1 hr 50 min

Episode 138: Jon Stewart And John Oliver Are Wrong About The Evidence For Puberty Blockers And Hormones Blocked and Reported

    • Society & Culture

You know those IDIOT REPUBLICANS who think that SCIENCE hasn’t TOTALLY PROVEN that puberty blockers and hormones are AWESOME????? And TOTALLY REVERSIBLE????? Well two MOUTH-BREATHING IDIOTS who probably also HATE CRT and PUPPIES are so BIGOTED they don’t even ACCEPT the MEDICAL CONSENSUS.
(Show notes a bit longer and more in-depth than usual this week to help everyone follow along, double-check stuff, etc.)
Show notes/Links:
Carole hooven DESTROYS jon stewart
The state laws
https://www.kff.org/other/issue-brief/youth-access-to-gender-affirming-care-the-federal-and-state-policy-landscape/
Jesse on the state laws in 2020
The vote went down after the episode was recorded, but Florida has now banned yuth gender medicine, with exceptions for those already receiving it and future research projects
https://www.nytimes.com/2022/11/04/health/florida-gender-care-minors-medical-board.html
The full episode of Stewart’s show: https://tv.apple.com/us/episode/the-war-over-gender/umc.cmc.1jj39s607lehulo4k0iscsarp
“I don’t send someone to a therapist when I’m going to start them on insulin.”
https://www.theatlantic.com/magazine/archive/2018/07/when-a-child-says-shes-trans/561749/
“Historically, mental health professionals have been charged with ensuring ‘readiness’ [she puts that in scare quotes] for phenotypic transition, along with establishing a therapeutic relationship that will help young people navigate this very same transition. These 2 tasks are at odds with each other because establishing a therapeutic relationship entails honesty and a sense of safety that can be compromised if young people believe that what they need and deserve (potentially blockers, hormones, or surgery) can be denied them according to the information they provide to the therapist.” This excerpt strongly suggests she doesn’t believe in the traditional gatekeeping role a mental-health clinician might play in a situation like this, helping to determine if a young person will benefit from transitioning.
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2504256
Kids — sorry, sorry — “adolescents” — getting double mastectomies at 13 or 14
https://pubmed.ncbi.nlm.nih.gov/29507933/
“Suicide Attempts among Transgender and Gender Non-Conforming Adults: Findings of the Naitonal Transgender Discrimination Survey.”
https://williamsinstitute.law.ucla.edu/wp-content/uploads/Trans-GNC-Suicide-Attempts-Jan-2014.pdf
n.b.: “Without such probes, we were unable to determine the extent to which the 41 percent of NTDS participants who reported ever attempting suicide may overestimate the actual prevalence of attempts in the sample.”
And:
Finally, it should be emphasized that the NTDS, like all similar surveys, captured information about suicide attempts, not completed suicide. Lacking any information about completed suicide among transgender people (due primarily to decedents not being identified by gender identity or transgender status), it may be tempting to consider suicide attempt data to be the best available proxy measure of suicide death. Data from the U.S. population at large, however, show clear demographic differences between suicide attempters and those who die by suicide. While almost 80 percent of all suicide deaths occur among males, about 75 percent of suicide attempts are made by females. Adolescents, who overall have a relatively low suicide rate of about 7 per 100,000 people, account for a substantial proportion of suicide attempts, making perhaps 100 or more attempts for every suicide death. 
13 suicides per 100,000 in a GIDS sample
https://link.springer.com/article/10.1007/s10508-022-02287-7
Insanely high rate of 2.8% in a Belgian clinical sample
https://biblio.ugent.be/publication/8706800/file/8707586.pdf
T H E G U I D E L I N E S
Stewart: So these, the guidelines that you wrote, because you were responsible with the endocrine board for writing guidelines of care for endocrinology.
Safer: The Endocrine

You know those IDIOT REPUBLICANS who think that SCIENCE hasn’t TOTALLY PROVEN that puberty blockers and hormones are AWESOME????? And TOTALLY REVERSIBLE????? Well two MOUTH-BREATHING IDIOTS who probably also HATE CRT and PUPPIES are so BIGOTED they don’t even ACCEPT the MEDICAL CONSENSUS.
(Show notes a bit longer and more in-depth than usual this week to help everyone follow along, double-check stuff, etc.)
Show notes/Links:
Carole hooven DESTROYS jon stewart
The state laws
https://www.kff.org/other/issue-brief/youth-access-to-gender-affirming-care-the-federal-and-state-policy-landscape/
Jesse on the state laws in 2020
The vote went down after the episode was recorded, but Florida has now banned yuth gender medicine, with exceptions for those already receiving it and future research projects
https://www.nytimes.com/2022/11/04/health/florida-gender-care-minors-medical-board.html
The full episode of Stewart’s show: https://tv.apple.com/us/episode/the-war-over-gender/umc.cmc.1jj39s607lehulo4k0iscsarp
“I don’t send someone to a therapist when I’m going to start them on insulin.”
https://www.theatlantic.com/magazine/archive/2018/07/when-a-child-says-shes-trans/561749/
“Historically, mental health professionals have been charged with ensuring ‘readiness’ [she puts that in scare quotes] for phenotypic transition, along with establishing a therapeutic relationship that will help young people navigate this very same transition. These 2 tasks are at odds with each other because establishing a therapeutic relationship entails honesty and a sense of safety that can be compromised if young people believe that what they need and deserve (potentially blockers, hormones, or surgery) can be denied them according to the information they provide to the therapist.” This excerpt strongly suggests she doesn’t believe in the traditional gatekeeping role a mental-health clinician might play in a situation like this, helping to determine if a young person will benefit from transitioning.
https://jamanetwork.com/journals/jamapediatrics/article-abstract/2504256
Kids — sorry, sorry — “adolescents” — getting double mastectomies at 13 or 14
https://pubmed.ncbi.nlm.nih.gov/29507933/
“Suicide Attempts among Transgender and Gender Non-Conforming Adults: Findings of the Naitonal Transgender Discrimination Survey.”
https://williamsinstitute.law.ucla.edu/wp-content/uploads/Trans-GNC-Suicide-Attempts-Jan-2014.pdf
n.b.: “Without such probes, we were unable to determine the extent to which the 41 percent of NTDS participants who reported ever attempting suicide may overestimate the actual prevalence of attempts in the sample.”
And:
Finally, it should be emphasized that the NTDS, like all similar surveys, captured information about suicide attempts, not completed suicide. Lacking any information about completed suicide among transgender people (due primarily to decedents not being identified by gender identity or transgender status), it may be tempting to consider suicide attempt data to be the best available proxy measure of suicide death. Data from the U.S. population at large, however, show clear demographic differences between suicide attempters and those who die by suicide. While almost 80 percent of all suicide deaths occur among males, about 75 percent of suicide attempts are made by females. Adolescents, who overall have a relatively low suicide rate of about 7 per 100,000 people, account for a substantial proportion of suicide attempts, making perhaps 100 or more attempts for every suicide death. 
13 suicides per 100,000 in a GIDS sample
https://link.springer.com/article/10.1007/s10508-022-02287-7
Insanely high rate of 2.8% in a Belgian clinical sample
https://biblio.ugent.be/publication/8706800/file/8707586.pdf
T H E G U I D E L I N E S
Stewart: So these, the guidelines that you wrote, because you were responsible with the endocrine board for writing guidelines of care for endocrinology.
Safer: The Endocrine

1 hr 50 min

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