UK. Cass report: no more affirmative therapy for children with gender-related problems

Pediatrician Hilary Cass' final report on child transitions comes out: offering affirmative therapy was a failure. There is no evidence on the effectiveness of puberty blockers, which should never be prescribed except in rare cases. Hormones of the opposite sex should not be given before the age of 18, and even between 18 and 25 caution should be exercised. A definitive watershed
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UK. Rapporto Cass: mai più terapia affermativa per i minori con disagi legati al genere

The long-awaited final report of the Cass Reviewan independent review chaired by paediatrician Hilary Cass on public health services for children and minors with 'gender dysphoria'. Its final report and recommendations were presented to the NHS England. Here are the highlights.

La conviction for affirmative treatment is finaland determined by the Absolute lack of evidence that puberty blockers and opposite-sex hormones bring real benefits minors suffering from 'gender incongruence' or 'gender dysphoria'.

In the preface, Dr Cass directly addresses the children and adolescents who are the focus of the study with these words: "I have been disappointed by the lack of evidence on the long-term impact of taking hormones from a young age; the research has disappointed us all, especially you".

The main findings of the investigation include: 'For most young people, a medical course will not be the best way to deal with their gender-related discomfort". And that also 'for those young people for whom a medical course is clinically indicated, it is not enough to provide it without also addressing broader mental health and/or psychosocial issues." The report specifies that these few cases are those related to the complex and very rare conditions that go under the name of disorders of sexual development or intersexuality.

The Cass Review also found that "Doctors are unable to determine with certainty which children and young people will have a lasting trans identity", and it therefore takes extreme caution when administering puberty blockersso as not to cause irreversible damage.

The recommendations also state that the hormones of the opposite sex should not be administered before the age of 18, and that even between 18 and 25 particular caution should be exercised.

Furthermore, the report advises the National Health Service to prioritise the cases of younger children and to offer holistic care, looking beyond the 'gender' issue alone, with the participation of a multidisciplinary team of expertsto help the child and his/her family make the best decisions. In fact, unlike the current practice of encouraging social transition (alias careers) even without the parents' knowledge, the Cass report states that children who have a supportive relationship with their family have higher recovery rates and that parents should always be involved in decisions about a possible transition.

Finally, the report also recommends provide support for detransition pathsor to renounce the transition, which may be more difficult and opposed by activists and peers than the transition itself.

Dr Cass also makes an appeal to her colleagues, the health professionals who treat these children: 'We have to start with the knowledge that this group of children and young people are just that: children and young people first, not individuals defined solely by their gender incongruity or gender-related discomfort".

In short, the relationship is an absolute watershed for gender non-conforming children's health services. It will no longer be possible to ignore the complex psychological picture and human beings of minors seeking "gender-based treatment and lightly prescribe drugs and surgeryas has been scandalously done so far.

The full report of the Cass Commission can be read here

Maria Celeste


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