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Thursday, October 19, 2006
When Transgender Doctor's don't follow the Rules
Recently a panel of Psychiatrists at Charing Cross Gender Identity Clinic in the UK has cited one of their own, Dr. Russell Reid for breaking the rules (Standards of Care) in approving hormones and surgery for patients that were not ready. They accuse him of not following guidlines, waiting periods and screening patients for other mental illnesses. A Pedophile was accpeted as a candidate as well as a FTM patient who first thought she was transsexual from a local Television documentary on the subject. Other patients of his wanted to reverse their gender change therapies. He also told one patient that if she wanted to afford surgery that she should become a Transsexual Prostitute.
Being a Transgendered person is very complex and often confusing. Figuring out what genere you fit into should only be done by a competent Gender Psychologist. Dr Harry Benjamin and a committee of his peers came up with The HBIGDA Standards of Care for transsexuals. The aim was to assure that only those psychologically healthy would receive treatment and undergo hormone therapy and surgery to permanently change their gender. While it certainly was a good way to avoid a medical mistake it also excluded those who were also troubled by their Dysphoria but not diagnosed as Transsexual from any Psychological treatment at all.
Some who feel they are Transsexuals complain that The Standards of Care are too strict. This is because no alternatives or treatment is offered to them or to Transgenderists who should never obtain genital surgery. Fortunately Transgenderists are now provided for with hormones and cross living but not genital surgery in changes to the standards.
Certainly we should all be able to depend on our mental health professionals to keep us from harm. Therapists are suppossed to screen us for mental illness. AFter all we have a 31% suicide rate before surgery. Illnesses are no longer a problem if they are medically controlled as with some pschiatric medicines. Once that happens the therapist goes to work and starts to allieve any confusion, myths and underlying motivations by the patent. As the patient jumps through the hoops they explain permenance of the surgery as well as one very important fact. 30% of post-op Male to Female Transsexuals are not orgasmic. For a patient whose motivations for surgery are purely sexual the absense of satisfaction could lead to suicide.
Those Transsexuals who were properly screened will find their risk of post-op suicide much lower, in line with the rest of the population. Those who weren't will be unhappy and their risk will soar.
Doctor Reid is unfortunately not alone in his disregard of the rules. Recent polls are proving that. The post-op dissatisfaction rate has been increasing. Where the suicide rate was 5% after surgery it is now 11% and rising. The reason could be either from relaxing Standards, not explaining the 30% of non-orgasmic Ts's, or a simple matter of patients lying to their therapists. The increased levels in dissatisfaction need to be more closely examined by the Professionals who treat us. If not the time may come when the cure is worse than the malady.
Laura Amato
Posted at 03:39 pm by lamato
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| | | sara
April 30, 2008 01:29 AM PDT
i belive dr russle was not a populer doctor. i have heard that he was made a victem of also ALL claims were proved inaccurate or false by the gmc (genrel medical council) so as a way of geeting back at him they publish this report. laura you gotta know this hunny
xx
loadsa love and cake
sara | |
| | | Jenna Jorden
September 28, 2007 05:30 AM PDT
The person making the comment is quite correct. But lets go a little farther The SOC (formerly Harry Benjamin) is now WPATH. It does no protect the patient nor does it supply any guarantee of the quality of therapy the patient might receive. There are therapeutic nightmares out there. But being Transgendered or Transsexual isn't a gray area of maybe I am maybe I am not. I transitioned from 100% Male on zero hormones to 100% Post-op legally female in my country in approximately 7 months. There was nothing I had to decide as I was a girl in the wrong body. But why would I put my care into the hands of someone who is just delaying the inevitable? I am happy now. I live in Bangkok and work for a Gender Reassignmet Clinic
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| | | Pearl
October 25, 2006 03:29 PM PDT
One of the problems is that transsexualism is still treated as a mental illness. Homosexuality was considered a mental illness too until 1975. Should they undergo psychiatric assessment until they can sleep with somebody of the same biological sex? Of course not.
The biggest problem for transpeople nowadays are confused trannies. These are the fetishists who somehow convince themselves they are their fantasies and try to do it for real. Many have had the operation including several who run a support group for transsexual people in the north.
A genuine transperson will know from an early age of something different. They will spend many angst riden years questioning themselves and trying to work out answers before they go for surgery, and by that time the will have all society's guilt running their their blood. The NHS lets them down with up to ten years waiting.
And Transvestites know all the answers so trying to sort the trannies from the transsexual people is a near impossible job and many will fall through the net. But that's no excuse for shrinks, who haven't got a clue, to delay everybody in case they "save" one. | |
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Just Forget all your troubles and Smile, Smile, Smile
Years from now as Archeologists unearth this blog. They wonder as they read the hallowed words within. "Are these the ramblings of a typical resident of the year 2004?" I certainly hope not.
Laura's Playground
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