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Dr Brady's avatar

This is key : “This should be a story about the ethical quandary of giving sex changes to people with severe mental health problems and unstable identities”.

My #1 goal is to stop medicalizing distressed young people your statement above is #2. And near the end of Affirmation Generation you spoke eloquently about one way we do that is hold space and support gender, and sexually diverse people. There is so much underneath all of this that needs to be understood

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Puzzle Therapy's avatar

This is incredibly sad. Some of the first interviews I found when trying to understand what was going on with the sudden increase in teen trans identities were interviews with Shupe, both in their male and female identities. I knew basically nothing then, but I was struck even then by how deeply unhappy, unwell, self-destructive, and unstable Shupe was based on the stories Shupe told and their own self-analysis. One theme that came up in those interviews was that when Shupe was not on hormones, they were overwhelmed with AGP, destructive and dangerous sexual behaviors, and wanting to be a woman. When on estrogen, the intense sex drive was gone, but so was the desire to be a woman, and they would become unhappy, so it was a terrible catch 22. It seems like this is a perfect example of why scientists need to be allowed to research alternative treatments for gender dysphoria. Even without the struggles of someone like Shupe (and I doubt Shupe is an isolated case), not everyone can physically tolerate hormones and surgery. Isn’t it just cruel and inhumane to not allow the development of different treatment approaches?

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