Gee, I dunno, why do we subject kids with cancer to chemo and radiation that even adults have a hard time handling? Why do we stab child diabetics with a hypodermic filled with insulin several times a day? Isn’t that cruel? How about that chest-thumping cystic fibrosis sufferers have to undergo?
When there is a severe problem severe measures are warranted. In Alex we’re not talking about a kid who woke up confused two weeks ago, whose parents are doing this as a whim. We’re talking about a kid who has displayed certain consistent patterns since birth, or at least toddler-hood, a kid who has been examined by multiple authorities, and who even so is prevented from receiving irreversible treatments for a number of years.
In other words, we’re not talking about normal adolescent angst and confusion.
There is no doubt that transgendered youth are at much higher risk than normal kids for depression, suicide, and victimization by others. Not to mention that, in some cases (as another poster mentioned) you see self-mutilation.
To some extent, transgender treatments are about damage control. We can’t really “fix” such people. That is, we can neither make them comfortable in the body they were born with, nor can we give them a fully functional body they are comfortable with. So… medicine does the best it can. Is it successful? You’ll have to ask the transgendered that.
NO ONE is advocating this as a standard treatment for any category of children. This kid is on the extreme end of the spectrum as far as I can tell. Even without treatments and surgery she’d probably wind up living as a he - there are historical cases of women doing exactly that, and actually getting away with it for decades. Of course, such an existance improses a great deal of stress on a person, and intimate relationships of any kind are pretty much out of the question. And there’s that whole self-mutilation angle to worry about.
If you have a situation where the kid is an extreme case, then is actually does make medical sense to start treatment as early as possible. I would also say you need to have this decision reviewed very carefully, with multiple second/third/etc. opinions - which seems to have been done in this case. And keep in mind that this 13 year minor is NOT making a binding decision on their own - parental consent and medical opinions are factoring into this in a way that doesn’t apply with adult transgender cases. I mean, KellyM, as one example, certainly didn’t have to show up in court with her parents to get permission for her treatments, did she?
A minor may not be able to make legally binding decisions, but that doesn’t mean their thoughts, opinions, and expressed wants can’t be taken into account when such decisions are made on their behalf. One common example involves custody issues - a court may determine which of two divorcing parents a child lives with, but it’s also not unusual for the court to ask the minor’s preferences in the matter, particularly if the minor is in his or her teens.
To be prefectly honest, the idea of sex reassignment in a 13 year old kind of creeps me out, too - but my personal discomfort should not be the determining factor in making decisions that affect someone’s life.