Actually, the appropriate therapies don’t exist yet, because the research hasn’t been done. There is far too much politics and far too little science involved so far. As a result, those who need real help are left with inadequate responses and therapies that are inappropriate to the underlying problem. I am sorry you were victimized by bad psychology/psychiatry. I do hope that the research that needs to be done is someday done.
There are a number of difficulties here.
First,.let’s step away from the problem. Let us assume that there is a dreadful condition, the “dreaded lurgy”. One that is completely resistant to treatment, and with a mortality rate exceeding 25%, with lifelong utter misery for the survivors. Every tool in the therapeutic arsenal has been tried in a haphazard manner. Then someone finds a solution that is 98% effective, except the solution causes both knees to drop off, a highly undesirable consequence. Despite this, the patients who receive this treatment report instant relief, and the deleterious side-effects of the treatment are of little consequence in comparison, by their own testimony.
Eventually, we gather significant evidence to show that the 98% effective treatment is quite possibly - and some think probably - even in theory the only effective treatment that could be.
Under those circumstances, while it would be ethical to continue with animal experimentation to investigate alternate therapies, would it be ethical to continue with human experimentation while we don’t even have an alternate theory as to the cause? Only conjectures with no evidenciary basis, and based entirely on political, religious or philosophical beliefs about what
should be, not what is?
Now let’s assume that the animal experimentation continues to support the theory that no other treatment is possible - EXCEPT that there is excellent reason to believe that studies on animals cannot be considered definitive. Only experimentation on humans, especially children, will do.
No-one denies that having knees drop off is a bad thing. It would be very beneficial to find an alternate therapy, should one exist. But at what point do we stop looking? How many deaths are an acceptable price to pay in searching for a cure we have good reason to believe may not exist?
This is the situation we find with transsexuality, except there’s an even more contentious issue. Assuming we do find a method of changing someone’s mind so that they match an arbitrarily assigned gender - how do we decide what that gender should be? How do we
define ,male and female in the presence of the more complicating Intersex conditions?
Should we, for example, reccomend women with CAI syndrome be given the “magic pill” that will make their gender identity male, in accordance with their chromosomes? Even though their bodies are for most intents and purposes, female? What about Swyer syndrome women, whose only chance of having children is to become pregnant. Do we recommend that they too be given the “magic pill” to make them male, in accordance with their chromosomes?
And what about those with Kleinfelters, 47xxy? Or mosaics?,
In my own case, had I been offered a “magic pill” that would make my mind male, I would have jumped at the chance. It would have meant personal extinction, the death of my personality. I didn’t consider my own existence, the worth of my tortured personality, particularly valuable. I just wanted my death to mean something, because even if my life was a meaningless joke, perhaps in death I could do something useful that would make all the suffering I’d endured meaningful. The new personality that would have been formed would have been “close enough” to being me, and would have been far happier, and effortlessly and instinctively able to fulfil his obligations as a husband, a father, and a man.
With me, it took constant effort, and although I made a pretty good job of being a decent human being, and even a reasonable father and husband, as a male I failed miserably, it was an act so poor that had I not had an obviously male body (well, with my clothes on), I wouldn’t have fooled anyone for a second.
Of course then in 2005 when I got a female puberty, I think that anyone with a male personality would have become catatonic, or suicided. I found it extremely stressful, and my sanity was precarious at best during the process. Had the change gone the wrong way (as it does for about 1 in 3 with 5ARD or 17BHDD) my sanity would certainly have snapped.
Until we can decide on really good, utterly unimpeachable grounds what
should be the goal, and in all cases, even the most problematic ones, not just “the usual” - for “the usual” doesn’t have these problems,- then first, we should do no harm. And that includes
harm through inaction.