Cass review - out on Wednesday

[ArabellaScott]

https://www.telegraph.co.uk/news/2024/04/06/children-socially-transition-face-grave-psychological-risks/

Major.

Boiledbeetle · Today 08:12

I can't be arsed trawling TRA twitter, but I did just switch to my sock account to go find IWs take on things!

I looked and was entirely unsurprised to see them's usual, deranged, fact-free outpouring of shite.

https://twitter.com/HJoyceGender/status/1777960781977407599?s=19

"I've just been on BBC radio 5 live.You can probably listen back. From about 8.10. Listen from 8.05 to catch the transwoman before me who explains he was always a girl because as a child he wore a blonde wig and pink dresses."

That’s how I read it. Basically anyone trying to challenge this within the NHS was shut down

i really hope that action of some kind is taken against the then Board of Tavistock & Portman NHS tryst who allowed mermaids an undue level of influence in a medical setting and it seems enabled GIDS to behave in such a clinically irresponsible manner

From the Guardian article about children as footballs

"Cass says it is not her job to comment on whether some professionals should face disciplinary proceedings for their role in what has gone wrong.
“I don’t think you can point a finger at anyone in particular; it’s been a system failure,” she said.
“The toxicity of the debate has been so great that people have become afraid to work in this area.”
Medical professionals experienced a sense of fear “of being called transphobic if you take a more cautious approach”, she said.
Others were worried that they might be accused of conducting “conversion therapy if, again, they take a cautious or exploratory approach” and some clinicians expressed “fearfulness about what colleagues might say if they speak up and express an opinion that is not consistent with theirs”.
Gender medicine ‘built on shaky foundations’, Cass review findsRead moreThe consequence of this rising nervousness among clinicians over the past 15 years has been that many children exploring their gender (which Cass describes as “a normal process” in adolescence, not necessarily requiring any NHS input) have been prematurely diverted towards chronically oversubscribed specialist clinics, and left sitting on waiting lists for years, without any support."

He's doubling down?

People who trot out the “knew I was a girl because I loved pink and having long hair” line are scarily thick.

I didn’t have long hair or wear dresses when I was a girl 🤔 does that mean I was a boy??

I haven’t read the report yet but from what I have read on TwitterX Dr Cass was not provided with the data to review NHS patient records to track outcomes. As a pp said Savid Javid supported the release of this data as health minister.

What are they trying to hide?

Amazingly, Radio 4 have turned to Helen Joyce for comment and just broadcasted what she said. I thought she was surreptitiously banned from the BBC.

It was Hayley? the young transwoman from the recent Big Brother who knew they born in the wrong body, knew at 13 they are a girl etc.

I'm sure that during the last 4 years Cass has come to understand exactly what kind of behaviour she will face today.

She's one bloody brave woman.

My take on Cass' reference to toxicity (which may actually reflect my take, not hers) is that interest groups make demands that don't align with the best available evidence.

With the absence of robust evidence, we don't know which treatment pathways afford the best outcomes. However, there is available evidence to show the best treatment pathways for conditions whereby gender distress is a symptom.

It is likely that if/when we get a better understanding of the range of causes of gender distress, gender dysphoria is likely to be one (in and of itself). This is anticipated by Cass as there is an evidence base relating to this being a very rare condition. It may be the case that a proportion of the very small proportion of people with GD will have better life outcomes following physical intervention, but the key thing is looking at outcomes that go a lot wider than affirming identity.

Nicky Campbell has just started on R5
This will be interesting. He's been cowardly on this issue and I suspect we'll hear lots of male voices.

Amazingly, Radio 4 have turned to Helen Joyce for comment and just broadcasted what she said. I thought she was surreptitiously banned from the BBC.

That was a clip from a longer interview on Radio 5 just after 8am

Perhaps they're finally realising that they can no longer be so bloody partisan.

They don't track outcomes. Perhaps they are trying to hide this fact by not cooperating? The Laurels published a small amount of outcome data a few years ago, but this was exceptional and my understanding is that it is 'too hard' to track outcomes (NHS number changes... loss to follow up etc etc)

Not our problem, guv

Boiledbeetle · Today 08:51

"I've just been on BBC radio 5 live.You can probably listen back. From about 8.10. Listen from 8.05 to catch the transwoman before me who explains he was always a girl because as a child he wore a blonde wig and pink dresses."

Them said that them was always in pink, with a blonde wig in baby pictures. That seems as though the parents transed they.

Of course it does! Book yourself in for a double mastectomy with that delightful Irish surgeon in America who’s made a fortune from filling buckets with teenage girls’ breasts but it’s okay because the operating theatre is full of smiles and lols as the girls become their “authentic selves” pronto!

Yeah, GIDS weren't very cooperative with Cass. Cass had to write to someone to ask that they make the NHS give her the information. Helen discusses it in the radio interview on 5 live

It's a minefield. Sorting the rare but genuine cases of gender dysphoria from the transactivist influenced contagion.

Because TRAs will always, always try to exploit the former in order to recruit more of the latter.

i really hope that action of some kind is taken against the then Board of Tavistock & Portman NHS tryst who allowed mermaids an undue level of influence in a medical setting and it seems enabled GIDS to behave in such a clinically irresponsible manner

I agree eyeballs that’s why I think a public inquiry is needed. To prevent repetition of mistakes. The Cass report shows all the whistleblowers to be right and the huge failings in the treatment of kids is acknowledged as a system failure by Cass. Not having read her report she must see the colossal failure this represents for child safeguarding? Just that has all the ingredients of lessons needing to be learned right there.

A public inquiry is a political decision- and sadly my prediction is it will not ever happen unless a new government wants to put clear blue water between this past decade+ of awful politics and their own. But I think we should absolutely press for it - why not. We have come this far. There will only be more kids and young people in need of redress and care.

Seems the BBC need her expertise rather a lot today!

I’m wondering if Jeremy will go there today 🤔

It is likely that if/when we get a better understanding of the range of causes of gender distress, gender dysphoria is likely to be one (in and of itself). This is anticipated by Cass as there is an evidence base relating to this being a very rare condition.

I keep banging on about this, that before the madness hit, gender dysphoria in a diagnosed sense was: "According to the DSM-5, among individuals who are assigned male at birth, approximately 0.005 percent to 0.014 percent are later diagnosed with gender dysphoria. Among individuals who are assigned female at birth, approximately 0.002 percent to 0.003 percent are later diagnosed with gender dysphoria." If "trans people" make up 0.5% of the population, that suggests that of the current "trans" cohort very few of them have gender dysphoria (as the term originally meant).

Yes, that's a point. I wonder what will happen to mermaids now.

I don't know how these things work, but it wouldn't surprise me if the charity commission's decision has been delayed, in order to wait for this report to be published.