Spinning the Tavistock StoryActivists are twisting the closure of Tavistock as a win for gender ideology.
Bernard Lane
23 Sep 2022
The closure of the UK’s Tavistock Centre, the world’s largest youth gender clinic, is, in truth, not a reversal for clinics elsewhere. The Tavistock’s long waiting times were shameful, hence the plan to replace the standalone London-based clinic with a network of regional clinics. In some ways, the Tavistock was old-fashioned, and the new-look expanded system will not only shorten waiting times but offer young Brits a cutting-edge model of “gender-affirming” care already successful in other countries, such as Australia.So runs the argument by advocates of the “affirmative” medicalised worldview (in which clinicians follow the lead of a young person’s self-declared transgender identity and deploy hormonal and surgical treatments to make their body a facsimile of the opposite sex).
Pink News, the digital tabloid of Britain’s gender faithful, reported last month that “the doctor leading an NHS [National Health Service] review into trans youth healthcare [paediatrician Dr Hilary Cass] has shut down those misrepresenting the closure of the Tavistock gender clinic as a win for the anti-trans movement … Cass has underlined that the closure is designed to improve access to healthcare, not shut it down, and complimented the work of staff at the Tavistock centre.”
* * *
Can the fall of the Tavistock truly be transitioned into a victory for youth gender medicine?
Evidence, what evidence?Let’s begin with the missing body of evidence. Dr Cass’s plans for the future are easily misconstrued without revisiting the groundwork for her independent inquiry. She drew on two sobering reviews of the evidence—or lack of evidence, rather—for gender clinic treatments of minors. In March 2021, the UK’s National Institute for Health and Care Excellence (NICE) reported the outcome of its systematic analysis of the medical literature on puberty blocker drugs used to interrupt unwanted sexual development at ages as young as nine years. This systematic review found 525 references, but after screening for quality, only nine studies were good enough to be included in NICE’s systematic review. Even with these studies, the reported outcomes were rated as of “very low certainty.” As for hormone drugs to masculinise or feminise the adolescent body, NICE identified 1,997 studies, but only 10 qualified for the review. Again, even the results of this select group of less weak studies were rated as of “very low certainty.” It’s difficult to say with any confidence what these treatments do, and whether they bring benefit or harm to minors.
The same regimen of puberty blockers followed by lifelong hormones is used by gender-affirming clinics around the world. True, there are some differences in organisational structure and the timing of medical treatment, but the evidence base is the same. So, too, is the relatively new patient profile of disproportionately female teenagers with atypical late-onset of gender dysphoria—a distressful disconnect between the sexed body and an inner feeling of “gender identity”—and a host of other potentially complicating issues.
Given these common features, it’s not surprising that expert reviews in jurisdictions as different as Finland, Sweden, the UK, and the US state of Florida have all failed to find sufficient evidence to justify medicalised gender change as a routine treatment for today’s troubled minors. In June 2020, Finland’s public sector Council for Choices in Health Care was quite blunt: “gender reassignment of minors is an experimental practice.”
It’s not that gender-affirming activists cite no research at all for their medical interventions. Their go-to studies typically generate breathless headlines in the media proclaiming “life-saving” interventions but cannot survive the objective method of systematic review controlling for bias and discarding flawed research with shortcomings in design. So, the gender-affirming tactic has been to ignore this trial by scientific ordeal, especially when it’s carried out in progressive societies such as Sweden and Finland. Elsewhere, any scepticism about youth gender medicine is characterised as a transphobic attack on “trans kids” by the right-wing.
* * *
Source:
https://quillette.com/2022/09/23/spinning-the-tavistock-story/