While walking the dogs this morning, I realized that an experience I'd had when I was about thirteen might be relevant to the debate over whether minors ought to be allowed to take "transition" drugs and have "transition" surgeries.
You see, I was having trouble coping--my parents' marriage was blowing up at the time--and thus they decided to take me to the local mental health group to see what they could do. So we went, and I got interviewed about life goals, and I had a lot of fun having "quarter staff" battles with another young man--we used vinyl covered foam, not sticks of oak or yew, by the way--and then one day, the counselor had a revelation that he shared with me and my parents.
My difficulty was obviously that I was feeling guilty about, ahem, "self-pleasuring", and once I overcame that guilt, my psychological problems would be greatly eased. Now the fun thing there was that not only was I not performing that particular act, but the counselor also used the technical term, which I didn't understand in the least. But I smiled and nodded and we went on with life.
It was a mistake on his part, and I to this day do not know whether he ever clued in that a real issue was simply that my parents weren't getting along, and probably also that, as an introvert, I probably show some signs of being on or adjacent to the autistic spectrum. It could be that he knew darned well what the real issues were, but social rules prevented him from saying that straight up, so he did the next best thing.
But that noted, in the early 1980s, "self-pleasuring guilt" was a very popular theme in mental health, and hence when a counselor couldn't figure out what else was wrong in talk therapy, that diagnosis was used a disproportionate amount of the time.
Fast forward to today, and the popular diagnosis is "gender dysphoria". So I contemplate the fact that as a somewhat socially maladroit teenager who might be placed "on the spectrum", the "diagnosis du jour" today could well have had some disastrous results.
This is the same kind of thing that I discussed back in 2015 with regards to the use of antidepressants, where a growing body of evidence was indicating that they were being over-prescribed, with, again, disastrous results. It's hard to see one's own weaknesses, but that's part of the gig when you're getting the big bucks in medicine, I think.