Germany also considers a stop to hormones for girls with 'gender dysphoria'

As one of the most permissive laws on the transition of minors is about to be passed, a Bundestag document puts the brakes on and urges caution. Because there is insufficient scientific evidence that affirmative drug therapy increases the well-being of adolescents and that its effects are reversible. A serious and in-depth debate is needed, which has so far been prevented by transaggressive activism and the pressure of the LGBT+ lobby on politics and the media.
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After years of resistance and battle by radical feminism around the world - as well as by self-organised parents resisting transpropaganda, such as the association GenerAction D - the issue of minors being transitioned with puberty blockers, cross-sex hormones and surgery has finally arrived to the attention of the Italian Parliament. For some time now, the topic has been the subject of a bitter critical debate that has spread from Sweden and the UK to the entire Great North, as far as Australia, New Zealand and the United States. Journalist Bernard Lane gives a timely account of this in his website Gender Clinic News, which in its latest excellent article sets its sights on Germany, where the Bundestag, in total contrast to the transphilic mainstream of information e politics (a law is about to be finally passed that will allow free choice of gender even for 14-year-old girls) published a report questioning the effectiveness of so-called gender affirmative therapy for minors.

We have translated his article which you can read below.

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According to a report of the German Parliament it cannot be excluded that puberty-blocking drugs permanently impair children's cognitive development, including the mental, emotional and behavioural aspects of their sexual formation.

The report of the Scientific Services of the Bundestag, research department with the task of informing German politicians, is important because The debate on gender medicine in the country is dominated by uncritical support for these life-altering hormonal and surgical interventions as 'human rights'.,

The Bundestag report documents the trend in Sweden and other progressive Nordic countries to move the treatment policy away from the Dutch protocol, imitated internationally, for medicalised gender change for minors who identify as transgender or non-binary; the report also talks about the laws restricting paediatric transition in more than 20 US states governed by Republicans. 

"In recent years an increasing number of nations have distanced themselves from the Dutch protocol "since they have arisen doubts about its scientific validity due to several cases of significant long-term side effects, lack of representative research results and concerns about the selection of test subjects,' the report states. 'The use of puberty blockers is currently the subject of controversial debate around the world.

Although the Bundestag report, entitled 'Legal bans on puberty blockers abroad, suggests that puberty blockers may be reversible if taken for "a certain number of years", it also mentions the lack of adequate, evidence-based research'.. "It cannot be excluded, for example, that puberty suppression therapy can lead to a lasting impairment of psychosexual or psychosocial-cognitive development. Complete reversibility has also not been adequately demonstrated. 

The report to the German legislators also mentions the Tavistock clinic scandal in London and the British proposal of eliminate routine treatment with puberty blockers altogether, as well as the appeal to the great medical caution by thethe French National Academy of Medicine and concerns of child and adolescent psychiatrists in Australia and New Zealand due to the weak evidence base in favour of paediatric transition

Gender ideology is strong among German political, institutional and media elites. The Bundestag report is a kind of counterpoint to the campaigns for easy self-declared gender change [self-id] in official documents, to new medical guidelines that are likely to liberalise access to paediatric transition and a programme to support gender-based medicine for adults and children with state-subsidised social health insurance funds.

"It is well known that theadolescence is a phase of reorientation and partial reinvention, for which the term 'second psychic birth'. Neuroscience has used imaging techniques to demonstrate that puberty is a phase of remarkable remodelling and reorganisation of the maturing brain. Consequently, a permanent transposition of gender identity to the transsexual level, i.e. the most severe form of gender dysphoria with a permanently fixed transsexual identity, can be reliably diagnosed only after the end of puberty. In other words, most teenagers at this stage are still in the middle of the process of finding one's own identity, and the latter is the result of a successful development during puberty, not its starting point!" said Dr. Alexander Korte psychiatrist and clinician specialising in gender dysphoria. La declaration was intended for the Bundestag; Korte was invited by a parliamentary committee to give expert testimony on the gender identity bill.

Law as the engine of treatment

"Doctors and psychologists are of the opinion that the desire for physical reassignment will also increase due to the lowering of the legal threshold [for gender reassignment in documents]'. states the report.

According to the  personal identity bill children under the age of 14 could change their legal sex at the registry office with parental approval. But the court could ignore the parents' refusal, raising the stakes in family conflict with respect to social and medical gender change. (The bill is expected to have its second reading and vote in early 2024)  

The child and adolescent psychiatrist Alexander Korte of the Ludwig-Maximilian University of Munich, which is a lone voice for his caution in the health professional committee drafting the new medical guidelines for minors, argued that the social transition enabled by the law on self-identification will 'increase' the rate of children who persist in the distressing condition of gender dysphoria, thus making a lifelong medicalisation.  Korte speaks from his experience with adolescents with gender dysphoria since 2004. Korte claims that puberty blockers have been promoted by their supporters as 'medically harmless and ethically unproblematic', but the suppression of natural sex hormones denies children 'the experiences necessary for the formation of their identity, including socio-sexual training, i.e. relationships: 'These are also necessary experiences for a homosexual coming-out.

In this context, Dr Korte welcomed the Bundestag research paper as "enormously useful" at a time when the draft medical guidelines for minors are heading in a "decidedly trans-affirmative" direction under the media expert chairman of the commission, Professor Georg Romer. According to reports, The German Society for Child and Adolescent Psychiatry and Psychotherapy supported Professor Romer and endorsed the incautious guidelines, scheduled to be published in the first quarter of 2024.

The Bundestag document - and the mystery of who commissioned it - seems not to have been taken up by the main German media, where the scepticism about the trans project has subsided. David Allison, a former Green member and parent concerned about 'the denial of reality in transgender ideology', is the public face of a small pressure group called Transteens Sorge berechtigt che works on the rights and duties of a parent in the turmoil of a trans teenage child. British-born and a three-decade resident of Germany, Allison said that the Bundestag report citing Transteens' work was noteworthy for acknowledging certain doubts about gender medicine.  "The government seems to be 100% on the side of trans activists. I would say that Germany is the most extremist country in Europe regarding gender ideology".

The philosopher Uwe Steinhoff of the University of Hong Kong, working with Dr Korte in defence of biological reality against the misinformation of activists, stated that the Bundestag report has its flaws, but nevertheless its investigation of the countries withdrawing from the paediatric transition is quite significant. "The report openly contradicts a lies constantly told by influential German government officials driven by queer politics and various lobby groups indirectly funded by the government: Gender affirmative therapy is the state of the art when it comes to the treatment of gender dysphoria'. In fact, Professor Steinhoff told GCN, the gender affirmation approach built on the Dutch protocol of puberty blockers followed by cross-sex hormones and surgery is "obsolete and under revision'.  "Bringing this fact to light through an official source is what makes the report important for the public and embarrassing for dangerous German 'transition' enthusiasts" (...)

Nothing to see here?

"A key strategy here in Germany," says Allison, "is to claim that no children are medically or surgically treated. But this is not the case. There are hospitals in Germany that openly advertise mastectomies for minors'.. As for puberty blockers the Bundestag report states that they 'may only be prescribed after careful medical indication based on scientific guidelines'. In anticipation of updated guidelines for minors, the prescription of blockers in Germany should be in line with the standard of care proposed by the World Professional Association for Transgender Health (WPATH). But WPATH is not synonymous with caution,  At best, its treatment guidelines send mixed signals, but Allison states that the trans-German establishment wants a more permissive regime.

Unlike a centralised system such as the National Health Service in the United Kingdom, the German system is to a certain extent left to the states of the federation, with the health professional bodies exercising considerable autonomy as do the social health insurance funds. 'On the question of whether minors are allowed to receive medical treatment, the government refuses to take any responsibility and only refers to the professional bodies,' says Allison. Despite all the problems in the German health care system, medical treatment of a minor now requires parental consent. "But trans activists want to eliminate parental consent", says Allison, who is convinced that self-identification could make it more difficult for parents to hold the line against invasive gender medicine. "If hypothetically, a 14-year-old girl goes to the registry office and gets her status legally changed to that of a boy, it will be very difficult for parents to oppose medicalisation'. says Allison. And he believes that health workers will be encouraged to pursue hormonal and surgical interventions


The Power of the Stock Exchange

Since May, Allison has taken part in consultation workshops for the Ministry of Health, side by side with trans activists and doctors. At issue is the issue of the federal government as a funder: there should be a legislation requiring social health insurance to foot the bill for hormone drugs and trans surgery?  "The basic philosophical problem is that there is this attempt to depathologise the trans experience'. he says. "But if you do that, it becomes quite difficult to argue that full medical procedures should be paid for with public funds. So, [activists are] looking for ways around this. One possibility being considered, he says, is to try to put trans medicine in the same category as pregnancy, fertility or contraception 'where you are not sick, but still receive medical care'.

Statistics on paediatric gender medicine in Germany are scarce. Some data do not distinguish between minors and young adults. According to national data  reported by the scientific services of the Bundestag, thehe number of genital surgeries in the 15-25 age group increased by almost 1,600%, from 54 in 2007 to 917 in 2021. According to an extrapolation of data from the insurance company Barmer, Between 2014 and 2019, the number of new puberty blocker treatments more than doubled, from about 125 cases to about 275 cases. 

Anche la Germania valuta uno stop agli ormoni per bambine/i con "disforia di genere"

Identity outside the box

Earlier this year, in the newspaper in German Journal of Child and Adolescent Psychiatry and PsychotherapyDr. Korte and co-author Dr. Volker Tschuschke (former professor of medical psychology at Albertus Magnus University) published a paper in which they suggest that the distressing idea that young people feel 'born in the wrong body' is spread by social media and the mainstream media.  "'Trans' evidently represents a new standard identity which is disseminated through the mass media and which speaks to a group of vulnerable young people who have problems with self-perception, body acceptance and the integration of puberty-related maturation processes,' they say. "These categorisations [of adolescents as trans or non-binary] allow the young people pressurised by contradictory social demands, unrealistic ideals of beauty, adolescent insecurities, crises of shame and a search for meaning, to express their personal suffering in a form acceptable to their time and culture. But somatically healthy adolescents with functioning sexual organs and a normal hormonal profile who seek 'gender transition' are experiencing a psychological confusion or going through a maturation crisis and thus suffer from a temporary disorder'.

In this context, the authors highlight the risks of the German Personal Identity Law which allows troubled adolescents to legally and socially lock themselves into a trans or non-binary identity, making it more difficult to get out of this anguish and confusion. And they question whether 'accepting the change of sex certificate as a purely administrative procedure will not close down alternative options for the child, causing him to persist in his transgender identity'.

"Again and again we talk about the need for a 'gender transition' if someone finds themselves 'in the wrong body'. But perhaps it is appropriate to describe this condition as a "false psyche", a "false life", a "false self" in the "right body". From the perspective of developmental psychology, it is absurd to assume that someone is born with a pre-formed identity. The sense of belonging to one's own gender, which is constituted in the course of psychosexual development from childhood onwards, is consolidated and identified, especially in adolescence, as the young person grows up, when sexuality emerges and the first socio-sexual contacts take place'.

(...) According to an open letter campaign launched by 120 scientists, psychologists and educators, German public broadcasters are spreading unscientific messages about biological sex that could confuse children and promote the medicalisation of transgender people."news GCN29 June 2022.

Adolescents in the present

In their article, Drs. Korte and Tschuschke argue that children and adolescents are not equipped to consider the long-term perspectives of those undertaking a medicalised gender change. "Young people generally ignore the lifelong consequences of physical-medical transition treatment," they state. "The 'surgical gender reassignment' inevitably involves the mutilation of the body. Thus, in addition to the loss of fertility, the anatomical prerequisites for sexual arousal and satisfaction are functionally impaired, or at least compromised if not destroyed

"The few serious follow-up studies covering a sufficiently long period of time and based on the most objective data available conclude that thesex reassignment surgery' does not confer any psychological benefits. On average, people do not have fewer doctor visits, fewer hospital admissions, fewer anxiety disorders or suicide attempts. On the contrary they experience more than before their 'gender reassignment'! [These patients] remain a risk group after the medical transition and need psychotherapeutic support for a very long time'.  

The authors characterise the approach dominant in Germany today as a approach that "does not question transidentification at all and which in the case of children or young adolescents leads more or less automatically to treatment that blocks puberty'. In contrast, their article argues for 'an indefinite, gender-critical, intensive psychotherapy that retains the possibility of resolving dysphoria'. "We are fundamentally sceptical of any approach that provides complete salvation and relief from psychological suffering through cosmetic surgery. Hormonal treatment and surgeries on the healthy body can, at best, offer some relief, and only then are they ethically justifiable in the very rare cases of [enduring] gender dysphoria of the transsexual type."

The authors suggest that trans-aggressive activism has prevented the debate necessary to arrive at the best therapeutic response for a rapidly growing group of vulnerable young people. "In a democracy - and especially in a scientific controversy - it must be possible to know the facts and engage in a debate based on objectivity instead of adopting the recommendations of radical activists, gagging all differences of opinion, criticism of any kind, and thus any discussion through personal accusations, denunciations, systematic deletions or even threats - and in this way "refusing to commit in a speech. The concrete and scientifically based arguments against embarking on a course of treatment for 'gender reassignment', the first step of which involves the suppression of puberty, should be taken seriously

Note: The LSVD, one of Germany's leading LGBT lobbies, supports here the cause of self-id; while the Federal Ministry for Family, Elderly, Women and Youth promotes 'gender affirming' medical interventions in its Rainbow Portal.  

original article here

translation and adaptation by Marina Terragni


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