I love you *bites you affectionately* oh I'm sorry just *bites you affectionately* I really like you *bites you affectionately*
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When the whole thing is said and done, I hope that what comes out of the medical scandal of pediatric transition is an understanding not just of the fact that it's important not to let ideology guide practice such that real physicians tell outright lies, ideological abstractions, and/or functionally religious beliefs (that one may have been born in the wrong body, or that one may have the wrong variety of brain in their body, or that one could possibly be "harmed" by going through one's natural puberty in and of itself, etc) to patients who are literally too young to distinguish between lies and truth, but also an understanding that what happened here on the whole with the medical approach to gender dysphoria was a total abdication of duty to provide least invasive practices first, total refusal to provide justification for the practice of selling extreme body modification to people who are at least often obsessively convinced that something is wrong with their body when medicine doesn't do this regularly for any other patients with body distress, total failure of safeguarding practices in a patient group very likely to contain vulnerable and otherwise emotionally distressed patients, and most of all a refusal to even try to address the mental health concerns of a group of people that these physicians just decided on no basis (there are no large studies comparing overall outcomes with transition treated as an actual variable, wherein some people are given one treatment, others none, others another treatment, underlying this practice) were too ill to respond to all of the practices we have already accepted as approaches to psychological distress.
This is at the heart of why ROGD has so many people freaked out- sure, those people who show signs of extreme gender nonconformity in childhood, who grow more distressed than normal at the onset of puberty because it means a loss of the androgyny that protects so much of child gender nonconformity, who are likely to grow into crossdressing homosexual or bisexual adults, who are more likely than other people to struggle with obsessive and compulsive tendencies, who are more likely to struggle to connect with other people socially, I'm sure they require surgical and hormonal body modification in order to live happy and healthy lives, but I am quite sure that no such treatment is right for my sweet, outgoing, heterosexual daughter who until 6 months ago was never very gender nonconforming. People like her deserve extra safeguarding so that the only treatment medicine ever even attempted at scale for this psychological problem is reserved for the people who truly cannot be integrated into society any other way. It is really quite deeply offensive that, because very gender nonconforming people are less valued, we got none of the normal safeguarding or study or approach to treatment that people who approach doctors with broken bones or other physical problems receive. Of course there is always some very real chance that we just happened upon the "right" treatment, but for one thing we don't know that because we simply never tried anything less invasive the way one normally does in medicine (let alone actual comparative studies different potential treatment options) and for another it's currently being sold to people using ideological abstractions or functionally religious concepts that have no basis in reality like the concept of being born in the wrong body. Those are both problems no matter how long medicine is allowed to continue ignoring them, which by the way will not be forever. If medicine cannot reign itself in, if it cannot police itself, then the only actors left to reign it in are all much more susceptible to their own forms of ideological capture than medicine was, such as state legislatures, which is bad for everyone in the same way that state intervention in doctor/patient decisions is almost always bad for everyone.
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do you even get how profoundly unsustainable ougi's situation was. do you even get how badly it must have been hurting her. how unhappy it must have been. do you even get how she was doing the exact same thing araragi was, and it was just as sad and just as lonely? do you even get that "becoming herself" was supposed to mean she wouldn't have to be araragi's opposite anymore? was supposed to mean she wouldn't have to be stagnant and in that dark lonely place while he got to move forward, because she was supposed to represent his past? ougi will smile through the most fucked up shit. ougi will grin and bear literal actual death. can you fault me for not thinking she's okay when she's still doing the same shit that almost got her to kill herself? when's the last time you watched tsukimonogatari episode 4. when's the last time you watched ougi dark. when's the last time you really thought about it. tell me. tell me.
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