Common sense is returning.
James Crisp, EUROPE EDITOR 13 April 2024
Dr Hilary Cass said children who think they are transgender should not be given any hormone drugs at all until at least 18 CREDIT: Yui Mok
Belgium and the Netherlands have become the latest countries to question the use of puberty blockers on children after the Cass Review warned of a lack of research on the gender treatment’s long-term effects.
Britain has become the fifth European nation to restrict the use of the drug to those under 18 after initially making them part of their gender treatments.
Their use was based on the “Dutch protocol” - the term used for the practice pioneered in the Netherlands in 1998 and copied around the world, of treating gender dysphoric youth using puberty blockers.
The NHS stopped prescribing the drug, which is meant to curb the trauma of a body maturing into a gender that the patient does not identify with this month.
In Belgium, doctors have called for gender treatment rules to be changed.
Research into impact
“In our opinion, Belgium must reform gender care in children and adolescents following the example of Sweden and Finland, where hormones are regarded as the last resort,” the report by three paediatricians and psychiatrists in Leuven said.
Figures from the Netherlands and the United Kingdom show that more than 95 per cent of individuals who initiated puberty inhibition continue with gender-affirming treatments,” the report by P Vankrunkelsven P, K Casteels K and J De Vleminck said.
“However, when young people with gender dysphoria go through their natural puberty, these feelings will only persist in about 15 per cent.”
The report was published after a 60 per cent rise in the number of Belgium teenagers taking the blockers to stop the development of their bodies. In 2022, 684 people between the ages of nine and 17 were prescribed the drug compared to 432 in 2019, the De Morgen newspaper reported in 2019.
Pressure is also building in the neighbouring Netherlands to look again at their use. The parliament has ordered research into the impact of puberty blockers on adolescent’s physical and mental health.
Dutch protocol
The Telegraph understands that the Amsterdam Center of Expertise on Gender Dysphoria, where the protocol originated, is set to make a statement on the use of puberty blockers next week.
“I too thought that the Dutch gender care was very careful and evidence-based. But now I don’t think that any more,” Jilles Smids, a postdoctoral researcher in medical ethics at Erasmus University in the Netherlands, told The Atlantic.
Attitudes in the Netherlands have hardened against trans rights, with a bill to make it easier for people to legally change their gender being held up in parliament.
The Cass Review said that the NHS had moved away from the restrictions of the original Dutch protocol, and researchers in Belgium have also demanded those restrictions be reintroduced.
Belgium is regarded as one of the most trans-friendly countries in Europe. A minister in the government is transgender and people have been able to legally change their gender without a medical certificate for the past five years.
But the hard-Right Vlaams Belang party is currently leading the polls ahead of national and European elections in June.
It has called for “hormone therapy and sex surgery to be halted for underage patients until clear and concrete research has been carried out.”
‘Greatest ethical scandals’
In March, a report in France described sex reassignment in minors as potentially “one of the greatest ethical scandals in the history of medicine”.
Conservative French senators plan to introduce a bill to ban gender transition treatments for under-18s.
On Monday, the Vatican’s doctrine office published a report that branded gender surgery a grave violation of human dignity on a par with euthanasia and abortion.
Finland was one of the first countries to adopt the Dutch protocol but realised many of its patients did not meet the Protocol’s strict eligibility requirements for the drugs.
It restricted the treatment in 2020 and recommended psychotherapy as the primary care.
Sweden restricted hormone treatments to “exceptional cases” two years later. In December, Norwegian authorities designated the medicine as “under trial”, which means they will only be prescribed to adolescents in clinical trials.
Denmark is finalising new guidelines limiting hormone treatments to teenagers who have had dysphoria since early childhood.
In 2020, Hungary passed a law banning gender changes on legal documents.
“The import and the use of these hormone products are not banned, but subject to case by case approval, however, it is certain that no authority would approve such an application for people under 18,“ a spokesperson told The Telegraph.
In August, Russia criminalised all gender reassignment surgery and hormone treatments.
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dear outism blog,
i come her e to ask an important question. a question for the ages. confounding even the finest philosophers. of utmost importance, even
can outis draw
thank you for your time.
- gremlyn, just a gremlin
For me I do think Outis would be really good at technical drafting, since being knowledgeable of workshop technologies would probably lend to that skill, right?
She could make a damn good straight line even though she's not straight herself...
But when it comes to actual drawing, I am gonna go with the funny option and say no, she is not good at it. Never had time to practice, never found it useful to do so.
Pictionary night with the sinners and when it's her turn she draws a horse and literally everyone has no fucking idea what's the four legged thing (?????) she scribbled on the whiteboard. Even Faust is mindboggled at not being able to guess it and Ryoshu calls Outis a slur for being so bad at drawing a horse
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Painkiller
The 2000s and early 2010s were a weird time for the classic FPS. With military shooters starting to take over with the boom of WWII games that would eventually become the modern military FPS, alongside the regenerating health and limited load outs of Halo, the torch for the classic run and gun monster massacre was limited to just two franchises, before later attempts started to compromise with ideas from the aforementioned Halo and Call of Duty. The most famous of the two was definitely Serious Sam, which has entered a sort of creative renaissance with the boomer shooter revival. The other series, however, might have an even bigger footprint of impact, one most people may not even be aware of.
That series was Painkiller, starting with a 2004 PC game by People Can Fly. You may remember the studio more as the co-developers of Gears of War, Bulletstorm, and a little cult title you may not have heard of called Fortnite. Painkiller was their start, and the beginning of a massive domino effect that would shape the landscape of the FPS genre for decades to come. This is due mainly to former studio staff leaving to form their own studios, creating a surge of games that bare the DNA of this one game. This even includes project lead Adrian Chmielarz, who went on to create The Astronauts, the studio behind The Vanishing of Ethan Carter, and share hot takes. If you’ve played, say, the Shadow Warrior reboot series from Flying Wild Hog, congrats, you have experienced work of Painkiller devs, and there’s so many other examples.
Read more...
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