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[–] madeleine 21 points Edited

Of course it's Jack Turban. He's getting paid off by pharmacueticals. I have yet to see this level of enthusiasm from doctors who are not Jack Turban.

edit: https://openpaymentsdata.cms.gov/physician/3058224

some proof. 15k from Arbor Pharmaceuticals.

Lest anyone doubt you

He is reading the results of a ‘study’ (ie survey) funded by Big Pharma

The research was funded by the American Academy of Child & Adolescent Psychiatry (supported by industry sponsors Arbor and Pfizer),

The research was funded by the American Academy of Child & Adolescent Psychiatry (supported by industry sponsors Arbor and Pfizer),

Wow. This is so blatantly dishonest its almost funny. Whats next? Will these doctors release a study funded by a tobacco company that "proves" smoking cures certain cancers?

I have funded a study that definitively shows that disagreeing with me, not liking me, and, or failure to call me her highness results in a painful death.

[–] asparagus1 0 points Edited

I mean big tobacco literally used to pay doctors to promote smoking as healthy. Now we look back and say how silly. But do we actually understand how much this issue is still happening to this day? They don't push tobacco anymore. But they sure as hell fund a lot of their own studies to tell you their drugs are safe. Nothing has changed.

I was willing to read this with an open mind

But it’s a bit sus

-No link to the original study, I just get this guy’s interpretation

-is it really just a retrospective survey? How do they control for recall bias? How do they make sure nobody answers several times? Or that everyone is even trans like they say they are, and not TRA/MRAs?

-and finally

The research was funded by the American Academy of Child & Adolescent Psychiatry (supported by industry sponsors Arbor and Pfizer),

I don't have time this morning to get into this right now. But the 2015 U.S. Transgender Survey is rather infamous for its poor methodology.

I’m not even great at critically interpreting studies and I saw those immediately

All you have to do is listen to the stories of detransitioners know how false that is

How is the mental health of the 80-90% of trans-identifying teens who do not receive hormones and simply outgrow the fad?

How is the mental health of the 80-90% of trans-identifying teens who do not receive hormones and simply outgrow the fad?

Clearly, they weren't REALLY trans and therefore do not count. /s

That Stanford, a world class medical research center, reported this is very concerning. I remember the name of the primary researcher, Dr. Jack Turban...I know that name. Wasn't he involved in social media controversies about gender identity issues in the past?

I'm no social scientist, but just how valid are self-reporting surveys...especially those that ask questions about the state of one's mind years earlier (as another poster here mentioned). Also, I'd love to know what the gold standard is regarding such self-reporting surveys...what are some of the concerns about such surveys, and what needs to be in place to even begin to ensure that the responses are valid, accurate, and provide meaningful data?

On another note, the title is inaccurate. The title should have read, "For trans people choosing cross-sex hormones, starting early improves mental health." The original title ambiguously implies that mental health improves for ALL trans-identifying people if they choose to take cross-sex hormones early.

Additional questions:

~The gender identity lobby is incredibly well funded: why hasn't it funded studies on the effectiveness of gender affirmation treatment that do not ONLY rely on trans people self-reporting on their own mental health over a period of years? What about studies that start and end with medical/ psychiatric professionals' evaluations of trans people's mental health? ~How common is it in the mental health profession to evaluate the effectiveness of a treatment by ONLY relying on the self-reporting of patients? Do psychologists/ psychiatrists ONLY ask long term patients suffering from depression/anxiety/ schizophrenia to self-report in surveys the success (or failure) of treatment? Or, do the professionals themselves also weigh in with their own evaluations? ~Where are the research studies that follow a large cohort of trans-identifying children / young people...patients that are subject to different treatment modalities?

I suspect that this is just the latest move in the gender identity lobby's playbook: capture a world-class medical research institute, and compel it to affirm specious research regarding gender affirmation treatment in young people.

There are different ways to evaluate people's mental states. There are more objective measures, then there are self-reported "yes I feel better". Using the more objective measures are more accurate.

Self reporting does have value. It's actually one of the negatives of our medications for some conditions - people's behavior is absolutely better on medications, but do they feel better? For instance, if you take someone and give them something that sedates them, you might think it's successful because they are well behaved in an institution now, no longer attacking other residents, but they are just sedated, not actually getting relief from their condition.

From what I've seen in the past with hormones, they will get feedback that "yes I feel better" but when they look at behavior - the person isn't doing better.

I'd be more sympathetic to cross-hormone studies if we didn't have people here in the United States walking in, starting hormones, and having no follow up. My "compromise" position is that all people who sign up to take hormones should only be allowed to do it in a study - if you don't want to deny it to people, fine, but you need to have a study to evaluate the benefits, risks, and outcomes - so long term we have data on it.

There are different ways to evaluate people's mental states. There are more objective measures, then there are self-reported "yes I feel better". Using the more objective measures are more accurate.

When you consider that TiPs who get hormones as adults are being told, even if they had no desire at all to trans as teens, that they were 'women' all along and society brainwashed them and prevented them from accessing 'lifesaving care' ... yeah, I'm not going to trust their self-reports either.

Jack Turban is a quack being funded by the pharmaceutical industry to line their pockets on life long trans patients.

The article doesn't mention if the survey was world-wide or USA only. If it's world wide, you have to take country rules into consideration. While looking for a state-by-state breakdown as an example of how access varies widely... I found another study that looks like it's based on the SAME survey - 28,000 people in 2015. They mention it's USA only.

https://academic.oup.com/abm/advance-article/doi/10.1093/abm/kaab063/6352463

This study is a secondary data analysis of the 2015 U.S. Transgender Survey (USTS), conducted among a national sample of trans people in the USA and sponsored by the National Center for Transgender Equality [8]. Data were collected in August and September of 2015. The National Center for Transgender Equality worked with over 400 organizations across the USA to recruit nearly 28,000 respondents via social media and email.

However - that study shows there are a lot of reasons people don't take hormones: - Can't afford it (how many teenagers can pay for them?) - No insurance - Fear of medical care

Of course - even in the USA, 10 years ago, 20 years ago - you're going to have people who were denied access to hormones as teenagers that are adults today, and the questions were "in the past year..." questions. So, if someone was denied hormones for co-morbid mental health conditions, they'd be included in the "not taking" hormones group.

The self referrals didn't even take off as a phenomenon before 2015 - that was the year there was a surge in teenagers requesting hormones and the ROGD phenomenon took place.

Is this Big Tobacco all over again? Doctors paid to say that, actually, cigarettes are beneficial to your health.

If someone is trans their whole life then yes, they are going to be happier if they pass, which is more likely if they start hormones younger.

However for the ones who don't end up being trans their whole life, it's gonna suck.

Did this only compare them to people who started hormones later in life? Or also to those who never did at all? I imagine starting later might be the worst of all worlds... as you're not going to pass, but you don't look like your actual sex either.

Wait til you learn that nobody is trans, not even Jazz Jennings

Especially not Jazz.

If someone decides to pretend to be the opposite sex their whole life.

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