Story: "Trans teen regrets his ‘Frankenstein’ transition."

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in which case, pushing someone toward surgery may not be helping them at all either.
I don’t think WPATH “pushes” surgery; it offers it as one of many options. Anybody “pushing” gender surgery shouldn’t be practicing medicine.

I think a very real concern is that some transgendered think transition will solve all their problems. It won’t. Some of those problems though are not of their own making but are related to the discrimination they face. Surgery won’t, for instance, bring back an estranged family or a lost job.
 
I’m not completely convinced that the potential for harm is always “very small” when it comes to treatments for most other disorders. Take ADHD, for example, a disorder that I know a lot about. One of the most common treatments for ADHD is a prescription stimulant such as Ritalin or Adderall…
I was really hesitant to take a stimulant medication for my ADHD for a long time because I don’t know for sure what its long term effects on my brain will be or whether over an extended period of time it will significantly increase my risk of high blood pressure and heart disease. In the end, I decided (partly out of desperation) that the benefits of the medication outweigh the risks. I still don’t believe, however, that the potential for harm is “very small.”
I agree that regulatory agencies have failed with respect to some (perhaps even many) medications and therapies, especially those treating young children with ADHD, for example. That, however, points out a failure with society. The education system could not keep up with rapid changes in society – the breakdown of families being a principal one – and a desperate education system/single parents put pressure on psychiatrists and the pharmaceutical industry to solve the problem using chemistry that wasn’t one caused by brain chemistry. What could go wrong there?

That only reinforces my point that therapies – in all cases – need to fully understand the causes of an ailment before recommending a remedy.

By the way, this is a general problem with the medical community generally: treating symptoms rather than actual causes.
 
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vz71:
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OraLabora:
Ok point taken. Let me rephrase it to de-dramatize it: “if you deny treatment to the transgendered, you might as well be saying ‘too bad, so sad, here’s a length of rope’ because suicide would be the result in many cases”.
And now you have to find in this thread people advocating doing nothing.
It may take some time for you to review all 300 plus responses, but go ahead. Find it.

It is time to dispose of these straw men you keep trying to fight with.
You and others, however, while not saying that nothing should be done, also don’t offer any specific alternative treatment that should be used. Instead, vague statements are said such as that doctors should “figure out and treat where the problem actually lies.” That, of course, has been attempted in the past without success and efforts in that direction are still being done. But since there isn’t any effective brain/psychological treatment available now, nothing has been said about what should be done for patients in the meantime.
The issue here is that even treating human beings as complicated machines – modern automobiles, for example – a mechanic wouldn’t just try something without focussing on trying to “figure out and treat where the problem actually lies.” Just to try something for the sake of trying something would be a ridiculous misadventure. Now, he might try something in order to attempt a diagnosis, but that brings up the other problem re: human beings.

We are not mechanical nor expendable devices where the medical profession should just experiment wily nilly because it is better to do something than nothing. Only individuals who regard human beings en par with a convenience device would recommend that as the guiding philosophy for treatment.

Often doing nothing and observing is preferred to doing something and observing. At least you are not throwing in another variable (or many) to complicate the results.
 
Something is amiss in the brain. There are theories about “incorrect sexing” of the brain advanced by experts, but there is no certainty about what is going on.
That is trivially true if you are of the belief that the brain is the cause of all emotional and cognitive activity within the person. It is not trivially true if you begin to question that.

The mere existence of correlation between brain activity and emotional or psychological states does not prove the brain is always the cause. That is an assumption.

That correlation equals causation certainly cannot be derived from a Catholic metaphysics of being, which highlight the mutual impacts of choices (mind/spirit/will) on body and the after effects of such choices from the body back to the mind/will/spirit.

To assume that something is necessarily “amiss in the brain” and that is the cause of the overall issue is not a position that comes from the metaphysical principles that underpin Catholicism.
 
No straw man. By refusing to treat, you are de facto saying “it’s better to let them commit suicide than treating them”. Because so far no other treatment has proven effective. If anti-depressants, supportive psychological treatments etc. were effective, I’d say by all means use those instead. Problem is, they aren’t.
When an individual contemplates suicide as a solution to a problem that issue has to be addressed. Not so much the problem itself but the response to it. In some cases, there is a deep depression that constantly leads to suicidal thoughts and that may or may not disappear after surgery. We need to be careful about the kind of solutions we offer people we might really not be helping. I keep reading about suicide and transgender people, I find it alarming that the solution to cure all ills is surgery. Looking at it from a Christian point of view, if we all have crosses and have been told to pick them up and carry them, what if not being happy with the bodies we are born in is the means to our salvation? What if there is a point to all the suffering? I’m wondering if there are people that have given such testimonies and have found peace. Sometimes I feel we do things just to be happy but I wonder if we miss opportunities to sanctify our souls. I see that as Catholics a lot is expected of us, from chastity, birth control, penance… and we embrace the teachings (hard as they are sometimes) because we are striving for something deeper. Just a reflection that maybe the deep inner struggles people have might be the cross to carry.
 
Often doing nothing and observing is preferred to doing something and observing. At least you are not throwing in another variable (or many) to complicate the results.
But to be clear, it is not ‘doing nothing’ as we are studying and learning so we can find a treatment or cure.
 
And now you have to find in this thread people advocating doing nothing.
I, for one, asked posters who strongly opposed surgery - “what alternative treatment would you propose for severe cases”. The response was silence.
 
I, for one, asked posters who strongly opposed surgery - “what alternative treatment would you propose for severe cases”. The response was silence.
That is not what was claimed concerning doing nothing.
 
That only reinforces my point that therapies – in all cases – need to fully understand the causes of an ailment before recommending a remedy.
As has been pointed out, with brain-connected ailments, there may never be treatments if a “full understanding” of the cause is required. But your approach sounds like the “do nothing” (for the patient) approach that another poster denied had been proposed…
 
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Thorolfr:
I’m not completely convinced that the potential for harm is always “very small” when it comes to treatments for most other disorders. Take ADHD, for example, a disorder that I know a lot about. One of the most common treatments for ADHD is a prescription stimulant such as Ritalin or Adderall…
I was really hesitant to take a stimulant medication for my ADHD for a long time because I don’t know for sure what its long term effects on my brain will be or whether over an extended period of time it will significantly increase my risk of high blood pressure and heart disease. In the end, I decided (partly out of desperation) that the benefits of the medication outweigh the risks. I still don’t believe, however, that the potential for harm is “very small.”
I agree that regulatory agencies have failed with respect to some (perhaps even many) medications and therapies, especially those treating young children with ADHD, for example. That, however, points out a failure with society. The education system could not keep up with rapid changes in society – the breakdown of families being a principal one – and a desperate education system/single parents put pressure on psychiatrists and the pharmaceutical industry to solve the problem using chemistry that wasn’t one caused by brain chemistry. What could go wrong there?

That only reinforces my point that therapies – in all cases – need to fully understand the causes of an ailment before recommending a remedy.

By the way, this is a general problem with the medical community generally: treating symptoms rather than actual causes.
I don’t think that there’s much doubt that ADHD is indeed caused by a problem in brain chemistry even if the details are not completely well understood yet. Amphetamines, for example, act as a dopamine reuptake inhibitor so that dopamine remains for longer periods between the synapses of the brain’s neurons. This does indeed allow most people with ADHD to function quite a lot better and probably indicates a dopamine problem in their brains. There’s not really any other treatments that are as effective as stimulants. But stimulants can also have serious side effects. On the other hand, many medications and treatments have side effects and the doctor and patient have to decide whether the benefits outweigh the possible negative side effects. That’s what life is like. Almost all that we do involves some risks. Very few things are risk free. Most of life is gray, not black or white. And it’s true for transgender people, too, that there are no perfect, risk free treatments. It is still a matter of weighing the benefits against possible harm.
 
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That is trivially true if you are of the belief that the brain is the cause of all emotional and cognitive activity within the person. It is not trivially true if you begin to question that.
If there is another part of the body you believe responsible for the condition we’re discussing, please elaborate.
To assume that something is necessarily “amiss in the brain” and that is the cause of the overall issue is not a position that comes from the metaphysical principles that underpin Catholicism.
Catholicism does not pretend to be a guide to medical diagnosis. But if catholic principles give you an insight into the causes of any of: bipolar disorder, gender identity disorder, schizophrenia… do share…
 
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HarryStotle:
That is trivially true if you are of the belief that the brain is the cause of all emotional and cognitive activity within the person. It is not trivially true if you begin to question that.
If there is another part of the body you believe responsible for the condition we’re discussing, please elaborate.
Why does it have to be sourced in another part of the body? Sounds like the proverbial drunk looking for his keys under the lamp post because “the light is better over here.”

The environment? Upbringing? Social pressures? The person’s own confused thinking processes? Mind manipulation by powerful influencers?
 
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HarryStotle:
To assume that something is necessarily “amiss in the brain” and that is the cause of the overall issue is not a position that comes from the metaphysical principles that underpin Catholicism.
Catholicism does not pretend to be a guide to medical diagnosis. But if catholic principles give you an insight into the causes of any of: bipolar disorder, gender identity disorder, schizophrenia… do share…
What is grace?
Is it ineffectual?
How does grace operate, according to you?
Which aspects of the human being are changed by grace?
What are the virtues and vices?
Are these completely beyond the control of any individual to attain or overcome?
Are they all physically derived?
So would treatments for vices all be chemical/surgical or would choice and habit have any efficacy?
What is sin? Evil?
Are those always purely material so fixing evil or sin is fundamentally a mechanical process?

Please share.
 
If there is another part of the body you believe responsible for the condition we’re discussing, please elaborate.
To be clear…

What role, according to you, does the individual person play in controlling/overcoming what ails them mentally or spiritually? No role at all?

How are we to know what is internally possible for the individual if our sole operating assumption is that the person him/herself is completely helpless to do anything and the sole recourse for them is external to them or physical?

Does God and grace operate externally to the person or from within the person him/herself?

I suspect this is the fundamental issue with where we disagree.
 
The environment? Upbringing? Social pressures? The person’s own confused thinking processes? Mind manipulation by powerful influencers?
The “environment” is always a good candidate. But the environment would need to affect something… The brain maybe.

One could speculate about an alien invasion or a communist plot too. But that would not fruitfully add to the discussion.
 
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HarryStotle:
The environment? Upbringing? Social pressures? The person’s own confused thinking processes? Mind manipulation by powerful influencers?
The “environment” is always a good candidate. But the environment would need to affect something… The brain maybe.
Not the brain, necessarily, though. The environment could affect the will/mind of the person in a profound way.

The problem, it seems to me, is that by resorting to neurochemistry, and only neurochemistry there may be an entire realm of benefit that is being overlooked.
 
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