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Feminism: Sex and gender discussions

NHS to test all 'transgender' children for autism / same-sex attraction

80 replies

Pluvia · 27/04/2025 23:11

This is the archive link to the Telegraph article so that everyone can read it:

http://archive.today/CnELA

As a result of the Cass Review, all children presenting as transgender will be assessed for autism and same-sex attraction. Excellent news all round. Looks like they're going to stop sterilising autistic children and training away the gay.

So proud to be a terf of terf island. We changed this. We saved some kids, at least, a lifetime of medication and isolation.

OP posts:
Kxidwn · 28/04/2025 10:21

WomensSports · 28/04/2025 09:38

Yes that was my first thought too.

No, nobody will bypass the assessment waiting lists. If a trans young person needs a full autism assessment, once screened, my understanding from what I have been told of plans, working in this field, is that they would be placed on the waiting list for assessment along with all the other children and young people.

ArabellaScott · 28/04/2025 10:14

In all cases it should be identified and addressed appropriately.

I assume this is the whole point of the holistic assessments.

TempestTost · 28/04/2025 10:12

GarlicSmile · 28/04/2025 03:30

@TempestTost, if a young person's autistic they can (assuming the right resources are available) explore their feelings of not fitting in, being 'alien', etc, and be supported with that instead of having their self-diagnosis of transgenderism blindly accepted.

A lot of gay people do say they knew from primary school age. The statement doesn't actually talk about testing for homosexuality. It describes a 360° exploration of the child's life and what stressors may be leading to their sense of 'wrongness'.

And if they aren't autistic, what?

This is a good example of identity politics rotting people's brains IMO. It's the same as a discussion of a bad policy about something like benefits, where people say things like, "Oh, this is bad because it will affect black women poorly." No, it's bad because it's a bad policy that will affect anyone who it pertains to badly.

For some reason - by which I mean, because they have been trained to only think through that lens - a lot of people now only seem to be able to look at problems in so far as they relate to special groups.

There are no children who are really born in the wrong body. If kids are experiencing some kinds of body issues or say they are, there is something else wrong, which may need to be explored, or in other cases it may be social contagion or grooming, or evidence of BPD or trauma, whatever. In all cases it should be identified and addressed appropriately. Not just for those who happen to belong special groups.

ArabellaScott · 28/04/2025 10:09

I think what this holistic assessment signifies is a shift away from assuming that any child who uses the word 'trans' is automatically on a puberty blocker followed by cross sex hormones and surgery pathway.

It instead starts with an open mind, looks at the child and child's situation holistically, considers possible co morbidities and treatments, allows for the possibility that 'no treatment' is the best option (see the recent detail for enquiry for the adult services, here: https://www.england.nhs.uk/long-read/key-lines-of-enquiry-review-of-the-nhs-adult-gender-dysphoria-clinics-in-england/)

If parents present a child trying to 'trans away the gay', it seems far more likely this will be picked up on and challenged.

If a child is in need of mental health support, trauma care, etc, this should be picked up on (the state of that support is another subject entirely, of course, but we have to start somewhere).

ChateauMargaux · 28/04/2025 09:54

I think the title of this thread does not accurately represent the article.. which only mentions same sex attraction in passing.

I also think that this shift is helpful and reflective of a shift in approach to neurodiversity focusing not on how people with neurodiversity should learn to adapt to our neuro typical society but on how our neurotypical society can adapt to their neurodiversity and also to consider what impact medication has and how best to use it strategically, where the benefits outweigh the potential harms (which exist for all medications!!) rather than seeing all presentations of neurodiversity as something that needs to be chemically altered.

MimiGC · 28/04/2025 09:52

Given that’s it’s already well established that children who identify as trans are disproportionately more likely to be autistic, I’m not sure what this new initiative hopes to achieve. If the suggestion is that if they are autistic, then they shouldn’t be acknowledged as trans in the way a non-autistic child might be, then you can expect howls of protest on disability discrimination grounds.

Pluvia · 28/04/2025 09:50

TheOtherRaven · 28/04/2025 08:28

I would think the conversion therapy bill however threatens a spoke in the wheel here (it is certainly meant to by activists.)

If that suggested bill is not kicked back into the long grass again as the many serious complexities become apparent, it's going to have to be so very detailed and specific that it's hard to know really what it will achieve. The FWS judgment has proven that it will need to be at a Peter and Jane level of readability and semantic clarity, as apparently very few people are capable of retaining content meaning beyond sentence level or being able to understand a sentence in context. Or apply basic common sense. Or actually read the thing as opposed to pick up on outsourced thinking from a source that hadn't properly read or understood it either.

I would suggest that there is an increasingly strong and clear LGB voice developing within the Labour Party, at least. I'm involved with Labour LGB, which has separated from the LGBT lobby groups and is getting some traction. Once the dust of the SC ruling has settled and the NHS has this new protocol in place, we'll be in a great position to argue that LGB and TQ+ are different, and that the kind of NHS treatment proposed by Cass and accepted by the NHS does not constitute conversion therapy.

OP posts:
Pluvia · 28/04/2025 09:40

ArabellaScott · 28/04/2025 06:37

This'll be the holistic treatment Cass recommended.

Autism screening and a full health review for comorbidities sounds sensible. Can't see how anyone could.object - this is the standard of care thr NHS should always aim to provide.

To clarify the title of the OP, which is incorrect re same sex 'testing':

'Under the section titled sexual development, knowledge and sexual orientation, it said “clinicians should seek to understand the child/young person’s emerging sexuality and sexual orientation”.'

Also note:

'If this has been a previous issue, doctors should consider whether the child was exposed to “adversity and trauma”.'

Both important points.

Gender incongruence is often a result of trauma, and also abuse. This approach is exactly what should happen when a child presents with gender confusion - open minded, thorough, caring and supportive.

The one problem is the lack of addressing of cross sex hormones. No child should be given these, ever. How will that loophole be addressed?

Guidance out later this year, I look forward to.seeing it in full.

Thank you for this measured and sane response to my OP, @ArabellaScott I can't believe the people whose minds jumped instantly to 'how would you test for same-sex attraction?'

As you say, it's the holistic approach recommended by Cass that will be adopted. Children's lives and backgrounds are explored so that there's a clear picture of what's going on for that child. I hope the specialists will also talk to the parents, because as we know from the example of Susie Green and the testimony of Dr Az Hakeem, parents influence can be a major issue. The data will be interesting and I hope there'll be a lot of useful research to come out of it.

OP posts:
WomensSports · 28/04/2025 09:38

CleaningSilverCandlesticks · 28/04/2025 09:12

So you are saying children who do not declare they are trans, but who may well have other comorbid mental health conditions, will have to wait years and years for assessment. Whereas those who state the magic word ‘trans’ get assessed straight away?

Yes that was my first thought too.

OuterSpaceCadet · 28/04/2025 09:31

I'm glad the link is acknowledged when people working with children have long spotted it.

But..... I guess the problem is still the homophobia and sexism in society. I know of several teenage girls who realised they were gay and came out as such, only for that identity to morph into pan/ non binary/ trans. What is it about the identity of "lesbian" which makes it so unappealing?

And what about the bias of some healthcare workers themselves? Most autism charities leapt aboard the trans trend seemingly unconcerned by the eugenic undertones of exposing so many autistic young people to potential sterilisation?

Plumberneeded · 28/04/2025 09:30

BelfastBard · 28/04/2025 09:01

Because they’ll already have been referred to the multi disciplinary team who can assess and diagnose (ie the psychologists at the gender identity service). So it won’t be a case of that service suspects autism and then refers on, it will be a case of being screened in house and assessed if needed. I can’t see that it would impact waiting lists for those on the singular pathway for ASD/ADHD assessment because they’re different services.

My guess is that they’ll just screen?

Merrymouse · 28/04/2025 09:27

I'm very much hoping that diagnosis will be less 'Yes, you like trains so you are a boy' and more 'Do you think girls can't like trains?'

Merrymouse · 28/04/2025 09:20

Re: sexuality, I don't think they would be asking young children 'are you gay?'

I think it's more likely that they would be asking in an age appropriate way what they thought future family and relationships might look like, and whether they thought that depended on transition.

CleaningSilverCandlesticks · 28/04/2025 09:14

Datun · 28/04/2025 08:58

Exactly.

There's no such thing as trans. At it's purest, it's gender dysphoria. Which is a symptom.

This will find out what it's a symptom of.

And hopefully, it will completely explode the myth of the trans child.

Edited

A symptom of being taught by gender ideologists that people must conform to sex stereotypes and if they don’t they must be trans.

CleaningSilverCandlesticks · 28/04/2025 09:12

BelfastBard · 28/04/2025 09:01

Because they’ll already have been referred to the multi disciplinary team who can assess and diagnose (ie the psychologists at the gender identity service). So it won’t be a case of that service suspects autism and then refers on, it will be a case of being screened in house and assessed if needed. I can’t see that it would impact waiting lists for those on the singular pathway for ASD/ADHD assessment because they’re different services.

So you are saying children who do not declare they are trans, but who may well have other comorbid mental health conditions, will have to wait years and years for assessment. Whereas those who state the magic word ‘trans’ get assessed straight away?

BelfastBard · 28/04/2025 09:01

knitnerd90 · 28/04/2025 03:31

My question is, how are they planning to achieve this, given the existing waiting lists for evaluations?

Because they’ll already have been referred to the multi disciplinary team who can assess and diagnose (ie the psychologists at the gender identity service). So it won’t be a case of that service suspects autism and then refers on, it will be a case of being screened in house and assessed if needed. I can’t see that it would impact waiting lists for those on the singular pathway for ASD/ADHD assessment because they’re different services.

Datun · 28/04/2025 08:58

noblegiraffe · 28/04/2025 08:55

No, most children who think they are trans who aren’t autistic aren’t ’really trans’ either.

Getting to the bottom of why these children think there is something wrong with their body can only be a good thing, rather than ploughing ahead, agreeing that their body is wrong and taking actions that they may regret later.

Exactly.

There's no such thing as trans. At it's purest, it's gender dysphoria. Which is a symptom.

This will find out what it's a symptom of.

And hopefully, it will completely explode the myth of the trans child.

noblegiraffe · 28/04/2025 08:55

TempestTost · 28/04/2025 03:19

This seems like the wrong track to me.

What's the idea - if they are autistic they aren't "really" trans, but if they aren't autistic, they are?

And similarly with sexual attraction. And like a pp said, what sort of sexual attraction are children supposed to have?

The idea that somehow we can know kid's sexuality from early on has a lot to answer for in terms of justifying really inappropriate assumptions and interactions with children.

Even in the case of teens, sexual attraction is not always fully formed until later on.

No, most children who think they are trans who aren’t autistic aren’t ’really trans’ either.

Getting to the bottom of why these children think there is something wrong with their body can only be a good thing, rather than ploughing ahead, agreeing that their body is wrong and taking actions that they may regret later.

ItisntOver · 28/04/2025 08:54

It looks important to respond to the upcoming public consultation.

That was a good overview but I hope for more specifics in the consultation.

Shortshriftandlethal · 28/04/2025 08:52

They really need to engage in sessions of family therapy too.......I suspect a large proprtion of very young children who come out with the idea they are the opposite sex, will be down to parental expectation and desire.

There was an excellent, very revealing documentary onCchannel 4 ( I think!). A few years ago about a young boy in France ( 'La Petite Fille') who was 'identifying as a girl' and was being encouraged in this by his mother ( father not so keen). The mother was very open, and yet startlingly unaware at the same time, about how she had longed for a girl before he was born, and how deeply disappointed she was when the baby was a boy.

'Being a girl' involved dressing up in princess/fairy outfits and having long hair

Datun · 28/04/2025 08:49

Yes, this is good news. And presumably will take the place of the erstwhile gender clinic interview where a child says i'm trans and gets given a prescription, with no, or very few, questions asked.

Stephanie Davis Arai of Transgender Trend said she has yet to encounter a child who thinks they are trans, who isn't either autistic, gay, or has had past sexual trauma.

We know there is no such thing as being born in the wrong body. Therefore trans is being used as a cure all solution to a myriad of other problems. Cynically by transactivists, targeting children.

What the screening will do is work backwards to find out exactly why a child thinks they might be trans. In which case they can address the actual problems, not pander to a child sterilising, dangerous ideology with no basis whatsoever in reality.

Shortshriftandlethal · 28/04/2025 08:44

METR0NOMY · 28/04/2025 06:40

As the parent of an autistic young person who is trans, can you explain why this is helpful? It’s not going to stop them being trans is it?

'Trans' is not a condition, but a contemporary framing device for people/children unable to deal with social or familal expectations around their sex.

I recall a local newspaper article about a boy- early teens - the son of a really tough, working class father who was a 'Mixed Martial Arts' fighter. Most likley gay, it was obvious he couldn't cope with the expectations of boys in his neighbourhood ( a big, working class housing estate on the edge of the city)....and identifying as a girl was his solution.

GarlicSmile · 28/04/2025 08:42

For those who've not been involved in the problematic issues surrounding gender identity treatment for children, this 2021 interview might be useful:
www.theguardian.com/society/2021/may/02/tavistock-trust-whistleblower-david-bell-transgender-children-gids

AngelinaFibres · 28/04/2025 08:35

TempestTost · 28/04/2025 03:19

This seems like the wrong track to me.

What's the idea - if they are autistic they aren't "really" trans, but if they aren't autistic, they are?

And similarly with sexual attraction. And like a pp said, what sort of sexual attraction are children supposed to have?

The idea that somehow we can know kid's sexuality from early on has a lot to answer for in terms of justifying really inappropriate assumptions and interactions with children.

Even in the case of teens, sexual attraction is not always fully formed until later on.

The vast majority of people who are trans are also autistic. They don't fit in and the reason must be that they are in the wrong body. If they identify as the opposite sex then all that will go away. It never does.

Daffy25 · 28/04/2025 08:33

My son has autism and when he was about 9 he was upset as he thought he was transgender. After a conversation with him he said he had learnt at school about transgender and wearing nail varnish. He had seen on YouTube that some designs looked cool therefore he must be transgender. I explained to him that you can like nail art and not be transgender. He was then happier as he then knew he didn’t have to be transgender to wear nail art. He is a teenager now and no signs of being transgender at all. For me this highlighted how a persons mind with autism can just try to connect the dots when told something as fact. So I totally agree with them exploring this first.