@Helleofabore
'I get that you prioritise autonomy, but I think that at the moment 'autonomy' is being obfuscated by the impact of the amplification of 'no debate' and the move now for explorative therapy to be treated as conversion therapy.'
Yes, I think you are absolutely right - I don't support explorative therapy being labelled in that way or that it should be banned. I don't support affirmation only care either.
People should only transition when they have all the facts- what a transitioned life will actually be like, the risk of de-transition, the fact that it may not solve other issues. They should also receive full consideration of co-morbidities, other conditions, vulnerabilities. Finally, the process shouldn't be rushed.
However, to me this only makes me more sure that personal autonomy is important. What I see TRA's doing is removing the autonomy of trans people, removing their ability to get all the facts, removing their ability to come to their own decision about a transition. They have politicised the doctor-patient relationship so that the choice isn't really a choice, it's more a predetermined outcome.
And yes, I do think some de-transitioners have been victims here.
But I still think we live in an imperfect world. As others have pointed out doctors get things wrong, medicine moves on all the time, the world changes around you and we all end up having regrets- sometimes very serious ones.
So we have to put our trust in the best option we have for advice- trained medical professionals and scientists. We have to accept that the advice night still not be right and the choices we make carry risk. And we really have to make sure that as adults we keep our autonomous decision making- that we have that final veto over the things that effect us.
So, whilst I agree with you, I also agree with the opposite pov, that some people should be allowed to transition if that is what is best for them. The final choice, as long as they are capable of making it and all the relevant advice has been given, should sit with the individual. They might make the wrong choice, but they have the best chance imo of knowing what's best for them and making the right choice. No-one else knows us better than we know ourselves, and other people often have their own agendas which may not be what is best for us, even if they mean well.
As to where the line is, I honestly don't know, I would hate to be an individual having to make that choice, or the medical professional supporting them. Like you, I don't think it is necessarily in the right place right now, but I also wouldn't set it so far in the opposite direction that it removed real choice but in a different way- so that it was almost predetermined that you wouldn't transition.
I understand that you probably won't agree with the conclusion I've come to on this, but hopefully there's a logic to how I got there. I also hope this wasn't so long that you've long since died of boredom reading it!