Deleted member 2897
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Yes. I looked at the study and it has one major flaw that isn't (and can't be) addressed in the design: it looks at transgendered people after they have had sexual reassignment surgery then looks at problems that, according to our friend, indicate a continuing difficulty with adjustment due to a basic unresolved conflict. The problem with the study design - admitted by the authors - is that, in the instance of psychiatric care and suicide attempts, the damage is already done. People who had sex reassignment surgery had higher rates of psychiatric problems before reassignment. As the authors say, "In other words, the results should not be interpreted such as sex reassignment per se increases morbidity (they include psychiatric treatment in this) and mortality. Things might have been even worse without sex reassignment." Indeed, as they point out, that is what the meta-analyses of studies about transgender people who have sex reassignment surgery indicate; anxiety due to gender mis-identity decreases after reassignment. That there are significant increases in overall mortality only for those who got the surgery before 1989 is also indicative; as the authors note, treatment now is more sophisticated and societal attitudes have changed. Or, to put this short, people who have psychiatric problems continue to have psychiatric problems, even their gender identity problems have been addressed by reassignment.
There are other problems with the study, but the authors are candid about those. What the study doesn't support, however, is the conclusion that transgendered people are "living a lie" or that "Deep inside is this identity crisis that is going to decay in them forever if we keep playing this make believe game". Quite the contrary. They instead recommend that more attention be paid to overall health problems of people who have had reassignment surgery. Full Stop.
Full Stop for me too; this is my last on this subject.
Of course they didn't say that. Those were my words. Supported by the data. My final conclusion was exactly what they said - psychiatric treatment. Until we help them understand their identity, be proud of it, and love themselves, we'll not make any progress.