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Gender reassignment significantly increases psychiatric morbidity

https://onlinelibrary.wiley.com/doi/10.1111/apa.70533
17•hereme888•4h ago

Comments

taraharris•4h ago
When you're an adult and you can't afford surgery with skilled surgeons, you get shunned by the less accepting parts of society, which leads directly to increased morbidity.

When you suppress treatment before adulthood -> higher surgical costs.

When you don't treat it at all -> quiet suicide, causes get buried in the statistics.

I lived through all of these things. It was an impossible childhood. I lived with this in total secrecy and agony until my early 40s. I'm 45 now, and I've had all my surgeries. I know what hundreds of thousands of dollars buying the best care can bring. None of that is available in Finland, where this study was done.

(I had the luxury of making my peace with my father before he passed.)

EA-3167•2h ago
The study involves a large number of people over approximately a quarter century, and its methodology is very robust. I don’t believe it’s an argument against recognition and kindness towards gender minorities, either intended or de facto.

It also focuses specifically on young cohorts so there are no people who loved in the closet for half of their lives. The range of medical transitioning described is by no means limited to surgery, and I don’t believe that therapy and hormones work differently in Finland compared to the rest of the world.

The primary takeaway here is that our understanding of gender and how to alter it is very poor and so treatment outcomes are often poor. That’s a call to more research and more efficacy, not calling trans people names and shunning them.

I understand why you’re defensive, it isn’t an unreasonable stance, but please do read the study at least.

ranger207•1h ago
Finland specifically has problems treating trans kids: https://www.assignedmedia.org/breaking-news/finland-trans-st...
techteach00•1h ago
I'd like to know what they controlled for. Simply navigating life in a body you don't identify with should cause psychiatric problems.
afpx•1h ago
For some reason cloudflare is blocking me. I get an infinite loop of "Performing security verification"
WarOnPrivacy•1h ago
I find that this is often caused by extensions that block canvas fingerprinting or tweak your user string or block HTML5 autoplaying videos.
weberer•1h ago
https://web.archive.org/web/20260419195753/https://europepmc...
RickJWagner•1h ago
For anyone parsing this ( as I was ),

“Psychiatric morbidity generally refers to the incidence of both physical and psychological deterioration as a result of a mental or psychological condition. The term usually applies to those who are acutely aware of their condition, despite the mental deterioration.”

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