Die Hoffnung auf ein besseres Leben

dandelion 2817950Monsterkoi pixabay600Wie auch immer Menschen zu ihrer ‚Gender-Reise‘ kommen, spätestens die irreversiblen medizinischen Maßnahmen können nicht ‚ausprobiert‘ werden, es besteht immer das Risiko, sich zu irren. Selbst für Erwachsene ist es oft schwer, herauszufinden, ob sich damit die Unzufriedenheit mit dem eigenen Geschlecht beseitigen lässt.

Dr. Az Hakeem, Facharzt für Psychiatrie und medizinische Psychotherapie und Honorary Associate Clinical Professor at University College London (UCL) Medical School aus London, hat jahrelang therapeutische Gruppen für Erwachsene moderiert. Er nahm jeweils zur Hälfte erwachsene Personen auf, die eine medizinische Transition durchlaufen hatten und diese oder Teile davon bedauerten. Zur anderen Hälfte bestand die Gruppe aus Personen, die vor der medizinischen Transition standen und i. d. R. ‚gendereuphorisch' waren.

Diese Gruppen boten eine faszinierende Möglichkeit, genderdysphorischen Menschen mehr Einblick in die langfristigen Erfahrungen der Transition zu geben.

"It wasn't a conversion. So my role wasn't to persuade people to not have a sex change. And it wasn't to help people through a sex change, I was being completely neutral. These are adults, they can do what they want. They don't mind what they do, or what I wanted them to do was think about it. And it was an exploratory space. And the regretters said, 'if only we had this sort of exploratory space before we went on to do to have the sex changes, because no, what no one was asking us, what do you mean?'"

Hakeem machte mit seiner Gruppentherapie folgende Erfahrung:

I typically found that after anything from 6-12 months in the group the initial Gender Dysphoria had been completely resolved. The Gender Dysphoria was a solution that their mind had come up with to make sense of the confusion, which they happened to find in a gender framework. Once they had come to the conclusion that gender was the framework they had stuck with it.

Lediglich 2 % der ‚gendereuphorischen‘ Teilnehmenden. haben schließlich die Transitions-OPs durchführen lassen, 98 % ließen sich nicht operieren.

Zu den im Allgemeinen sehr niedrig geschätzten Detransitionsraten sagte Az Hakeem, er vermute, dass es einfach an fehlenden Follow-Up-Studien liege. Er habe all seine KlientInnen gefragt, niemand sei nachverfolgt worden. Nach der letzten Operation / Behandlung würden die Transitionierten frei in die Welt entlassen wie Schmetterlinge.
A Fun Friendly Chat with Dr. Az Hakeem, YT-Interview 22.08.2022

Gender A Wider Lens - Podcast: Psychotherapie vor und nach der Transition mit Az Hakeem, 25.02.2022

Interview mit Ak Hakeem, Transgendertrend, 2021

Youtube Vorschau - Video ID 3snn2DZE4UM

Az Hakeem zu Detransition und Reue:

"The public are often told that relative regret is extremely low. But this of course is a complete fiction. There are no follow-up studies, no one knows what the regret rate actually is and this low rate results from the lack of any information being collected. The patients I saw did not officially exist in any gender identity clinics’ books."

Im Interview wird auch darüber gesprochen, wie bewusst euphemistisch die Sprache bei Trans-Themen oft benutzt wird:

"It's the way it's portrayed. So rather than calling it chemical castration, you're calling it puberty blockers that pause puberty. Rather than saying you're going to amputate the breasts of girls, you're saying it's top surgery. You know that is sanitized. And rather than saying you’re not even going to explore why they feel that they’re the wrong sex, you're calling it affirmation therapy. Affirmation sounds positive, doesn't it? Affirming sounds great, but affirming means you're not asking them‚ ‚Oh, why do you not like being a boy?‘‚ ‚Why do you not like being a girl?‘, which is the obvious question. Affirmative though is yes, because your body's wrong, well this is what we can do. So affirmative is collusion, whereas exploration is always helpful: you know with any problem think about it and explore it."


Az Hakeem's Beobachtungen

„What I found in my population was the males a 100 % of them of the males I saw who would be called transsexual were on the autistic Spectrum and the and the females they seem to have a higher instance of trauma often sexual trauma or they had a degree of um homophobia so lesbophobia either internalized or externalized from the cultures and societies that they were in so it was a way of escaping from that with a fantasy solution."

Interview mit Az Hakeem zum Thema Genderdysphorie, Lousiana Public Broadcast, YT, 15.05.2023


Weitere Links

Psychotherapy for gender identity disorders, Az Hakeem, 02.01.2018

Az Hakeem zur Schließung der Tavistock-Klinik in London:

The Future For Gender Identity Healthcare - A Conversation with Dr Az Hakeem, YT, 09.10.2022