This is a devastating read…
“In the wake of the order to close London’s Tavistock Clinic, there is growing disquiet in medicine at what a British review labelled the “unquestioning affirmative approach” to gender identity and the lack of evidence base behind hormone treatment as the numbers of young people presenting with identity issues explodes. Psychiatrists want “evidence-informed assessment and treatment”, a stance fiercely resisted by trans health doctors who insist mental health assessments should not be part of the decision-making process in gender transitioning and that a diagnosis of gender dysphoria is not even necessary to begin hormone therapy.
Ian Hickie from the University of Sydney’s Brain and Mind Centre, says: “I don’t think any ideological approach, either gender-affirming or gender-denying is necessarily what best clinical practice is about.
“This is not a place for ideology; this is not a place for fighting other cultural or gender issues.”
When Mr Davies announced his decision to transition, the affirmation was immediate and intoxicating.
“Everyone I knew put trans people on a pedestal,” Mr Davies says. “It was fashionable. I knew it would be celebrated and promoted. At first it was euphoric. I felt like coming out as trans was my coming home and the key to everything that was wrong in my life.”
But, despite signing up for hormone therapy enthusiastically, being a woman never felt right. “These feelings of negative self-image and negative self-reflection became a downward spiral, and I kept trying to solve the problem further by being more of a woman,” he says. “And it just became more and more incongruent with who I am and what is natural for me. I came to realise it was a waste of time and a delusion.””