The following words were spoken 15 years and 18 days ago, in the House of Lords during the GRA debates. The speaker was Baroness O'Cathain.
It is an obvious failing that the Bill as drafted contains no requirements of psychiatric evidence. It could be that there are severe psychiatric reasons why such a change should not be made. Yet such evidence could be excluded. The panel may never see it and I do not believe that that is right. Furthermore, these amendments would create a system of assessment which was left open to abuse. By selecting the right medical expert and learning to say the right thing at the right time, transsexuals could quite easily pass the test laid down by the Bill at present.
I read recently that there are websites which teach transsexuals the right things to say when being interviewed by medical professionals. They advise them, basically, on how to cheat; on how to present the classic symptoms of gender dysphoria in order to get the operation they feel they want. I have no doubt that with the growth of cyberspace there will soon be websites advising on the best way to get a gender recognition certificate. We must take steps to limit the scope of that kind of abuse.
A more rigorous regime is all the more necessary because the medical profession itself seems to be in turmoil over the appropriate standards to be applied in these cases. Some medical professionals working in this area feel that some of their colleagues are less than rigorous in assessing people. Indeed, the noble Lord, Lord Chan, has given us a description of one such case. Perhaps some professionals feel that their duty is simply to give the patient what he or she wants. I suggest that that is a dangerous approach to take. Not only is it a dangerous approach, but it is an enormous step to take.
Sadly there is plenty of evidence that people regret having a sex change. Only today my attention was drawn to a television programme broadcast in September of last year on ABC, the Australian broadcasting network. It was called "Boy Interrupted" and was about Alan Finch who, with the support of health professionals, had sex-change surgery at the age of 19. He now says, Anatomically, I was never a woman … Everything was fake about it from top to toe". At age 31 he decided to change back to his biological sex.
All of this was spoken before the GRA became law. 15 years ago. This crisis has been fomenting for a decade and a half, and it has been facilitated, eyes wide open, by those with the power to dismiss dissent.
That it has evolved to affect children was entirely inevitable.