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re: Dept. of Justice announces new interpretation of the Civil Rights Act

Posted on 12/21/14 at 12:50 am to
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 12:50 am to
quote:

Delusional disorders say your wrong. So does any other disorder that the individual believes is not a problem. It's still there. Heart disease exists even if your patient does not feel it or acknowledge it.

You know whats funny. We are not talking about delusional disorders or heart disease. We are talking about gender dysphoria. And an essential criteria that must be met to diagnose someone with gender dysphoria is causing pt distress/functional impairment. Goodness gracious people, this isn't my opinion but a verifiable fact. The DMS-V is out there for anybody to see--go ahead and check it out and tell me if I'm wrong (you won't bc I'm not).
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 12/21/14 at 12:50 am to
Dude, their illness causes them so much distress they want to surgically alter their bodies.

I mean, frick.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 12:50 am to
quote:

It now appears that our long-ago decision was a wise one. A 2011 study at the Karolinska Institute in Sweden produced the most illuminating results yet regarding the transgendered, evidence that should give advocates pause. The long-term study—up to 30 years—followed 324 people who had sex-reassignment surgery. The study revealed that beginning about 10 years after having the surgery, the transgendered began to experience increasing mental difficulties. Most shockingly, their suicide mortality rose almost 20-fold above the comparable nontransgender population. This disturbing result has as yet no explanation but probably reflects the growing sense of isolation reported by the aging transgendered after surgery. The high suicide rate certainly challenges the surgery prescription.

LINK
More at the link.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 1:02 am to
quote:

Dude, their illness causes them so much distress they want to surgically alter their bodies.

So anybody who has ever had plastic surgery is automatically mentally ill? Just wondering where you stand on this, because some people believe so. I am not one of those people, however.
Posted by Iosh
Bureau of Interstellar Immigration
Member since Dec 2012
18941 posts
Posted on 12/21/14 at 1:07 am to
quote:

More at the link.
I don't give two shits about your shitty fricking op-ed. But since I'm a generous person and enjoy doing people's work for them, I dug up the actual study: LINK

Do you know what it proves? That I'm psychic. From me:
quote:

I eagerly await your half-assed link from some dumbass social conservative website that will probably make some vague claim like "transgendered people have lots of problems" without doing anything remotely as rigorous as comparing cohorts before and after.
So what do I have? A half-assed paper (from a fricking open-access journal) you saw referenced in a WSJ op-ed. And now to quote the primary source:
quote:

Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population
Notably absent from this study: A comparison between gender reassignment therapy and psychotherapy-only approaches between transgender cohorts.

And even the study itself says this:
quote:

It is therefore important to note that the current study is only informative with respect to transsexuals persons health after sex reassignment; no inferences can be drawn as to the effectiveness of sex reassignment as a treatment for transsexualism. In other words, the results should not be interpreted such as sex reassignment per se increases morbidity and mortality.
It cautions against using it to make the exact point the WSJ author is making. You got took, son.

Don't ever trust someone citing a study on the Internet without providing a link. Hypertext has been around for a very long time. If they're not using it, there's probably a good reason.
This post was edited on 12/21/14 at 1:12 am
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:08 am to
quote:

So anybody who has ever had plastic surgery is automatically mentally ill?


Someone who believed they were D cup in an A cup body would be psychologically suspect, IMO.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:10 am to
Good god man. You're trumpeting 20 fold higher rates of suicide as normative. I'm not the one who got took.

You also conveniently ignored the spontaneous cessation of the gender dysphoria in a huge percentage of the population.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 1:13 am to
quote:

You're trumpeting 20 fold higher rates of suicide as normative. I'm not the one who got took.

In all fairness, its 20x rate higher than the general population. How do we know thats not a decrease from 40x rate if one never had the sex reassignment surgery, thus making it a very efficacious treatment? The study posted does not appear to address that.
Posted by Iosh
Bureau of Interstellar Immigration
Member since Dec 2012
18941 posts
Posted on 12/21/14 at 1:13 am to
quote:

Good god man. You're trumpeting 20 fold higher rates of suicide as normative. I'm not the one who got took.
What's the suicide rate for transgenders who don't get sex reassignment therapy?
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:14 am to
So you're arguing that a 20 fold higher rate of suicide would be a success. Super.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 1:15 am to
quote:

So you're arguing that a 20 fold higher rate of suicide would be a success. Super.

If it were 40 fold higher before the operation? Without question. How could you argue otherwise?
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:17 am to
quote:

What's the suicide rate for transgenders who don't get sex reassignment therapy?


I'm gonna make a guess that it's about 20 times the rate of the normal population.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:19 am to
quote:

If it were 40 fold higher before the operation? Without question. How could you argue otherwise?


But it's not 40 fold higher. Right? And you'd have to admit that both groups are experiencing high levels of psychological distress. So, it wouldn't be an absolute access. Only a relative success.
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 1:19 am to
quote:

I'm gonna make a guess

Well thats super scientific.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:19 am to
Keep swinging.
Posted by Iosh
Bureau of Interstellar Immigration
Member since Dec 2012
18941 posts
Posted on 12/21/14 at 1:19 am to
quote:

So you're arguing that a 20 fold higher rate of suicide would be a success. Super.
People with heart disease who take statins still carry a vastly inflated risk of myocardial infarction compared to the general population. Oddly, we still prescribe them.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:22 am to
Here's one shocking data point.

LINK
Posted by onmymedicalgrind
Nunya
Member since Dec 2012
10590 posts
Posted on 12/21/14 at 1:22 am to
quote:

But it's not 40 fold higher. Right?

I have no idea what it is. The paper you linked doesn't provide that data apparently.
quote:

So, it wouldn't be an absolute access. Only a relative success.

If theres a therapy that decreases the suicide rate by half, thats a total slam dunk in the psychiatric world. For example, there are only two psychotropic meds that have a proven reduction in suicide and neither are close to half.
Posted by Paluka
One State Over
Member since Dec 2010
10763 posts
Posted on 12/21/14 at 1:23 am to
What's funny is that I have treated gender identity disorder, delusional disorders and many other mental disorders over the last 20 years. What's even funnier is that you are willing to be dishonest about the subjective experience so you won't be wrong.
Posted by the808bass
The Lou
Member since Oct 2012
111507 posts
Posted on 12/21/14 at 1:23 am to
quote:

People with heart disease who take statins still carry a vastly inflated risk of myocardial infarction compared to the general population. Oddly, we still prescribe them.

And if the people taking the statins knew the NNT, they'd probably do some serious ROI calculations.
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