Along the way, Dr. Zucker became the darling of hate groups and their media outlets, such as Focus on the Family, NARTH, CourageC, Alliance Defending Freedom, Life Site News, American Family Association, Liberty Counsel, Family Research Council, Americans for Truth About Homosexuality (AFTAH), and Parents and Friends of Ex-Gays and Gays (PFOX).



https://www.amazon.com/Identity-Disorder-Psychosexual-Problems-Adolescents/dp/0898622662/ref=sr_1_1?ie=UTF8&qid=1379958990&sr=8-1&keywords=Zucker+Bradley




http://www.focusonthefamily.com/parenting/parenting-challenges/gender-confusion-in-children



http://www.narth.com/2010/04/treatment-of-gender-disturbed-children-clinical-issues/



http://www.alliancealert.org/2008/05/08/two-families-two-approaches-to-gender-preferences/




http://downloads.frc.org/EF/EF15F45.pdf



http://americansfortruth.com/2006/12/05/letting-your-son-wear-a-dress-nyt-helps-mainstream-gender-confusion-in-children/



http://www.pfox.org/transgender-gender-identity/





In effect, because of his position, Dr. Kenneth Zucker was the last “respectable” patron of reparative therapy. He took the model for “fixing” gay kids, slapped a new label on it, and sold it as a way to fix gender non-conforming children. When the transgender activists tried to bring attention to these abuses, Dr. Zucker attempted to silence them with threats of lawsuits.


http://bilerico.lgbtqnation.com/2015/01/meet_the_last_respectable_reparative_therapist.php


http://bilerico.lgbtqnation.com/2009/02/surrender_dorothy_the_clarke_wags_a_broo.php


That is, until December 2015, when an independent investigation led to Dr. Zucker’s firing and his clinic being closed. The investigation results were highly damning, finding:


http://www.camh.ca/en/hospital/about_camh/newsroom/news_releases_media_advisories_and_backgrounders/current_year/Documents/GIC-Review-26Nov2015.pdf


http://alicedreger.com/gendermad


http://www.cbc.ca/news/canada/toronto/camh-gender-identity-1.3366424



• The methods being used were 30 years out of date



• The clinic assumed that all gender variant children need to be clinically “fixed” (i.e. they used coercive behavior modification on queer kids to make them act straight)



• Children were pressured into being photographed without clothing



• The clinic emphasized tests, treatment, methods with no scientific basis in evidence based medicine



• CAMH staff asked pre-pubescent children questions that were highly sexual in nature



• Former patients, parents, and therapists of former patients described the treatment as “disturbing” and “harmful”



• CAMH hid affirming community and medical resources from patients



• Dr. Zucker regarded being cisgender, heterosexual, and gender conforming as the “best” outcome



• Dr. Zucker and his team could not conclusively demonstrate that what they were doing was not reparative therapy



In a 2014 German study, 13 experts in treatment for gender identity were asked if CAMH’s methods were ethical. 11 said no. The two who said yes were Dr. Zucker and another CAMH staffer.



But, the most outrageous piece of information coming out of CAMH was Dr. Zucker’s claims that gender dysphoria desisted in 80 percent of cases. However, when investigators reviewed the files of children admitted to CAHM, 42 percent of them never met the clinical criteria for juvenile gender dysphoria in the first place.



In short, half of the kids Dr. Zucker claimed to “cure” were never transgender in the first place. He built his reputation convincing homophobic and transphobic parents that he could fix their kids. When someone actually got around to listening to the transgender community and pulled back the curtain, they found that the 80 percent desistance narrative was a fabrication of an attention seeking, creepy, reparative therapy promoting, snake-oil salesman.



Surgery Is The Solution


>A marked reduction in psychopathology occurs during the process of sex reassignment therapy, especially after the initiation of hormone therapy.

https://www.ncbi.nlm.nih.gov/pubmed/24344788


>In conclusion, almost all patients were satisfied with the sex reassignment

http://link.springer.com/article/10.1007%2Fs10508-009-9551-1


>Pooling across studies shows that after sex reassignment, 80% of individuals with GID reported significant improvement in gender dysphoria. 78% reported significant improvement in psychological symptoms. 80% reported significant improvement in quality of life. 72% reported significant improvement in sexual function.


https://mayoclinic.pure.elsevier.com/en/publications/hormonal-therapy-and-sex-reassignment-a-systematic-review-and-met


>All participants expressed very high satisfaction with their decision to undergo SRS. The main source of this satisfaction stems from the experience of feeling whole and a new harmony between their psychological and physical selves. Also noteworthy was participants’ reports of a growth in self-esteem as a result of having a physical body that matched their gender identities.


https://www.hindawi.com/journals/tswj/2014/960745/



> Their overall evaluation of the treatment process for sex reassignment and its effectiveness in reducing gender dysphoria was positive. Regarding the results of the standardized questionnaires, participants showed significantly fewer psychological problems and interpersonal difficulties as well as a strongly increased life satisfaction at follow-up than at the time of the initial consultation.

http://link.springer.com/article/10.1007/s10508-014-0453-5