new

response to article
Submitted by American College of Pediatricians on June 7, 2017 - 10:39am
The American College of Pediatricians is a professional organization confident in the science we present and in the traditional ethics we uphold. In the past, we have typically directed critics to the relevant content on our website. Mr. Jack Turban that is not only libelous, but also denies the fact that untold numbers of American children are being experimented upon, and many of them permanently sterilized, under the guise of treating a largely transient disorder known as Gender Dysphoria of Childhood. This warrants a more public response.

The American College of Pediatricians has held true to its founding principles summarized by its slogan, “Best for Children.” The College has also endured ad hominem attacks for making factual statements that threaten agendas which promote the wants of adults over the needs of children. Attacking the messenger is a tactic commonly used by those who cannot refute a truthful message. Labels, such as hate group, extremist, right wing, miniscule, Christian fundamentalist, and deceptively named, reveal desperate attempts to deflect attention away from facts that undermine a desired agenda.

The American College of Pediatricians is precisely what its name implies: a national nonsectarian organization of child and adolescent physicians and health professionals. We have never surveyed the religious identities of our membership, nor attempted to attract physicians of a given religion. In fact, members of our Board of Directors and various committees have identified themselves as Christian, Jewish, Muslim and Buddhist. We are physicians and healthcare professionals united by a commitment to traditional Hippocratic medicine; a medical tradition that respects life from conception to natural death and provides care to all patients, as delineated in our Statement of Inclusiveness. It is true that we are relatively smaller than other medical organizations; we have 500 members and counting. Ultimately, however, this is irrelevant to the veracity of our statements; sound science and ethics are not determined by majority vote.

Responsible journalism requires thorough investigation of the subject at hand. This appears lacking with Mr. Turban’s report on the ACPeds. He and others have expressed deep concern over our very legitimate name, yet they erroneously designate us as the “ACP,” which stands for the American College of Physicians. Our proper designation is ACPeds. Our web address, pretty much gives it away. Then again, most of our detractors have never bothered to give our website, position statements, let alone any of the hundreds of scientific references there, a careful read. Were they to do so, they would realize how easily their alternative facts would be refuted, particularly those regarding Gender Dysphoria in Children.

Yes, Mr. Turban, prior to the widespread promotion of transgender affirmation, 75 - 95 percent of prepubertal children with Gender Dysphoria eventually outgrew that distress. The vast majority came to accept their biological sex by late adolescence after passing naturally through puberty. The alternative fact, recently put forth by activists, that large numbers of children who desisted were actually “misdiagnosed” with Gender Dysphoria is debunked by data in Dr. Devita Singh’s doctoral thesis, and also by Dr. T.D. Steensma et. al., as noted in slides 23-25 of our Gender Dysphoria power point.

Yes, Mr. Turban, children diagnosed with Gender Dysphoria pre-pubertally are permanently sterilized when the World Professional Association for Transgender Health and Pediatric Endocrine Society Guidelines are followed. According to these Guidelines, children are placed on puberty blockers as early as Tanner stage II of puberty (as young as age 11) and then placed directly on cross-sex hormones by age 16. An article by Dr. A. Evan Eyler, referenced in our full position statement, confirms that children administered blockers beginning at Tanner stage II and seamlessly transitioned to cross-sex hormones are prevented from producing gonadal tissue (eggs or sperm) for cryopreservation. They will be unable to have genetic offspring of their own even with artificial reproductive technology.

There is an obvious self-fulfilling effect in helping children to impersonate the opposite sex both socially and pharmacologically. Logic leads one to predict that most, if not all, pre-pubertal gender dysphoric children treated in this way will lose the potential to identify with their biological sex, and instead go on to claim a transgender identity. As noted in our position statement, the single follow-up study of such children finds just that; 100% of the pre-pubertal children placed on the social affirmation/puberty blocker protocol failed to desist.

According to the APA Handbook of Sexuality and Psychology (2014), among those youth who did resolve their Gender Dysphoria prior to the present-day transgender affirmation ethos, 63 - 100% of boys would identify as gay adults, and 32-50% of the girls would identify as lesbian by young adulthood. Affirming pre-pubertal gender dysphoric children as transgender potentially translates into a significant percentage of LGB adults being sterilized. Consequently, some members of the LGB community stand with the ACPeds against this “transgendering of children” which they view as nothing less than the single greatest form of homophobic hatred, namely, eugenics.
Contrary to popular belief, there is no evidence that the elevated rates of mental illness and suicide among transgender-identified youth and adults are due solely, or even predominately, to societal prejudice or discrimination. At least one 2008 study by LGBT-affirming researchers, noted in our Gender Dysphoria position statement, found these factors not to be causative. Mr. Turban’s article also alleges that the College has ignored evidence that transition improves mental health in gender dysphoric children. The “evidence” consists of two small short term studies that contain methodological flaws, and therefore, prove no such thing. There is also no scientifically rigorous, large, prospective or sufficiently longitudinal evidence that transition of gender dysphoric children prevents suicide in the long term. However, there is long-term research on the mental health of adults who transitioned with Gender Dysphoria. This reveals that despite initial relief of the dysphoria, one or more decades after transition, they often present with worse mental health than that of the general population, including a suicide rate nearly twenty times greater. This observation raises more questions than it answers, and should, therefore, give pediatric health professionals great pause- at least those who value evidence-based medicine and are dedicated to ‘first do no harm’.

Some members of the transgender community recognize this and have expressed solidarity with the ACPeds. Rene Jax, a Male to Female Trans author, wrote:

"Dear Dr. Cretella,
Chemical castration, sterilization and surgical mutilation are more than just words to me. They are personal and brutal realities; no child should be subjected to this. Thank you."

The ACPeds has also been contacted by clinicians and academic physicians across the political spectrum, including LGB affirming clinicians. They have expressed their gratitude to the ACPeds for saying publicly what they cannot. Division chairs in psychology and sociology, and many pediatric endocrinologists have told us that to stand for science and go against transgender group think is professional suicide and often results in relentless harassment including death threats.

Belief is in the mind; not in the body. Everyone knows that thinking or feeling that something is true does not make it true. When people consistently and persistently insist something that is contrary to physical reality, they are, at best, confused, or at worst, delusional. According to the alternative logic of transgender experts, however, this is true in every instance except where biological sex is concerned. In this case alone, the persistent and consistent insistence of something contrary to physical reality is definitive proof of the metaphysical claim that an immaterial essence, or in the words of Dr. John Money, “[an] internal sexed identity” is trapped in the wrong body. This foundational claim of transgender medicine has far more in common with a quasi-religion than it has with evidence-based science. How much longer will society sacrifice the health of its children upon these altars?

Michelle Cretella, MD, FCP President

White liberals would be more ethnocentric in their own society. Part of the reason they are so outgroup-favoring in our societies is the fear of us.
So if you never had to fear “The Handmaids Tale”, you would feel less inclined towards white guilt. Additionally, the Bluestan(s) could write constitutions that explicitly define the fundamental values of society as left-liberal, so White Bluestanis could have a strong civic nationalism.
Look over the border at President AMLO, a white leftist, but also a strong ethnic and civic nationalist.

216 is an interesting commenter, but I believe he inverts the underlying motivations of Bluestan shitlibs here.

First, you won’t get anywhere analyzing White shitlib (SWPL, for short) behavior without understanding that psychological projection is at the heart of it. White liberals don’t fear White conservatives. Not really, at any rate. They may virtue signal fear of us, but they don’t really feel it.

What White liberals are doing is projecting their own desire, to viciously and utterly rule over White conservative “intransigents”, onto the latter. White libs accuse White cons of doing to them precisely what White libs do to White cons. If any group has justifiable reason to fear a despotic overthrow of its cherished values and preferred social arrangements, it’s White conservatives who have been under relentless attack from White liberals for the better part of a century, and losing nearly every battle.

Case in point: there was never a “Handmaids Tale” in America. There has been, however, a “SlutPride Tale” and gay marriage and trannyfreak singing to schoolchildren and borderline infanticide and man-hating divorce courts and toxic masculinity conspiracy theories.

White liberals have in fact never had to fear “Handmaids Tale”, but White cons have had damned good reason to fear all of the above, because those things have actually happened. And yet, White cons aren’t “outgroup favoring”, presumably, as leverage to neutralize the power of White libs. White cons have had to fear all those White lib depredations on their preferred way of life, and yet don’t have any “White guilt”.

216’s theory doesn’t hold up under scrutiny.

White liberals did not live in a constant state of fear in pre-Roe v Wade America that a patriarchy was about to force women into breeding camps. Any “fear” that White liberals express about America becoming a version of, in this example, The Handmaid’s Tale is either irrational or disingenuous. The purpose of the lib fear-mongering amongst themselves is 1. to juice their virtue signaling score (the more fearful, the more valuable one’s moral posturing against the thing causing the “fear”) and 2. to provide a phony justification to ram their shitlib agenda down America’s throat.

White liberals — GoonWhites — aren’t outgroup favoring because they fear White conservatives — FreeWhites. No, White libs are outgroup favoring because

they have inherited an excessive altruistic feeling toward outsiders that is corrupted into a pathology by globalist mass migration
they get a tingle up their legs from playing the role of the beneficent enlightened betters patronizing POC lessers
they HATE HATE HATE FreeWhites for not sharing their r-selection-shaped worldview or their high disgust thresholds, and find it expedient to “adopt” nonWhites and their grievances and to use them as battering rams against FreeWhites.

For these reasons, I doubt White liberals would be more ethnocentric in their own societies. Instead, what I see happening is GoonWhites’ virtue signaling compulsion turned on each other, in the absence of FreeWhites to target, until the purity spiraling results in some sort of social breakdown or mass hysteria/mental illness.

I also foresee Bluestans eventually succumbing to their Diversity, which will eat at the White lib seed corn with increasingly ravenous disregard for the future. Remember, too, that “strong civic nationalism” and multiracialism are mutually exclusive; civic fellow-feeling is always and continually undermined by the very human and natural urge to tacitly or overtly identify with one’s own kind.

It’s possible that White libs, left to themselves, will concoct some rhetorical sophistry for keeping out the Diversity that doesn’t overload their egos, in essence creating a de facto White lib ethnocentrism, but I have a hard time envisioning a scenario in which the modren White shitlib can casually betray her ego without having an existential crisis. If FreeWhites aren’t around, maybe GoonWhites can easily and expediently dispose of every race equalism and White privilege belief they claim to cherish, just as they now easily and hypocritically contradict themselves to “score” political points against their FreeWhite enemies.

Nevertheless, this is all moot speculation because White libs would prevent any peaceful separation solution to the eternal intra-White animosity that is burning hotter now than it has since the days before Civil War I. White libs don’t want White cons to go their own way; they want to lord it over White cons, to force them to submit to White lib rule, and to rub their faces in their humiliation and despair. The totalizing authoritarian streak is a mile wide and ten miles deep in GoonWhites. For White libs to allow White cons their own nation would be, in the White lib mind, tantamount to Nazis getting their lebensraüm.

White libs don’t want to run away to build their own nation and write their own left-liberal constitution; what White libs want is to build their own nation and write their own left-liberal constitution RIGHT WHERE WHITE CONS LIVE, BECAUSE FORCING WHITE CON SUBMISSION IS HALF THE FUN.

This is why I predict that if there is a blood-drenched Civil War II, it will be the fault of White libs who won’t tolerate White cons attempting a peaceful separation from them. And, unlike Civil War I when White libs had a facsimile of moral high ground to prevent secession, this time around all the moral justification will be with the FreeWhites who just want to get out from under the yoke of White lib tyranny.