Sunday, August 19, 2018

Another Study On Detransition

Another study has surfaced, the study was from 2005 but it has just surfaced on Facebook and it is worth looking at.
Sex reassignment: outcomes and predictors of treatment for adolescent and adult transsexuals
Psychological Medicine, 2005, 35, 89–99. f 2004 Cambridge University Press
DOI: 10.1017/S0033291704002776 Printed in the United Kingdom

ABSTRACT
Background. We prospectively studied outcomes of sex reassignment, potential differences between subgroups of transsexuals, and predictors of treatment course and outcome.
Method. Altogether 325 consecutive adolescent and adult applicants for sex reassignment participated: 222 started hormone treatment, 103 did not; 188 completed and 34 dropped out of treatment. Only data of the 162 adults were used to evaluate treatment. Results between subgroups were compared to determine post-operative differences. Adults and adolescents were included to study predictors of treatment course and outcome. Results were statistically analysed with logistic regression and multiple linear regression analyses.
Results. After treatment the group was no longer gender dysphoric. The vast majority functioned quite well psychologically, socially and sexually. Two non-homosexual male-to-female transsexuals expressed regrets. Post-operatively, female-to-male and homosexual transsexuals functioned better in many respects than male-to-female and non-homosexual transsexuals. Eligibility for treatment was largely based upon gender dysphoria, psychological stability, and physical appearance. Maleto-female transsexuals with more psychopathology and cross-gender symptoms in childhood, yet less gender dysphoria at application, were more likely to drop out prematurely. Non-homosexual applicants with much psychopathology and body dissatisfaction reported the worst post-operative outcomes.
Conclusions. The results substantiate previous conclusions that sex reassignment is effective. Still, clinicians need to be alert for non-homosexual male-to-females with unfavourable psychological functioning and physical appearance and inconsistent gender dysphoria reports, as these are risk factors for dropping out and poor post-operative results. If they are considered eligible, they may require additional therapeutic guidance during or even after treatment.
This study was done in 2005 and the language used in it reflects Drs. Blanchard, Lawrence, and Zucker, use can see it in the use of the phrase “non-homosexual male-to-females.”

In the Discussion section they say,
Thus, it seems safe to conclude that the transsexuals had improved in important areas of functioning and that 1–4 years after surgery, SR [They use “ SR for the archaic term Sexual Reassignment] appeared therapeutic and beneficial. Furthermore, the vast majority expressed no regrets about their SR.

Post-operative evaluation showed that the majority functioned quite well socially. A small minority, however, lacked support and acceptance, and were ridiculed. Surprisingly, 98% felt taken seriously. This somewhat rose-coloured view may be explained by the fact that the social support received and the relief about the new situation may have put adverse reactions into perspective, whereas disappointing experiences may have been played down to reduce cognitive dissonance after undergoing such invasive and irreversible interventions.
[…]
The findings support the conclusion that after SR most transsexuals functioned socially and sexually well. One MF expressed deep regrets. She indicated that professional guidance regarding adverse consequences (i.e. intolerance of society, family and her own children), would have made the transition more endurable. This stresses the need for good aftercare.
Notice that most of the problems are not with us but by the way society treats us. The better you can integrate into society the lass problems you will have.

As for the guys…
Comparing the sexes, the FMs showed better results, supporting the results of earlier studies (see Introduction). This might be due to their more convincing gender role behaviour and looks and their ‘type’ of transsexualism, implying an earlier age at application.
Their bias of “non-homosexual male-to-females” showed itself when…
The less favourable outcomes of the nonhomosexuals carry significant implications for clinical practice. If considered eligible for SR, non-homosexuals should be able to receive additional guidance in coping with adverse consequences, such as a more troubled psychological functioning, or a more critical environment.
Translated: “OMG they are going to be lesbians!”

Overall, the study found that there were only a small percentage of trans people who had Gender Confirming Surgery had regrets.
We cannot rule out the possibility that it is not psychopathology per se that increases the probability to drop out, but rather a combination of psychological vulnerability and personal circumstances, such as abandonment by a partner. One should also bear in mind that the drop-outs stopped hormone treatment during our data collection; it is possible, however, that they will reapply later in life.
As noted, they don’t know how many go an retransition.

I know one person who after detransitioning retransitioned and had GCS. Another trans woman who detransitioned did so because she couldn’t find a job and had to go back and live with her parents, but they only would take her back if she detransitioned.

So with my limited empirical data I see those who detransition do so because of socioeconomic pressures and not because they were not trans.

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