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New study: sex-reassignment surgery does not bring mental health benefits

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Thinking about transgenderism
Thinking about transgenderism

If you look at the actual science of sex re-assignment surgery, it doesn’t make a good case that these procedures actually deliver results.

Here’s the latest from Daily Signal:

The world’s largest dataset on patients who have undergone sex-reassignment procedures reveals that these procedures do not bring mental health benefits. But that’s not what the authors originally claimed. Or what the media touted.

In October 2019, the American Journal of Psychiatry published a paper titled, “Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study.” As the title suggests, the paper claimed that after having had sex-reassignment surgeries, a patient was less likely to need mental health treatment.

Well, over the weekend, the editors of the journal and the authors of the paper issued a correction. In the words of the authors, “the results demonstrated no advantage of surgery in relation to subsequent mood or anxiety disorder-related health care.”

But it’s actually worse than that. The original results already demonstrated no benefits to hormonal transition. That part didn’t need a correction.

So, the bottom line: The largest dataset on sex-reassignment procedures—both hormonal and surgical—reveals that such procedures do not bring the promised mental health benefits.

In fact, in their correction to the original study, the authors point out that on one score—treatment for anxiety disorders—patients who had sex-reassignment surgeries did worse than those who did not:

individuals diagnosed with gender incongruence who had received gender-affirming surgery were more likely to be treated for anxiety disorders compared with individuals diagnosed with gender incongruence who had not received gender-affirming surgery.

You would think patients suffering from gender dysphoria would want to know that.

Previously, I had blogged about another study that found that the choice to go transgender was enormously susceptible to peer pressure and teacher pressure.

Here’s how the study was first reported by Science Daily:

This month, a Brown University researcher published the first study to empirically describe teens and young adults who did not have symptoms of gender dysphoria during childhood but who were observed by their parents to rapidly develop gender dysphoria symptoms over days, weeks or months during or after puberty.

[…]The study was published on Aug. 16 in PLOS ONE.

Peer pressure / The Internet:

The pattern of clusters of teens in friend groups becoming transgender-identified, the group dynamics of these friend groups and the types of advice viewed online led her to the hypothesis that friends and online sources could spread certain beliefs.

[….]”Of the parents who provided information about their child’s friendship group, about a third responded that more than half of the kids in the friendship group became transgender-identified,” Littman said. “A group with 50 percent of its members becoming transgender-identified represents a rate that is more 70 times the expected prevalence for young adults.”

“Friends and online sources could spread certain beliefs”.

Mental disorders / traumatic events:

Additionally, 62 percent of parents reported their teen or young adult had one or more diagnoses of a psychiatric disorder or neurodevelopmental disability before the onset of gender dysphoria. Forty-eight percent reported that their child had experienced a traumatic or stressful event prior to the onset of their gender dysphoria, including being bullied, sexually assaulted or having their parents get divorced.

“experienced a traumatic or stressful event prior to the onset of their gender dysphoria” such as “having their parents get divorced”.

When you read studies like this, it almost makes you think that we shouldn’t be rushing children into sex-reassignment surgery, doesn’t it? But then what would the adults who are desperate to feel good about themselves do to feel good about themselves? It makes them feel good to let children do whatever they want. And it feels so bad to tell children no when they want something. The important thing for these selfish adults is to let the children do what they want right now. That’s called “compassion”.

News

Men on strike: the social changes that caused men to opt out of marriage

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Painting: "Courtship", by Edmund Blair Leighton (1888)
Painting: “Courtship”, by Edmund Blair Leighton (1888)

I read and enjoyed Dr. Helen Smith’s book “Men on Strike” a few years back. The book explains a few of the developments that have led to men underperforming in school and in the workplace, and opting out of marriage and fatherhood.

Dr. Helen comes to this problem as a secular libertarian, not as a Christian conservative.

A review of Dr. Helen’s book appeared in Salvo magazine. The review is written by Terrell Clemmons, who has the best Christian worldview of any woman I know – I frequently rely on her advice.

Terrell writes:

While the feminist movement may originally have been about equal respect for both sexes, what it has morphed into, she argues, is female privilege. From rape laws that empower women but not the men they may falsely accuse, to divorce laws tilted in favor of the wife, to the feminization of the U.S. education system, men have become the sex under the gun, while women enjoy the status of a protected class.

But unlike their mothers or grandmothers, men today are not taking to the streets burning their undergarments and shrieking demands (thank God). They’re doing just the opposite, which is far worse. They’re going on strike. The strike zones are manifold:

Higher Education.In addition to the enrollment imbalance, which is approaching a 60/40 ratio of women to men, college has become, in the words of one professor, “a hostile working environment [in which] males increasingly feel emasculated.” Smith quotes a student named John, who had this to say about his college experience: “I had already been cautious around women, having grown up with Tawana Brawley in my backyard and daily stories of sexual harassment; I played it safe and passive every time. But it doesn’t matter. The only way not to lose is to not play. So I’m out.”

Work,including community involvement. With higher female graduation rates and salaries, men today are falling behind their fathers economically and professionally. Consequently, their efforts to prove themselves worthy mates through hard work and higher earnings don’t win female attention the way they used to. Discouraged, too many retreat to a man cave, and inertia sets in from there.

Marriage.Marriage rates are down, and honest men opting out will tell you why. Smith cites a Rutgers University study of single heterosexual men which turned up the top reasons they hadn’t married. They can get sex and the companionship of cohabitation without marriage more easily than in times past, and they don’t want to open themselves up to the risk of divorce and financial loss. It really isn’t that complicated a decision. In fact, it’s often not an actual decision at all. It just happens.

The simplest explanation for the difficulties that boys face in an education system that is dominated by women (teachers and administrators) is discrimination. And in the workplace, the government requires employers to report on male and female head counts, and promote women who are not qualified. I have seen receptionists with tattoos and no college degrees promoted to six-figure manager jobs in companies where I worked.

There is one more which to me was the most surprising one in the book – paternity fraud, and the laws that support paternity fraud:

Take the following cases of nonconsensual insemination: Nathaniel from California, age 15, had sex with 34-year-old Ricci, which, due to his age, was legally considered nonconsensual. Emile from Louisiana was visiting his parents in the hospital when a nurse offered him oral sex, if he wore a condom, which she conveniently offered to dispose of for him afterward. S. F. from Alabama passed out drunk at the home of a female friend and awoke undressed the following morning. In all three cases, including the one involving the minor, a woman got sperm and, nine months later, a child, and the man got ordered by a court of law to pay support for eighteen years.

Less devious, but similarly amiss, are those cases in which a man, having been betrayed by his wife or girlfriend, was nevertheless held financially responsible for a child genetically proven to be another man’s offspring. While not as sensational as sperm-jacking, it is another form of paternity extortion.

In each of those cases, the man was found liable to pay child support – including the case of the 15-year-old boy, who was forced to pay child support to his statutory rapist when he turned 18. This is how the court system works, and more and more men are understanding the risks.

I often encounter “pro-marriage” people while gathering stories for the blog. These pro-marriage people come in two varieties.

On the one end of the spectrum are people like Terrell Clemmons and Jennifer Roback Morse, who understand marriage, but who also understand the social changes that have made marriage unattractive for men. Both Clemmons and Morse have a background in STEM fields, so they are able to understand incentives and tradeoffs. They understand that society has to rollback the changes to education, divorce laws, etc. if they expect men to be interested in marriage again. They understand that men are not just accessories of women, but instead have their own desires, feelings and reasons for marrying.

On the other end of the spectrum are feminist men, who are not able to understand the changing incentives that face men in a world that has evolved under the influence of radical feminism. It is just simpler (less thinking) for these men to accept the radical feminism as a given, and then urge men to “man up”. I think a much better idea would be for the “man up” crowd to realize how marriage has changed, and how the schools and the workplace have changed, then make all of these things more attractive to men. It doesn’t do any good to try to “dare” men into jumping off a cliff. Men aren’t stupid, and they do what is in their own best interests. If the man-up crowd wants younger men to marry, then they need to change the incentives offered to men. And that means changing women first.

News

How a small, poor country became the top economy in Latin America

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South America Map
South America Map

One way to learn about whether specific economic policies work or not is to look at different countries that have tried them. Believe it or not, patterns do emerge about what works and what doesn’t work, as you look across different times and places. I’ve been reading a book called “Money, Greed and God” with my friend Carla, which talks about what has worked to reduce poverty.

The author basically outlined two approaches. In the first approach, the government 1) confiscates the wealth of the most productive workers, 2) nationalizes (takes control of) the businesses of the most successful entrepreneurs, 3) restricts trading between citizens and with other countries, with minimum wage, price controls and tariffs. In the second approach, the government does the opposite: 1) lowers taxes on the most productive workers, and 2) lets entrepreneurs compete to provide goods and services to consumers, and 3) lowers restrictions on internal trading and trading with other countries, e.g. – eliminating minimum wage, tariffs and price controls.

Let’s take a look at two Latin American countries that went in opposite directions. Venezuela and Chile. Then we can finally find out which policies actually achieve results for the people.

Here is how Chile started out in 1973.

PROBLEM: Price controls and tariffs:

Prices for the majority of basic goods were fixed by the government in 1973. Even though Chile was and still is a small economy, the level of protection­ism was high. By the end of 1973, the nominal average tariff for imports was 105 percent, with a maximum of 750 percent. Non-tariff barriers also impeded the import of more than 3,000 out of 5,125 registered goods. Just as economic theory predicts, large queues in front of stores were usual in Santiago and other cities in Chile as a result of the scarcity caused by price controls.

PROBLEM: Government taking over private businesses:

The decline in GDP during 1973 reflected a shrinking productive sector in which the main assets were gradually falling under government control or ownership through expropriations and other government interventions in the economy.

PROBLEM: Deficit spending and government printing money:

The fiscal situation was chaotic. The deficit reached 55 percent of expenditures and 20 percent of GDP and was the main cause of inflation because the Central Bank was issuing money to finance the government deficit.

SOLUTION: lower or eliminate restrictions on trade:

The most important economic reform in Chile was to open trade, primarily through a flat, low tar­iff on imports. Much of the credit for Chilean eco­nomic reforms in the following 30 years should be given to the decision to open our economy to the rest of the world. The strength of Chilean firms, productive sectors, and institutions grew up thanks to that fundamental change.

SOLUTION: let competing entrepreneurs in the private sector provide goods and services to consumers:

A second fundamental reform was to allow the private sector to recover, adding dynamism to the economy. In fact, important sectors such as elec­tricity generation and distribution and telecommu­nications were still managed by state companies. After we implemented a massive privatization plan that included more than 50,000 new direct share­holders and several million indirect (through pen­sion funds) shareholders, these companies were managed by private entrepreneurs that carried out important expansion plans.

SOLUTION: let people take responsibility for their own lives instead of depending on government:

The 1981 reform of the Chilean pension fund system deserves special mention. Under the leader­ship of Minister José Piñera, an individual capitali­zation account program was designed with specific contributions, administered by private institutions selected by the workers. The Chilean Administra­doras de Fondos de Pension (Pension Fund Administrators or AFP) has been replicated in more than 20 countries, and more than 100 million workers in different parts of the world use these accounts to save for retirement.

SOLUTION: allow parents to choose the school that fits their needs from competing education providers, and push school administration down from the federal government to the municipal level, where it would be more responsive to voter’s needs:

In 1981, Chile introduced a universal educational voucher system for students in both its elementary and secondary schools. At the same time, the central government transferred the administration of public schools to municipal governments…  The financial value of the voucher did not depend on family income.

RESULTS: And I was able to find a nice short, description of how all that worked out for them on the far-left Wikipedia, of all places:

The economy of Chile is a high-income economy as ranked by the World Bank, and is considered one of South America’s most stable and prosperous nations, leading Latin American nations in competitiveness, income per capita, globalization, economic freedom, and low perception of corruption.

In 2006, Chile became the country with the highest nominal GDP per capita in Latin America. In May 2010 Chile became the first South American country to join the OECD. Tax revenues, all together 20.2% of GDP in 2013, were the second lowest among the 34 OECD countries, and the lowest in 2010. In 2017, only 0.7% of the population lived on less than US$1.90 a day.

According to the Heritage Foundation, Chile is ranked as the 18th freest economy in the world. The World Bank ranked Chile as the 50th highest GDP per capita for 2018, just below Hungary and above Poland.

Now, you can contrast those results with Venezuela. I have been blogging about Venezuela for years on this blog, and documenting how they raised taxes, banned guns, nationalized private sector companies, raised tariffs, and increased regulations. They are now ranked JUST ABOVE NORTH KOREA for economic freedom – #179 out of 180 countries measured. Basically, they did the opposite of everything that Chile did – transferring power away from parents, workers, business owners, churches and municipal governments to the powerful centralized federal government.

Wikipedia explains how Hugo Chavez took over in 1999 and enacted a communist revolution.

More:

Since the Bolivarian Revolution half-dismantled its PDVSA oil giant corporation in 2002 by firing most of its 20,000-strong dissident professional human capital and imposed stringent currency controls in 2003 in an attempt to prevent capital flight, there has been a steady decline in oil production and exports. Further yet, price controls, expropriation of numerous farmlands and various industries, among other government authoritarian policies… have resulted in severe shortages in Venezuela and steep price rises of all common goods, including food, water, household products, spare parts, tools and medical supplies; forcing many manufacturers to either cut production or close down, with many ultimately abandoning the country as has been the case with several technological firms and most automobile makers.

They confiscated private property, took over private sector businesses, implemented tariffs and price controls, redistributed wealth via massive welfare programs, and pushed all decision-making out of families and municipal governments up to the federal government. By depriving the producers of their earnings, the country caused massive shortages of goods and services, to the point where people are fleeing the country, consuming zoo animals, and selling their bodies as prostitutes in order to get food and water.

Application

In the next election, we are not picking a tribe because of how they make us feel about ourselves. We are not choosing in order to see ourselves as “nice” and “not nice”. We need to look at specific policies being proposed, and see what works and what doesn’t work. The examples of Chile (rags-to-riches) and Venezuela (riches-to-rags) are helpful for voters who want to get RESULTS instead of FEELINGS.

I’ll leave you with a list of links from previous posts so you can see how communism worked out for Venezuela.

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