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#Cornerstone Clinics
cornerstoneclinic · 9 months
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Family Clinic Dubai - Cornerstone Plastic Surgery
Transform your look at Cornerstone Plastic Surgery, the top Family Clinic in Dubai! Discover a new you with expert care. Book your consultation now!
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midnight-surgery · 10 months
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cornerstone i miss you i love you im sorry i ever complained about you i was wrong please baby take me back
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Skyview Ranch Dental Clinic Skyview Ranch Dental Clinic is a thorough family dental care clinic in Skyview, Redstone, Cityscape, Cornerstone & Calgary NE. Call 403-266-1212 now.
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dumpfrontdesk · 5 months
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my super awesome detailed headcanons about dahlia (and damn) as a town because i can fully see it in my head because my brain is so huge (i have brainrot, send help!)
*ahem*
- dahlia's a very gloomy town, and it's raining more often than not. usually, it's dark with an overcast. sunny days are a rare thing in dahlia, must to the benefit of a small portion of the population (the fanged variety).
- many business holders in dahlia hold an 'informed unempowered' status, especially if they've been in the area for a long time.
- there's alot of failed development projects in dahlia, half-completed construction projects litter the towns edges.
- dahlia is in a dry county! (for non-american's, a dry county is a place that can't sell alcohol). if you want booze, your heading to the next town over.
- due to being a cornerstone city, the empowered population of dahlia outweighs that of the unempowered roughly 3 to 1.
- dahlia's home to many large cemeteries, some saying the dead outnumber the living in dahlia.
- dahlia's a town with an aging population, but, ever since closeknit set up camp, that's slowly changing.
- damn's campus isn't very large, it being nestled about 5 minutes outside of dahlia, out in the woods.
- there's a suspicious amount of blood drives in dahlia, running out of local clinics. 50% is going to people who actually need blood, the other 50% going to feed the vampire population in dahlia and the surrounding areas.
- on the topic of blooddrives, damn is littered with posters encouraging students (expection of demons) to donate. they're filled with stupid says like, "keep the feast off the street, donate today!"
- dahlia's a dying town, but, it was more impressive whenever wonderworld was still a thing.
- any real-estate development that try to start in dahlia or the surrounding area is *quickly* snubbed out by skyside.
- there's alot of shadowy overhangs in dahlia, and places to hide almost! most just think it's the local architecture, but it was truly designed with vampires in mind, incase they get caught in the day.
- it's not uncommon for some really big dogs to show up in dahlia's pounds, but, they're always gone the next day.
- the locals of dahlia are private individuals, and it's not a very welcoming place.
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discworldwitches · 11 months
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This decision was preceded by a "round table" with Russian officials and collaborators from the temporarily occupied territories, where supposedly the experience of countries in which private hospitals "voluntarily refused" to perform abortions was reviewed.
Quote: "The private clinics’ heads were asked to contribute to the demographic situation improvement by refusing to perform abortions. The colleagues positively evaluated this initiative, and today all private clinics in Crimea have officially informed the Crimean Ministry of Health of their voluntary refusal to provide abortion services," Skorupsky noted.
Officials in Russia-annexed Crimea say private clinics have stopped providing abortions
Over his more than two decades in power, Putin has forged a powerful alliance with the Russian Orthodox Church and has put “traditional family values,” as well as boosting the country's declining population, at the cornerstone of his policies.
As part of the effort, authorities in several Russian regions in recent months sought to convince private clinics to stop terminating pregnancies. In Tatarstan in central Russia, officials said about a third have agreed to stop offering abortions; in the Chelyabinsk region in the Ural mountains, several clinics did as well. In the westernmost region of Kaliningrad, local legislators said they were mulling a ban for private clinics.
A nationwide ban is also something lawmakers and Russia's Health Ministry are contemplating, alleging that private clinics frequently violate existing regulations restricting access to abortion.
State statistics show that private clinics in Russia, where free, state-funded health care is available to all citizens, accounted for about 20% of all abortions in recent years. Some women who shared their experiences in pro-abortion online communities said they preferred private clinics where they could get an appointment faster, conditions were better and doctors did not pressure them to continue the pregnancy.
Crimea's Russian-installed health minister, Konstantin Skorupsky, said in an online statement that private clinics on the peninsula some time ago "offered to contribute to improving the demographic situation by giving up providing abortions,” and as of Thursday, all of them had done so.
His statement did not mention the city of Sevastopol, which is administered separately, and it was unclear if private clinics there were still providing abortions.
Two chains of private clinics in Crimea contacted by The Associated Press on Thursday by phone confirmed they no longer provide abortions, citing orders from the management or the authorities. One said it's been about a month since they stopped offering the procedure to women.
[bolding my own]
the use of “demographic situation” is so vile & so clearly colonial
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anon-e-miss · 6 months
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Touch of Sight - 11
A Cornerstone’s bells rang out calling the faithful to worship. Prowl lay on his belly, face buried in his pillow and listened to them ring. There was no mistaking the call of lesser temples for that of a Cornerstone. Minor temples had only a single bell in their bell towers, where Cornerstones had three octaves at least of bells that were not rung haphazardly, but in a score written by some ancient temple musician. He should not have been able to hear them at all, tucked away as he was in the market. Might the wind be blowing in just the right directions? With the haze of recharge still thick in his helm, Prowl listened. It was odd, he had never heard a Cornerstone’s call so clear and yet they sounded one dimensional, flat. There was something missing. Prowl stretched out his doorwings to “hear” a little better, only to realize he could not “hear”, could not “feel”, could not feel his doorwings, could not move them at all. He was blind, truly, completely blind. Imm. His audials heard his strangled cry as he tried to push himself up, digits clawing at the berth under him. He tried to reach behind himself but Prowl was not strong enough to hold him even partly upright.. His whole frame ached and his arms trembled. His voice was hoarse as he keened. A gloved servo brushed his helm and Prowl collapsed back down on the berth, the keen fading into a weak sob.
“Shh,” it was Jazz. Prowl felt the berth sag as Jazz sat on the edge. Prowl could almost feel tears wet his face, but he had no optics. He had no tears. Jazz’s gloved servo left his helm and covered Prowl servo. It took a long time before Prowl realized Jazz was writing glyphs against the back of his servo, only then did the panic roar fade in his help enough that Prowl could actually hear and understand. “Y’re okay. Y’re doors got burned in the fire. Ratch, my medic friend’s lookin’ after ya. He turned off yer relays so ya don’t gotta feel as yer sensors heal.”
“Fire...” Prowl frowned as his whispered the glyph, surprised by how hoarse his voice sounded and how raw his voice felt. He remembered. The madmech, he had set fire to the apartment, set to killed them all, to kill him, the mech he had declared a demon. “My mechlings?”
“Are perfect,” Jazz promised and Prowl prayed he was true. “A bit o’ smoke was all they got, Ratch made sure their intakes are good. Got’em in class. Ori thought it was important for’em to have a lil normalcy.”
“Where am I?” Prowl asked. His sentio-metallico still prickled with anxiety as the panic ebbed. He was blind, wholly blind but he was not alone. Still, his spark continued to race. How was he supposed to live on like this? How was he meant to care for his creations?
“The Celestial Temple,” Jazz replied. Prowl felt the scarred sentio-metallico of his face strain to stretch as he raised his brow ridge with surprise.
“Why?” He asked. His spark pulsed out of control and he trembled with fear. Had Smokescreen said something? Had they discovered who they were, who they had been? The Celestial Temple was not just a Cornerstone, it was the Prime’s residence. Why would paupers be brought here for medical treatment?
“It’s sorta Ratch’s home base,” Jazz replied. “He runs other clinics but his apothecary is here. My home base too. Seemed like the best place to put ya were ya could be safe.”
“There is no more danger,” Prowl replied. He rested his helm on the pillow. How had he ever mistaken it for his own? It was far too luxurious and its cover too soft against his scarred sentio-metallico. “The voices haunting that mech told him to jump into the flames.”
“Sounds like ya feel a lil sorry for ‘m,” Jazz said.
“His processor was broken,” Prowl replied. He was tired. He had only just woken up but he was so tired. “He genuinely thought I was a demon. He genuinely thought Primus and the angels were telling him to cleanse me. He never should have been let out of the sanitarium. Let me guess, they deployed mnemosurgery, erasing the voices from his memory and declared him fit?”
“That’s right,” Jazz replied. “How’d ya guess?”
“Because that is what they do,” Prowl said. “They address the symptom without searching for the cause.”
“Sounds like ya got some history with mneumosurgeons,” Jazz replied.
“I have a processor glitch,” Prowl explained. “Every time I would crash, they would erase the thought or feeling they thought triggered it. It took until I was a mech grown and could refuse the mneumosurgeons that I was actually able to learn to manage my affliction. I do not know what would have helped that mech, but I know mneumosurgery was not it.”
“Y’re a wise mech,” Jazz replied.
“Mm,” Prowl hummed. He turned his servo around around to touch Jazz’s palm. It was not gloves Jazz was wearing. His servo was covered it gauze. “What happenened?”
“Servos go burned climbin’ the buildin’,” Jazz explained.
“You were hurt saving us,” Prowl said, feeling a mix of gratitude and guilt. “Punch... he tried. The sheets I tied, they tore. He said he was going to try the stairs.”
“He did, they’d collapsed, he didn’t think he could make the jump,” Jazz replied. “If I hadn’t gotten there when I did, I think he woulda gone back in ‘n risked it anyways. Y’re bitlets are worth it. So are ya.”
“I am sorry you were hurt,” Prowl said. “I am sorry Punch was in danger because of us.”
“It was nothin’ ya did,” Jazz told him. “I’m just glad Swindle put more into that place than I thought. Fire didn’t spread near as fast as it coulda and when the floor collapsed, the walls still held.”
“I think he invested in the struts of that building and not the facade,” Prowl replied. “If he had done the latter, he could have charged more for the habsuites and no one would have thought any of it.”
“He did good,” Jazz said. “‘N I told’m that. He was there, when the fire was goin’. Helped me wit yer mechlings. He’s terrified o’ poverty. ‘N I understand why, since we come from the same corner o’ the Pit. Sometimes he makes bad choices but he’s a decent mech o’erall.”
“Are you bothering my patient?” A new voice, rumbled. Prowl flinched. He had never been easy to sneak up on. It had become even harder since he had been blinded, when his doorwings had taken the place of his optics. Was this how he was to live for the rest of his life? It felt unbearable.
“Smokey wasn’t bout to leave’m alone, ‘n rightly so,” Jazz replied. He did not sound as if he felt any fear towards this new mech. “I stepped out for half a klik to speak to Hide ‘n he was awake ‘n right terrified.”
“Fine... what did I tell you about using your servos?” The medic asked.
“They’re fine,” Jazz replied. “Ain’t putting pressure on’em or nothin’.”
“I have no faith in you,” the medic said. “I know better.”
“Ya wound me, Ratch,” Jazz replied, with a chuckle in his voice. “Ratchet’s the best medic on Cybertron, Prowl. He’ll want me outta the way to look at yer doors. Mind if I sit at yer peds.”
“If you have business to attend to, do not delay it on my behalf,” Prowl said.
“I got nothin’ goin’ on,” Jazz said. “Even if I did, it wouldn’t be more important than this.”
Prowl could not help but believe him and it was a strange. He should have been nothing but a potential new minion to this mech and yet, Jazz had brought him and his creations home to his originator, not just for a meal but for friendship and... for Punch’s approval. Rather than discourage any attachment from Punch, his originator, Jazz seemed to encourage it and... Smokescreen glyphs echoed in Prowl’s memory banks. Though he had denied it to his creation, the observation felt like a peculiar truth. When Jazz had all but danced with him in the field, there had been pleasure and warmth in his field. It made no sense. Prowl was not a beauty. He had been... simply unremarkable before the blinding where Nightstalker had been the beauty. Their procreators had called him the Jewel of Praxus. Prowl, he had been an udder disappointment. How could Jazz look had him now, with a mottled face with two empty pits and feel anything like attraction? Pity did not explain it. Heavy pedsteps signalled the medic’s approached as Jazz moved to sit at Prowl’s peds.
“I’m Ratchet, Prowl,” the medic formally introduced himself. “I’m sure the miscreant told you but both your mechlings are in good physical health. It’ll take them some time to process the fear and trauma. I think they were both brought back to the Cataclysm, especially your little one.”
“What do I do for them?” Prowl asked.
“What you’ve always done,” Ratchet replied. “Love them and listen to them. It’s done wonders.”
“I have not been able to help Bluestreak find his voice,” Prowl countered.
“Traumatic mutism is difficult for anyone to treat,” Ratchet said. “You gave him a voice with chirolinguistics. You’ve done more than a lot of medics would think to with that alone. You haven’t focused on his spoken voice. You empower him by adapting to his needs.”
“Ya done right by them,” Jazz told him.
“I’m going to change your bandages,” Ratchet said. “Despite your sensory grid being offline, you may still feel pain.”
“I understand,” Prowl said. He remember the agony when the farm’s creation cleaned his infected burns and applied dressings. Every dressings change had been a renewal of that agony, pain that had been worse than the original burn.
There was a throbbing pain across his back as Ratchet pealed away the bandages. It was unpleasant yes but nothing compared to what he had already endured. Jazz would be suffering far more with his treatments and Prowl felt guilty. He was relieved as Ratchet disposed of the used dressings, he smelled medicinal ointment, not festering metal. The odor of his facial burns had been a terrible thing and something he still smelled in his memory-purges. It felt more like an itch he could not place, that bounced all over his frame. Jazz brushed his bandaged sevo over Prowl’s ankle and it was grounding. Prowl smelled the ointment Ratchet took out to apply to his burns and distracted himself in separating the smells and narrowing down what crystals he believed had been used in the blend.
“It’s looking good,” Ratchet told him. “No infection. Luckily, you only suffered partial thickness burns. Most of your doorwing sensors should heal to within normal parameters. You may have some holes in your perception but your processor will fill those in so you don’t even notice.”
“That is a relief,” Prowl sighed. “I could not imagine how I would live completely blind.”
“Ya woulda found a way,” Jazz reassured him. “For the mechlings.”
“Thank you,” Prowl said.
“Are you hungry at all?” Ratchet asked.
“A little,” he replied.
“Good,” Ratchet said. “Punch took it upon himself to make a melon soup. He thought you’d be up this cycle.”
“Ori’s got good instincts,” Jazz declared. “Not feelin’ too banged up?”
“I am fine,” Prowl asked. “Sore. Just sore and tired.”
“Ya fell through the floor,” Jazz explained his concern. “Maybe it was a good think the smoke already had ya in stasis ‘cause ya was relaxed when ya fell ‘n that helped ya not too get too hurt.”
“I do not remember that at all,” Prowl said. “The last thing I remember is giving Bluesatreak to you.”
“Probably not a bad thing to forget,” Jazz said. “Important thing is ya made it out.”
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Following publication of the final report there have been a number of questions and points for clarification about the findings and recommendations. We have collated those questions, along with our answers, on this page.
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Did the Review set a higher bar for evidence than would normally be expected?
No, the approach to the assessment of study quality was the same as would be applied to other areas of clinical practice – the bar was not set higher for this Review.
Clarification:
The same level of rigour should be expected when looking at the best treatment approaches for this population as for any other population so as not to perpetuate the disadvantaged position this group have been placed in when looking for information on treatment options.
The systematic reviews undertaken by the University of York as part of the Review’s independent research programme are the largest and most comprehensive to date. They looked at 237 papers from 18 countries, providing information on a total of 113,269 children and adolescents.
All of the University of York’s systematic review research papers were subject to peer review, a cornerstone of academic rigour and integrity to ensure that the methods, findings, and interpretation of the findings met the highest standards of quality, validity and impartiality.
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Did the Review reject studies that were not double blind randomised control trials in its systematic review of evidence for puberty blockers and masculinising / feminising hormones?
No. There were no randomised control studies identified in the systematic reviews, but other types of studies were included if they were well designed and conducted.
Clarification:
The Review commissioned the University of York to undertake an independent research programme to ensure the work of the Review and its recommendations were informed by the most robust existing evidence. This included a series of systematic reviews which brought together, analysed and evaluated existing evidence on a range of issues relating to the care of gender-questioning children and young people, including epidemiology, treatment approaches and international models of current practice.
Randomised control trials are considered the gold standard in relation to research, but there are many other study designs that can give valuable information. Explanatory Box 1 (pages 49-51 of the final report) discusses in more detail the different kinds of studies that can be used, and how to decide if a study is poorly designed or biased.
Blinding is a separate issue. It means that either the patient or the researcher does not know if the patient is getting an active treatment or a ‘control’ (which might be another treatment or a placebo). Patients cannot be blinded as to whether or not they are receiving puberty blockers or masculinising / feminising hormones, because the effects would rapidly become obvious. Good RCTs can be conducted without blinding.
The University of York’s systematic review search did not identify any RCTs, blinded or otherwise, but many other studies were included. Most of the studies included were called ‘cohort studies’. Well-designed and executed high quality cohort studies are used in other areas of medicine, and the bar was not set higher for this review; even so the quality of the studies was mostly only assessed as moderate.
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Did the Review reject 98% of papers demonstrating the benefits of affirmative care?
No. Studies were identified for inclusion in the synthesis (conclusions) of the systematic reviews on puberty blockers and masculinising/feminising hormones on the basis of their quality. This was assessed using a standard quality assessment tool appropriate to the types of study identified.  All high quality and moderate quality reviews were included in the synthesis of results. This totalled 58% of the 103 papers.
Clarification:
The Newcastle-Ottawa scale (a standard appraisal tool) was used to compare the studies. This scores items such as participant selection, comparability of groups (how alike they are), the outcomes of the studies and how these were assessed (data provided and whether it is representative of those studied). High quality studies (scoring >75%) would score well on most of these items; moderate quality studies (scoring >50% – 75%) would miss some elements (which could affect outcomes); and low-quality studies would score 50% or less on the items the scale looked at. A major weakness of the studies was that they did not have adequate follow-up – in many cases they did not follow young people for long enough for the long-term outcomes to be understood.
Because the ranking was based on how the studies were undertaken (their quality and execution), low quality research was removed before the results were analysed as the findings could not be completely trusted. Had an RCT been available it would also have been excluded from the systematic review if it was deemed to be of poor quality.
The puberty blocker systematic review included 50 studies. One was high quality, 25 were moderate quality and 24 were low quality. The systematic review of masculinising/feminising hormones included 53 studies. One was high quality, 33 were moderate quality and 19 were low quality.
All high quality and moderate quality reviews were included, however as only two of the studies across these two systematic reviews were identified as being of high quality, this has been misinterpreted by some to mean that only two studies were considered and the rest were discarded. In reality, conclusions were based on the high quality and moderate quality studies (i.e. 58% of the total studies based on the quality assessment). More information about this process in included in Box 2 (pages 54-56 of the final report)
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Has the Review recommended that no one should transition before the age of 25 and that Gillick competence should be overturned.
No.  The Review has not commented on the use of masculinising/feminising hormones on people over the age of 18. This is outside of the scope of the Review. The Review has not stated that Gillick competence should be overturned.
The Review has recommended that:
“NHS England should ensure that each Regional Centre has a follow through service for 17-25-year-olds; either by extending the range of the regional children and young people’s service or through linked services, to ensure continuity of care and support at a potentially vulnerable stage in their journey. This will also allow clinical, and research follow-up data to be collected.”
This recommendation only relates to people referred into the children and young people’s service before the age of 17 to enable their care to be continued within the follow-through service up to the age of 25.
Clarification:
Currently, young people are discharged from the young people’s service at the age of 17, often to an adult gender clinic. Some of these young people have been receiving direct care from the NHS gender service (GIDS as was) and others have not yet reached the top of the waiting list and have “aged out” of the young people’s service before being seen.
The Review understands that this is a particularly vulnerable time for young people. A follow-through service continuing up to age 25, would remove the need for transition (that is, transfer) to adult services and support continuity of care and continued access to a broader multi-disciplinary team. This would be consistent with other service areas supporting young people that are selectively moving to a ‘0-25 years’ service to improve continuity of care.
The follow-through service would also benefit those seeking support from adult gender services, as these young people would not be added to the waiting list for adult services and, in the longer-term, as more gender services are established, capacity of adult provision across the country would be increased.
People aged 18 and over, who had not been referred to the NHS children and young people’s gender service, would still be referred directly to adult clinics.
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Is the Review recommending that puberty blockers should be banned?
No. Puberty blocker medications are used to address a number of different conditions. The Review has considered the evidence in relation to safety and efficacy (clinical benefit) of the medications for use in young people with gender incongruence/gender dysphoria.
The Review found that not enough is known about the longer-term impacts of puberty blockers for children and young people with gender incongruence to know whether they are safe or not, nor which children might benefit from their use.
Ahead of publication of the final report NHS England took the decision to stop the routine use of puberty blockers for gender incongruence / gender dysphoria in children.  NHS England and National Institute for Health and Care Research (NIHR) are establishing a clinical trial to ensure the effects of puberty blockers can be safely monitored. Within this trial, puberty blockers will be available for children with gender incongruence/ dysphoria where there is clinical agreement that the individual may benefit from taking them.
Clarification:
Puberty blockers have been used to suppress puberty in children and young people who start puberty much too early (precocious puberty). They have undergone extensive testing for use in precocious puberty (a very different indication from use in gender dysphoria) and have met strict safety requirements to be approved for this condition. This is because the puberty blockers are suppressing hormone levels that are abnormally high for the age of the child.
This is different to stopping the normal surge of hormones that occur in puberty. Pubertal hormones are needed for psychological, psychosexual and brain development, and there is not yet enough information on the risks of stopping the influence of pubertal hormones at this critical life stage.
When deciding if certain treatments should be routinely available through the NHS it is not enough to demonstrate that a medication doesn’t cause harm, it needs to be demonstrated that it will deliver clinical benefit in a defined group of patients.
Over the past few years, the most common age that young people have been receiving puberty blockers in England has been 15 when most young people are already well advanced in their puberty. The new services will be looking at the best approaches to support young people through this period when they are still making decisions about longer-term options.
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Has the Review recommended that social transition should only be undertaken under medical guidance?
The Review has advised that a more cautious approach around social transition needs to be taken for pre-pubertal children than for adolescents and has recommended that:
“When families/carers are making decisions about social transition of pre-pubertal children, services should ensure that they can be seen as early as possible by a clinical professional with relevant experience.”
Parents are encouraged to seek clinical help and advice in deciding how to support a child with gender incongruence and should be prioritised on the waiting list for early consultation on this issue. This should include discussion of the risks and benefits and the voice of the child should be heard. It will be important that flexibility is maintained, and options remain open.
Clarification:
Although the University of York’s systematic review found that there is no clear evidence that social transition in childhood has positive or negative mental health outcomes, there are studies demonstrating that for a majority of young children presenting with gender incongruence, this resolves through puberty. There is also evidence from studies of young people with differences of sex development (DSD) that sex of rearing seems to have some influence on eventual gender outcome, and it is possible that social transition in childhood may change the trajectory of gender identity development for children with early gender incongruence. Living in stealth from early childhood may also lead to stress, particularly as puberty approaches.
There is relatively weak evidence for any effect of social transition in adolescence. The Review recognises that for adolescents, exploration is a normal process, and rigid binary gender stereotypes can be unhelpful. Many adolescents will go through a period of gender non-conformity in terms of outward expressions (e.g. hairstyle, make-up, clothing and behaviours). They also have greater agency in how they present themselves and in their decision-making.
Young people and young adults have spoken positively about how social transition helped to reduce their gender dysphoria and feel more comfortable in themselves. They identified that space to talk about socially transitioning and how to handle conversations with parents/carers and others would be helpful. The Review has therefore advised that it is important to try and ensure that those already actively involved in the young person’s welfare provide support in decision making and that plans are in place to ensure that the young person is protected from bullying and has a trusted source of support.
Further detail can be found in Chapter 12 of the Final Report.
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Did the Review speak to any gender-questioning and trans people when developing its recommendations?
Yes, the Review has been underpinned by an extensive programme of proactive engagement, which is described in Chapter 1 of the report. The Review has met with over 1000 individuals and organisations across the breadth of opinion on this subject but prioritised two categories of stakeholders:
People with relevant lived experience (direct or as a parent/carer) and organisations working with LGBTQ+ children and young people generally.
Clinicians and other relevant professionals with experience of and/ or responsibility for providing care and support to children and young people within specialist gender services and beyond.
A mixed-methods approach was taken, which included weekly listening sessions with people with lived experience, 6-weekly meetings with support and advocacy groups throughout the course of the Review, and focus groups with young people and young adults.
Reports from the focus groups with young people with lived experience are published on the Review’s website and the learning from these sessions and the listening sessions are represented in the final report.
The Review also commissioned qualitative research from the University of York, who conducted interviews with young people, young adults, parents and clinicians. A summary of the findings from this research is included as appendix 3 of the final report.
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What is the Review’s position on conversion therapy?
Whilst the Review’s terms of reference do not include consideration of the proposed legislation to ban conversion practices, it believes that no LGBTQ+ group should be subjected to conversion practice. It also maintains the position that children and young people with gender dysphoria may have a range of complex psychosocial challenges and/or mental health problems impacting on their gender-related distress. Exploration of these issues is essential to provide diagnosis, clinical support and appropriate intervention.
The intent of psychological intervention is not to change the person’s perception of who they are but to work with them to explore their concerns and experiences and help alleviate their distress, regardless of whether they pursue a medical pathway or not. It is harmful to equate this approach to conversion therapy as it may prevent young people from getting the emotional support they deserve and make clinicians fearful of providing this group of children and young people the same care as is afforded to other children and young people.
No formal science-based training in psychotherapy, psychology or psychiatry teaches or advocates conversion therapy. If an individual were to carry out such practices they would be acting outside of professional guidance, and this would be a matter for the relevant regulator.
==
Like any religious fanatics, pathological liars like "Erin" Reed and "Alejandra" Carballo still won't stop lying, since it's all they have. But their disciples should really be noticing how they've been directly refuted.
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naturalwomensparty · 2 months
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A Patriarchal Town
It's name isn't too important, that can be whatever comes to your mind. It's a small town with a population of just over 7500, with a relatively even split of Men and women, though that population is forecasted to boom in the coming years.
The buildings are somewhat aged. Western European, perhaps Germanic by design and quite dense, each with their own quaint front and back gardens, never too far from any shops or the ever present birthing clinics.
The town was, by nature, one where Men had the final word on all matters - this isn't to say women were seen as worthless, they were simply given to their proper and natural role: Carrying babies, raising them, and taking care of the home while their Husband worked to support the family.
Women are not allowed to work traditional jobs without their Husbands permission, nor are they able to vote or drive. Most women who are permitted to work do so in the Birthing Clinics within town, of which there are two on the east and west sides of town.
As the women are taught that pregnancy is the height of femininty, the birthing clinics are rarely empty, with most rooms being filled by the diligent breeders of the town popping out more and more babies for their Husbands, the average size of a family is 5, though some grow as big as 15.
Politics aren't a concern of the town's women, as their opinions are simply parroted from their Husbands, who are mostly white conservatives who fulfill their own gender roles to the best of their ability.
School classes are divided between girls and Boys, with Boys being taught a usual curriculum while girls are taught lessons in homemaking.
Overall, it was a town of right wing values, big families, strong Men and obedient women, not to mention constant pregnancies and an ever growing population. And it was a cornerstone of what the world should strive for - anti-feminism and a return to the roles that built the world, Men ruling, and women serving.
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You know what I'd like to hear more about? Different indigenous peoples' in-group jokes and stereotypes of themselves. Like every group and people has stereotypes made by outsiders, which are worth less than nothing, but there's something about the things that people observe about themselves and their own, that is somehow incredibly dear to me and I love learning about.
People who can talk with each other in their own languages have no reason to do so in english, and it's probably nice to have the option to use the language barrier as a little privacy curtain to keep my curious ass from snooping into your private lives, but nonetheless I fucking love hearing about that stuff, cultural things that are completely unfamiliar to me but are such an inherent cornerstone to someone else's life. I can find the clinical, sterilised wikipedia-version summaries of the histories of people I'd otherwise know nothing about, but I hear enough about what other white, western, european people think about other people to not find their perspectives all that interesting.
I just really fucking love seeing and hearing conversations about people doing things that I've never seen or heard someone do, told in the framework of "why does everyone have an uncle who does this", with people replying "no fucking way, my uncle does that, too!" and "my dad is the uncle who does that", and then going on to discuss regional differences about doing the thing.
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cornerstoneclinic · 9 months
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Mini Tummy Tuck in Dubai at Cornerstone Clinic
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llondonfog · 9 months
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"You are ill."
The voice announces this observation with no small amount of surprise, as if it had forgotten that such weakness was a common cornerstone of the human experience.
To be fair, the voice belonged to something— or rather, someone— who had never been human to begin with, so perhaps it could be forgiven this tiny slip of knowledge. After all, when was the last time it had spent longer than a few days in the presence of a human it did not immediately despise?
Silver cracks his aching eyes open, a task that seems to consume more energy than he has to spare, and blinks in the dull way of someone trapped in the throes of a vicious head cold towards the demon hovering petulantly in the corner of the room. The demon, he realizes belatedly, who ought not to have appeared without a summon.
He probably should have paid more attention to that little detail, but whatever dazed line of questioning might have risen to his lips slips away before he can consider it further as Lilia approaches him with a strange frown marring his usual mischievous features, those ruby eyes aglow with something other than removed amusement.
". . . sorry," is all that he can croak out in return, momentarily befuddled by the way that a dark talon flicks at the sweaty bangs against his forehead— it is to be expected, Silver supposes. When was the last opportunity that Lilia had ever been around a human so unguarded and vulnerable, much less at the bedside of the helpless thirteen year old boy who had the misfortune of accidentally igniting a centuries-old and forgotten bond? It is not as if the demon could deliberately harm him, the pact that Silver had unknowingly entered preventing as much, but there's no telling what a creature of such untold power and steeped in the bloodshed and suffering of humanity might do to blur the line under the guise of curiosity.
Still, he cannot find it within himself to murmur the words of protection that Sebek's mother had taught them as the talon turns into multiple, and the clinical examination of his hair turns into an odd, awkward stroke.
"It has been three days since your last summon," and Silver's dull eyes widen at the nearly sulky tone of the demon, mouth slightly agape as he blinks up at Lilia's pursed features. "I was not worried!" the demon is quick to turn the petting ( . . . petting? petting!) into a sharp tug of Silver's bangs as if in reminder of his true nature. "I was only seeking to ensure that you had not perished as my feeble ward, the queen would never allow me to live down such a development after it has become known that a mere child was able to summon me. The court is already wicked with glee, you have no idea the damage you have wrought to my name, you blessed little—"
It is almost soothing, listening to the mellifluous flow of Lilia's tirade against the inner workings of demon politicking, and Silver finds himself swaying in and out of reality as the hand on his head remains there whether its owner realizes it fully or not, the cool touch blissful against his heated skin. If he allows himself to sink into his most favorite of daydreams, he can pretend that he's in his old, cozy bed, arms wrapped around a beloved stuffed toy, with the heavy comfort of his father's arm around his shoulder while he reads to Silver from a book of dog-eared fairy tales, his favorite one in particular about a misunderstood dragon who couldn't quite cure himself of fiery sneezes that would frighten away any hopes of friendship and the—
"Boy," and from the tense expression on Lilia's too-close face, the demon must have been calling for his attention several times. Silver's thoughts slosh like liquid in between his ears as he attempts to focus upon the demon, but it is rather hard to do so when the space behind one's eyes feels as if it's filling up with cotton. "Is he in this house? Is there anyone to watch over you? That know-it-all little friend of yours, does he know of your plight?"
While Silver isn't sure if Sebek would preen or resent being called a know-it-all, there's simply no way that he would call for the other boy's help, not at the risk of placing his entire family sick as the holidays fast approach. And as for the other mention . . . he shakes his head slowly, trapped in the blood-red expanse of Lilia's gaze. " . . . told me not to come downstairs," he rasps, wincing at the scrape of air against his tender throat. ". . . he's hosting a party, didn't— didn't want me around the guests."
At this point, Lilia makes a rather impressive and what Silver fully expects to be a rude gesture towards his closed bedroom door, and he can only hope against hope that one of the guests downstairs didn't suddenly find a frog in their soup. But surely that would be such a frivolous waste of the demon's power? Surely Lilia has better, more grandiose things to do with his eternal time than cast petty magic against those who would neglect Silver, or budge him insistently over in his bed until there was room enough for the demon to perch, as if he planned on staying—
"I'm staying," Lilia announces, turning his nose up at the glass of water and bottle of fever reducer at the bedside table as if they had done him a great personal wrong. "I will not have you bested by some simple mortal illness, it would be an insult to the power you wield necessary to summon me. Until our . . . contract is complete, until you find whatever it is that your heart desires, I will not allow you to wriggle out from me so easily. Is that understood, child? I will do everything in my abilities to ensure your continued survival, you might be interested to know that I still retain the knowledge I gleamed from an early medical scholar who was investigating such interesting premises in the arena of mixing lard, wax, eggs, and—"
It was, Silver reflects as the small bed creaks and groans in protest from the surprising new addition and the covers are brought to his chin with an unexpected gentleness, one of the better starts to the holiday break than he could have ever anticipated.
Sebek was never going to believe him.
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dojae-huh · 7 days
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Why SM "doesn't protect" its idols. An explanation from a corporate lawyer. Google translate again. (source)
Why "SM does nothing" or how to find the guilty in the real world.
From the point of view of a fan and fan feelings, of course, you want justice for Seunghan, because he did not deserve all the wave of hatred towards himself and "friends" who are ready to leak personal correspondence for the sake of profit, so you can always help and report hateful comments or support the guy who is being bullied for literally living a normal teenage life.
From another point of view, in situations like this, I always find it very funny to watch the wave of fan hatred towards agencies that allegedly "do nothing". Just today, I have come across several comments indignant at why SM does not punish haters/sasaengs/choose the right one. And as a corporate lawyer with a focus on litigation in a company from a related field, I also want to make my contribution. So, why do agencies "do nothing"?
Let's start with the basic legal concepts, the cornerstones, which everyone somehow forgets at such moments. An idol is an ordinary citizen of his country, the same individual with equal rights before the law, like his sasaeng or hater, like an ordinary office worker of the agency. SM is a legal entity. An ephemeral concept created by capitalism for the purpose of carrying out activities for the purpose of making a profit. Any entertainment agency is equal in its rights with an ordinary grocery store on your street, a restaurant or an entire dental clinic, which are also legal entities. Got it?
Now let's delve a little deeper into the boring story of how this situation actually looks. A hypothetical hater leaks personal photos and private correspondence of an idol on a social network. Who does this harm first of all? An individual. From a legal point of view, in this case alone, several completely different types of offense can be distinguished (which are provided for by the provisions of the Korean Law on the Protection of Personal Information, the Law on the Promotion of the Use of Information and Telecommunication Networks and the Protection of Information, articles of the Criminal Code of the Republic of Korea): violation of the secrecy of correspondence, violation of privacy, dissemination of information defaming the honor, dignity and business reputation of a citizen, causing moral harm, causing damages. And any citizen has the right to protect their rights under the law in two ways: within the framework of civil and within the framework of criminal proceedings.
How does it work?
Within the framework of civil proceedings, a citizen can apply to the court with a claim for recovery of damages that were caused to him in connection with the dissemination of information defaming his honor, dignity and business reputation. For example, now the whole country is discussing the personal life of an idol and his public image has fallen so low that advertisers have terminated contracts, demanding a penalty, because now their product is being boycotted because of this idol. These are the idol's losses. The idol can also demand moral damages for the moral suffering caused, because he was worried, did not sleep at night and generally fell ill due to the disclosure of personal information. And the idol also has the right to demand a public refutation of information that discredits his honor, dignity or business reputation, if the person who disseminated such information does not prove that it is true. It is unlikely to prove this when videos and photos of the idol are posted online, right? After the idol makes these demands, the court, taking into account the evidence in the case file, in accordance with the principles of reasonableness, adversarial proceedings, and based solely on its own conviction, will make a decision indicating whether the case file really contains evidence that confirms that the idol has suffered moral harm and material damage, and how much money the idol will receive from the hater as compensation.
What are the pitfalls here? There are many. The idol must first find out who is distributing this information. It is unlikely that anyone can file a lawsuit in court where the defendant will be listed as "Naver account owner *". Even if the idol sends a request to the office that owns the social network with a request to tell who the owner of the account is, no one will tell him anything, because this is personal data that is protected by law. What if the idol magically finds out the hater's personal data, but it turns out that he is a citizen of another country, permanently residing there? Well, good luck to a South Korean idol suing a hater from Brazil. This is just one hypothetical example, but when there are ten, a hundred, a thousand such haters? Litigation becomes impractical. If the hater does live in Korea, and miraculously the idol finds out his personal information in order to sue him, then a long process begins that cannot be resolved in one hearing. The number of hearings increases and the gap between their dates increases too, because the parties need to prepare documents that will prove their position, and the court has a schedule of hearings
review of cases, because there are thousands of court cases, an idol is not the only one: today there is a divorce, and tomorrow a dispute over construction. Therefore, when once a year some idol or entertainment company issues a press release that “the hater was punished in accordance with the court’s decision,” no one notices how the statements contain no information about the essence of the case or the date when it happened. Because the hater could have written a controversial comment a year, two, or three years ago.
Another option is criminal proceedings. Under South Korean law, such cases are considered exclusively at the request of a citizen, because this is a private law charge. That is, no one except an idol can go to the police and think that their statement will be accepted for consideration and a criminal case will be opened. The idol attaches to the statement all the information he has about the unidentified person - here they are, the blessed screenshots with insults that are sent to Kwanya 119 - and then… That's it. The idol can no longer do anything, because now only the police have the powers established by law: they will find out the personal data of the owners of social networks upon official requests (here, by the way, the idol will be able to get acquainted with the case materials, find out the details of the account owner and also go to court with a civil lawsuit!) and if suddenly this turns out to be a resident of Korea, then the investigators can quite happily initiate a criminal case, go and have a conversation with this person, offer to apologize to the idol in order to try to resolve the issue peacefully. Or otherwise, transfer the case to the prosecutor. The prosecutor will look at the materials collected by the investigators and decide whether there is enough evidence to charge in court. Insufficient - the case will be returned for further investigation and the consideration period will be delayed; sufficient - the prosecutor will go to court with the charges, where the situation will repeat itself. The court will again look at the case materials, listen to the parties and decide whether there is any violation in the person's actions and to what extent.
Notice how there is no agency anywhere in these chains? But it is all very simple. Because legally they are not a party to any of the above relationships. Yes, the artist who has a contract with the label is harmed and this affects the artist's image, because the idol on stage and the person behind him are inextricably linked, and this also directly affects the group, namely, what is legally called business reputation. But within the framework of legal concepts and the evidentiary process, there is a distinction between causing damage to the business reputation of a group, all rights to which belong to the agency, and damage to the honor, dignity and business reputation of an idol, that is, an ordinary citizen who, by law, must protect his rights himself, just as a sasaeng or hater, or an ordinary office worker would protect his rights… Therefore, most often agencies, understanding this entire chain that directly affects their profits, and also taking into account the incompetence of idols, whom the label raised almost from childhood, taking all the responsibilities of their independent life upon itself, create things like e-mail boxes or Kwanya 119, where they can send documents, which will then be reviewed through lawyers for the advisability of working with them. An agreement is concluded between the idols and the agencies or a power of attorney is issued, according to which agency representatives can file lawsuits on behalf of the idols, find out about the progress of the police case on their behalf. And agencies also write letters to social networks, forums or news portals demanding that they remove articles or comments that violate the law, but they do this in a claim procedure that does not oblige anyone, so a social network may well refuse a label if the article or comment complies with their site usage policy and does not violate the law. No entertainment agency has the right or authority to punish anyone, demand money outside of court, and even more so to find commentators from the Internet and threaten them with reprisals. Because here a completely different process of close attention from government agencies to the company itself and their activities, and not to their idols, begins. This is a labor-intensive process that most often does not bring any benefit, because it is impossible to disclose specific data about the case and the personal data of haters, and template statements that the agency will take measures in accordance with the law or that someone has already been punished will not benefit anyone, because they do not contain specifics and any confirmation for the public. Otherwise, every entertainment agency in Korea could issue statements every Saturday stating that five or six haters were punished in the previous week. Would there be any level of trust in such statements? Not to mention that no legal entity is required to disclose such information or report on their legal cases, and fans demand statements from labels simply… because they think everyone owes them something. Of course, some agencies issue such statements once in a while.
per quarter. But for people who understand the whole process, such statements are just empty replies.
I could provide links to the provisions of the law and Korean law textbooks for each action I described, and even translate them from Korean, but then this post would look more like a thesis on Korean procedural law, and I'm too lazy, so here's a short conclusion: are entertainment agencies obliged to do anything in such situations? According to the law, no, but they will do it anyway, because it affects their profits and the image of their artists, whom they want to keep for many years. How effective are the methods for solving these problems? Well, not as effectively as we would like, but this is a problem of the law and its enforcement, not entertainment agencies. Should fans report all this? The expression "a bad result is also a result" does not work here, so no, there is no point in this. But why agencies (don't) issue statements regarding scandals at a certain time and in certain wording is a question that needs to be decided not only by lawyers, but also by PR people and public relations specialists. However… this is a completely different story.
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luxe-pauvre · 4 months
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Physicians often scoff at the suggestion that their prescribing habits might be swayed by the blandishments of pharmaceutical companies. This had been a cornerstone of Arthur Sackler’s worldview: the notion that doctors are priest-like figures, immune to flattery or temptation or greed, focused exclusively on the narrow dictates of appropriate medical care. In Arthur’s view, it was laughable — even insulting — to insinuate that a colourful ad or a steak dinner might be enough to sway the clinical judgment of an MD. Doctors, he argued, simply can’t be bought. But, of course, this is no more true today than it was when Arthur Sackler said it. Doctors are human, and the notion that donning a white coat might somehow shield them from temptation is a fantasy. A 2016 study found that purchasing even a single meal with a value of $20 for a physician can be enough to change the way that he prescribes. And for all their lip service to the contrary, the Sacklers didn’t need studies to tell them this. Some years, Purdue would allocate as much as $9 million just to buy food for doctors. Richard Sackler was enough of a stickler for detail that he would never countenance such an outlay of funds unless he was assured a good return on investment. In a 1996 email to Michael Friedman, he pointed out that according to Purdue’s own data, “physicians who attended the dinner programs or the weekend meetings wrote more than double the number of new Rxs for OxyContin compared to the control group.” (“Rx” is an abbreviation for prescription.) He noted that “weekend meetings had the greatest impact. Even physicians who took no hand-outs from the company proved to be highly susceptible to the message Purdue was promoting. “The primary goal of medical practice is the relief of suffering, and one of the most common types of suffering that doctors see is pain,” David Juurlink, who runs the Division of Clinical Pharmacology and Toxicology at the University of Toronto, pointed out. “You’ve got a patient in pain, you’ve got a doctor who genuinely wants to help, and now suddenly you have an intervention that — we are told — is safe and effective.” What the company was really selling, some of Purdue’s marketing materials suggested, was “hope in a bottle.”
Patrick Radden Keefe, Empire of Pain: The Secret History of the Sackler Dynasty
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ms-hells-bells · 2 years
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Hannah Barnes, BBC journalist, is publishing a book about Tavistock next week. The telegraph published some of the stats she found in her research. 97.5% of children at Tavistock had autism, depression, or 'other problems that might have explained their unhappiness,' 25% had been in care (0.67% for gen pop), 42% had a parental bereavement and 'Children referred to Gids were ten times more likely than the national average to have a registered sex offender as a parent'
i couldn't find any stats like that in the telegraph article, but if it's true, that's insane. and even with those stats, hannah is being as delicate and 'both sides' as possible, stating that many children CAN be happy transitioning. but the stats don't lie, and i believe the final collapse of at least transition of minors is upon us with this book. at least, for the uk (and multiple other european nations). i believe that the united states, new zealand, and others will follow in the near future.
(i had to freeze and copy this article to avoid the paywall, but i managed, so that everyone can view it)
whenever medical scandals happen, we look back and wonder how well-intentioned people ended up doing bad things. Do No Harm is surely the ethical cornerstone for medics. There will always be cutting-edge procedures or drugs but the trialed patients will be consenting adults. Not children.
This was not the case at the Gender Identity Development Service (GIDS) that became part of the prestigious Tavistock clinic. The “Tavi” was once considered the premier psychodynamic outpatient unit in the country. Many of the greats worked there, from Bion to Bowlby to Laing.
In 1994 GIDS became part of The “Tavi” and by 2009 had a new director, Dr Polly Carmichael. Yet by July 2022, following Dr Hilary Cass’s report, GIDS was deemed neither a safe nor viable option for young people with gender-related stress and it was closed down. 
This NHS service was said to be using “poorly evidenced treatments on some of the most vulnerable people in society”. As shocking as this is, the bigger shock is the number of people who knew about this and did nothing.
Hannah Barnes’s well-researched book delves into how this situation arose. She speaks to over 60 clinicians: psychologists, psychotherapists, nurses, social workers. It is this forensic approach that makes her findings so devastating. Barnes is not coming at this from an ideological viewpoint. Some of her interviewees are happily transitioned. Others are not. They feel that the risks of the medical pathway they were put on were never explained to them or that they were too young to understand the full implications. One girl asked if when given testosterone she would be able to produce sperm.
These patients were all distressed young people, often with complex problems: autism, eating disorders, self-harm, depression. Gender was often only one of their issues, yet somehow at GIDS, it came to override everything else. The clinic’s “affirmative model” meant affirming a child’s belief that they were transgender and giving them “time to think” by referring them for assessment for puberty blockers. The leadership of GIDS were following the “Dutch Protocol”, so-called as the Dutch had used these drugs since the late 80s, though the data was sketchy and did not support their use. There was no reduction in depression or self-harm. 
These drugs are not new; they had been used on male prisoners to chemically castrate them. As to the long-term effects on children, the research is poor. Some studies show they affect bone density, brain development and sexual function. France, Sweden and Finland have all paused their prescription until more longitudinal studies are done.
Dr Anna Hutchinson, one of Barnes’s main interviewees, became increasingly alarmed that children as young as 10 were being referred for blockers, which were spoken of as reversible – though they nearly always lead to the use of cross-sex hormones for life. 
The whole issue of gender dysphoria had by the mid-2000s become highly politicised. Stonewall declared in February 2015 that it was extending its remit to campaign for trans equality alongside lesbian, gay and bisexual (LGB) equality. The previous year GIDs moved to a “stage not age” approach on blockers so kids younger than 12 could be referred with a view to receiving a prescription.
In 2007, 50 kids a year had been referred to GIDS, but by 2020 there were around 5000. As a result, GIDS faced huge waiting lists, with junior shrinks having caseloads of 100, instead of 30 which would be the standard NHS practice. Many clinicians left. 
The workload was increasing so trainee psychiatrists were brought in. The atmosphere was said to be intense but familial, yet the problems presented were complex. If a girl had been sexually abused, for instance, she may have had good reason to hate her female body. Why would blockers be appropriate?
Concerns about autism or parental pressure were allegedly dismissed by Carmichael. Children were turning up identifying as other ethnicities such as Japanese. By 2017, three quarters of their patients were girls, a dramatic shift from the years up to 2010, when the majority were boys. Were they not asking why? 
Some who had come into the profession to do talking therapy did almost none, as patients were referred for drugs sometimes after two sessions. Meanwhile, some of the gay staff were wondering if this all just conversion therapy for gay kids. Some staff felt under surveillance; they had doubts but they were reticent as expressing them could lead to accusations of transphobia. To say that sex itself is immutable was clearly heretical.
Lone voices did speak. Someone darkly referred to the Mid Staffs scandal, where poor care had led to hundreds of deaths. Sonia Appleby whistle-blew. Dr David Bell whistle-blew. The silence began to break. Keira Bell – who was referred for blockers by GIDS at 16 and had a double mastectomy at 20, then regretted transitioning – took the Tavistock to court. The High Court’s judges were damning about the lack of long-term follow-up for patients and the lack of interest in detransitioners.
The court expressed its surprise repeatedly that GIDS could not say how many kids has been referred for blockers between 2011 and 2020 nor their ages. Data had not been collated on numbers of those with an autism diagnosis or those who progressed on to cross-sex hormones. The judges referred to “the experimental nature of this treatment and the profound impact it has”.
Though their judgement was overturned on appeal in 2021, the Tavistock’s image was irreparably damaged. It was almost as if this whole institution had been hijacked by the explosion of a dubious political ideology. Insiders simply described the situation as “mad”.
As someone who knew about this years ago, as people were writing to me asking my former newspaper to investigate it, it would suit my agenda to say this was all down to trans activism. But it’s not that simple.
Barnes illustrates that this was a massive institutional and leadership failure of safeguarding. Junior staff did not confront their blinkered managers. Some of the 10,000 children who went through GIDS were helped, for sure. As for the others? This incredibly important book shows that we still don’t know how many were damaged for life.
I want every institution and every politician who pontificates about gender to read this book and ask what happened to all those lost girls and boys – and why they were complicit.
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nyxshadowhawk · 1 year
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The Red Book, Liber Primus: Part One
This is going to be a long series of posts in which I interpret Carl Jung's Red Book! Jung has been a cornerstone of my mystical practice for basically as long as I've been practicing, and a major inspiration for my creative work, so imagine my surprise when I learned that Jung had his own grimoire of mystical experiences! This is maybe the most important book I've ever read.
Introduction
I owe a lot to Carl Jung. I read one page about him in a book about symbols that I received when I was about twelve, and something just clicked. In particular, the idea of the Shadow Complex really stuck with me, and has absolutely defined the last decade of my life in terms of my personal spirituality, my approach to interpreting media, and my creative writing. It’s kind of hard to overstate the impact that Jung has had on me, but despite that, I haven’t actually read that much Jung. You all know how much I care about primary sources, so I was uncomfortable with the fact that I was using Jung’s ideas as the basis of my own work without being intimately familiar with his.
I’ve made some missteps. I originally really loved the idea of interpreting gods as archetypes, and claiming that all of humanity worshipped the same gods under different names. I saw that as a beautiful uniting feature of humankind. But the concept did not hold up under scrutiny, for a long list of reasons; the short version is that I was ignoring nuances that distinguished gods from each other, dismissing some of their defining qualities as cultural quirks, as if entire human cultures were “hats” that gods put on and not the thing that makes them what they are. I didn’t start having real relationships with gods until after I started viewing them as individuals, rather than archetypes. And then there’s Joseph Campbell, and his whole “Hero’s Journey” idea, which seemed extremely profound until I actually read The Hero with a Thousand Faces and realized how flawed the Hero’s Journey framework really is. (Spencer McDaniel has a great article about that over on her site, so I recommend you check that out.) So, that was all another strike against Jungian ideas. The third strike is that people like Jordan Peterson use his ideas a lot. That in particular has made me afraid that I’ve been misinterpreting Jung this whole time.
There’s also the fact that Jung’s ideas are difficult to understand and apply, and frequently misunderstood. Clinical psychology has mostly disregarded Jung’s ideas of the collective unconscious and archetypes as more mystical than empirical, despite Jung’s efforts to prove his ideas empirically. Fans of Jung will sometimes downplay his mystical leanings to try to lend more scientific credibility to his ideas. But to me, Jung’s mysticism is a feature, not a bug. Turns out, Jung was a mystic. Jung had mystical visions and prophetic dreams since he was a young child, and his entire brand of psychoanalysis was developed specifically to explain said mystical experiences (which honestly explains a lot). Not only was Jung a mystic, he was basically the William Blake of his day! He chronicled his mystical experiences in what is basically a personal grimoire, written in the style of an illuminated medieval manuscript, with stunning illustrations.
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It’s called The Red Book, or Liber Novus, and it was published in 2009 (translated by Sonu Shamdasani). I got the really expensive version that’s about two feet tall and contains a facsimile of the actual illuminated manuscript. To call it an eye-opener would be an understatement. Reading it is infinitely more valuable to my spirituality and my writing than reading any of Jung’s psychological essays. The Red Book is the real source of most of Jung’s ideas and theories, and the purely mystical nature of them explains why the concepts themselves resonate much more for me than the psychoanalytic application of them does. Reading it is immensely validating, because it proves that I was right all along! Not only were my interpretations of Jung’s ideas spot-on, but my UPG aligns with his — though some of that alignment is undoubtedly a result of his influence on me, I’ve also come to many of the same conclusions entirely on my own.
I hope that the field of modern psychology will eventually do mysticism its due diligence using modern methodology, but until then, Jung’s attempt to ground all of this weirdness in psychology is the best we’ve got. I’m no psychoanalyst, so I’ll interpret Jung as a fellow mystic, because that is what I am most familiar with. I can compare his own experiences against my own, and hopefully get something valuable from my interpretation of them.
Disclaimer: These are mostly my notes and impressions; I’m not responding line-by-line (because that would take forever), I’m responding to what stood out to me. This is my interpretation of The Red Book based on my own mystical experiences and mystical knowledge, not based on Jung’s other writings. I’m using Jung’s name as shorthand for “the person writing this” or “the dreamer” — I don’t mean to suggest that what Jung expresses here is indicative of his personal spiritual beliefs. I know he had a complicated relationship with mysticism, science, and religion, so I won’t even touch that here. I’m going to be looking at this from a strictly mystical angle, and everything that follows is subjective.
The Way of What Is to Come
Jung began by introducing two spirits. One is “the spirit of this time,” a literal translation of zeitgeist (Jung’s manuscript is in German), which represents the conscious mind and conventional thought. It’s a reference to Goethe’s Faust: “What you the Spirit of the Ages call / Is nothing but the spirit of you all, / Wherein the Ages are reflected.” It’s called “the spirit of this time” because the times that we live in influence what and how we think, and form the foundation of our conscious faculties. I might define the Zeitgeist as the set of assumptions we make that defines our base-level interpretation of the world around us. So, when I complain about “latent Christianity,” I’m calling attention to the Zeitgeist. To put it in my own mystical terms, the Zeitgeist is the part of you that thinks like a human, instead of thinking like a god.
The opposite of the Zeitgeist is what Jung calls “the spirit of the depths,” which represents the unconscious mind. The Spirit of the Depths is both a personification of and Jung’s guide to the unconscious. It is something like a collective Shadow combined with a chthonic god, that encompasses all of the hidden and buried parts of humanity (or at least of Jung) that can be accessed through dreams and mystical visions. It operates independently from the Zeitgeist, and therefore can introduce Jung to secret information and concepts that fall outside of the Zeitgeist’s purview. A lot of what it tells Jung is harsh, but he understands that it’s necessary to listen to the Spirit of the Depths and internalize what it tells him.
Only a page in, and we’ve already got a mention of the Shadow concept. Since everything has a Shadow, God also has a Shadow. Jung defines God as “supreme meaning,” so God’s Shadow is lack of meaning — nonsense, void. The Spirit of the Depths tells Jung to notice the small things in life, which is pretty banal spiritual wisdom for most of us nowadays, but it’s very hard for Jung to accept. He writes, “It completely burnt up my innards since it was inglorious and unheroic. It was even ridiculous and revolting.” Everything has their own thing that they’re working through — I have to work through issues related to power and sexuality, and what Jung has to work through is issues relating to meaning vs. meaninglessness, greatness vs. mediocrity, sensibility/respectability vs. foolishness. The Zeitgeist of early-twentieth-century Germany insists that only great deeds, great men, and great ideas are the ones that matter. Jung was taught to think that things must be “glorious” and “heroic,” larger than life, for them to matter. The Zeitgeist encourages Jung to dismiss the little things as part of God’s shadow. The Spirit of the Depths informs him that the small things are still part of God and not God’s Shadow because they are not nonsense. The mundane is still divine, because it is not nonsense.
The Spirit of the Depths tells Jung, “all the last mysteries of becoming and passing away lie in you.” It’s a big deal to be one of the people of this time who can experience the Mystery the way the ancients did, or near enough. Actually, wait — Jung isn’t quite a person of this time. There’s a solid century between Jung and me, which is enough time for the Zeitgeist to have changed considerably, but not that much time. He’s essentially my immediate ancestor, the most recent entry in my mystical tradition. It is absolutely wild to be reading the Mystery filtered through a specific, named person who lived only a century ago, as opposed to ancient mystics of Antiquity who didn’t write everything down so I have to blindly guess at what they might have experienced or how they might have interpreted it. But there’s enough time in there that I keep wondering, am I in the time that is to come? Is Jung receiving this information so that I can be primed to receive it?
Jung says, “It is true, it is true, what I speak is the greatness and intoxication and ugliness of madness.” Yeeeeah! We’ll get back to divine madness, but I love that it’s being brought up this early. However, it’s a lot harder for Jung than it is for me to admit that these words or visions might come from a place of madness, because Jung is a person who really likes for things to make sense. On that note:
I must also speak the ridiculous. You coming men! You will recognize the supreme meaning [God] by the fact that he is laughter and worship, a bloody laughter and a bloody worship. A sacrificial blood binds the poles. Those who know this laugh and worship in the same breath.
Hmm, this doesn’t sound like any god I know at all… I love that phrase “a bloody laughter and a bloody worship.” That’s Dionysian worship in a nutshell, right there.
My speech is imperfect. Not because I want to shine with words, but out of the impossibility of finding those words. I speak in images. With nothing else can I express the words from the depths.
That checks. Mystical experiences often come as floods of insights and images, but few words, I think because words are literally processed differently by the brain (don’t quote me on that). Putting it into words literally requires a translation, and it can be very difficult to find the right words to do it justice or record every aspect of it. I’m also reading an English translation of Jung’s German, so that’s another degree of separation, but two degrees of separation is relatively little.
Jung has a vision of a sea of blood blanketing Europe, which is obviously a premonition of WWI. He also dreams that he returns to his homeland (Switzerland) from a “remote English land,” to find it covered in frost in summer; he makes wine from iced grapes, which he shares. The first part of this is a premonition — he was in Scotland when WWI broke out, and hurried home. As for the second part, “…I found my barren tree whose leaves the frost had transformed into a remedy. And I plucked the ripe fruit and gave it to you and I do not know what I poured out for you, what bitter-sweet intoxicating drink, which left on your tongues an aftertaste of blood.” Not sure exactly how to interpret this, but it’s a striking image, especially to a Dionysian like me.
Reassuringly, Jung insists that he is relaying his own experiences, not mine or anyone else’s:
It is no teaching and no instruction that I give you. On what basis should I presume to teach you? I give you news of the way of this man, but not of your own way. My path is not your path, therefore I cannot teach you. The way is within us, but not in Gods, nor in teachings, nor in laws, Within us is the way, the truth, and the life. Woe betide those who live by way of examples! Life is not with them. If you live according to an example, you thus live the life of that example, but who should live your own life if not yourself? So live yourselves. The signposts have fallen, unblazed trails lie before us. Do not be greedy to gobble up the fruits of foreign fields. Do you not know that you yourselves are the fertile acre which bears everything that avails you? Yet who today knows this? Who knows the way to the eternally fruitful climes of the soul? You seek the way through mere appearances, you study books and give ear to all kinds of opinion. What good is all that? There is only one way and that is your way. You seek the path? I warn you away from my own. It can also be the wrong way for you. May each go his own way.
Thank the gods for this! It’s too common for mystics to assume that their own personal revelations apply to everyone else, because mystical experiences really do make you feel like you have all the answers to life, the universe, and everything. Hearing straight from Jung himself that he is only speaking for himself, and that what he says here need not apply to me or anyone else, ironically makes his words more validating. Also, my biggest criticism of Jungian psychoanalysis is that it seems to apply the same symbols universally (the gender essentialism in the anima/animus concept comes to mind), so I assumed that Jung was extrapolating from his own mystical experiences. It seems as though he actually had the wisdom to admit that these symbols apply only to himself.
Refinding the Soul
Jung feels distanced from his soul, because surprise surprise, 20th century patriarchy is spiritually bankrupt. At the time he had the bloody-flood vision, Jung was forty years old and had accomplished everything that patriarchy says you should want in life — he had honor, power, wealth, knowledge, and happiness. He succeeded. He won the game of life. All he was left with was abject horror and the question of what to do with himself, a midlife crisis. (From a quotation in the footnotes, Jung defines the midlife crisis at the moment at which the Shadow first asserts itself: “A point exists at about the thirty-fifth year when things begin to change, it is the first moment of the shadow side of life, of going down to death.” Buddy, I’ve gotten way past that and I’m not even twenty-five!)
Jung thus came to the realization that he had dedicated his life to the wrong things:
I had to accept that what I had previously called my soul was not at all my soul, but a dead system. Hence I had to speak to my soul as to something far off, and unknown, which did not exist through me, but through whom I existed.
“A dead system” is a great way of putting it. It reminds me of the Fight-Club-esque dissatisfaction of having ticked all the boxes within the system and done everything you’re supposed to, and receiving absolutely no real fulfillment from it. (I bet Fight Club also owes a lot to this.) It also reminds me of my new favorite Terry Pratchett quote, from Small Gods, “People start off believing in the god and end up believing in the structure.” A structure by itself is completely hollow — what’s scaffolding for if it doesn’t support anything? I also like that second line. You exist through your soul, by means of your soul, and not the other way around… That suggests that it’s more real than you are.
Jung explains to the reader that if you seek external things – money, success, validation from other people — then you will not find your soul, and will enter midlife crisis. The soul is only found internally. So go inward, and do the work. Pretty self-explanatory at this point, but must have been earth-shattering back then because he spends a lot of time justifying it. It’s the Spirit of the Depths who tells Jung to look internally and reconnect with his soul:
Therefore the spirit of the depths forced me to speak to my soul, to call upon her as a living and self-existing being. I had to become aware that I had lost my soul.
I think it’s interesting that Jung uses feminine pronouns for his soul. That makes sense, since I use masculine pronouns for mine. I’m not sure how this relates to the anima/animus concept, whether it’s the same thing or a slightly different thing. It’s probably the same idea, because “anima” is the Latin word for “soul.” I checked, and Jung uses “seele” and not “anima,” possibly because he hadn’t developed the concept yet.
I interpret Astor as my Shadow and associate him with my repressed personality traits, but Jung would say that he was my animus, because I’m a woman and Astor is the man that exists in my mind. Jung conceived of the Shadow and anima/animus as separate figures — the repressed aspects of the personality and repressed femininity/masculinity, respectively — that need to be integrated separately. For me, they’re the same figure. The anima/animus is one of the concepts that I think hasn’t aged well, not because the concept is inherently bad (internal repressed qualities that one associates with the opposite sex) but because the way it’s presented and describes falls along strictly gender-essentialist lines. This is especially because the anima/animus is less personal and less “universal” than the Shadow, which inevitably means projecting Western gender norms (such as “women are more emotional and men are more logical,” which Jung expressed as Eros and Logos) onto everyone in the world and calling it an inherent psychological feature of humankind.
I think it’s is one of those concepts that was progressive for its time but regressive now with our more nuanced interpretation of gender. For example, the anima appears in men’s minds as a sex symbol, but the animus apparently does not appear as a similar sex symbol in women’s minds: In Man and His Symbols, Marie Louise von Franz says “…the animus does not so often appear in the form of an erotic fantasy or mood [as the anima does for men]; it is more apt to take the form of a hidden “sacred” conviction.” Yeah, that’s bullshit. I’m willing to bet anything that this interpretation is the result of women being sexual objects from men’s perspectives (as the “anima”) but denied any access to or expression of sexuality within their own minds. Women aren’t culturally allowed to desire men, so the animus is the unsexed voice of her father giving her very judgemental advice and rigid solutions, instead of a seductive incubus. That doesn’t check. Astor is basically a sexual fantasy with a mind of his own, and if Lestat, Rhysand, Edward Cullen, and Azhrarn exist, I’m clearly not the only woman who has a relationship with this specific archetypal lover.
Actually, I also have the “nightmare woman,” a separate entity from Astor that is a textbook example of what Jung would call a “negative anima”… if I were a man. Maybe having an opposite-sex Shadow and same-sex anima/animus is another sign of my gender identity being a bit screwy. Or maybe the reason why Jung’s soul is female is because his gender identity isn’t that straightforward, either. Either way, I think the anima/animus concept needs to be redefined to make it less cishet. It’s not universally applicable to say that your Shadow must be the same sex as you or that you have repressed femininity/masculinity. That was probably true back in the early twentieth century when anyone would repress any inclination towards cross-gender expression for fear of social disembowelment, but now? “Hey, turns out men/women have feminine/masculine traits, too” is not an archetype.
I digress. Back to The Red Book.
I came upon an interesting revelation while reading this section — if Jung’s soul is feminine and he has to “refind” her, then that’s why the hero of every fairy tale gets his princess at the end of the story. The princess is his soul, which he is given a right to by having completed the self-actualization process through the events of the story. The “half a kingdom” part of the Standard Hero Reward could represent control over part of the unconscious mind. I got a prince and half a kingdom from this process (maybe it’ll be a whole kingdom if I ever finish a version of the map that I’m happy with). It’ll quickly become apparent that this whole book chronicles Jung’s own Hero’s Journey. That means… in a manner of speaking… the the Hero’s Journey isn’t based on Jung’s ideas – Jung’s ideas are based on the Hero’s Journey. Because the Hero’s Journey is the ancient mystical process of self-actualization.
[Edit: I was getting ahead of myself here. Pretty much all of this will be addressed later when we get to Liber Secundus.
If we possess the image of a thing, we possess half the thing. The image of the world is half the world. He who possesses the world but not its image possesses only half the world, since his soul his poor and has nothing. The wealth of the soul exists in images. […] My friends, it is wise to nourish the soul, otherwise you will breed dragons and devils in your heart.
I interpret this as meaning that in order to “possess” the world in full, to have our princess and half-a-kingdom, you have to have both the internal and external aspects of it. To put it in alchemical terms, unite the fixed and volatile. (Unification of opposites is going to be a big theme throughout this book.) If you don’t “nourish the soul,” then it festers like a wound and you start projecting unaddressed Shadow aspects on the external world. (We’ll get back to that, too.) Without your Shadow or your unconscious mind, you’re half gone.
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