WPATH 2016 - Dr. Polly Carmichael: The Tavistock GIDS Experience
Thinker Of Thoughts
At the 2016 WPATH Symposium in Amsterdam, Dr Polly Carmichael - the head of the GIDS clinic at the Tavistock in the UK gave a presentation which reviewed the referral patterns, social context and outcomes of the early intervention program at the clinic, treating children with gender dysphoria.
This presentation was cited in the recent book "Time to Think" by Hannag Barnes which describes the evolution and eventual dissolution of the clinic in the UK.
She describes the service and makes some surprising admission including:
- The departure of the clinic from the selection and exclusion criteria of treatment guidelines based on the Dutch Protocol.
- The preliminary results of kids treated with puberty blockers which show no improvement on the various assessments given prior and after treatment.
- The implications of the almost 100% of patients that went on to further hormones and surgery after puberty blocker therapy - that it means the concept of blockers as a diagnostic tool or "time to think" are not accurate.
Index: 00:00 Introduction 00:39 Opening remarks 02:02 History of GIDS 02:59 Demographics 05:05 Equity of Access 07:44 Referrals by the Numbers 09:57 Why the Rapid Growth in Referrals? 12:19 Press Coverage 13:51 Teaching Gender in Schools 14:43 Referrals by Natal Gender 16:00 Associated Difficulties 17:09 Anxiety 17:54 Autism Spectrum 19:04 Self Harm 20:28 Service Protocol 22:00 Service Users Pathways 23:02 Possible Pathways 24:35 Informed Consent 25:56 Physical Interventions 26:56 Puberty Blockers 29:36 Ages at Puberty Blockade 30:59 Differences from the Dutch Experience 31:53 Questions to Ponder 33:28 Rapidly Changing Landscape 34:48 Awards 36:56 Transgender Provider Tries to grab mic from de Vries 37:12 Segregation
Check out "Time to Think" by Hannah Barnes here: https://swiftpress.com/book/time-to-think/ ... https://www.youtube.com/watch?v=8HQBfuV3V98
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