Define “treatment”

Bazelon on the new WPATH guidelines part 2:

When WPATH released the draft of the SOC8 for public comment, Leibowitz and his co-authors braced for the inevitable conservative attack. For teenagers who have parental consent, the draft adolescent chapter lowered to 14 (from 16 in the previous guidelines) the recommended minimum age for hormone treatments, which can permanently alter, in a matter of months, voice depth and facial and body hair growth and, later, other features like breast development. It set a minimum recommended age of 15, for breast removal or augmentation, also called top surgery. (The previous standards didn’t set a minimum age.)

It’s interesting that she admits the alterations from hormone “treatments” are permanent (while still calling them “treatments”).

Opponents of gender-related care did, indeed, denounce all of this. But Leibowitz and his co-authors also faced fury from providers and activists within the transgender world.

Assessments for children and adolescents have long been integral to the Standards of Care. But this time, the guard rails were anathema to some members of a community that has often been failed by health care providers….In a publicly streamed discussion on YouTube on Dec. 5, activists and experts criticized the adolescent chapter, with the emotion born of decades of discrimination and barriers to care.

Notice the inserted excuses for “the emotion,” which others might describe more specifically. Maybe the “emotion” (i.e. rage and abuse) is born not of decades of discrimination but of the nature of the movement/activism/ideology itself. Maybe narcissistic rage is characteristic of trans activism, and encouraged by it, and flattered and embraced and imitated.

The small group of clinicians who wrote the first Standards of Care were all cisgender. After WPATH was created in 1979, transgender advocates increasingly gained influence in the organization, but many transgender people viewed subsequent versions of the standards as imposing paternalistic and demeaning barriers to treatment.

But that assumes the “treatment” really is treatment. That assumes it cures something. Does it? What does it cure? What does it treat?

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