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“The Dutch were excluding individuals with severe or concurrent mental health issues & they were also excluding patients who did not have lifetime gender dysphoria. So, part of their protocol was people had to have been experiencing this condition that we call ‘gender dysphoria’ from a very, very young age. And what we're seeing in this cohort in the United States is a huge number of - frankly - teenagers who do not have any lifetime or early onset gender issues presenting in these clinics.” Jamie Reed
so I've spent years working in roles
that are social work roles so case
management roles working with
individuals who are coming into their
own for age and learning how to navigate
adulthood and being a teen so I was
working with young adults who were HIV
positive and there is a big overlap for
some trans people and HIV particularly
trans women experience High levels of
HIV infection and so I was finding that
a lot of the individuals that I were
working with were trans
identified so I became sort of an expert
in trans issues within that setting um I
was really good at helping people with
things like legal name change gender
marker change I understood these systems
I was looking at resources and you know
ways to help people and so this position
came up working in the Pediatric Center
and a number of people came to me and
said you should apply for this this
really seems um just something that you
would be really good at and so I applied
I started um that would have been around
2018 the center had only been open for a
year um and I was the second person to
take the role of the case manager in the
center and really probably only one of
two people in the entire state of
Missouri to have such a role and I
really did go into this believing that
we were going to alleviate suffering and
help young people um become their truth
selves and embody their their truth
that's interesting right because this
this is the kind of the core idea here
behind this is that if you help young
people early to realize they're the
opposite sex or something different than
their as what they call a signed at
Birth which I find I find that
phraseology frankly highly problematic
but
um yeah that if you were if you deal
with that early then you'll have a
healthy happy person on the other side
that's that's the core so would you
agree yeah that's the core idea behind
the uh the whole concept yes and
everything I've been learning and about
this over the last several years tells
me the opposite is
true
yes
it if you really start to look at where
these treatments came from and evolved
and how we came to even be interfering
in the Pediatric body you start to
really question the whole model of care
itself I didn't realize when I started
at the
center the history of how this developed
out of something called The Dutch
protocol call um that came out of the
Netherlands um and how truly
revolutionary
and without a lot of good quality
research it was to start blocking
puberty in a healthy developing body and
go from a puberty blocker to a cross-
sex hormone in a in a pediatric child's
body
and as you you know as I worked in the
center and as I began to understand more
and more not only where this came from
but what we were seeing in the
population so many truths about the the
treatment there just weren't holding
water so one of the things that's in
your affidavit is that I believe is that
in the Dutch model um they
excluded young people with these
psychiatric comorbidities whereas in the
scenario that you were
working almost every prospective
patient had the serious psychiatric
comorbidities yeah yeah so the Dutch
were excluding individuals with severe
or
um concurrent mental health issues but
they were also excluding patients who
did not have lifetime gender dysphoria
so part of their protocol was people had
to have been experiencing this condition
that we called gender dysphoria from a
very very young age and what we're
seeing in this cohort in the United
States is a huge number of frankly
teenagers who do not have any
um lifetime or early onset gender issues
presenting in these clinics and there
are teens who have learned enough to say
oh but I have been experiencing this
from an early age but we see this
disconnect where they claim this but
there's no real um uh family history
um in medicine you want to not only
trust but
verify so if somebody tells me I have
been I've had this since I was you know
my earliest memories but yet you can
find nothing in their medical records
there was nothing where they came to a
pediatrician and Mom had a conversation
with the p nutrition about I'm concerned
about my child's gender presentation or
a kindergarten teacher you know there's
nothing documenting this these are
really um a significant number of teens
who are coming forward at
1516 with these presentations that we
just don't see any history of and these
are patients that were always excluded
these were not patients that were
included in these early treatment
models what were you thinking you you
you mentioned you you believed you were
stepping into something that could be
helpful right to to to young people I
think but just explain to me the the the
mental state or the reality or the core
assumptions of a person that is involved
in this ostensibly in believing they're
doing good I think there's a number of
themes that you see in pediatric gender
medicine so in a number of these centers
these are doctors psychologists
psychiatrists social workers who really
do have strong beliefs
about helping young people they see
suffering a lot of these doctors are
young doctors um they're newer in these
fields one of our one of our doctors was
directly out of residency and he was
named a
co-director and there is an intentional
practice of hiring in into these centers
of people directly from my community so
they are hiring individuals who are
within the
LGBT and that's
intentional and it also um creates these
These Feelings where you cannot go
against these narratives because you're
not just you're you're going against
your own tribe you're going against your
own people if you if you step forward
and say I don't see this working the way
that it was sold I see people being
harmed and one of the reasons why there
are so many lesbian gay by adults who
are working in this field is because so
many people experienced gender
questioning and confusion as a young
person for so many lesbian gay and by
people it's just part of our growing up
we experience gender in different ways
we are tomboys we are what used to be
referred to as girl like where we
experience gender differently and part
of the problem is we see ourselves in
these kids yet we have no good way of
diagnostically
differentiating who of these patients
would just grow up to be a gay
person versus who might experience more
of a lifelong
gender questioning pathway which which
by all for all accounts is extremely
rare extremely rare honestly if you
looked at earlier data most of these
kids are gay kids and most of the gay
community that I struggle with is we are
taking away sexual function and
fertility from our own selves as younger
people and that's something that is hard
to face as a as an adult who has had
biological children who has been able to
find find comfort with in my own gender
and sex um we're taking these decisions
and we're taking this away from children
if there's anything we've learned about
the from the last few years is this
power of social Conformity or the power
of the need to belong overcoming FR
frankly in a lot of cases rationality
yeah right so I kind of I'm kind of
beginning to get a sense of how this
works but the the the effects as you
pointed out moments ago on these kids
are a life of suffering I mean that's
not over simplifying it is it like for
in many cases no we were not just an
ideological bubble but we were upheld by
the university our culture right now is
upholding places like these as if we are
um somehow the
sacred the unable to be questioned don't
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