The rumour is that Lauren was assessed by an NHS psychiatrist.
Well, having been in the position of assessing such individuals, I was giving this some thought, specifically: would I have given the green light for going on to irreversible gender reassignment?
Firstoff, I suspect it'd be a trickier judgment call than is necessarily apparent from the Little Lady Fauntleroy documentary. The family pathology is screamingly, in-yer-face apparent onscreen, but perhaps less evident in a one-to-one setting - particularly where one party is articulate and sly (and perhaps parentally schooled) enough to dissemble and selectively emphasise in order to bypass the 'gatekeeper'. Also, despite defining new extremes of familial enmeshment/boundary-blurring, Lauren (and, for that matter, the rest of her family) doesn't present obvious psychiatric illness (as opposed to personality/maturational fucked-upness).
I like to think that the oddities in her 'transsexual narrative' (late onset of cross-dressing; relatively minor distaste for male genitalia; comparitive absence of pronounced childhood drive to be female; near-incidental/opportunistic reasons for seeking referral) and family/social/employment history would've tickled my pspidey-senses - but I cannot, hand on heart, guarantee that these couldn't be sufficiently well-faked or glossed over to allay my suspicions. I think I'd have been cautious, would've wanted at least one work reference (which, presumably, would've been provided by her parents in their 'other names'), and would've recommended a third opinion (because, in order to progress to endocrine and/or surgical treatment, she really ought to have had a minimum of two psychiatric opinions) but I'm not sure I'd have point-blank disallowed oestrogens.
Bottom line is, with the best will in the world, it's impossible to provide a completely impermeable screen for individuals with the will and resources to falsify their background. There's only so much one can check... |