- Joined
- Feb 28, 2021
The conceptualisation that was presented to me over a decade ago (very different from now, where it's just "how dare you criticise trans people knowing what treatment is best for them") was that the success rate in transitioning was considerably greater than in attempting to make people comfortable in their bodies with pharmacological and theraputic interventions.The more I read on it, the more this feels like the correct answer. I'm trying to come at this with as fair and openminded position as possible, but it doesn't seem to be possible to reconcile the idea of principle of medicine of doing as little harm as possible, and treating based on the needs of the body, and the current state of trans medicine. It's hard to find long term outcome studies in terms of physical limitations instead of reported self-satisfaction, but again, everything I've seen shows long term post-op trans people report many more physical limitations that cis gender counterparts at the same age. It's only on the one metric self-reported satisfaction that the outcomes seem good, but that's also the case for BIID sufferers in those rare cases where amputation does occur, and I just can't accept that that should be considered a good outcome either.
In other words, if you've got someone who wants to transition and you try to talk them out of it, and their dysphoria isn't caused by an unrelated condition, you're unlikely to eliminate the dysphoria even with anti-depressants or talking therapy, and the longer term outcomes of this approach lead to a lower quality of life. It is cheaper and a more effective use of NHS resources to offer transition, and the outcome is better for the patient, even in the face of potential physical health complications.
I've never seen these statistics, I just had that presented to me as fact and didn't question it because I was wrapped up in my "ally" stage. I'm not saying I still believe it. Even if statistics at the time backed this up, the volume of detransitioners now will likely have changed that. But I can at least appreciate the logic of that argument. It would be like teaching an OCD person scared of burning their house down by leaving hair straighteners plugged in to take their hair straighteners with them when they leave the house. You haven't cured the underlying condition, but they don't have to go back to their house 12 times to check and so they're generally more able to have a happier life, and it's more efficient and cost-effective, and frees up medical professional's time to treat more people.
"I'm trans because I say I am, don't even try to check, now give me loads of FFS" does not have this same logic specifically because it shifts the position away from any argument about harm reduction or maximising healthcare resources and instead becomes all about pandering to one group who just want a load of plastic surgery right now and trust me I know I won't regret it.