[quote EyeEdinburgh]@OldCrone "People have repeatedly told you that these guidelines should be followed."
Yes. And I agree. what none of the people on this thread have managed to explain is why they think that because Dennis tells the class teacher "I want you to call me Gloria and use she/her pronouns" this means the child's welfare is at risk. Providing the school has stout and effective anti-bullying policies, the class ought to follow the teacher's lead and call Gloria, Gloria. Maybe the child is a trans girl. Maybe not.[/quote]
Since you keep asking why a child identifying as trans is a safeguarding issue, I'd like to just quote a (very long) comment I wrote on this issue elsewhere that explores some of the reasons why it is:
An example: LGBT Youth Guidance in Scotland recommends that parents should as a matter of general principle never be informed if a child identifies as trans at school and does not wish the parents to know this. However, one of Scotland’s safeguarding frameworks, called “Getting It Right For Every Child” or GIRFEC for short, stipulates that no information should ever be withheld from those with legal parenthood/parental responsibility unless there are very serious concerns about the parents/carers. This cannot be a mere vague concern, it requires an actual case conference, with all the usual documentation of incidents that give rise to these concerns and so on.
However, in the case of a child who identifies as trans, information is to be withheld even from parents/carers who are not considered to be a concern at all – perfectly fit, loving, capable parents are to have such a vital piece of information withheld for no other reason than it serves a narrative of “being trans is not a safeguarding concern”. Actually it is. The reasons are as follows:
Children who identify as trans because they suffer from gender dysphoria urgently need support. LGBT Youth’s very own guidance outlines that these children actually fare much better if they are supported by their parents.
Also, when the school withholds this information, it violates the human rights of the child. Specifically:
There's Article 3, which stipulates that the child’s best interests must be paramount in any decisions made about that child. It is not in the child’s best interests to prevent parents from having important information that has an effect on the mental and emotional wellbeing of their child which in turn prevents them from taking action to protect and/or support the child.
There's Article 5, which stipulates that children have the right to have parental support to aid them in exercising their rights, and to have their evolving capacities taken into account.
LGBT Youth Guidance (as is typical for all other types of guidance on how to accommodate and deal with children who identify as trans) does not differentiate between a 4-year-old in Primary 1 and a 17-year-old in Secondary 6 in Scotland, despite the fact that each child would have vastly different capacity of understanding and maturity. The latter may be able to access needed support independently, the former most certainly is not.
But even in the case of a teen, take this scenario:
If a school is fine with not sharing information with the parents of a teen who identifies as trans, but not so good with making alternative arrangements for changing rooms (such as offering a staff changing room instead of insisting on the child sharing a changing room with other children of its biological sex), the teen may feel very uncomfortable or even distressed at undressing in front of the other children. The teen would in most cases be far better off if the parents were informed and could then navigate school procedures to ensure their child’s needs are met.
There's Article 6, which stipulates that States have to “ensure to the maximum extent possible the survival and development of the child” which refers to ALL matters of development and health.
Many female children who have gender dysphoria bind their breasts. The vast majority have no knowledge of the serious risks to their health (for instance a study by a pro-binding organisation showed that amongst females who bind their breasts, 97% reported at least one negative health outcome). They recommend that doctors treating such females should counsel and educate them carefully to help them manage either without breast binding or by doing so in the least harmful way possible.
However, if a child discloses a practice of breast binding to a teacher in a school which follows LGBT Youth Guidance, this teacher is advised to respond in a manner which also violates established safeguarding practices around self-harm (which breast binding falls under because of its serious risks of irreversible damage to the developing child). Paramount of these practices is to ensure that the child receives help and support in minimising risk to themselves. This necessitates working closely with the parents/carers of the child. Which would mean informing the parents, which these schools don’t do.
Moreover, because trans guidance talks down, glosses over or completely fails to mention known risks, these schools often don’t even understand the risks properly. (Teachers could of course seek to educate themselves, but they have many other children with many other issues to worry about. Unlike parents/carers who typically look after far fewer children.)
Furthermore, children with gender dysphoria benefit from seeing a specialist. They cannot access a specialist without a parent arranging this. But the parent wouldn’t know. As trans advocates keep stressing, the increasing delays in accessing specialist support are putting children with gender dysphoria at risk. This hasn’t stopped these organisations from also recommending cutting off the children’s best chance to be supported to access help. There is no other wellbeing issue where creating such unnecessary delays would be deemed acceptable.
And Article 18 stipulates that children have the right for their parents to take responsibility for ensuring their needs are met in a way that is in their best interests. As I have outlined above, abandoning existing safeguarding frameworks means that this isn’t happening.
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There are any number of other issues we could look at. For instance, that every single child I know who is trans has underlying issues like trauma, bereavement or abuse and/or pre-existing conditions like anorexia, depression or neuro diversity which may be and often are the root cause for the child identifying as trans.
In any other context, these underlying causes would be explored to their fullest and if at all possible we would help the child to work through them in order to limit the impact of these issues, and in the case of gender dysphoria to help the child to reconcile with its body. So that the child can thrive. However, the Memorandum of Understanding as signed by health professionals and counsellors actually classifies all such attempts as conversion therapy. This seriously interferes with how effectively such a child can be helped if it is in distress.
Or take the fact that the Dutch clinic which pioneered the use of puberty blockers in such children used these only in connection with an extensive and thorough counselling program. That’s because desistance rates among children continue to be high but the previous best practice of watchful waiting did not lead to the most ideal outcomes for children who persisted into adulthood. So the Dutch doctors came up with a program they believed would harm neither desisters nor persisters, because it would temporarily halt their physical development while underlying causes would be explored and if possible resolved or at the very least managed and for those who desisted, puberty could then be allowed to proceed.
There is as of yet no longitudinal study providing any evidence that this approach is any more beneficial to these children than the previous best practice of watchful waiting. However, what we do know from many other medical areas is that if you remove a vital and intrinsic part of a treatment regimen, of any kind of medical therapy it leads to worse outcomes (cf anorexic children for instance, where merely keeping them fed does not increase survival rates while feeding plus therapy using a number of different approaches does).
Nonetheless, the current treatment model puts children with gender dysphoria on a medical pathway that no longer includes counselling as a major part of the treatment approach. On the contrary, many patients and their parents report that not even obvious issues are explored.
And the medical pathway itself presents another deviation from established safeguarding principles. When health care professionals treat children, the child’s right to an open future is a consideration that is first and foremost in the minds of those deciding which treatment options to pursue. This “right to an open future” refers to the fact that children are in the unique position that they have rights that all human beings have (by dint of being human) but that they cannot yet exercise. Many of those rights they can only exercise when they reach maturity – legal, physiological or mental.
The ethical approach, applied in paediatrics, is that neither parents nor doctors nor anyone else has the right to decide for the child to forego any of the rights it can only exercise in the future. Not unless the child is in mortal danger. And for much of its childhood the child itself is not deemed to be mature enough to understand the gravity and longterm consequences of foregoing these future rights either. Which is why parents don’t just have the right but also the responsibility to act in the best interests of their child, considering for the child the impact of the loss of future rights that they themselves have been able to exercise as adults.
So, to come back to children with gender dysphoria and the medical pathway. Any other medical approach adheres to the principle of the right of the child to an open future. Treatment options that will irreversibly alter the child, but most importantly treatment options that will prevent the child from ever exercising its future rights, ie options that close its future are avoided until they are the very last option.
The child who identifies as trans on the current medical pathway however has one open future treatment option all but denied from the outset (counselling aiming to explore reasons for dysphoria and any attempt to reconcile the child with its body – which represents the most open future), and instead faces a long road of treatments leading to irreversible changes to its body.
Puberty blockers – serious adverse side effects and unfortunately irreversible damage to health and mental capacity.
Puberty blockers plus cross-sex hormones – adds high risk of never reaching sexual maturity, loss of fertility, arrested brain development, permanently altered voice and hair growth, vaginal atrophy, menopause (and that has life-limiting effects for one in three menopausal women).
PB+CSH+surgery – adds the irreversible loss of healthy organs and tissue (breast amputation, castration, hysterectomy, penectomy).
So, definitely not an open future when it may leave a child infertile without sexual function and any number of irreversible body modifications.
Under normal circumstances then this medical pathway would not be entered upon unless as a last resort. The right of the child to an open future is not a principle that’s been abandoned. It still applies to all other children. Just not to the child with gender dysphoria.
This isn’t an exhaustive list, but I hope I have managed to give you some idea of the issues involved.