Are there psychiatrists or psychologists who advocate for compromise with those who are anorexic, or want their limbs removed?
There was an overlap with Russell Reid in UK
Reid supported the amputation of healthy limbs. After a couple of publicised operations, this was ruled unethical in the UK.
Later Reid faced disciplinary measures for unethical practice.
During this he was supported by TRAs.
Wiki
(extract)
"In 2006-2007, Reid was investigated by the General Medical Council (GMC), the regulatory body for doctors in the UK. A serious professional misconduct hearing opened following complaints brought by four doctors from the main NHS Gender Identity Clinic at Charing Cross hospital, west London, and some of his former patients. It is alleged that he breached international standards of care, set by the Harry Benjamin International Gender Dysphoria Association (HBIGDA) by inappropriately prescribing cross-gender hormones to patients and referring them for sex reassignment surgery without adequate assessment.
Britain's primary lobbying organization for transgender and transsexual people, Press for Change, was quoted as saying that Reid received support during the process from more than 150 patients as well as additional experts in the area. Ultimately, the enquiry found Reid guilty of Serious Professional Misconduct, mostly for failing to communicate fully with patients GPs and not documenting his reasons for departing from the HBIGDA Standards of Care guidelines sufficiently. However, the panel "determined that it would be in the public interest as well as your own interests if you were to return to practice under strict conditions." and allowed him to return to practice, subject to some restrictions on his practice and hormone prescriptions for the next 12 months.
Reid was a member of an expert committee set up by the Royal College of Psychiatrists to draw up new UK care guidelines on the treatment of Gender identity disorder. " (coninues)
en.wikipedia.org/wiki/Russell_Reid
2007 Guardian by Julie Bindel
(extract)
"If I had been properly assessed, it would have been obvious that sex-change surgery was inappropriate for me," says Claudia. "I was desperately unhappy and was going for a sex change because I felt under pressure from my boyfriend." No searching questions were asked about her background and no warning or preparation were given as to the impact of such life-changing surgery. That surgery took place just three months after her consultation with Reid.
Since the case against Reid began, many in the transsexual community have spoken in support of him. Websites serving the gay and transgender communities are full of comments about how Reid has shown phenomenal support to numerous transsexuals. He "has saved the lives of many trans people, treated them with respect and left them with the dignity they deserve," reads one post. Many others wrote in, agreeing." (continues)
www.theguardian.com/lifeandstyle/2007/may/23/healthandwellbeing.health
2003 Sunday Telegraph by Juie Bindel
(extract)
"Today the best-known psychiatrist dealing with transsexualism is Dr Russell Reid, who runs a private practice as well as working in the NHS. In 2000 Reid was involved in controversy over the condition known as Body Dysmorphic Disorder (BDD), where sufferers can experience a desperate urge to rid themselves of a limb. Reid was one of the psychiatrists who referred two patients with BDD to a surgeon for leg amputations. ‘When I first heard of people wanting amputations it seemed bizarre in the extreme,’ he said in a television documentary at the time, ‘but then I thought, "I see transsexuals and they want healthy parts of their body removed in order to adjust to their idealised body image," and so I think that was the connection for me. I saw that people wanted to have their limbs off with equally as much degree of obsession and need.’
But to what degree should doctors be acquiescent to the ‘obsessions’ and ‘needs’ of patients; should there be a point at which they are duty-bound to say no? I asked Dr Reid how he decides on the suitability of surgery for a GID sufferer. ‘The patient makes their own diagnosis, and I confirm or refute it. If I am happy that they are serious about considering surgery in the future, I will prescribe hormones and expect them to live as a woman (or a man, if it is a female-to-male patient) for at least a year. If, after that time, they are mentally stable, living a reasonable and public life and functioning as a whole human being, and if the hormones have been effective, I would consider them worthy of surgery." (continues)
archive.li/1bcWN#selection-287.0-295.716