Medical Tuesday Blog
Medical Gluttony: Medical Tragedy:
Is this section last month we discussed the transgender issue and my personal experience with a transgendered female to male conversion. This type of transition is supported by the American Academy of Pediatrician.
The social construction of gender is a theory in feminism and sociology about the operation of gender and gender differences in societies. According to this view, society and culture create gender roles, and these roles are prescribed as ideal or appropriate behavior for a person of that specific sex. Some supporters of this idea argue that the differences in behavior between men and women are entirely social conventions. This view is supported by the American Academy of Pediatrics (AAP).
Others believe that behavior is influenced by universal biological factors to varying degrees, with social conventions having a major effect on gendered behavior. This is the interpretation of the American College of Pediatrics (ACP) Michelle Cretella, M.D., President, American College of Pediatricians, presented this alternated point of view at our AAPS annual conference.
She presented evidence the adolescent period is one of transition in which gender issues are resolved. She recommended to avoid any transition during this period of personality identification. This is also the usual understanding of the Freudian theory of personality development.
This was explored in detail in a recent issue of The Atlantic: “Your child thinks she’s trans. She’s 13 years old and is requesting hormone therapy. This is the early period of hormone development.” The standard response is to let all the natural adolescent behavior play out, and in most instances, this is resolved to the biologic gender. The illustration in The Atlantic which followed this problem over many years was that this female in the cover story did resolved her gender identification as a healthy female.
Once this massive gender transformation is done, it is essentially impossible to reverse back to normal. Since parents have to sign for the major surgical transformation, if the patient is still an adolescent, there are many legal issues which may surface. Children are increasingly suing their parents for a number of issues. This has not surfaced as yet in gender transformation. But children who regret the transformation, may seriously feel their life as been altered in a major fashion. As they try to resolve and live in their transformed state, not having fully understood how the transformation would play out, may have increasing mental disturbances.
The pattern of trans behavior occasionally appears as a social custom in friends and acquaintances. This may place it in the category of adolescent behavior—wanting to belong. This then would be a psychiatric problem and the treatment would be psychotherapy rather than irreversible surgical and hormone therapy.
Heteronormativity is the belief that heterosexuality, predicated on the gender binary, is the norm or default sexual orientation. It assumes that sexual and marital relations are most fitting between people of opposite sex. A “heteronormative” view therefore involves alignment of biological sex, sexuality, gender identity and gender roles. Heteronormativity is often linked to heterosexism and homophobia.
At our American Association of Physicians and Surgeon’s annual conference we had an address by Michelle Cretella, M.D., President, American College of Pediatricians. She presented the gender binary or default sexual orientation as the normal resolution during adolescents. Most teenagers will work out their gender roles during their adolescence and parents should give them time and counseling while they resolve this issue.
It Disappears with Appropriate Deductibles and Co-payments
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