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valiantverses · 2 months

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Tremors

Ghoap X Reader

Summary: A therapist's waiting room wasn't exactly the place to have the most engrossing conversations. People were usually jittery, tense, or straight-up despondent. Somehow, you manage to strike a strange sort of connection with the retired military couple that had the Thursday slot just after you anyway.

Trigger Warning: Angsty. Discussions of Soap's injuries, the reader has mental health struggles and everyone has communication difficulties to some degree.

A/N: Scuttling out of the woodwork after having a pain flare, a breakdown, a career shift and getting some life altering surgery. Here's a new series while I rework all my previous writing!

Comments, questions, requests and constructive criticisms are welcome. Hate is boring and will go unacknowledged.

Maybe therapy wasn't for you.

Baring your soul to a total stranger and unearthing your life to be scrutinised by somebody. Then having that somebody turn around and drop you as a client because you were 'beyond their scope' and recommending you to someone else. It left an acrid sort of burn at the back of your throat as you settled into the sofa in the cheery waiting room of your hastily found counsellor.

Tick.

The leather underneath your fingers was squeaky. Static-y. The kind of leather where the grooves of the well-worn parts of the couch were buttery smooth and a slightly darker shade of black until it reached the bits that weren't quite as worn.

Tock.

The sound of papers shuffling and a low voice calling out a name drew your attention. It wasn't yours. Wordlessly, you watched a woman to your left stand up. The rubber of her cane cracked across the linoleum as she she signed her name on to the clip board at the desk, murmured her greetings to the therapist and made her way inside, the door shutting with a soft click.

Tick.

St. Jude-Thaddeus Hospital's Rehabilitation and Pain Management Clinic had the honour of being the only facility of any sort in your area that offered psycotherapy services. Affordable ones, anyway. Something to do with being integrated into the Ministry of Defense Hospital Units for disabled veterans- but you didn't need to know, so you didn't ask.

You'd take what you could get.

Tock.

You glance up at the clock once more, seeing that you were now close to 10 minutes to your first ever appointment with this therapist. A part of you wanted to fast forward the next 40 minutes of your day. Maybe the next few hours. Get to the point where your obligations were done and the first meeting was over and done with.

Tick.

When the door opens next, you don't look up this time. You try to contain the shake of your hands and focus on that squeaky leather underneath you. The thumps of footsteps don't register before the slight sink of the couch does. When you glance up, it is to the bluest eyes you could imagine.

He was handsome, a part of your brain helpfully informed you. Dark eyelashes framing a sort of azure blue, shards of indigo flecked about like sleet in the rain. His tanned skin had that slight leatheriness that could only come from working under the sun, the hand jutted out towards you littered with callouses-

"-hnny MacTavish, haven't seen you round here before."

Your hand moves mechanically to accept his handshake, mouth producing syllables you knew was supposed to be your name.

Realising the beat of conversation had stretched on longer than it should and it was now your turn to fulfill your part of the social contract that the stranger had looped you into, you broke eye contact and glanced back down at the worn linoleum.

"It's my first time."

There was a snort to the other side of you, from a bulky man sat diagonally from the line of chairs you and Johnny were sat in.

You quickly ammend your statement "-with this therapist. Just moved in."

His bulk seemed to carve away the space of the room, hulking shoulders leading to a thickly corded neck, lower face covered in a black face mask and his eyes a thin ring of deep ocean blue. What little skin you could see of his face looked sallow. Drained.

"Ignore tha' git. Insists on tagging along with me like I'm a wee wain and wreaks havoc of all sorts." The voice from your left supplied as you quickly began reassessing the relationship between the two strangers you found yourself in the middle of.

"You two know each other?"

There was a rumble to your left, a deep bass-y sound you realised was laughter. "Could say that, ma'am. "

"My partner," Johnny supplied, eyeroll evident in his voice as you turned to look at him once more. It was a little overwhelming having to keep turning your head to and fro because of the way the chairs were positioned, and your fingers dug into the leather once more.

Slippery, smooth. Pebbled with some long indentations.

"That's Simon. We've been at this shrink for give or take four months now-"

"Fifteen weeks."

"*-would'a noticed a bonnie lass like you on our weekly, enlightening visits." His quip was cheery, but there was an element of sarcasm you couldn't quite place.

This conversation felt like navigating a field full of landmines. Couldn't ask about his condition, why the weekly visits rather than the gold standard (That is, the national healthcare coverage) of every two weeks, why fifteen weeks- so you asked the only thing you felt you could.

"She any good? The counselor, I mean."

Johnny blinked, head tilting and making eye contact with his partner - Simon - there was a flash of something twisting across his face as the wordless conversation happened in a split second.

It was fascinating. The sort of communication that only happened when two people had an intimate well of knowledge of the other person.

Then dawn broke across Johnny's face and he turned back to you with a smile that didn't quite reach his eyes.

"Aye, lass. Not afraid to crack into your brain and really dig around. Well good laugh too, great to interact with given I've really only spoken to four people or so since I retired an' all."

You tried not to read between the lines. Tried not to stare at the way he leaned back to rub at the jagged line across his scalp, the puckered edges evident under the peach fuzz of dark hair. He was giving you what he could without dragging a stranger into his own vortex of struggles. You could relate.

"Retired? From military service?"

Regret looked different on people's faces. For some, there was a grimace. Maybe a slight widening of the eyes in realisation, or a hitch in their breath. Self-reproach for bringing it up in the first place. For Johnny, it appeared to be a slight furrowing of his brows and a darkening of his sky blue eyes as he edged backwards.

A cough and the scraping of the chair behind you drew your attention, looking to your right to meet the cold stare of the blond. Briefly, you felt like a cornered animal. Your hands grew still. His gaze was assessing, stony face giving nothing away except the overwhelming vibe of back the fuck off. His eyes flicked over your shoulder and then back to yours.

"Sounds like they're finishing up in there. You should sign in."

It appeared you had clambered out of the field of land mines only to immediately fall into a sinkhole.

Stuttering your goodbyes, you make to stand up, making the same trek the young lady had towards the desk. You fought to control the tremors of your hands. One stayed tucked deeply in a pocket as the other wrote your name down through sheer muscle memory. Sure enough, the door opened and the woman walked out with her mobility aid, a cheery voice calling out your name from inside.

As your shaky palm took hold of the doorknob to twist it so you could enter the room, you caught snippets of the conversation happening behind you.

"Bothering you-"

"-Ost, It would have been fine-"

"Your hands were shaking again-"

"Ach- I had it under control!"

"You don't owe strangers anything. Not after everything you've-"

"Please- I just- I need to have a feckin' conversation about it without breaking down-"

The door shut with a click.

As you sat down in front of your new therapist, you resolved to try and move your appointments to a different day.

#ghost x reader #cod x reader #simon ghost riley x reader #soap x reader #johnny mactavish x reader #COD Fic

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butchpeace · 2 months

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Testosterone in a female body has more risks, and more serious risks, than estrogen in a male body.

It also causes more physical changes, which make detransition more difficult. The majority of male detransitioners get off scott free and are able to integrate back into society as males relatively easily.

This means that women (females) are suffering the brunt of transition-related health concerns, as well as the brunt of social issues post detransition.

At the same time, men (males) are the loudest and most influential people in the trans community. They are the ones pushing policies. They are the ones making decisions at the high level. They’re often the ones in charge of trans advocacy organizations and sometimes even gender clinics.

Clearly this is a recipe for disaster. And it’s just one more axis of the oppression of females by males.

#feminism #lesbian #detrans #butch #detransition #trans #radical feminism #radblr #ftm #actual lesbians #writing

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diazsdimples · 5 months

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Do you have any buddie fic recs that is a /must/ read for Buddie shippers ( sorry I don't ship Bucktommy 🥹)

Boy do I ever!!!

honey, when you call my name - @hippolotamus (Explicit)

"Eddie witnesses the Buck/Lucy kiss, has himself a little panic, and decides to do something about it when Buck does his Buck thing and won't stop pushing Eddie's buttons" It's spicy, it's sweet, it's packed full of feels and there was not a dry eye in the house!!

Whatever may come (your heart I will choose) - @hippolotamus (Mature)

"The Story of Eddie and Christopher Diaz" The number of times I yelled at Hippo while reading this,,,, it is incredible!! 30 chapters of Buckley-Diaz family feels, Eddie's heartbreaking backstory and FUCK if I could read it for the first time again, I would!

James Bond AU Series - @princessfbi (Teen & Explicit)

James Bond AU with 007 Agent Eddie Diaz and Buck as Q. Incredible. No notes. Read them back to back in one sitting, and then read them again immediately after. No prior knowledge of James Bond needed (cause I sure didn't have any) but be prepared to have the sudden urge to go watch all the films.

Kink Club AU Series - @princessfbi (Explicit)

"Canon compliant one shots where Eddie works at a Kink Club as a side hustle and meets Buck there before his first shift in 2x01." This series is insanely good. 5 perfect fics of the boys and BDSM, it is incredibly hot, full of feels and just.... yeah. Incredible. Please do read the tags before each fic though, especially if BDSM isn't your thing.

because we'll all arrive in heaven alive - @neverevan (Explicit)

"During a search and rescue, Eddie disappears without a trace, leaving Buck to grapple with the sudden possibility of a life without him." I was literally on the edge of my seat with every single chapter release. It's SO angsty and delicious and absolutely incredible, and I think also very feasible for what could happen in canon should Timothy ever decide to be as mean (affectionate) as Newbie was by putting the boys through this.

Out Of Order, Still In Line - @neverevan (Explicit)

"When Buck finally gets to the Clinic, the long awaited release doesn’t seem to come; cue Eddie to the rescue." One of the first Buddie fics I read and it altered my brain chemistry a little. Lord have mercy. It's just ... you gotta read it. Like, Jesus 🥵

My Blood on Your Skin (My Rose on Your Snow) - @letmetellyouaboutmyfeels (Explicit)

"When Eddie needs cash and fast to take care of Christopher, his LAFD Academy buddy suggests a job as a bouncer at Elysium - an exclusive sex club in downtown Los Angeles. Eddie doesn't care what goes on there, so long as he's paid, but he finds he cares a lot bout the club's enigmatic owner, Evan Buckley, and it's not long before the two of them are violating every boss-employee rule in the book. But there's something different about Buck and the club, something not quite... human. If Eddie wants to keep Buck, he's going to have to delve into the world of immortals, and all the risks that implies." Honestly I think the blurb says it all. I read this at my cousin's wedding (literally just before the ceremony and during the reception fsdkjdfs) because I literally couldn't put it down. Incredible Greek Gods integration and so. fucking. hot. Sorry Caleb, I hope your matrimony is holy but this was so worth it.

stuck now so long, we just got the start wrong - @daffi-990 (Unrated at present)

"Probational Firefighters Evan “Buck” Buckley and Eddie Diaz meet on a call which ends with them at odds with each other. As the months roll by, they keep running into each other on the job, much to Eddie’s dismay and Buck’s delight. Can they put aside their first opinions and misunderstandings and allow the seeds of friendship, and possibly something more, to take root?" This AU has been eating me alive with snippets for the last few months and the chapters are FINALLY being published!! Stay tuned for weekly updates about our idiots being - well - idiots. Daffi has written them so well and I don't think I could yell louder about this one if I wanted.

Cow Eyes - @theotherbuckley (General)

"'Eddie's in hospital and Buck tries not to break down' fic except its actually just a cute silly little fic" Exactly what is says on the tin. Cute, silly, fluffy and entirely adorable. High!Eddie is fucking hilarious and Worried!Buck has my whole ass heart. Love this fic, have read it many times, will read many times more

Both Blade and Branch - @cal-daisies-and-briars (Mature)

"The chances of being struck by lightning twice are incredibly minute, but Buck still manages to pull it off. During a double date with Marisol and Natalia, nonetheless. Eddie manages to resuscitate him, but as Buck recovers from yet another trauma, Eddie can’t help but notice there’s something very different about him. He’s not quite sure what version of Buck he got back." Orpheus and Eurydice vibes but somehow more heartbreaking because it's the Boys? Literally every chapter I was gobsmacked and the fact that I couldn't read it in one sitting due to Life™️ was frankly criminal.

what humans do - @gayhoediaz

""…and the thought that she had just escaped death by such a narrow margin made me realize the intensity of my feelings toward her.” Eddie swallows. “‘What’s the matter?’ I couldn’t tell her, so I kissed her instead,” Buck goes on, and since Eddie’s eyes are focused on the page, they drift ahead a little bit, and the next few lines have him swallowing once again, taking his hand back to brace himself against the mattress as he slowly starts to push himself up to sit. “Kissing is what humans do when words have reached a place they can’t escape from. It is a switch to another language. The kiss was an act of defiance, maybe of war. You can’t touch us, is what the kiss said. ‘I love you,’ I told her, and as I smelled her skin, I knew I had never wanted anyone or anything more than I wanted her…” Buck trails off when Eddie reaches for the book, gently luring it out of his grasp. " One of the best getting together fics I've read. So sweet, so hot, full of feels, and also just very 🤯 in many places. Just insanely well written and perfect imagery.

Also I have a small list of authors whom I love dearly:

@spotsandsocks @exhuastedpigeon @wildlife4life @thewolvesof1998 @thekristen999

@steadfastsaturnsrings @watchyourbuck @fortheloveofbuddie @rainbow-nerdss @bidisasterevankinard

@aroeddiediaz @jesuisici33 @wikiangela @loveyouanyway @kitteneddiediaz

@actuallyitsellie @dangerpronebuddie @loserdiaz @elvensorceress @underwaterninja13

@smilingbuckley

Literally anything these wonderful people (and the authors of the above fics) have written is well worth a read. I would rec all of their words and make individual recs for all their fics but I fear I simply do not have the words.

I might also humbly suggest some of my fics, which you can find here! Happy reading!!!

#james answers things #fic recs #buddie fics #buddie #buddie wip #buddie ao3 #eddie diaz #evan buckley #911 buddie #911 abc #please don't read too much into the fact that pretty much every single one of these are smut #they're just really fucking good okay?

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northwood-capital · 6 months

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ghost-bxrd · 6 months

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How would Talon!Dick react if, during patrol, he called out for Jason and didn't get a reply, and it turns out Jason was kidnapped by a rogue or something?

At first he wouldn’t think much of it. They usually stick close during patrol, yes, but it does happen that one of them wanders from time to time, mostly on accident.

So when Dick first calls out and doesn’t get a response he simply switches to the comms. The chirps and hoots don’t carry as well over tech, but Jason and Bruce will know what they mean and answer anyway.

Only that Jason doesn’t answer. He only gets Bruce’s confused pseudo-hoot in response, and that’s when Dick knows something is wrong.

His owlet always responds.

Unless he can’t.

Bruce requests a status update several times, calling for Robin to answer the comms, and when he‘a just as unsuccessful as Dick there’s two things he knows right away. One, Jason is in trouble. Two, Bruce is about to have a near feral Talon on his hands hunting for his owlet.

And BOY is he right.

Dick doesn’t stick around to discuss with Bruce what they’re going to do or how they’re going to track Robin down. He’s already five steps ahead, hunting through the streets like the horror of children’s tales come to life.

Dick may have hated being with the Court, but they taught him how to find someone. How to sniff out one target in a city of millions. Whoever took his owlet is going to pay.

Dick finds Jason in record time and slashes the kidnappers open with such clinical precision the EMT’s on scene are horrified.

The perpetrators all survive, but none of them will ever gain full use of their bodily functions ever again.

Bruce berates Dick for the brutality of his actions but he’s not stupid enough to believe the talon wouldn’t do the same thing again twice over if Jason was ever abducted again.

That same night Bruce integrates several trackers into Robins suit.

#owl song #jason todd #dick grayson #talon dick grayson #batfamily #batfam #robin #bruce wayne #batman

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backtohealth0 · 2 days

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Are there any side effects associated with medical weight loss treatments?

While medical weight loss treatments are generally safe, some individuals may experience side effects, particularly from prescribed medications. Common side effects might include mild gastrointestinal issues, such as nausea or changes in appetite. Additionally, if dietary changes are made too quickly, you may experience temporary discomfort as your body adjusts. It’s crucial to maintain open communication with your healthcare provider throughout your weight loss journey so they can monitor your progress and address any concerns that may arise.

#medical weight loss nj #medical wellness center #nad infusion therapy #natural wellness center #iv treatments #new weight loss center #integrated wellness center #vitamin iv therapy #weight loss center nj #functional medicine clinic

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religion-is-a-mental-illness · 5 months

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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.

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.

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.

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)

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.

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.

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.

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.

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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cannibalsmayhem · 14 days

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TRANSABLEISM.

What is transableism ?

Transableism is characterized by the desire for a non-disabled individual to acquire a specific disability such as the loss of a sense or a limb (amputation, paralysis, blindness, deafness, etc.), thus placing them in a situation of disability.

The opposite of transabled is cisabled wich describes a person who does have that disability bodily.

Transableism is a new thing ?

No, ''transabled'' is a sociological and political term coined by Sean O'connor in 2004 in attempts to demedicalize disability desires and views them as healthy person's challenge to the stigma of disability as created by social norms. Researchers and transabled people use a variety of terms to describe it. some people refer to "apotemnophilia" a term that have been used the first time in a 1977 article by psychologists Gregg Furth and John Money. We do not recomand this term.

Then, In 2004 Michael First published the first clinical research in which he surveyed fifty-two people with the condition, a quarter of whom had undergone an amputation. Based on that work, First coined the term "body integrity identity disorder" (BIID) to express what he saw as more of an identity disorder than a paraphilia.

The newest term, ''xenomelia'' was established to acknowledge the neurologic component of the condition after neuroimaging studies showed structural changes to the right parietal lobe in individuals who desired amputation of their left lower limb, thus linking the part of the brain that processes sensory input from the affected limb. (McGeoch and others 2011).

Friendly reminder that a transabled person do not necessary experience body integrity identity dysphoria (BIID). People with BIID (dysphorics transableds) experience a suffering with a part of their body, such as a limb, and feel that removing or disabling that part of their body will relieve the discomfort. People with the condition may have intense feelings of envy toward amputees. They may pretend to be an amputee, both publicly and privately. Patients who experience the above symptoms consider them strange and abnormal.

Confusions.

Body dysmorphic disorder is sometimes confounded with disability desires. The two conditions may share a preoccupation with a specific part of one's body, but body dysmorphic disorder is typically concerned with the visual aspects of that part, which is never the case in disability desires. Also, the concerns in body dysmorphic disorders usually focus on facial parts, not on major limbs or sense.

WHY ?

A study conducted by Michael B. First on 52 aspiring or volunteer amputees shows that the main reason given is to regain their true identity, to correct an anatomical anomaly. It is difficult to establish precisely why this need manifests itself in transabled people, even if there are neurological and biological leads. The only difference between a transabled person and a transgender person would be the level of social acceptance of each phenomenon. As transgender people, the transition to the desired body in transabled people is associated with greater general well-being, and a significative decrease in suicidal and depressive thoughts.

It's a choice ?

No, feel the desire to acquire a physical deficit isn't a choice but start a process in order to acquire a disability is a choice. Just as for trans people, they do not choose to be trans but they choose (often the pressure of gender dysphoria) to transition.

When someone realize they are transabled ?

The disabled- desires comes very early in their life. Their first experiecs of such desires are felt in their childhood, around the age of 7 this study found.

Psychological therapy, psychopharmacological drugs and relaxation techniques had little effect and sometimes increased desire. They can reduces symptoms like depression, but not disability desires per se.

This study shows that the amputation of the healthy body part appears to result in remission of BIID and an impressive improvement of quality of life. 100% of transabled who had recived a surgical amputation confirm that it was helpful. With medication 73% pretended that this treatement for BIID was unhelpful and 60% confirm that therapy was unhelpful. Betweet those who recieved and didn't recieve an ambutation, those who didn't recievent it said that BIID had an extreme negative impact in their personal happinnes (17,2 in the Y-BOCS scale) in comparison, those who recieve an amputation affirmate that BIID had a extreme low effect in their personal life (3,2 on the Y-BOCS scale).

Psychotherapy was often supportive, but did not help diminishing BIID symptoms.

Those who didn't recieve an ambutation confirmate that BIID had severely disrupt their work counter a very neglectical effect (3,2 ON Y-BOCS scale) for those who recieve an amputation.

Several others studies: (1) (2) (3) shows that all transabled people who have successfully made the transition say they are very satisfied and happy.

In all cases quality of life was rated to be substantially increased, and no new disability desire emerged post-surgery. There is considerable support for the view that elective amputations can be ethically justified , even if long-term effects of the intervention still need to be assesse

Dangers for not letting a person acquire the desired handicap.

Amputations seem to be the only effective solution. Denying these people the only treatment that can cure their dysphoria will only prolong their suffering and many trans-capacitated individuals will therefore opt for dangerous solutions, such as turning to the black market, attempting to perform their own surgery, or injuring themselves severely enough that a doctor has no choice but to proceed with the amputation of an unwanted limb. It's like denying to a dysphoric transgender person the right to transition.

Why is not different from transgender people ?

Like transgender people, transabled people feel an internal identity that they seek to match with their body. The only difference between the two is the level of social acceptance, unlike transgender people, transabled people in addition to being even more stigmatized and marginalized by the ableist and cisableist society than transgender people, do not benefit from surgical intervention allowing them to obtain the desired body.

Anti-choice arguments.

Anti-choice authors in relation to transbled- surgical operations argue that these people are not autonomous, 'irrational', alienated by their conditionality and cannot make an informed choice. Elliott (2009, p. 159) summarizes the authors' position well (without adhering to it): "These objections focus on the nature of the 'wannabe's' belief that they should have a limb amputated, suggesting that because it is bizarre, irrational, and obsessive, they are unable to properly 'weigh' the information relevant to the decision, that these desires are not autonomous, and are not to be respected or followed. On the one hand, in light of previous data, this position is not scientifically supported and is based on prejudice and impression. Authors who support transabled-surgery argue that refusing it would be violating the first ethical principle of autonomy; if these people are rational and do not make their decision under coercion, their autonomy must be respected. On the other hand, this question of autonomy and rational choice rests on double standards. The very requirement of an explanation and a rational to justify this need obscures the fact that for many very important decisions in our lives, these explanations rationality are not required; for example, playing dangerous sports, having children, going on a humanitarian mission to a war-torn country, or simply choosing to live are not subject to the same questioning and the same requirement of rationality. As Gheen (2009, p. 99) argues, most of the choices we make do not have "rationality" and cannot be explained; we have needs and desires, we realize them, and no one demands evidence of rationality from these actions that sometimes have considerable impacts on our lives and the lives of others. Gheen argues that if this need of the transabled is considered irrational and illegitimate, it is because it goes outside the dominant norms.

Important barriers.

In addition to society's ableism and cisableism, the Hippocratic Oath, by which physicians pledge to "do no harm" to their patients, is the main barrier between a transabled person and his or her disability; practitioners cannot help individuals acquire an impairment that is presumed to have a "detrimental" effect on their lives (Johnston and Elliot, 2002). But an ethical question arises and a paradox emerges. Should we leave transabled dysphoric people in a state of severe suffering, causing them depressive symptoms and even suicidal ideas with the belief that amputation will have a "negative" impact on their lives, when we know that this is not true as datas we have seen previously, rather than allowing them to acquire the desired disability thus allowing their body dyphoria to remit and increasing their general well-being? If doctors commit themselves not to harm their patients isn't it paradoxical to refuse the only possible treatment, i.e. the medical acquisition of a handicap via a surgical intervention to someone, keeping them consequently in a state harmful to his mental health? In other words, the doctor refusing health care to someone who needs it is the equivalent of a health care professional refusing to allow a dysphoric transgender person to undergo a medical transition: it is bad from a moral point of view as well as from the point of view of the person's mental health and exposes them to the risk that she voluntarily injures themself or that they performs their own surgery with all the potential dangers on their life and their health that such a decision implies and opposes the fundamental freedom hard won by social movements to do what we want with our body.

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