Dr Az Hakeem argues that the current approach of automatic affirmation in gender identity treatment is problematic because it fails to provide neutral psychological exploration, potentially leading to misdiagnosis of conditions like autogynephilia (where individuals are aroused by the idea of having female characteristics) and resulting in regret after surgery, as the removal of testosterone-producing organs eliminates the very drive that motivated the transition.
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Psychiatrist EXPOSES Why Eddie Izzard NEEDS to Be Challenged! – Dr Az Hakeem本站添加:
So, it would be fair to say Eddie Izzard is probably not on the autism spectrum.
>> Uh I cannot comment on anyone I haven't had any professional dealings with.
>> Mhm. Well, that's how I want to ask you about all celebrities and get you to comment.
Okay.
>> Bad luck there.
>> I've got a friend called Medi Mizzard and >> [laughter] >> The thing The interesting thing about Eddie Izzard, all I'll say is from what I know from what he said himself, is that he never used to say that he was a transsexual. He always used to say he was a transvestite.
>> Right.
>> So, now that we call everything trans, it's all an umbrella term. And that calling everything trans is misleading because the majority of transvestites, a small number of transsexual, but they're afforded the same response as if they were all transsexuals. I mean, an example is I had a patient who said and he was clearly a transvestite. We knew that he was. We he worked that out. He thought he was a transsexual, but he worked out he was more of a trans- transvestite.
And he said, "Um oh, I've told everyone at work." I said, "What What have you told them?" He said, "I've told them about me." I said, "You But you you're not quite sure about you yet. What have you told them?" He said, "Well, I like I like dressing as a woman. And uh I'm going to go into the office twice a week as a woman." I said, "Right. Why?" Oh, cuz I like it. And I said, I said, "Well, um thing is that you've got them to believe that you're having a sex change at some point and you're transitioning into being a trans female.
Actually, you know you're a man who just like dressing up. So, what you've managed to do is get your workplace to accommodate your sexual fetish. It's a bit like if you, you know, if you're a some sort of sexual nudist, you know, you wouldn't go to work twice a week naked. I mean, but but because they're afforded this, oh, this is a, you know, whatever.
Um so, it's very misleading for people.
>> Yeah, like going in and get sitting at your office desk in the missionary position cuz it's just the most comfortable position.
>> And and the driving licenses, when they changed the where you can change your gender, the the rules I think they changed it now, but when it came out, the rules said as long as you dress up as the opposite sex for two weekends a year, you can have your driving license in that sex. What?
>> Yeah.
>> What is What is What is going on? And why don't they speak to people like you when they make these decisions?
>> Um well, some did um who knew how it was uh for those 12 years. And all my regretters and detransitioners said, "When we were going through this, why couldn't we access someone who was challenging what I cuz my my role wasn't to persuade people to do something, help them through it, or convince them not to do it. They were adults. They could do what they want. I just wanted them to think about it in a neutral space. That's all. My The outcome for me wasn't whether they did or didn't have a sex change. The outcome for me was they'd thought about it and explored it thoroughly before they did anything. Um all the all the regretters, which were 26% of my patient population, um they all said, "Why on earth could we not have someone like you who just said, 'Why and what?'"
Because everyone just affirmed them. And what they said was, I had one person who worked for a public sector, of course, and um he said he'd he'd had a sex change, middle-age, and then regretted it 10 years later. And he went back to his employer, his family, and his friends saying, "Why on earth did you not say to me, 'What on earth do you What do you think about What What do you What do you mean you're a woman?'"
And they all said, "Because we were being supportive, because that's what you meant to do."
And he said, "I wish they weren't supportive. They I just wanted them to be normal, because I I was clearly confused, and nobody was was challenging it." So, they do need challenge, but now you're not allowed to challenge them.
You have to affirm them.
And the thing about affirmation is it sounds nice cuz you're affirming, but it's actually quite toxic. It's the worst thing you could do. We don't affirm anorexics who believe they should be thinner still. We don't affirm suicidally depressed people that they should be dead. Yet, we have people who confused about something that they come to this erroneous conclusion that we then collude with.
>> Do Do those who actually go through the surgery and and then might regret it?
Are those Are those the autistic ones?
Would I be right to assume that many of those who have get the fetish who have the fetish for it, uh the transvestite stuff, probably wouldn't actually go through with the the cut?
>> So So, a lot of them don't know the difference. And so, they just know, "Oh, I like dressing up." Maybe And the autogynephiles who get turned on by the idea of having breasts or vagina.
I mean, GP appointments are 6 minutes long, right? It's very hard to get out of that 6 minutes, "Actually, I get turned on by the idea of having a vagina." You think You just say, "Oh, I think I'll do a sex change."
>> Mhm.
>> And the autogynephiles I've seen went to their GP and said, "Oh, I I think I should be a woman."
And the GP said, "Oh, we can refer you to, say, Charing Cross or one of the gender clinics, but there is like a 2-year wait." And and they think, "Oh, this is a 2-year wait." So, they then you know, Googled what the treatment would be, you know, sex change, and they got themselves on a plane, usually to Bangkok.
And and they sex change.
Problem is, all libidinal sexual drive, if you're a man, comes from your testosterone.
It comes from your gonads.
The first thing that goes with a sex change is you get castrated.
>> Oh.
>> So, you wake up from the operation going, "Oh, I've got a vagina. I don't want it."
>> Oh my god, imagine that. That's the universal response when uh an autogynephile has a sex change, they wake up, they have no sex drive, and that was the only reason they wanted a vagina. And now they're left with this redundant vagina they don't want. They have no sex drive.
>> It's not even a vagina, is it?
>> It's a No, it's It's more like a a hole, like an apple core hole, um put between the base of your penis and your anus, which then you you take the penis off and the penal skin lines the hole and your scrotum is is reorganized into the labia.
>> Because men and I I don't know how women feel sexually, but men have that moment when they've just ejaculated and there's a moment that lasts anywhere from 10 seconds to 10 minutes or half an hour or or days or of just like my god, what was I doing just before that? That's all horrible.
>> a lot about yourself, Andrew.
>> I'm talking about other men.
>> [laughter] >> It's what I'm just I'm just days. I'm going off of what you told me before we started about your personal life. No, I'm joking. But but I I I weeks, years, years of of of No, I I I kid, but but it lasts, you know, it could be 10 seconds or whatever, but there's a moment of like my god >> Who was that? That's what they wake up with.
>> Yeah, and they've got that, but instead of just going gosh, I regret having an affair This isn't about me, by the way.
I've been happily married.
But but I mean, you know, regret or the or the naughty thing I did that's a bit disgusting or whatever, but they've cut their willy off.
>> It's the It's the balls that are the root problem.
>> Oh, well, it's all the pro It's all the problem. I mean, the balls are the problem for the testosterone, so it's not going to come back. That feeling will never come back again.
>> Well, if you give them exogenous testosterone, testogel, it does come back.
>> Oh, okay, but but then they won't be more womanly.
And they don't have a willy anymore.
>> It's complicated, isn't it? Yeah. So, you get lots of people who are misdiagnosed.
So, clinically they get misdiagnosed, but then the general public misdiagnoses them because they're just saying they're just saying I'm trans, which could be anything, really. And so, all these men going into women's toilets, the ones that want to do it the most are the ones who want to get a kick out of it. And you know, we've all seen all the clips on Twitter of this, you know, excitedly I'm in the women's bathroom again and I've got a raging hard-on sort of thing.
>> Yeah.
>> Yeah, they're all transvestites.
>> I see. And so, and they are more likely to still have their appendage.
>> Well, yeah.
>> I mean, most people who are trans have no intention of getting rid of their appendages.
Because those those are the ones getting aroused out of it. And I know that's that is the fundamental issue. As you said before, are we okay as a society changing policy, changing birth certificates >> for fetishists.
>> For fetishists, yeah.
>> Yeah, and the birth certificate thing is weird because even if theoretically you could change sex, I don't think you can, um you can't change historical moments in time because a birth certificate says, "This happened on this date."
>> Yeah.
>> So even So if you were if you were a man and then your 100th birthday you decided that you want to have a sex change, you could then change a historical document 100 years ago to say that you were born a girl.
I mean, it's madness. I mean, all everything to do with reality is being subverted.
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