Finland. Children with gender dysphoria, new guidelines: more psychological help, less hormones

Psychological therapies, for years stigmatised as conversion therapies, are once again the first option for girls with gender dysphoria in Finland. Hormones for minors have come to a halt in many western countries. And in Italy?
Please be aware that the translation of contents, although automatic, has a cost to Feminist Post but is provided to you without any charge. Please consider making a contribution via the "Support us" page if you intend to use our translation service intensively.
The contents of this site are translated using automatic translation systems without the intervention of professional translators.
Translations are provided for the sole purpose of facilitating reading by international visitors.
Share this article

Many of the pioneering countries in the hormone treatment of children to start the transition are revising their guidelines. In Sweden, under-16s can no longer be treated with drugs, and in the UK, after the landmark Keira Bell ruling -see here- In Finland, psychotherapeutic treatments are again being favoured, with hormone therapy being used only as a last resort. In Italy, the use of puberty blockers on children is allowed with a simple medical diagnosis and without the intervention of a court. Data on the number of minors treated are not yet known. Presumably, as in the rest of western countries, it is mainly girls -7-8 cases out of 10- who identify themselves as boys.

There are many differences in the Finnish guidelines compared to how Canadian clinics are currently treating gender dysphoria. In Canada, the pressure to 'speed up' the medical transition continues. Finland, on the other hand, promotes non-invasive psychotherapeutic interventions as a first line of action. No surgery is allowed for minors under the age of 18, and hormone therapy is only started if it is established that "Identification with the opposite sex is of a permanent nature and causes severe dysphoria.". When deciding on treatment measures, it must be ensured that gender identity dysphoria has been persistent for at least 2 years and that the person can consistently describe how the dysphoria is detrimental to him or her in everyday situations, in his or her social life or professional career, causing significant suffering. Treatment measures that modify the body to be more congruent with the person's gender identity may be carried out if the person can reasonably justify the need for it and is aware of the associated risks.

The "Council for Choices in Health Care (COHERE Finland) - which works in collaboration with the Ministry of Social Affairs and Health and is responsible for issuing recommendations on services that should be included in public health - was tasked to set up an expert group to evaluate clinical guidelines regarding medical treatment for people with gender dysphoria and the ability of people to access the publicly funded health care system for such treatment.

COHERE stated that "the health problem is gender dysphoria, gender identity variation as such is not a health problem. The recommendation is focused on the treatment of gender dysphoria and therefore also the severity of dysphoria has been defined and also the prerequisites to be able to diagnose gender dysphoria and to be treated. [...] In Finland we do not have legislation that gives people the right to decide what services they can get from publicly funded health care. There must be a medical basis for both diagnosis and treatment.". 

COHERE presented three reportsThe first clarifies the roles of different health care providers in a situation where a child is uncertain about his/her gender identitythe second report focuses on providing general recommendations for the treatment of adult transgender people and, finally, a third publication recommendations for the treatment of gender dysphoria related to non-binary persons and persons with gender identity other than the opposite sex.

In all reports it is specified that in order to improve the appropriate allocation of healthcare resources and ensure the timeliness of the diagnostic and treatment process, Any assessment of the need for psychiatric and psychosocial care, and any treatment deemed necessary, should be organised before the person is referred to the centralised research clinic, so that the evaluation period can be started.. It is medically justified to send people to the multiprofessional research clinics of HUS (Helsinki University Hospital) and TAYS (Tampere University Hospital) if they meet the following criteria: the person has a significant and prolonged gender conflict that causes identifiable suffering in a harmful way in everyday situations; the person was diagnosed and treated for possible concomitant psychiatric symptoms and their continuation during and after treatment, if necessary; it is confirmed that the person has the psychological conditions and sufficient functional capacity for a demanding assessment.

There are also specific indications developed for the treatment of children: i Surgical treatments are not part of the treatment methods for gender dysphoria in children; initiation and monitoring of hormone treatments should be centralised at the HUS and TAYS gender identity research clinics. On the basis of a thorough examination and on a case-by-case basis, the initiation of hormonal interventions that change sexual characteristics can only be considered before the person is 18 years old if it can be established that their identity as the opposite sex is of a permanent nature and causes severe dysphoria. In addition, it must be confirmed that the young person is able to understand the meaning of the irreversible treatments and the benefits and disadvantages associated with lifelong hormone therapyand that there are no contraindications. If a young person (minor or adult) who suffers from gender-related anxiety has experienced or is experiencing concurrent psychiatric symptoms requiring specialised medical care, an assessment of gender identity may be considered if the need for such an assessment continues after the other psychiatric symptoms have ceased and the adolescent's development proceeds normally.

For those who have not yet entered puberty and have experienced symptoms of persistent anxiety related to gender conflict and/or identification as the opposite sex, they can be referred for a consultation visit to the child gender identity research group at TAYS or HUS. If a child before the onset of puberty is diagnosed as having a persistent experience of identifying as the opposite sex and showing symptoms of gender-related anxiety, which increases in severity at puberty, the child can be referred at the onset of puberty to the Child Gender Identity Research Group at TAYS or HUS for an assessment of the need for treatment to suppress puberty. Based on these assessments, puberty suppression treatment can be initiated case by caseafter careful consideration and appropriate diagnostic tests, if the medical indications for treatment are present and there are no contraindications. Young people who have already gone through puberty can be sent to the child gender identity research clinic at TAYS or HUS for in-depth studies on gender identity whether the variation in gender identity and related dysphoria do not reflect the temporary search for identity typical of the developmental phase of adolescence and do not subside once the young person has had the opportunity to reflect on his/her identity, but rather his/her identity and personality development appear to be stable.

Original article heretranslation by Angela Tacchini

Much of the news published by Feminist Post you will not read elsewhere. That is why it is important to support us, even with a small contribution: Feminist Post is produced solely by the voluntary work of many people and has no funding. If you think our work can be useful for your life, we would be grateful for even the smallest contribution.  

Please send to: BLU BRAMANTE CULTURAL ASSOCIATION

OBLIGATORY REASON: FEMINIST POST

IBAN: IT80C0200812914000104838541


Much of the news published by Feminist Post you will not read elsewhere. That is why it is important to support us, even with a small contribution: Feminist Post is produced solely by the voluntary work of many people and has no funding.
If you think our work can be useful for your life, we will be grateful for even the smallest contribution.

You can give us your contribution by clicking here: Patreon - Feminist Post
   - or -
You can send to: ASSOCIAZIONE CULTURALE BLU BRAMANTE
Obligatory reason: FEMINIST POST
IBAN: IT80C0200812914000104838541
You might also be interested in
6 August 2022
California, transfusion of children
The American state proposes itself as a 'health' tourism destination for minors who are unable to access transition where they live. Exempting the parents and relieving the operators of any risk of litigation in the event of subsequent 'repentance'. Meanwhile in the UK, after the closure of the Tavistock, eyes are on a Scottish clinic where the experimental model (puberty blockers and surgery) continues to be applied
There is a real war going on in the United States over the ideology of gender identity and its promotion in schools. A 'culture war' pitting the elites, who fund and promote gender ideology, against the ordinary people who oppose it (see the Disney case here). While Biden from day one has made many legislative concessions to trans activism at the federal level, the Republicans have intercepted the discontent of the citizenry with various counter-legislation at the state level, such as [...]
Read now
29 July 2022
UK. Black week for the glittering trans-patriarchy: closed the Tavistock, gender clinic for children. And Allison Bailey wins in court: she was discriminated against for her gender critical views
The ideology of gender identity under attack in UK: NHS orders closure of paediatric transition clinic and points the way to psychological therapies. And Allison Bailey wins employment tribunal case backed by JK Rowling: employer ordered to compensate her for putting her 'under investigation' because of her gender critical views. At the suggestion of Stonewall, who comes out of it with her reputation in tatters
CLOSES TAVISTOCK, CHILDREN'S TRANSITION CLINIC: 'AFFIRMATIVE' APPROACH (DRUGS AND SURGERY) IS DANGEROUS FOR YOUNG PATIENTS The news is sensational: the British National Health Service (NHS) has ordered the closure of the Tavistock & Portman gender clinic for failing to ensure the safety of young patients, most of whom are girls (full article here). The clinic has been accused by several parties of hastily initiating many minors, most of them suffering from spectrum disorders [...].
Read now
28 July 2022
Argentina: stop neutral language in schools
E' was the first country to introduce gender self-identification. Ten years later it is among the first to ban neutral language in schools as it is 'not even that inclusive: it creates a barrier for children with learning difficulties'
In 2012, Argentina was the first country in the world to introduce self-id or gender self-identification into its legal system. Ten years later, it is one of the first countries to ban neutral language in schools. As taught by the mothers of radical feminism and difference thinking, the neutral is a red herring that actually brings the male point of view back to the centre. If the illusion of the neutral is less noticeable in the English language, it is immediately [...]
Read now
20 July 2022
Where is the Casa delle Donne in Rome going?
'The House we are all' reads the beautiful slogan of the historic enclave in Trastevere. But in that space, which is public and should be open, the#039;agibility is only transfeminist. And after the uncritical support for the Zan ddl -to stop feminicides-, the yes to the 'uterus for rent' and to 'sex work', now also the hymn to male ultra-bodies in women sports: maybe it is time for a reflection
The International House of Women in Rome agrees with the University of Pennsylvania's proposal to name Lia Thomas 'Woman Athlete of the Year'. Lia Thomas, of whom we have spoken several times here, is the famous swimmer who has repeatedly beaten her opponents competing in the women's categories, but who has at least had the merit of finally exploding the issue of male ultra-athletes in women's sports. The post shared by the International House of Women, a confusing little treatise on intersectional feminism, [...].
Read now
6 July 2022
Maya Forstater, fired for saying sex cannot be changed, wins in court: it was discrimination
Decisive for gender critical feminism around the world was the victory of Maya, a researcher who lost her job over a tweet in which she wrote that biological sex is immutable and that women have rights based on sex. Britain reaffirms the right to criticise gender identity: threats and accusations of transphobia are illegitimate. "A'further proof" says Forstater "that the wind is changing". The final ruling of the labour court also ordered the company that did not renew the contract of the researcher, co-founder of Sex Matters, to pay compensation. A triumph across the board
A year ago, June 2021, Feminist Post published an article on the case of Maya Forstater, the British researcher whose employment contract was not renewed by her employer for expressing critical views on the concept of gender identity and reaffirming the importance of women's gender-based rights. The article ended by reminding readers that Maya's case was not yet over and, although the appeal ruling of the [...]
Read now
5 July 2022
Women attacked from left and right: the ash on the head of the New York Times
As the organ of the liberals and woke culture, the great US newspaper has been undertaking a vigorous change of course for a few months now, admitting its own excesses and the misogyny of the new progressive course committed to wiping out women. While waiting for the self-critical wind to blow in Europe too
by Pamela Paul Perhaps it makes sense that women - complacent and pleasant-looking creatures, selfless and just as pretty - were the ones who finally brought our polarised country together. Because the far right and the far left have found the one thing they can agree on: women don't matter. The position of the right is best known, the movement has been aggressively dedicated for decades to depriving women of basic rights. Thanks also to two judges [...]
Read now
1 2 3 ... 40