Germany is also considering a ban on hormones for girls with "gender dysphoria"
While we are preparing to approve one of the most permissive laws regarding the transition of minors, a Bundestag document puts the brakes on and calls for caution. Because there is insufficient scientific evidence that affirmative pharmacological therapy increases the well-being of adolescents and that its effects are reversible. We need a serious and in-depth debate that has so far been prevented by transaggressive activism and the pressure of LGBTQ+ lobbies on politics and the media

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After years of resistance and battle of radical feminism all over the world - as well as of self-organized parents to resist transpropaganda, such as the GenerAzione D association - the issue of minors undergoing transition with puberty blockers, cross-sex hormones and surgery has finally arrived to the attention of the Italian Parliament. For some time the topic has been the subject of a harsh critical debate which has spread from Sweden and the UK to the entire Far North, up to Australia, New Zealand and the United States. Journalist Bernard Lane gives a detailed account of this on his site Gender Clinic News, as well as in his latest excellent article focuses the lens on Germany where the Bundestag, in total contrast to the transphile mainstream of information And politics (a law that will allow free choice of gender even for 14-year-old girls is about to be definitively approved) has published a report that calls into question 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 that cannot be ruled out puberty blocking drugs permanently damage the cognitive development of minors, including the mental, emotional and behavioral aspects of their sexual education.

The relationship of 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, understood as “human rights”.,

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

"In the last few years a growing number of nations have distanced themselves from the Dutch protocol “for they have arisen doubts about its scientific validity due to various 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 a 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 lack of adequate, evidence-based research”.“It cannot be ruled out, for example, that puberty suppression therapy could lead to a lasting deterioration of psychosexual or psychosocial-cognitive development. Complete reversibility has also not been adequately demonstrated. 

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

Gender ideology is strong among German political, institutional and media elites. The Bundestag report is something of a counterpoint to campaigns for easy self-declared gender change [self-id] in official documents, a new medical guidelines that will likely liberalize access to pediatric transition and to a program to support gender medicine for adults and children with state-subsidized social health insurance funds.

“It is known that l'adolescence it 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 remodeling and reorganization of the maturing brain. Accordingly, a permanent transposition of gender identity at the transsexual level, that is, 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 teens at this stage are still in the thick of it process of searching for one's identity, and the latter is the result of successful development during puberty, not its starting point!” said Dr. Alexander Korte , psychiatrist and clinician specializing in gender dysphoria. There declaration it was destined for the Bundestag; Korte was invited by a parliamentary committee to provide expert testimony on the gender identity bill.

Law as a driver 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 change in documents]” the report states.

According to  draft law on personal identity minors under 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 one lone voice for his caution in the health professional commission that draws up the new medical guidelines for minors, argued that the social transition permitted by the law on self-identification will "increase" the rate of children who persist in the distressing condition of gender dysphoria, thus making one more likely lifelong medicalization.  Korte speaks from his experience with adolescents with gender dysphoria since 2004. Korte argues 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 draft medical guidelines for minors are heading in a “decidedly trans-affirmative” direction under the media expert chairman of the commission, Professor Georg Romer. Reportedly, the German Society for Child and Adolescent Psychiatry and Psychotherapy supported Professor Romer and approved the misguided guidelines, whose publication is expected in the first quarter of 2024.

The Bundestag document – and the mystery of who commissioned it – appears not to have been taken up by the major German media, where it skepticism about the trans project is attenuated. David Allison, A former member of the Greens and a parent concerned about “the denial of reality in transgender ideology,” he is the public face of a small pressure group called Transteens Sorge berechtigt che works on the rights and responsibilities of a parent in the turmoil of a trans teenage child. Of English descent and a three-decade resident of Germany, Allison said the Bundestag report citing Transteens' work was notable for acknowledging some doubts about gender medicine.  “The government appears 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, who works with Dr. Korte in defense of biological reality against disinformation from activists, said the Bundestag report has its flaws, but nonetheless its investigation into countries withdrawing from the pediatric transition is quite significant. “The report directly contradicts one lie constantly told by influential German government officials driven by queer politics and various lobby groups indirectly funded by the government: “Gender-affirmative” therapy is state of the art when it comes to treating gender dysphoria.” Indeed, Professor Steinhoff said a GCN, the gender affirmation approach built on the Dutch protocol of puberty blockers followed by cross-sex hormones and surgery is “obsolete and under review”.  “Bringing this fact to light through an official source is what makes the report important to the public and embarrassing to Germany's dangerous 'transition' enthusiasts” (…)

Nothing to see here?

“A key strategy here in Germany,” says Allison, “is to say that no minors are subjected to medical or surgical treatment. But is not so. There are hospitals in Germany that openly advertise mastectomies for minors.". With regard to puberty blockers the Bundestag report states “can only be prescribed after careful medical indication based on scientific guidelines”. THEWhile waiting for updated guidelines for minors, the prescription of blockers in Germany should be in line with the standards of care proposed by the World Professional Association for Transgender Health (WPATH). But WPATH is not synonymous with caution,  its treatment guidelines send mixed signals at best, but Allison says the German trans establishment wants a more permissive regime.

Unlike a centralized system such as the UK's National Health Service, Germany's is to some extent entrusted to the states of the federation, with professional health bodies exercising considerable autonomy as do social health insurance funds. “As to whether minors are allowed to receive medical care, the government refuses to take any responsibility and simply turns to professional bodies,” says Allison. Despite all the problems of the German healthcare system, medical treatment of a minor currently requires parental consent. “But trans activists want to eliminate parental consent,” says Allison, who believes that self-identification could make it harder 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 medicalization" Allison says. And he believes health workers will be encouraged to pursue hormonal and surgical interventions


The power of the stock market

Since May, Allison has been taking 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 financier: there should be one legislation that requires social health insurance to pick up the bill for hormonal drugs and trans surgery?  “The underlying philosophical problem is that there is this attempt to depathologize 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 to get around this problem. One possibility being considered, he says, is that of try to put trans medicine in the same category as pregnancy, fertility, or contraception “where you are not sick, but still get medical care.”

Statistics on pediatric 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, iThe number of genital surgeries in the 15-25 age group increased by almost 1.600%, going from 54 in 2007 to 917 in 2021. According to an extrapolation of data from the Barmer insurance company, between 2014 and 2019 the number of new puberty blocker treatments more than doubled, going from around 125 cases to around 275 cases. 

Identity outside the box

Earlier this year, in the newspaper in German language Journal of Child and Adolescent Psychiatry and Psychotherapy, Dr. Korte and co-author Dr. Volker Tschuschke (former professor of medical psychology at Albertus Magnus University) published an article in which they suggest that the distressing idea that young people feel “born in the wrong body” is spread across social media and 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 maturation processes related to puberty” they say. “These categorizations [of teens as trans or non-binary] allow young people pressured by contradictory social demands, unrealistic ideals of beauty, typical adolescent insecurities, crises of shame and search for meaning, to express their personal suffering in a form acceptable to their time and their culture. But somatically healthy adolescents with functioning sex organs and a normal hormonal profile seeking 'gender transition' are experiencing a psychological confusion or going through a crisis of maturation and therefore suffer from a temporary disorder".

In this context, the authors highlight i risks of the German Personal Identity Act which allows troubled teens to legally and socially lock themselves into a trans or non-binary identity, making it harder to escape this anguish and confusion. And they wonder if "accepting the change of sex certificate as a purely administrative procedure will not close the 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 one “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 gender, which is formed during psychosexual development from childhood, is consolidated and identified, especially in adolescence, as the young person grows up, when sexuality emerges and the first social contacts take place. -sexual”.

(…) According to an open letter campaign launched by 120 scientists, psychologists and educators, German public broadcasters are broadcasting unscientific messages about biological sex that could confuse children and promote the medicalization of transgender people.”— news GCN, June 29, 2022.

Adolescents in the present

In their article, doctors Korte and Tschuschke argue that children and adolescents are not equipped to consider the long-term prospects of those undertaking medicalized gender change. “Young people are typically unaware of the lifelong consequences of physical-medical transition treatment,” they say. “'Surgical gender reassignment' inevitably involves the body mutilation. Therefore, 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 that cover a sufficiently long period of time and are based on the most objective data available conclude that'Sex reassignment surgery' confers no 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 compared to before their “gender reassignment”! [These patients] remain an at-risk group after medical transition and require psychotherapeutic support for a very long period.”  

The authors characterize the dominant approach 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 a treatment that blocks puberty." Instead, their article advocates “intensive, open-ended, gender-critical psychotherapy that maintains the possibility of resolving dysphoria.” “We are fundamentally skeptical of any approach that provides complete salvation and relief from psychological suffering through cosmetic surgery. Hormone treatment and surgical interventions on the healthy body can, at best, offer some relief, and only then are they ethically justifiable in the very rare cases of [enduring] transsexual gender dysphoria.”

The authors suggest that aggressive trans activism has prevented the debate necessary to arrive at the best therapeutic response for a rapidly growing group of vulnerable youth. “In a democracy – and above all in a scientific controversy – it must be possible to know the facts and engage in a debate based on objectivity rather than adopting the recommendations of radical activists, muzzling all differences of opinion, criticism of any kind and therefore all discussion through personal accusations, denunciations, systematic cancellations or even threats – and in this way “refusing to engage in a speech. The concrete and scientifically based arguments against initiating a treatment course for “gender reassignment”, the first step of which involves the suppression of puberty, should be taken seriously

Note: the LSVD, one of Germany's main LGBT lobbies, claims here the cause of self-id; while the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth promotes “gender affirmation” medical interventions in its Rainbow portal.  

original article here

translation and adaptation by Marina Terragni


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