British Psychological Society 5

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DISSENTING VOICES. 

https://thepsychologist.bps.org.uk/volume-33/october-2020/freedom-expression-around-diversity-guidelines

A letter in response to the guidelines. Reproduced, in full, below.

Freedom of expression around diversity guidelines

Numerous psychologists call for review of the BPS Guidelines for Psychologists Working with Gender, Sexuality and Relationship Diversity; plus response.

Following the response to J.K. Rowling’s essay ‘Reasons for Speaking Out on Sex and Gender Issues’ and the 18 June Newsnight report of safeguarding concerns at the NHS Gender Identity Development Service, we call for an immediate review of the recent BPS Guidelines for Psychologists Working with Gender, Sexuality and Relationship Diversity (BPS, 2019).

These guidelines state that a ‘gender-affirmative’ stance should be the default position adopted by psychologists. We are concerned that the instruction to ‘integrat[e] an affirmative stance into their model of practice’ restricts the use of many core models (systemic, trauma-informed, developmental) in formulating the factors resulting in the clients’ presentation. This places limitations on researchers and practitioners exploring the wider context of ‘gender’ and seeking to establish ‘best-evidence’ for the support of individuals with gender dysphoria.

For those unfamiliar with the guidance or discussion in this field, ‘gender affirming’ practice calls for psychologists to work on the basis that an individual’s belief in self-ascribed gender is ‘valid and legitimate’. We hope all psychologists value and respect the varied understandings that people hold of the world around them and of their personal experience. We suggest it is possible to value and respect a client’s experience, without taking a position of affirmation. Indeed we often do this within our work with various client groups. The BPS guidance stipulates that practitioners validate a belief in gender (both in general and in particular to the individual’s sense of self) without considering the evidence base in relation to the practice of belief validation.

Individuals who are questioning their identity with respect to their sex and gender clearly report significant levels of psychological distress. The long-term implications for this population resulting from the provision or denial of access to treatment are substantial. We recognise that appropriate, evidence-based guidelines are imperative to support the skilled psychological practice which our profession seeks to uphold. However, such guidelines can only be effective when these are the result of comprehensive research, conducted in an environment that supports free and independent enquiry.

In particular, we think it is imperative that psychologists are not prevented from using our core professional skill of formulation, exploring the origins and nature of distress rather than ascribing to one pre-determined ‘diagnosis’ or explanation. With other presentations we are in agreement that there are multiple contributory factors to psychological distress. It is only from this exploration that we can develop individualised formulations to guide our attempts to alleviate that distress. We think the current guidelines effectively prohibit psychologists from taking a questioning approach and applying ethical practice in these situations. The absence of a robust evidence base supporting psychological and medical intervention is a concern in this rapidly growing population, leaving significant gaps in our understanding of many relevant issues. The disproportionate increase in presentations of females to services, the phenomenon of so-called Rapid-Onset Gender Dysphoria, the voices of individuals who have desisted or detransitioned, and the experiences of those for whom existing treatments have been of value must all be addressed in the search for quality research informing best-evidence practice. Such research can only be conducted in an environment that is open to discussion in a respectful and professionally inquisitive manner.

We would like to see the current guidance withdrawn and the topic reviewed afresh in accordance with the rules of proper intellectual inquiry: the weighing up of evidence; the ethical considerations of psychological practice; and the avoidance at all times of ad hominem forms of argument. Some of the signatories below, with others, have submitted a formal request for the withdrawal of the guidance to the Society. We hope that readers will support our expectation that the freedom of expression of all psychologists will be defended, unambiguously and at all times, in relation to both research and practice.

SIGNATORIES.  (Some names are witheld)

Dr Katie Alcock (Senior Lecturer in Psychology)

Rachel Corry (Occupational Psychologist)

Ms Nina Gadsdon (Psychology Masters Student)

Dr Louise Fernandes (Clinical Psychologist)

Ms Pat Harvey (Guinan) (Former Chair of the Division of Clinical Psychology)

Dr Peter Harvey (Former Chair of the Division of Clinical Psychology)

Mr Ian Hancock (Retired Consultant Clinical Psychologist, Director of Psychological Services, NHS Dumfries and Galloway).

Dr John Higgon (Consultant Clinical Neuropsychologist)

Dr Anna Hutchinson (Clinical Psychologist)

Dr Gill I’Anson (Consultant Clinical Psychologist)

Mr Eric Karas (Retired Consultant Clinical Psychologist)

Dr Jeanie McIntee (Consultant Clinical & Forensic Psychologist & Psychotherapist)

Dr David Pilgrim (Former Chair of the History and Philosophy Section) 

Julia Richards (Educational Psychologist)

Cas Schneider (Consultant Chartered Clinical Psychologist)

Karen Scott (Retired Educational Psychologist)

Dr Sarah Verity (Chartered Clinical Psychologist) 

Dr Robert Watts (Clinical Psychologist) 

Anne Woodhouse (Clinical Psychologist)

Colleagues who felt they needed to remain anonymous:

Consultant Clinical Psychologist NE England

Clinical Psychologist NE England

Consultant Forensic Psychologist S England

Clinical Psychologist NW England

BPS RESPONSE TO THE LETTER

Society response: We acknowledge that the BPS is a broad church, and there will always be differing views among our members on some issues. We are confident that our guidelines are based on the best current evidence and research in this important area, having been developed by experts working in the field. Clearly we share your concern about the safeguarding of children and young people, but our guidance is specifically for the care and treatment of adults, not children.

The draft guidance was sent out for Society-wide consultation on 19 March 2019. It was also sent to the Royal College of Psychiatrists, APA, BACP, BABCP, UKCP, Stonewall, LGBT foundation and COSRT for comment. At the close of the consultation on 12 April 2019 34 responses had been received. Just one of these responses mentions the issue of dissenting voices that is raised in your letter. This respondent also stated that the document was ‘well intentioned and positive’.

All our guidance is periodically reviewed. This particular guidance is the second version, having been revised in 2019. If there is a change in practice or evidence, then the need to revise the guidance would be established. In this instance, we will review the guidance if there are implications for the care and treatment of adults following the outcomes of:

  • the judicial review regarding the use of hormone blockers in child services on grounds of capacity to consent
  • NHS’s Independent review of puberty suppressants and cross sex hormones
  • NICE review of the latest clinical evidence.

As a Society we are committed to our members having a view and welcome different perspectives. As such any revised guidance will be sent out for Society-wide consultation and we would welcome your input into the revised consultation process.View the complete article as a PDF document
(Please note that some pictures may have been removed for copyright reasons)

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Investigating the march of Gender Identity Ideology. The impact on Women’s rights and the cost paid by our Gay offspring & children on the Autistic spectrum.

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British Psychological Society 4

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This is part 4 of a series on the British Psychological Society. This blog will examine the BPS treatment guidelines, from 2019. The 2012 version is covered in part three. The changes between the two versions are indicative of the level of mission creep. Unless otherwise indicated, all quotations are taken from this document. 👇

Guidelines for psychologists working with gender, sexuality and relationship diversity

Part One

In Part One I looked at the background to a Memorandum of Understanding (MOU) that commits a number of organisations to reject Conversion Therapy

Part Two

In Part Two I looked at the BPS position statement, on therapy pertaining to sexual orientation, and examined the profiles of the authors. 

Part Three

Part Three looks in detail at the recommended treatment guidelines and illustrates how far they stray from the impression given by the position statement.

Part 4 : The 2019 guidelines. 

The authors/contributors.

The same names are involved, as were acknowledged in the 2012 version.  You can find out more about some of these names in earlier parts of this series.  Stonewall UK are also thanked for their help. 

What changed in the new Guidelines?

Gone are the warnings that caution is required before  any irreversible medical treatments Ditto  concern about the impact of Schizophrenia, or Aspergers, on Gender Identity Issues.  The fact that most children/teens, with Gender Identity issues, will, turn out to be mainly Gay males and Lesbians has also disappeared.  Why? What has changed?

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What has survived are the ideas around Sexual Identities / sexual practices. 

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Here we see that the guidelines encompass gender, sexuality and those with diverse relationships.  The phrase “assigned at birth is used, an ideological formulation to suggest it is not obvious in 99.9% of cases. Also “Cisgender”; another, contested, term claiming anyone comfortable with their biological sex  is in fact content with their “gender”.  As many of us point out, ad nauseum, accepting your biological sex does not mean you are comfortable with “gender” !  Especially since any definition of “gender” seems to be the based entirely on reductive sex stereotypes. 

Moving on, here is a full list of what the BPS includes under “diverse relationship/sexual practices”.  A veritable, word salad of queer theory inspired, nonsense. 

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The practice of BDSM is culturally specific and hardly a biologically determined part of sexuality. The claim this is all part of “human diversity” strongly implies all these “identities”  have been with us since the dawn of time.  A categorical falsehood which only survives by a historical revisionism,  deployed by Trans Activists, which shames Stalin. Anybody who confirms that women,and men, have always rejected the constraints of expected gender roles is simply retrospectively transed.

4CF1501B-31EE-400C-8017-EC7790C991CBMembes are instructed on use of  ⇒ ⇒⇒      preferred pronouns and warned not to stigmatise diverse sexual practices.    Polite pronoun use is one thing, however, the use of “expect”  and  “correct” smacks of compelled speech and underlines how authoritarian this movement is.   

 The dismissal of emotional problems and suicide attempts from this client group also seems dangerously lacking in curiosity, or research, into post-transition suicidality.  ⇓

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Minority stress is undoubtedly an issue for Gay and Transsexual/Transgender clientele. I think it is over-stating the case to dismiss all of these co-morbidities as arising from lack of social acceptance. Some victims of sexual abuse locate their involvment, in BDSM, as a response to these experiences or even how the abuse manifested itself. Some women talk of their involvment in sadomasochistic practices as arising from/causing negative impacts on their mental health and self-esteem. Some transsexuals refer to the mental stress of “imposter syndrome” and the relief garnered from naming, and accepting, their biological sex.  The thinking underpinning these guidelines  seems to prioritise an ideology rather than centre the client’s well-being.  Sweeping all of these identities, sexual practices and relationship types into the prohibition of “conversion therapy”  may deny therapeutic help to vulnerable groups. Not analysing underlying /subconcious motivations seems reckless.  Yet, the BPS do exactly that: ⇓  

Who is covered by the prohibition of Conversion Therapy? 

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Autogynephilia & Fetishistic Tranvestism

It is also significant that all reference to fetishistic transvestism has disappeared from this edition of the guidelines. Another notable, I would also argue tactical, omission is the phenomenon of Autogynephilia (AGP). This is a paraphilia and affects heterosexual men. The clinical description is that they have an “erotic target location error” and are aroused by the idea of themselves “as a woman”. An AGP male can derive satisfaction, sometimes overtly sexual, from invading female spaces. Is it any wonder that activists do not wish to draw attention to this type of transsexualism/transgender identity?

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Here there is a brief mention of the mental health conditions which may play a role in a particular “identity”.  This document is very keen to badge these as “extremely rare”.  

Notice the shaming tactic of inferring any dissent is  akin to racism.

The omission of the paragraph below, from the 2012 guidelines, is more transgender washing. Most people have no idea about autogynephilia, yet it is paraphilia documented for decades. It is also a condition for which men have sought treatment, rather than “transiton” . This begs the question of where they get this help when therapists simply affirm a trans identity.. This is also a tactical omission because acknowledging men adopting women’s clothing/identity, for erotic purposes, isn’t good public relations . Telling the general public, men with a sexual a paraphilia can safely be given to access women’s spaces won’t be appearing on David Lammy’s campaign literature any time soon. (Lammy is the UK, MP responsible for the passage of the Gender Recognition Act)

Too many policy makers are treating any male with a Cross-Sex Identity as if it magically transforms them, literally, into their chosen “identity”. This matters because we treat men, as a class, a certain way becauuse of the the statistical sexual offending rate against women.. There is no evidence this, changes “post transition” whatever that means no we are told it is transphobiv to expect a penectomy has been performed. In fact it sex offenders may, in fact, by higher judging my the males in the UK prison population. Moreover our politicians would know this if they had bothered to undertake any impact assessments. Instead they have shown a feckless disregard for women’s rights.

Social Engineering. 

Gender Identity  Ideology has gained such traction by the take over of bodies responsible for making policy and laws.  Here the BPS calls for its members to become active in policy making and their  community to  “effect change” . The wholesale social engineering  necessary to make organistations afraid to use the word “woman” dopt a whole new (dehumanising) language to describe us is not happenstance.  Its indicative of   institutional capture.  

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For emphasis I am including this next paragraph, even thought it is somewhat repeat some earlier points. Here the mandated belief is that sexual attraction operates based on “gender identity”. The wording is, I would argue, deliberately obfuscatory so it is not readily apparent that the BPS are actually de-coupling sexual orientation from sex. We have already been told that a male-sexed, and male-presenting person, can be a lesbian. Shouldn’t a therapist be able to explore what has given rise to this belief, because it is patently delusional. Is it ethicaly to endorse the boundary breaching this entails for the old fashioned kind of Lesbian. AKA WOMEN!

Below it is made explicit that no assumptions should be made about any medical interventions required, or undertaken. Once again, for emphasis, this is why more and more Lesbians and Gay males are starting to sound the alarm for what this means for their exclusive same sex orientation. This ideology parrots the idea that being “exclusive” in your, same sex, dating practices is “transphobic”. Does the BPS agree with this? What does this say about the legally protected characterisic of sexual orientation?

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If you have not yet acquainted yourself with the idea of “Lady Penis” then now is the time because it is being taught in primary schools. See my blog below.

That is right. Your children are being taught that some girls have a penis.

This paragraph is also worth reproducing to the maximum size possible. Basically if an obvious man, who belongs to the male sex, tells you that he is, nevertheless, a lesbian it is your duty to accept this. Then again he may wish you to call him “slut” . This immediately makes me wish I knew the relative price comparison for a session with a psychologist versus say, a dominatrix.

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Yep.  I went there.  Being call “slut” by a dominatrix is big in “femdom” and sissy porn.  Website below takes you to a content warning that it is only suitable for over 18’s.  You can get the drift from the promotional blurb. 

https://miss-kimberley.co.uk/

Here is a review: {I had better not be involved in a crime BTW as my search history….}

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Ths next paragraph I believe is referred to as a bait and switch. There is growing evidence of the abuse, of female partners, by trans-identified males with Autogynephilia. However this document emphasises that a transitioning partner should not feel inhibited in complaining about an accepting partner. I imagine this excerpt will draw a rueful grimace from transwidows. This excerpt also inverts the power dynamics in a relationship where only one is non-monogamous or practices BDSM. These two “identities”, it is implied, will be the marginalised/oppressed. Thus, in one fell swoop, the woman with a partner who has sex outside the relationship, or pays to visit a Mistress Kimberley, will be deemed at the losing end of a power differential with his partner. This is gaslighting in a gimp mask.

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Finally. In the previous version of the guidelines much more time was given to the potential implications of irreversible medical interventions on children/teens. In this version we are simply told that “reproductive optiions…may be more complex”.

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I have lost count of the times I have been flat out contradicted for saying we are sterilising kids when we put children on puberty blockers. We are. When you put children, as young as 10, on puberty blockers they invariably progress to cross sex hormones. They will be infertile. We are doing this in the UK.

Finally in my next blog I will make it clear there is opposition/concern within the ranks of BPS members. 

Next up: THE 2019 guidance and some dissenting voices from within the BPS membership. 

If you are able to support my work please do so. I am unwaged and all my content is open.

Investigating the march of Gender Identity Ideology. The impact on Women’s rights and the cost paid by our Gay offspring & children on the Autistic spectrum.

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British Psychological Society 3

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This is part 3 of a series on the British Psychological Society. This blog will examine the BPS treatment guidelines, referenced in the BPS position statement, covered in Part Two. Unless otherwise indicated, all quotations are taken from this document. 👇

Guidelines and Literature Review for Psychologists Working Therapeutically with Sexual and Gender Minority Clients (2012)

Part One

In Part One I looked at the background to a Memorandum of Understanding (MOU) that commits a number of organisations to reject Conversion Therapy. The concern I have is the MOU to oppose “conversion therapy” includes both Sexual Orientation and Gender Identity. An unintended consequence is gay males and lesbians may be placed on an unnecessary medicalised pathway to “transition”. Ironically this is actually a form of Gay Conversion. Therapists should be able to prioritise reconciliation to biological sex/sexuality as the ideal outcome. Same sex orientation doesn’t involve lifetime dependence on cross-sex hormones/surgery. This MOU effectively bans therapists / parents from affirming biological sex and sexuality.

In Part Two I looked at the BPS position statement, on therapy pertaining to sexual orientation, and examined the profiles of the authors. The BPS statement mentions “gender identity” only in passing, yet the full guidelines centre Gender Identity issues as much as sexual orientation. This has all the hall marks of yet more “stealth” activism.

Part Two

Part Three looks in detail at the recommended treatment guidelines and illustrates how far they stray from the impression given by the position statement. Even the title deviates from a focus on Sexual Orientation: “Psychologists working therapautically with Sexual and Gender Minority Clients”.

Unsuprisingly some prominent people from the UK main Gender Identity Clinic / Trans Activists  were involved.

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Christina  Richards is employed at the Gender Identity Clinic (GIDs)  sometimes, informally, referred to as the Tavistock. You can read about Christina here.  Richards has a very high profile in the field of Gender Identity and especially in organisations which promote an “affirmation only” approach to Gender Dysphoria. :https://christinarichardspsychologist.wordpress.com/

Christina may also be remembered for defending a job advert which sought to recruit more people to work at GIDs and included this memorable part of the selection criteria: 

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Polly Carmichael is the director of the Gender Identity Service (GIDs) as I write.  Penny Lenihan is also a psychotherapist based  at GIDs.   Meg Barker (now Meg-John) is an activist who campaigns on Bisexual issues and was the author of a bat-shit crazy document for the BACP (British Association of Counsellors and Psychotherapists). She campaigns for the  recognition of those practicing  BDSM/Kink /polyamorous relationships.   Meg also thinks Bi-sexuals are stigmatised by the assumption that they are involved in diverse sexual practices.  She/He/They/Zie (who the hell knows/cares?)  states that the “bi” in “bisexual” is problematic as it suggests there are only two genders.  Of course, sexual orientation is described, as same gender attraction which, as we now know, is not synonymous with biological sex. This has the effect of undermining  Same-Sexual Orientation.   (See later definition of “lesbian”)

Note also contributor Christine Burns, a prominent Trans Activist and editor of a collection of essays,  in the book “Trans Britain”.  Also Stephen Whittle, who obtained law qualifications,  to better advocate for trans rights.  These two names crop up numerous times, both are “trans”

Sexual Identities. 

Here is a flavour of what the authors mean by “sexual identities”. It is not, as you may have expected, a reference to different sexual orientations. It includes sexual practices such as sado-masochism, transvestism as well as the more benign sounding asexuality.

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The BPS document is very clear it includes “Fetishistic Transvestism” as shown by the quote below. Bear in mind that transvestites, now referred to as part-time cross-dressers, are officially under the Trans Umbrella, according to Stonewall UK. I wonder if this definition will appear in the 2019 version of this document? The protection of “sexual minorities” is now extended to people with a paraphilia, and by people I mean men. Remember this when you tweet out vacous statements about supporting people to “live as their authentic self”. I am pretty sure most people don’t realise this is what we are being asked to sign up to…. Did the MOU signatories?

Here we are reassured that not all of the cross dressing men, now officially transgender, are fetishistic. Once again women cry: “How do we know which one’s?”. Remember single sex spaces are not because all men are predators but because a minority are. The same applies to men. who identify as transgender. How do we know which part of the umbrella they come under? Too many policy makers are treating any male with a Cross-Sex Identity as identifying as if this magically transforms the statistical sexual offending profile to literally equate to that of natal (for emphasis only) women. There is no evidence of this, quite the contrary.

BDSM (Bondage, Discipline, Sadism & Masochism)

Another aspect of Gender Identity Ideology is the integral notion of power relations between “genders”.  The notions of dominance and submission are necessary for sexual power games. The only subversion here is sometimes the sexes get to “play” different roles.  The hierarchy remains intact but, gender identity ideologues argue, this somehow undermines “gendered expectations” and liberates us all!   BDSM normalises the notion of pain, submission and servitude.   To get an idea of just how liberating this has been, for women, find me a man who has died at the hands of a woman who then used then used the “rough sex” defence to avoid prison. Doesn’t happen.   

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To get a further idea of just how regressive this is let me quote an excerpt from a Master’s thesis. It was written by a man who documented how BDSM helped cement his identity as a transwoman. He had an unpleasant, sexual, encounter where his safe words were disregarded by the other participant. This is what he took away from that encounter:

“Sex Work”. 

Naturally Queer Theory proponents avoid the unpleasant truth about prostituted women. Despite the fact clients are practically always men and the percentage of male prostitutes, also servicing men, are dwarfed in comparision to the females. The clinicians are warned about pathologising issues such as sex addction and pornography use.

In an outbreak of honesty they do, briefly, acknowledge there is a body of work (See Gail Dines) on the objectification of women in pornography.

The centrality of pro-prositution arguments within Trans-Activist ideology is indicated by the two slurs used against women, who question this belief system. These are Swerf and Terf, acronyms for Sex Worker/Trans Excusionary Radical Feminists. Some radical feminists are ex prostituted women who remain deeply concerned for the women who remain in prostitution. Others are opponents of the sale of women’s bodies and care deeply about the women labelled “sex workers”. Here the BPS pay lip service to the women who need an “exit strategy” . (What work requires an exit strategy?) but shamefully tries a “bad on both sides” argument re the perpetrators of violence. Even worse it suggests the “sex workers” need a route to empowerment and to learn to be assertive. Shame on everyone who agreed with this paragraph.

The centrality of pro-prostitution narratives is striking in prominent Trans activists and Celebrities. Janet Mock saw prostitution as a good way to validate their “womanhood”. Mock even compared prostitution to the underground railway that enabled Black people to escape the South and Slavery. Seeking male validation of your womanhood, via prostitution, runs counter to feminist campaigns to reject our commodification/ objectification. Yet another example where the “feminist” agenda of ,self-described, Transwomen, actually undermines women’s position in society. It is almost as if the interests of the new kind of women are perfectly in tune with men’s rights and diametrcally opposed to the interests of women.

I have seen many sad stories about gay males entering prostitution to fund their flight from their sex and sexuality.  I have not seen any voices expressing concern about the rate of prostituted males killed in countries like Brazil.  We see lots of concern about the deaths of transwomen but very little acknowledgment that their deaths are related to the prostitution industry which has a a high rate of violence and death.  Not so much empowering but devouring this demographic.   Clients are overwhelmingly men despite the attempt to pretend there is a high demand from women.  I think the Chicks with Dicks phenomenon is likely near as dammit 100% male. 

I include this quote just to note that the theme of Lesbians changing their orientation is recurrent. 

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Cultural appropriation: Lesbians

Here the BPS gives the word “lesbian” to males, who present as male, but describe themselves as “lesbian”. To all those people denying this is actually happening. Here is yet more confirmation.

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The BPS also endorse the idea that sexuality is fluid.  While there are complex debates around whether sexuality is innate and unchanging one of the key victories in Gay Rights movement was that their sexuality was fixed and therefore Conversion Therapy should not be attempted, and moreover, it won’t work.  However this doesn’t chime with the idea that a Lesbian can express their sexuality with a male-bodied “lesbian”.  Is this why the idea of a fluid sexuality has gained ground in advocates of Queer Theory?  

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Gender Performance. 

Here the BPS explains that an absence of socialisation related to your preferred gender may mean that trans people have difficulty with their “gender performance”. That may explain the lingering male socialisation that generates so many woman-identified people threatening women with their male genitalia. Very interesting use of the word “performance” here. Performative femininity is something feminists have sought to resist and reject illustrating, once again, that it runs counter to women’s liberation for our sex to be reduced to simply an “identity”.

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I would love to see some research about the long term mental health impact of pretending to be something you are not. The Imposter Syndrome must be debilitating and I cannot imagine it is psychologically healthy.

Therapy or Social Engineering?

Another interesting observation below. Yes! There are people who are fine with all sorts of personal self-expression and not conforming to expected sex stereotypes should be supported. The next sentence is fascinating. Ideologues insist that young people should be encouraged in this, regardless of personal cost, because it aids the “deconstitution of the gender binary”. That doesn’t read like a careful, therapeutic approach to clients with “Gender Dysphoria”. It reads as an appeal to harness them as activists for a wider project of social engineering. Is that even ethical?

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Medical Interventions for Gender Confusion.

The quote below contains an important acknowledgment of research which highlights that the majority of “gender atypical” youth will be young gay males/lesbians. It also stresses the it is “imperative irreversible medical decisions should not be made“. This document is therefore not reflective of a purely affirmative model and thus gives contradictory messages. It is also interesting this comment survived the edit , though the BPS go on to advocate stopping puberty and early surgery. How clinicians were supposed to navigate these mixed messages is a mystery to me.

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The document also raises some concerns which are echoed by those of us concerned about the impact of Gender Identity ideology on gay males and Lesbians. Here Clinicians are warned about the cultural context surrounding sex stereotypes. They raise the issue of father’s who may be concerned that they have a “sissy” for a son, we could call this homophobia. Again they also highlight that the majority of pre-pubertal children desist and later identify as gay or bisexual. I will be very surprised if this survives the BPS guidelines for 2019.

Furthermore it goes on to acknowledge the treatment for Gender Identity Disorder (previous name for Gender Dysphoria) is “experimental”. Note that by 2011 GIDS had already begun blocking puberty for children as young as 10. A decade later they still have not published the research outcomes from that “Study” ,despite being obliged to do so. I use inverted commas here because I am not the only one who feels this “study” was a pretext for embarking on the early medicalisation of gender confused kids/teens. We are starting to see some of the fall-out from this approach in the emerging phenomena of de-transitioners.

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Another series of startling admissions echo the experience of parents dealing with our Gender Dysphoric kids/teens. Clinicians are warned that an obsession with changing sex may arise due to schizophrenia or Asperger’s syndrome. They also warn about the role of the internet in fostering a trans-identity. Furthermoe they caution people of the consquences of advising people who you do not really “know”. Anyone who has visited the Trans related subreddits will see that this sort of “coaching” is a regular feature of that forum.

Even more worrying is the growth of on-line Gender Identity services who are facilitating the dispensing of hormone treatment. These  operate on the “informed Consent” model which basically hands the treatment decisions to their “clients”. Basically these practioners discourage any gatekeeping (caution) and  agree that a “Trans” person knows their gender identity best. It is therefore the role of the clinician to “affirm” not “question ” a client’s Gender dentity. The caution expressed below seems to have all but disappeared in modern practice.

Below they highlight that trans individuals may “embellish or limit personal history information in order to obtain desired treatments”.  Parents are well aware that our offspring re-invent the past and, in my opinion, this is one reason why we are demonised and sidelined.  When our offspring claim to have always felt like the opposite sex we are the people who can offer a counter-narrative based on facts. 

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Here they present a list of the surgeries that may be on the list to enable people to “live as their authentic self”.

Next up: THE 2019 guidance and some dissenting voices from within the BPS membership. 

If you are able to support my work please do so. I am unwaged and all my content is open.

Investigating the march of Gender Identity Ideology. The impact on Women’s rights and the cost paid by our Gay offspring & children on the Autistic spectrum.

5.00 £

British Psychological Society 2

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For the purposes of this blog I am interested in how the British Psychological Society (BPS) came to draft the Memorandum Of Understanding (MOU) outlawing the practice of Conversion Therapy. I have revisited their pronouncements from 2012 to trace what led up to the BPS stance. First I looked at the summary document which doesn’t give much away. You can read this here: 👇

BPS Positions Statement on Therapies Attempting to Change Sexual Orientation (2013)

This document is dated  December 2012 and it’s title is reassuring.  Clear statement that the BPS is concerned with Sexual Orientation. No conflation of sexual orientation with Gender Identity. 

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Indeed the short document is focussed almost entirely on opposing conversion (sometimes referred to, sinisterly, as “reparative”) therapies relating to sexual orientation. Only this one sentence references “Gender Identities”. 

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If I had read only this position statement I would have assumed the BPS were still talking about Gay Conversion Therapy. If I was a stealth advocate of Gender Identity Ideology the above quote provides enough “plausible deniability” against accusations of duplicity. The authors can argue they referenced gender/identities in the summary document. Anyone not versed in Trans rhetoric, (who was in 2012?) would not have picked up the reference to “gender” and “identities” or the wider implications. I wonder how many BPS members read the full document to which they refer?

The authors allude to a 100 page guidance which sets out, in detail, the expected treatment guidelines that Therapists are expected to follow. If you didn’t go on to read this document you would be unaware of what you were actually signing up to…

I will cover the above document, in detail, in my next blog. First I want to have a look at the people, publicly, involved in producing the BPS position statement. If I have learned anything, from my deep dives into Transgender Ideology, it is that the same names recur. It is chilling because a tiny minority of activists have managed an astonishing level of cognitive and legal/policy capture.

Here are the named contributors to the BPS position statement.

Dr Lyndsey Moon (Chair)

Here is a profile of Dr Moon which makes it clear their interest in Queer Theory pre-dates this position statement by many years. https://www.beeleaf.com/beeleaf-team/igi-lyndsey-moon/

Here Dr Lydsey is referenced in relation to a meeting with the Government Equality Office, in July 2019. Note their attendance was by invitation of the GEO.

Below is the website which details the meeting with the GEO and also introduces another group : Psychotherapists and Counsellors for Social Responsibility (PCSR). Well worth reading this because they report that they felt “heard” and clearly have on-going contact with senior figures within the Government Equality Office.

https://www.pcsr.org.uk/resources/13

The link above also provides full details of the LGBT Advisory Panel to the GEO. Note the name of Dr Michael Brady LGBT advisor. The panel of LGBT advisors which includes Ruth Hunt (then CEO of Stonewall), Paul Dillane of the Kaleidescope Trust and Paul Martin of Consortium. This LGBT panel was expanded in membership later and included James Morton of Scottish Trans Alliance. The LGBT Advisory panel, to the GEO, is also crying out for a full analysis of it’s compositon and its activities.

By August 2020 Dr Moon appears to have a multiple identity as Dr Igi/Lyndsey Moon. Here she/he/they (who knows?) speaks fluent Gender Identity speak encompassing the gender fluid, the non-binary and their right to equal treatment (fair enough). The group also campaign for these identited to be protected from “conversion” therapy. Most people are aware of the shameful history of Conversion attempts of homosexuals. The literature on conversion attempts of the “Gender Fluid” and “non-binary” community is something with which I am much less familiar.

Dr Moon is also now the chair of this organisation to campaign against conversion therapy:

Dr H. Eli Joubert

Dr Joubert is another author who works in the field of Gender Dysphoria/Transsexualism.  He provides diagnostic services to enable access to HRT (cross sex hormones) and surgeries. He also provides documentation to support applications for a Gender Recognition Certificate.  He has also worked with Transgender prisoners. He is deeply entrenched in the Gender Medico-Industrial Complex. 

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Dr Claudio Pestano 

Dr Pestano works in the field of Gender Dysphoria though his main focus seems to be  Aspergers/Autism. 4A3B294D-1CF1-49ED-891B-A497D9FA6613

Estimates of the percentage of referrals to Gender Identity Clinics, with a diagnosis of Autism are up to 30%.  Females with autism are less likely to have a diagnosis so the prevalence of diagnosed females, in Gender Identity Referrals, should raise alarm bells.   Dr Postano may very well be aware of this and his therapy may be perfectly appropriate.  I would, however, like to see more experts on autism raising some concern about why so many autistic kids are identifying as “transgender”. 

Dr Joanna Semlyen

You can watch Dr Joanna Semlyen and Dr Moon speaking to parliament on LBGT mental health in May 2019.  In it you will find references to Bridging hormones which is the practice of providing cross-sex hormones to those on the waiting list for Gender Identity Clinics.  Lots of references to hetero-normative, different identities, non-binary, gender fluid etc.  Dr Semlyen makes a plea for the inclusion of gender identity and sexual orientation in databases to make LGBTQ+ people feel confident in  their acceptance.  It’s not clear if Dr Semlyen advocates for sex to be replaced with “gender identity” but we now know this is already happening. The other panel member says acceptance is not enough.  People with different identities should not be simply accepted they should be celebrated.  One of the contributors is quoted saying the following: LGBTQ identities should be very highly valued, not just equal, not just part of the mainstream, but much more valued”.  It’s almost as if they have no concerns that they may be fuelling a backlash against the communities they purport to serve. 

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You can watch this session below and read the full transcript of the evidence. All via Hansard. 

Oral Evidence

Or read the transcript Oral evidence – Health and social care and LGBT communities – 15 May 2019

Notice that Sarah Champion makes every effort to make sure the topic of trans suicides comes up.  Suicide Ideation / attempts crops up frequently in this “debate” using statistics which have been debunked many times. I mention this because Sarah Champion has been challenged , my myself and others, due to  her use of suicide statistics which inflate the risk to transgender teens.  I wish politicians would do some due diligence and pay attention to Samaritan’s guidance on responsible coverage of suicide risk.  I cover this here: Suicide in the Trans Community

Gay/Gender Identity:  Conversion Therapy  

Most people will, instinctively, wish to see Gay Conversion Therapy banned. Lobby groups know this so they are using stealth tactics to bolt on “Gender Identity ” to a popular cause. As I have argued, consistently, this legitimises the new Woke Gay Conversion Therapy. Activists argue that failing to adhere to sex stereotypes may mean you are born in the wrong body. Non-adherence to sex stereotypes is common, especially in Gay males and Lesbians. One from the rise outcome of Gender Identity Ideology is Lesbians and Gay males are, once again, hearing “born wrong” narratives dressed up in a rainbow costume.

This forced teaming, of the T ,with the LGB, has proved a disaster for homosexuals. in so many ways. Gender Identity Ideology threatens to undo the many victories of Gay Right’s activists In The Denton’s Document, Lobbyists for Gender Identity legislation are encouraged to latch onto popular legislation to sneak in further entrenchment of Gender Identity Ideology. Gay Conversion Therapy bans, which include “gender identity“, are no exception. I will link my piece on the Denton’s document here, Everybody should read it, 👇

That Denton’s Document

In this blog I am simply looking at the BPS position statement. I will follow this up with the a look at detailed guidance to which we are signposted. It is over 100 pages long in this edition and this article gives you a good idea of the kind of content you can look forward to from the BPS……

https://quillette.com/2020/10/31/i-signed-up-to-study-sexual-health-what-i-got-was-gender-ideology-fetishism-and-porn/

To avoid transmission of the POMO virus please wear a Mask?

British Psychological Society 1

Featured

For the purposes of this blog I am interested in how the British Psychological Society (BPS) came to draft this Memorandum Of Understanding (MOU) outlawing the practice of Conversion Therapy. I imagine most people will, instinctively, see this as an unmitigated good but beware. As I have written in my blog below stealth tactics are in play. This is not just about Gay Conversion Therapy. it also includes “Gender Identity” which makes it a very different proposition. This is a tactic. See my post on The Activist’s play book below:

That Denton’s Document

Activists are encouraged to latch onto popular legislation to sneak in further entrenchment of Gender Identity Ideology. Gay Conversion Therapy bans, which include “gender identity“, are no exception.

Here I am simply looking at the MOU but I will follow up with blog on the BPS guidelines, referenced in this document. 👇

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First up a definition  👇 as provided, in the MOU, which you can read below

For regular readers you will know my concern is “affirming” a Gender Identity, at odds with your biological sex, may very well be a form of Gay Conversion Therapy. I cover this below.

The Woke Gay Conversion Therapy?

The BPS sets out its stance in this document. Sexual orientation is defined such that anyone whose “Gender Identity” is at odds with their biological sex is not excluded from the target of their sexual orientation. It paves the way for male lesbians and female gay men. It also includes asexual as a sexual orientation which is starting to become more prevalent in communications from the likes of Stonewall U.K. (For overseas readers Stonewall is a UK organisation which, historically, fought for Gay rights). The BPS also have signed up to the belief that sex isn’t binary despite the fact that we are a sexually dimorphic species. Sigh!

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Next, clip below,  BPS members are told they   are not allowed to favour any Gender Identity over another.  The language is obfuscatory.  The BPS doesn’t support therapeutic approaches to reconcile  a child /youth to a Gender Identity that aligns with their biological sex.The BPS effectively supports only a Gender Identity at odds with biological sex.  How else will they disrupt the Gender Binary and queer social norms?  Queering society turns out to have meant straightening the Gays. Who knew?

It is my, unashamed, preference that my son reconciles to his sex and sexuality. In an ideal world our offspring will live a full life, in their sexed body, with whichever sex forms the basis of their attraction. This means they won’t depend on cross sex hormones, for the rest of their life, or face unnecessary surgical procedures.  This is the ideal outcoe and this should not be a controversial statement.  What other area would parents be called bigots for wanting their offspring to reconcile to a healthy body as a first line of “treatment”?   Or to be comfortable with their same sex orientation?  We are living in the upside down. 

Notice the quote, below, also includes the sentence includes both “Gender identity” and “Gender Expression”.  I have yet to see a satisfactory, definition that explains why these terms are deemed to describe distinct phenomenon. 

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The MOU does state that it is permissible to access therapy to reconcile conflict about your sexuality, or gender. The question is how is this possible if therapists are too afraid to explore it?  This doesn’t square with the idea it is harmful to seek the path of least medicalisation. Being gay doesn’t set you on a lifelong dependence on #BigPharma it also doesn’t mean you are born wrong, and definitely not in the wrong body. The exemptions the BPS do emphatise, below,   are in respect of  exploratory work to enable “trans” patients to access hormones or other medical treatments.  Why no similiar exemption for patients who may be having trouble accepting their homosexuality?

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Next up I will look at the guidelines quoted below.  I have had a sneak preview of the latest ones and an earlier guide  from 2012.  In 2012 the summary guidance is scant on details. However both the 2012 guidance and the 2017 (updated 2019) are clearly driven by  the involvement of prominent Trans Activists / proponents of Queer Theory.  It appears to have taken less than a decade for the BPS to go full Gender Identity ideology compliant.   The details of the guidance will be on my next blog which lists the many familiar names who have corrupted the BPS. 

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Here are a list of the signatories. I will just pick out a few.  Jay Stewart, from Gendered Intelligence jumped out: A keen proponents of Queer Theory /Gender Identity Ideology.  Gendered Intelligence are infamous for producing a guide to trans sex, for youth,  which contained this gem. 

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I could have sworn it was Gendered Intelligence which produced a guide, to terminology,  which claimed “vagina” for “transwomen”and relegated women’s vaginas to “front holes”.   I couldn’t find that clip but if anyone has it let me know and I will add it. 

The British Association for Counselling & Psychotherpy (BACP) also signed. The BACP regulate University courses in this area so Universities have to comply or they won’t have their courses accredited. The BACP  also published a document which seemed to have difficulty including working class women, from the North of England, in their definition of a female gender identity.  For more on this  look at the #TransNorthern on twitter.  We women, of the North, had a lot of fun with that one. 

More worryingly, one of the signatories was the Medical director of NHS England. .

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And here are the final signatures together with their supporters and it includes union members and the Royal College of Genderal oops General Practitioners.  FFF029EC-E9AF-4FA2-907A-8C4386A1CE56

Finally our old friends Stonewall. 👆.

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Has there ever beeen an organisation that has trashed its reputation more thoroughly, in less than a decade, than Stonewall UK?

Researching Gender Identity Ideology and its impact on Women and our Gay Youth. Support is always appreciated (I have no income) but I would be equally happy if you contributed to a relevant legal case, a crowdfunder for Lesbian and Gay News or Safe Schools Alliance

£10.00

Tavistock 5: Marcus Evans

This is one of a series of blogs on The Tavistock, the UK’s Main Gender Identity Service. Based at the Tavistock NHS Trust, in London, it is often abbreviated as simply GIDs.   Marcus is an ex-employee of the Tavistock and an important voice in this debate. You can find him on twitter Here  The paper is an excellent reference point.  Open access and with comprehensive references to all sources. Great reading list for the curious.

Link to the paper here

Given the history of silencing research in this field here is the download  Freedom to think- the need for thorough assessment and treatment of gender dysphoric children | BJPsych Bulletin | Cambridge Core

If you have read any of my earlier pieces you will already know there’s been an unprecedented rise in referrals to GIDs /Tavistock. There has also been a change in the sex of the referrals. The proportions have completely inverted, from 75% male to 75% female. In addition there is an increase  in teenage onset cases. This has been termed: Rapid Onset Gender Dysphoria, and is a recent phenomenon.  The changing nature of the referral population, numerically, by sex and teenage onset should have raised serious questions about treatment protocols. Yet in 2011 the Tavistock actually accelerated the pace of earlier medicalisation.

Affirmation Only.

The predominant treatment is to “affirm”. This means it is now unacceptable to question your own /  any child. This, despite the fact that we know, left alone, most would desist from a trans-identity.

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Practitioners are expected to support the child’s self-identification and not to explore or question it. Affirmation is a nice, positive sounding word and it has become the mainstream treatment protocol.  The affirmative approach, as explained below, sets these children on a path to irreversible medical interventions. In the UK this can happen for children as young as 10 years old.

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The political ideology under-pinning this approach is a belief that children can ,literally, be  Born in the Wrong Body (sex) for their Gender Identity.  Gender is an internal sense of self so only the child can determine the truth of their condition. This makes the child the ultimate arbiter of their authentic self. Parents are expected to affirm their child’s Gender Identity based on their child’s  self-assessment.

Memorandum of Understanding/Conversion Therapy

This article, however, makes it clear that there  are dissenting voices, and organisations, who are not wholeheartedly on board with Affirmation as the right pathway or at least not as the only one. Many organisations have signed a Memorandum of Understanding which treats  questioning of Gender Identity as akin to Gay Conversion Therapy.  However the Royal College of Psychiatrists declined to sign the MOU when the definition was expanded in 2015. 👇

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The government are currently consulting on a new bill to ban Conversion Therapy. Whether, or not, it uses the expanded definition will be crucial for the rights of children labelled “Transgender”.  Most people will look no further than Gay Rights and assume that, of course, it should be outlawed. However, for all the reasons I have covered in previous blogs, affirming a Gender Identity in young children/teenagers may literally be Gay Conversion Therapy.  The Woke Gay Conversion Therapy?

E5247CD0-EF8D-48A1-93D0-C4F72D679810A growing number of parents are expressing concern about the treatment of their children with Gender Dysphoria.  30%  are estimated to be on the autistic spectrum and with other co-morbidities.   Many are simply gay males and Lesbians.  The parent’s, referred to here 👈actually managed to get a letter published in the Guardian.  They also raised concerns about on-line grooming of their children into the tenets of Transgender Identity. In the UK there are now two groups of Parents who are questioning the current approach to their Gender Dysphoric children.  Bayswater Support Group: Twitter here and  Our Duty  here.   (Both groups have other on-line forums and real life meet ups for parents to reach out for support).

Professionals are also becoming more vocal in questioning the medical approaches. Carl Heneghan pulls no punches in this reference to Puberty Blockers.

6935208B-8307-432C-B608-2E9F95E3C741 I can’t stress this point enough.  Once your child starts down this path they rarely go back and they will be dependent on cross-sex hormones for life to maintain this “identity”.  Tragically some of the women, and men, who have de-transitioned are still dependent on synthetic hormones, for their own sex, because they had ovaries/testes removed.

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👈Here are two more organisations calling out the dearth of evidence based research, under-pinning the treatment of these children/teenagers.  The House of Lords seems to have more dissenters and Lord Winston has written/spoken on this topic,  from his own experience, in dealing with consequent fertility issues. 4386234B-C264-4ACA-AEA5-D85E0474E0B7

A high rate of complications and loss of fertility.  A reminder that the hippocratic oath requires Physicians to Do No Harm.  The existence of an unelected chamber has always been a source of concern, for me, but elected politicians seem, almost universally, cowed into submission. It seems we do need some people ,not bound to the electorate/ lobby groups, to voice these uncomfortable truths.  The House of Commons remain is largely silent on this issue.  Silence is complicity. A salutary lesson.

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Here Bernadette Wren, of GIDs makes a startling, and actually quite frightening,  admission: given that the GIDs protocol remains Affirmative. 👇. Must we wait an entire generation to discover we have been unwise

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Professor Donal Shea is another dissenting voice.B9ACB57C-43EE-45B2-9C4B-EEF57088F207

The NHS is based on the WPATH standards of care. Professor Shea & Dr Paul Moran regard them as harmful and clinically unsafe. Let that sink in.

De-Transitioners/Regret

The Tavistock experiment has been running for nearly 10 years. We are starting to see a new wave of people with regret but, here is some detail about regret from the 1980’s.  I rarely see Trans Activists/Trans Allies demanding evidence based research, or long term follow-up studies. I would suggest this is where there is a role for activists. Demand better research and long term follow up studies.

The more vocal trans-activists seem mostly preoccupied with rapid access to  treatment and the removal of safeguards which they call “gatekeeping”.  That alone should set off alarm bells for clinicians.  I cannot imagine anything worse than finding you had taken a healthy body, and destroyed sexual function,  only for your patient to regret it. 👇

6D5ABED5-DE4D-47B0-810C-E712E51F402EWatching Jazz Jennings , a 16 year old male, ask if an orgasm was like a sneeze here should have been a wake up call for the cheerleading parents.  In Sweden there is a male who has obtaining permission to end his own life, after regretting surgery and realising he was simply a Gay Male.  A Belgian Female was also euthanised after regretting their surgery. here

Informed Consent?

Disturbingly here is a claim that discussion of post surgery sexual function was actually a taboo subject at the Tavistock. Especially with the younger cohort who, let me remind you,  are making these decisions as young as 10.

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Why is this area of treatment operating outside the realms of normal practice?

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Anyone who doubts that this is happening can listen to Tavistock practitioners openly discussing the question of children and fertility in my earlier pieces. Parents have direct experience of the cavalier disregard for the long term consequences in our children. They express a fervent wish to change “gender” but these  kids/teens have absolutely no concept of the long term implications.  They have an entirely superficial understanding about what thy are signing up to.  Sadly, it appears, so do some clinicians.

Anger, regret, and impact on women.

Even if someone is expected to benefit from transition some counselling around the reality of the inescapability of your sex would seem to be in order. Yes there may be people who regret this decision and direct their anger inwards.  At the same time there seem to be people fiercely committed to their “transition” but utterly unrealistic about sex based reality. This group seem to direct their anger outwards, at their target sex. I am talking of the male transitioners.  It is disturbing, watching the violent, even rape, rhetoric, hurled at women on social media (& in real life). Even more terrifying is that our politicians seem to be wilfully blind to this phenomenon.  What if you are not just admitting any males into female spaces but a particularly dangerous section who hate and envy women?

Adolescence.

More people should be saying this.  I have seen youtubers, now de-transitioned, who genuinely didn’t know that nearly every woman has a terrible time with the onset of puberty and emerging womanhood.  How soon this knowledge is lost when young girls are cut off from the wisdom of older women?

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29AF0667-FF10-4F0B-839B-A5FBF4718FCAYet instead of working to, therapeutically, resolve this “splitting” we are shutting this down. Only medical pathways are seen as appropriate.  Clinicians are branded transphobic for a therapeutic  approach.

Parents are alienated from their children who are groomed to see any obstacle in their path as an act of hatred/bigotry. 👇

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De-transitioners are now speaking out about their time in the Trans community.  They  confirm parental reports about our alienation. They also expose the tactics used to game the system and overcome gate-keeping , by learning a script.

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Even if children don’t desist counselling can teach them about the wider societal implications of rejecting your biological sex.  It is an inescapable fact that a female will still need cervical cancer screening, and a male prostate cancer checks. Yet activists push for the eradication of any sex markers and even new NHS Identity numbers. This de-couple pre-and post transition medical history. This is evidence of an ideological belief / psychological compulsion which is undermining safe practice.

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So why is there such utter and total capitulation to an incoherent ideology?

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The answer is fear! Not an unrealistic paranoid reaction but a rational response to the consequences of speaking out.  Ken Zucker and James Caspian are two high profile victims of the silencing.  Urge caution, or wish to study the phenomenon of regret, and you will find powerful forces ranged against you.

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Heaven forfend if you wish to research Rapid Onset Gender Dysphoria.  

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I have written about the silencing of Michael Bailey over his book: The Man Who Would be Queen, which also covers Lisa Littman here.  Another paper, which posited an alternative hypothesis to Born in the Wrong Body, was also completely pulled after activists put pressure on the journal.  I cover this here

It is a chilling atmosphere in which to try to serve these children and young adults.

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The closing down of debate and discussion about this surge in Transgender Identities is creating a dogmatic adherence to Affirmation/Medicalisation which is already wreaking great harm on our youth and some adults.

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Having revealed that there are dissenting voices and organisations, despite efforts to shut them down, Marcus makes a final recommendation.  A truly independent service able to withstand the pressure from lobby Groups. Less rigidity in treatment protocols. A new regulator with appropriate oversight.

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This needs to be addressed quickly because there won’t be enough alibis to go round.

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TAVISTOCK 4 : Michael Biggs

665A1C9E-6117-4E00-84B7-EF9442EA5791Michael has been indomitable in his research into the use of puberty blockers on, ever younger, children.  Michael is an Oxford University academic who researches social movements and ordinary people, driven to extraordinary actions.  He also researches self-harm as a form of social protest.   An interesting background. As you will see from his paper he was told by some woke students to Educate Himself.  So he did! Here’s what he uncovered.

As always I am happy for you to bypass my commentary and access the paper directly  here.  Either way I recommend reading the full paper.

PDF attached in case his work is taken down: Biggs_ExperimentPubertyBlockers

The pressure, on the Tavistock, Gender Identity Service (GIDs) to introduce earlier intervention is well documented.  For neophytes you can can see the tensions, between Tavistock staff  & Lobbyists, in this oral evidence to the Transgender Equality Inquiry.  here.  With contributions from Susie Green, of Mermaids, and Bernadette Wren, of the Tavistock.

The aim of Trans Activists was to get “The Dutch Protocol” embedded in Tavistock practice. This protocol advocated earlier intervention, seen as the key to a more passing  Trans Community.  Blocking puberty was one way to do this, since it halted the process of masculinisation/feminisation.  Publicly Blockers were touted as merely allowing a delay to explore gender identity issues. Based on research this would seem to be pure Public Relations. 

The paper goes into some detail on the activists involved in the campaign to institute this changed treatment protocol.  One of the familiar names is Stephen Whittle.  Whittle is a transman and has played a key role in instituting Transgender Ideology. The best way to pass as a man, it would appear, is to be to behave like the most regressive mysogynist and attack women’s rights. Below are some other key figures together with groups which provided funding.  ( I did a double take at the Servite Sisters! My Uncle was a Servite Brother; which is a Catholic order. Sure enough, it’s a Charity run by Catholic Nuns. Why would Catholic nuns fund blocking puberty?)

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Norman Spack was involved in the treatment of Susie Green’s child.  Susie is now the head of Mermaids, the leading UK charity advocating for medicalising children. Parents with children, who have been through this process, are evangelical in their zeal to extend this to other children. I suspect the motivation is to reassure themselves they did the right thing.   The over-investment of older Trans activists, for early transition, looks like retrospective wish fulfilment.

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As stated above the argument for puberty blockers had mainly been promulgated as a “pause”  providing a, temporary, halt to the development of sexual characteristics.  So what happened in the Dutch study?  We know that the Tavistock were aware of this study but they didn’t include this fact in their bid for funding and ethical approval. No adolescent withdrew from puberty suppression and all started cross-sex hormone treatment, the first step of  actual gender reassignment (de Vries, Steensma, Doreleijers, et al., 2010) Source. 

Biggs paper highlights the discrepancies in the statements from GIDS clinicians on Puberty Blockers as a pause.  He even highlights near contemporaneous, and contradictory,  statements on the topic.  See Polly Carmichael, from the Children’s BBC programme, I am Leo, juxtaposed with a statement she gave to the Guardian at around the same time. “We just don’t have the evidence…”

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Ultimately Polly Carmichael got her wish. The Gender Identity Development Service eventually received ethical approval to administer Puberty Blockers to children.   A first attempt was rejected but, undeterred, the application was made again. This time the Tavistock chose to submit the application to a different ethical approval body.  It was then approved. The initial study was based on participants  from 12 years old. However the  evidence  suggests the actual age of commencement can be as young as 10. [See Michael’s paper for how he deduced this.  Also Dr Aiden Kelly admitting this in my earlier piece TAVISTOCK PART THREE (A)]

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The paper illustrates how Tavistock accounts of the actual number of subjects involved have varied. The figure of 44 does not remain constant .  This matters because one of the failings in much of the research, in this field, is a failure to follow up patients long term.  Biggs traces the various numbers used in the public reporting on the study.  Damningly, despite being the custodian of the research project,  the Tavistock does not appear to be keeping adequate records on the experimental subjects or taking the opportunity to rectify the dearth of long term follow-up studies.  A missed opportunity or a deliberate attempt at obfuscation?  Dr Carmichael admits that they lose contact with subjects once referred, at age 18 to the adult services.  She also admits that they have not tracked those given hormone blockers in a single database! Thus the medium and long term consequences are not being tracked.  Despite this look at the growth in numbers being given this treatment and the reduction in the age at commencement.  Moreover changes to names and NHS numbers also make it difficult to track those on the receiving end of this experiment. ⇓⇓⇓.  All set out in the clips below. 

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Also note that almost all cases led to cross-sex hormones.  Just as in the Dutch Study. Therefore this was not a pause and, 9 years on, the Clinicians involved must know this.  Interestingly only in May 2020 did the NHS change its own guidance to stop referring to Puberty Blockers as “fully reversible”.

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Biggs has some significant criticisms of the project. Only one of which is the failure to meet any reasonable threshold for informed consent by not revealing the seemingly, inevitable progression to Cross Sex hormones.  He also highlights the risks of the use of the drub triptorelin,  whose negative outcomes have either been ignored or supressed.

FD48B0C9-4B68-46CD-A7BF-72272E906350There is more information, in the public domain, about the treatment of dangerous sex offenders, than there is of children put on the same drug. Let that sink in.

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Below are a couple of quotes. You can read the full study here  Triptorelin.

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You can read a detailed list here of : Side Effects

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More details of the impact on male children include a stunting of genitalia and negative impact on sexual function.  Given that any surgeries to create a “neo-vagina” rely on sufficient penile tissue, for the most common techniques, this is another serious concern.

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Other damning evidence suggests a negative impact on fertility and even sexual function.

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Even from the limited evidence that GIDS has shared, mainly in Abstract Form from presentations at conferences, Biggs argues that negative outcomes have been omitted or downplayed.  Some of these relate to bone density, which should be increasing during puberty.  Others relate to reported psycho-social functioning and even suicidal thoughts.

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In the light of the concerns raised by the scant evidence in the public domain why has their been no detailed report over 9 years since the project commenced?  Biggs raises some serious questions about how a “research project” , instituted in 2011, has been allowed to progress to 2020 without publishing a full evaluation.

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Increasing media coverage and the beginnings of political scrutiny may finally be about to shine a spotlight on this experimental treatment.  Currently there is an ex-patient, Keira Bell, in the process of taking the Tavistock to Judicial Review over the medical intervention she received.  The Safeguarding Lead is to take the Tavistock to court after being informed that safeguarding information was being deliberately withheld from her. Another former member of staff , Susan Evans, commenced legal action over the treatment of children.  The Cass Review will look at Puberty Blockers on behalf of NICE. Liz Truss has signalled a change of direction over the treatment of under 18’s.

More politicians are also waking up to this issue.

An Ex- Labour peer, and Doctor of Medicine, Lord Moonie, has been raising issues on the medicalisation of kids and the impact on women’s spaces for well over a year. (Banned from twitter & resigned from Labour over this issue.)  Latterly a Conservative MP , Jackie Doyle-Price has begun to speak up.  Baroness Nicholson another Conservative Peer has been a tour de force in raising issues about the creeping influence of Gender Identity Ideology.  Another Medically trained peer, Lord Lucas raised a question in the House of Lords in May 2019.

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At the time of that question we were told the data would be available in the next 12 months.  We have heard that before.  However Lord Lucas is on the case and assured me he intends to follow this up.

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Michael acknowledges the support he had in putting this document together which I include here: 991912D2-F98F-4DC7-AA4F-D9383DBBB3EA

I will leave you with the original patient who triggered the establishment of The Dutch Protocol in the early 1990’s.  2B3693F3-297D-443B-92AE-CB54E31CC72B

Patient B has been followed all the way up to age 35.  One would assume that the outcome would have been positive and indeed patient B is highlighted as a success.   Indeed they say they do not regret their transition.  This does not look like a good outcome to me and I fear we will have many more before someone, finally, halts this experiment.   Allow me to also make the observation that if were talking about a biological male there is no way an absence of a healthy sex life would be regarded as positive.

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TAVISTOCK PART THREE (B)

Tavistock: 1989-2018

This is based on this youtube presentation by a member of staff at Tavistock in March 2018.  You can watch this: here. 

Here’s a transcript of the talk TAvistock part 3

I have covered the physical interventions we are visiting on children/youth, who present with Gender Dysphoria, here TAVISTOCK PART THREE (A)

I now want to examine what this talk tells us about how we diagnose these children and include a few quotes that didn’t make into part A. .

662F82EF-94C0-49B6-8C6A-1563ACD6C958We are basing this diagnosis on the belief that, somehow, Gender Identity exists independently of biology and is sometimes in conflict with our biological sex.

This slide shows that Dr Kelly recognises biological sex, sexual orientation and sexual identity exist.  He also identifies, separately, Gender Roles, Gender Expression and Gender Identity.

Biological Sex is the easy one.  Despite efforts to destabilise the definition of sex we are a sexually dimorphic species.  Differences/Disorders of Sexual development (also referred to as intersex) don’t disrupt the “binary” of sex. Here are two people qualified to comment on the issue of sexual dimorphism.  Claire’s comment, below,  is a good one to keep handy as her article, published in the journal Nature, is often wheeled out to claim the opposite of what she meant. It is actually a fascinating  Article

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Dr Kelly defines our Biological sex as our anatomy and says it is an important part of  our sexuality and sexual identity.  I am not sure how sexual attraction is only partially reliant on biology, except that this matters in Transgender Ideology.  Additionally,  what does “sexual identity” mean here?  It maybe to accommodate people who identify as the opposite sex (not just gender). Alternatively it is, perhaps, to include people who identify as a particular sexual orientation regardless of their sexed body. That is to be inclusive of self-described “male lesbians”, or female’s who identify as “gay men”. 

Gender Identity is here described as a “personal and individual thing” which is not necessarily fixed.  Yet another reason why it is not a good idea to base legal concepts on something undefinable and shifting. If Gender Identity relies on a personal, subjective feeling how is it sensible to codify it into Law?

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Gender Expression.  This seems to mean how you “perform” your gender and how you signal  which gender you identify with/as.

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Here Dr Kelly, an obvious biological male, talks about his identity as a man.  We learn how this might be signalled by the way he dresses, manners, his hands and even the way he crosses his legs.  This is all complicated by the notion of metrosexual males who may even cross their legs in a feminine way but still identify as male.  Confused?  Don’t worry. It is, apparently, complicated and kind of hard to think about.  God help those of us with #LadyBrains.

Then there are Gender Roles.  DEE8D583-FE70-493A-9A96-B96D45D2BC57

Here he recognises these rely on gender stereotypes.  Am I a woman because I pick up the dustpan and brush? Don’t be silly. That’s just a gender stereotype. We want to deconstruct those don’t we?  And here we come to a startling admission.  “The last thing we want to do is to have a young person changing their body to fit in with… societal rules”.  Dr Kelly would love to take Gender out of this issue altogether.  But, guess what, we have to deal with reality.  I assume he means  gender stereotypes are deeply entrenched and changing society is too hard.  So what does he propose?  We need to “carve out a space” for someone to express their gender, in ways that society will accept.  Are we really carving up the bodies of young people because that is easier than transgressing expected norms of behaviour for fe/males?   I am old enough to remember when Gender Non-Conforming behaviour was widespread.  What happened?  I give you Annie Lennox and Boy George.  I could supply loads more examples.

Next we are introduced to the Gender Unicorn. (See Header).  A slide that Dr Kelly uses to introduce concepts central to his work.  Sex is, unsurprisingly, described as “assigned at birth”.  People with DSDs are othered as a third sex.  Sexual orientation is undermined by the inclusion of romantic/emotional attraction.  We are using this tool in primary schools!  So, is it entirely unsurprising we are seeing rising rates of Gender Dysphoria in girls, and boys? Who amongst us performs our sex stereotypical expectations 100% accurately?

It gets even more confusing when we examine how young children think about gender.  We are provided with this slide which shows how children are socialised into expectations of what makes a boy or girl. A8228010-BD32-4390-B218-A9153523789E

This kind of thinking, in a two year old, is quite cute.  It is less so when espoused by our political, media and medical elite.  I like my politicians to engage with issues as adults not toddlers.

There is not much to disagree with in the next slide except to wish the Dr would join the dots. Emerging sexuality and associated feelings of shame. (Surely worse for those who realise they are same sex attracted in a heteronormative culture).  Anyone paying attention would see that  the rigidity of the “gender binary” and the impact of parental or societal expectations has significantly worsened in the last twenty years.

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Is the new rigidity of Gender Stereotypes a new Backlash  against Women’s rights? As women encroach on male professions is this a new way to put women back in their box?  Is the  Public Femininity display a way to dispel the ball-breaking bitch trope?  Are we displaying hyper femininity to signal we are no threat to men?   This could be labelled compliance, or subversion,  either way omething seems to be going on.

Moving on to the understanding of gender in 8 year olds.  Dr Kelly makes an astute observation about the meaning of gender for young children compared to 38 year olds.  Note that we are following one set of diagnostic criteria for both groups.  Children pick up social cues which reflect the society in which they live. Adults, mainly males, also  absorb expectations from adult depictions of female roles. Some of this in contexts (porn) that, you would hope, your eight year old  has not encountered.  See this interview with Andrea Chu who is remarkably honest about their pathway. You can read up on Chu’s thoughts on the  role of sissy porn and the concept of the female as passive: here

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Our kids are navigating such difficult territory.  I was one of 8 children. Six of us girls. All the horrific statistics about sexual violence against women and children were played out on our bodies.  I was a dungaree wearing, tree- climbing, jumper off buildings.  We ran free and I was not unusual.  Sure we had pretty dresses, for specific occasions, but overwhelmingly we lived in “playing out clothes”. These were the norm and we would nowadays, describe them as gender neutral.  I was brought up in a pretty traditional household. Working class father. Manual occupation.  Definitely seen as the breadwinner. Even in that context it was absolutely the norm for we girls to do this. Nowadays this would put us at risk of referral to the Gender Identity Industrial Complex!

Fast forward to puberty.  As Dr Kelly recognises this is a hugely challenging time for young people. It’s a turbulent time for even the most well adjusted teen.

 

What happens if you throw in some complicated family dynamics?   Below  Dr Kelly outlines some scenarios.  There are multiple everyday reasons why girls struggle during puberty.  Growing up in a society with record violence against women, endemic woman hating porn, hyper-sexualised expectations for young women. No wonder girls are identifying out of their sex.  For young boys, who don’t want to be associated with toxic masculine socialisation, who are gay and on the “femme” side the flip side of this equation comes into play.  Throw in some domestic turbulence and you get some extreme rejections of what it means to be female /male in this society.

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And lets not forget homophobia.  Some parents would prefer a faux-straight child to a male child who they might think the behaviour, described below,  signals their son may be a proto-gay male.

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Dr Kelly goes on to talk about how people can hold toxic views about gender.  People can also have quite toxic views rooted in homophobia.👇

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I find myself bewildered that the Gender Identity Specialists didn’t anticipate this.  The law of unintended consequences.  Spend all your time banging on about undermining heteronormative culture and guess what?  You did a great job of establishing a new, pernicious, way of establishing it.  All your campaigning around “disrupting binary thinking about gender” and what did it achieve? We have actually  established a way to make sex stereotypes “flesh”  ; by carving up the bodies of boys and girls who don’t conform.

I wonder how many people, who have dedicated their lives to the furthering of this social revolution, have  dark nights of the soul?   They should.

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Survey of Referrals to a Gender Identity Clinic.

This paper surveys 5 years of referrals to an Oxfordshire Gender Identity Service, up to 2009. Its well worth looking at this paper because it sheds light on  the typology of referrals.  It also raises the issues of informed consent, co-morbidities, sexual motivation and, crucially,  highlights the huge change in the sex of referrals.

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See below for a brief summary of the methodology:D1BA8248-8592-404F-A31E-DE32E50517C4

We have seen a dramatic shift from mainly male, in this paper,  to overwhelmingly  female in the decade since. Turns out biological sex is a factor. Current youth referrals are now 75% female. This is a striking change as highlighted by ex staff from the UK’s main Gender Identity Service (The Tavistock). Over 40 staff have left over a three year period, some after expressing  concerned about the response to this changing demographic. (Clips from an article in the Times of London. Full Article here.  (Paywall)  Feels Like Gay Conversion ⇓

As always, feel free to skip my commentary and read the entire paper yourself. You can find it here

This paper pre-dated the changes to the Diagnostic Statistical Manual; which no longer refers to Gender Dysphoria as a “disorder”.  Activists fought long and hard to change the way this condition was described, to remove any reference to “disorder.  The modern narrative is that our children are simply “assigned” the wrong sex at birth.  To develop a sense of Gender, at odds with your sex, is now presented as a normal/natural variation and hence de-pathologized.  Well worth reading Dr Ann Lawrence (Transsexual) on the politics behind this change. (Will add link when Dr Lawrence’s website is back after maintenance)

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  • The above paragraph emphasises the rarity of this condition and the high incidence of co-morbidities in the community; i.e.  the existence of other mental health issues in the Trans community. Axis 1 disorders are at the most acute level and include schizophrenia and depression.  The paper is authored by psychiatrists who were specifically focussed on concurrent and historic, diagnoses of mental health issues.

 

Other notable features were the low rate of funding approvals for surgery, the rise in self-medicalisation, the prevalence of mental health issues and a disturbing finding of clients who admitted to paedophilia.

As with many other papers the rates of referrals, from those with a diagnosed autistic spectrum disorder, is also noticeable.  The authors note that, in the main, their sample did not differ significantly from the findings of other research. They do note, however, the mental health issues were slightly lower than in other findings.  The youth of the female subjects is noted.

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Below is a breakdown of how many of the subjects were already accessing hormones obtained over the internet, without any medical oversight. Over 50% had either a current or pass mental illness.  Depression was the most common diagnosis.

This study is to look specifically at psychiatric diagnoses so it is striking that none had a formal diagnostic interview.  The authors  conclude that comorbidity is, therefore, likely to be underreported.  It would be interesting to see if the location in a student population influenced the rate of young females presenting at the service.  ( I do wonder if there will, eventually, be a retrospective review that draws comparisons to females who succumbed to anorexia. My own personal experience was that it impacted, highly motivated/academic females at a disproportionate rate)

Reading the quote below it is refreshing to see reference to issues of capacity to consent in relation to those on the autistic-spectrum.  For those of you on twitter it is instructive search   “top surgery” and see how many openly proclaim “autistic” in their personal biography.  I also signpost you to the  #WeAreNotConfused hashtag. This was started to refute any notion that the high prevalence of Autistic youth, with Gender Dysphoria, was an issue of concern.  A response which was a reaction to the open letter by JK Rowling which you can read here.

Expressing concern about the high number of autistic females suffering from Gender Dysphoria is not deemed an acceptable opinion within the field of Gender Identity Specialists.

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The reference to paedophilia  in this paper also triggers push back on social media.  It would be interesting to know exactly how this information came into the possession of the clinicians undertaking the assessment.  It would seem that this must have relied on a personal disclosure based on the wording below:

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Safeguarding

This is an unmentionable subject on twitter as it has echoes of the association of paedophilia with gay males.  Gay activists were quite right to push against such an insidious narrative.  At the same time Safeguarding101 is DO NOT  create a priest class, who are beyond reproach.  It is not that priests became paedophiles.  Its that paedophiles became priests.  Remember this when people push aside safeguarding concerns because transphobic.  

To finish I am going to include this clip again.  Pay attention.  Reasons for non-referral were that the person was deemed not to be ready, or homosexual or having an autistic-spectrum disorder. E47BB919-1CC5-4442-AB81-0E4B405F099D

Now watch last night’s Newsnight segment here:  Tavistock  Ask yourself what has happened to make clinicians throw caution to the winds in the last 10 years?

Tavistock. Part Two: Clinical Dilemmas

Talk by Polly Carmichael.

Part Two on the tension between different approaches for dealing with “Gender Dysphoria”.   Hopefully part one provided some background for any neophytes. Tavistock Clinic: Part One.

Dr Carmichaels speech is : here  The summary is taken from a transcription provided by Mumsnet volunteers; for which I am very grateful.

The  talk took place in the following context:

  • 4500% rise in the number of referrals, to the Tavistock, over a decade.
  • Rise in females (reversing sex ratio in less than a decade)
  • Tavistock pilot to place younger children on puberty blockers.

This change in protocol followed work done by Dutch Gender Identity Services.  As you will see, from my earlier blog, the Tavistock were under some pressure to revise their treatment protocols to allow earlier medical interventions.

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The evidence from introducing puberty blockers, at an earlier age, has resulted in children invariably progressing to cross sex hormones and entrenched on a medical pathway.  The pro-medicalisation Lobby argue this is because they are 100% accurate in identifying those children who would persist.  The alternative perspective is that the act of blocking puberty somehow locks in the Gender Incongruence. If this is correct we are medicalising those who would have desisted and, historically, many of those would simply be gay. I cover this here The Woke Gay Conversion Therapy?

There are many people working in this field who have raised this as a concern: 9AAEBE78-2449-4E00-B2BE-9351E9599D90

We don’t know whether these children would have desisted and reconciled to biological sex.  The pro-interventionists have another  perspective. They argue this is evidence the screening is working and it may be unfair to the children not put on this clinical pathway! This is also the argument used against setting up a control group. From the perspective of the Tavistock it would be unethical to leave a cohort untreated if they meet the diagnostic criteria for intractable Gender Dysphoria.  I do wonder if anyone has thought to include parents, who oppose medical intervention, to see what the long term outcome is for our children?

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Another startling admission is that we simply don’t know what the long term implications are on developing brains. 👇This is a clear admission this is an experimental treatment.  Have politicians,and parents,  been persuaded to take this risk because activists claim our children are at a high risk of suicide?  Have activists managed this by leveraging questionable data on likely suicide? (I blogged about this here Suicide in the Trans Community)

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This paragraph is important because there are still documents out there calling this intervention a “pause”.  Indeed here is Polly herself from the CBBC children’s programme “Becoming Leo”. 36D86977-4F65-4CD8-AF4C-2A7E48DF5E3F

Many people working in this field have postulated that going through a natural puberty  resolves gender incongruence in the majority of cases. Dr Carmichael is clearly aware of this research and emphasises that the treatment, at Tanner Stage 2, means that these children will at least have had a partial puberty.

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She concedes the paucity of long term data on outcomes. She also anticipates concerns  about competing mental health diagnoses.  In this way the “Gender Dysphoria”, it is implied, has to be treated to resolve these other difficulties. This neatly avoids any suggestion mental health issues underpin the “Gender Dysphoria”, or desire to find a label/treatment.

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The framing of this discussion is entirely reliant on whether you believe in an “innate gender”.  If you do believe a child can be born in the wrong body it  necessitates treatment.  If you believe gender is a social construct then societal sex stereotypes are the problem.  These seem to be irreconcilable belief systems.  Worth having a look at how Mermaid’s diagnostic criteria works.  Would anyone not meet the diagnosis threshold given this criteria?

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Dr Carmichael , below, frankly admits that the evidence has yet to catch up with practice. She further acknowledges there is no consensus and there is concern about the long term health impact. The only way this treatment can even approach an ethical justification is if you are confident that:

a) Gender Identity is innate

b) The Tavistock have a reliable system for targeting irreversible treatments only on children who would, in any case, have persisted. 

c) You believe data that suggests there is a suicide epidemic in trans-identified youth. {This makes intervention a life saver & justifies pharmaceutical interventions}.

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So what has effected this change?  Political Interest and Lobbying.  Let us not forget the role of the Women & Equalities Committee. Since it morphed, from a  Women’s committee, it has been successfully colonised. In its original incarnation it focussed on women’s issues.  As predicted, women’s concerns have been pushed to one side with a wider focus on “Equalities”.

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The quote below👇 touches on the real change in the landscape surrounding “Transgender” children. Dr Carmichael acknowledges that some children are being socially transitioned at pre-school age. This is also a reference to the growing condemnation of “watchful waiting” , now badged as a practice akin to #GayConversionTherapy.  The memorandum of understanding (MOU) she references commits to a ban on therapeutic work to resolve Gender Incongruence.  BACP (British Association for Counselling and Psychotherapy) & the BPS (British Psychological Society) have signed up to a ban on Gender Identity “conversion”.  The Royal College of GPs has also signed this MOU.

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The fact most desisters  are predicted to be gay  seems to have escaped their notice. Counselling, to reconcile to biological sex,  is now officially condemned by these, erstwhile, esteemed professional bodies.  As of May 2020 there are is a  further move to outlaw any therapy to address “Gender Dysphoria” by, once again, conflating it with Gay Conversion Therapy. See here Gender Identity Conversion Therapy

There’s a huge amount to unpack here. 👇

401C86F5-0FAD-422C-B5C1-170B87F2D93DDr Carmichael is not happy  the Tavistock  are being accused of not being sufficiently affirmative.  She does appear to be trying to raise awareness of the changing nature of the child referrals.  Her interpretation of the parents, mentioned above. does not accord with my own perspective.  Socially transitioning a three year old and then attempting to report a young child for the Hate Crime of misgendering another child!  Is  this the behaviour of parents who are simply being protective! If I was relaying this story, verbally, my incredulity would be at such a high pitch only dogs would be able to hear me!

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In the section below there are a lot of erms as Dr Carmichael hesitates over the admission the treatment compromises fertility . She is anxious about this, but not for the reasons you might expect. She is concerned about  young people who defer medicalisation to try to salvage their reproductive health. The reason for this is they may not “pass” ,if they delay long enough to have a chance at parenthood.  This is not an uncommon viewpoint. One practitioner in this field praises the children who are kind enough to see themselves as future child adopters.

Sacrificing fertility is quite a significant thing to ask children to consent to and yet her concern is one of “presentation”.  Polly is aware this is indicative of that great sin of “binary thinking”. {Its almost as if she knows, on some level, there are only two sexes!}  No doubt Polly would consider me a “biological essentialist” but, like many women (and men),  I was in my thirties before I desired children. I would not have made a mature  decision, to place my fertility at risk, at age 12.

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And that last sentence! Actually wondering how the Tavistock can support children to feel comfortable enough to live with their bodies!   Klaxon Klaxon Klaxon!! This is what parents would like to know!  Shouldn’t the first line of treatment be body-positive?  In less than a decade we seem to have normalised  a bodily dis-associative disorder and completely over-turned decades of work, especially for the female body.

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Another thing that is hard to keep up with is the removal of any reference to mental health issues. The diagnostic criteria for Gender Dysphoria has now officially been re-classified to remove suggestions it is a Mental Health issue.  I sense Dr Carmichael really wants  to find a way to talk about co-morbidities here. However  activists have successfully  rebadged Gender Dysphoria as a naturally occurring variation and references to mental health are removed from the official diagnostic manual.

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How many of these children/teens placed on an irreversible pathway may have benefited from some good therapeutic exploration of their motivations?  Therapeutic Interventions to resolve Gender Dysphoria

This is a good summary of what the impact of this Conversion versus Affirmation model does to practitioners in this field.  I diverge on many points with Dr Carmichael but she is right that we are favouring medical solutions to resolve psychological issues. The lack of psychological support has also been raised by Tavistock staff who have now left and are whistleblowing.

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To balance the pressure for medical intervention we need a diversity of voices. These should include detransitioners,  It should include parents of children struggling with this “condition”.  It should include people who understand the concept of an iatrogenic “illness”.  It should include people who have expressed concern about what we are doing to young people. We need a countervailing voice to Lobby groups like Mermaids, Stonewall and Gendered Intelligence.

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The above is not a bad summary.

  • We need more empirical data, less opinion.
  • We need to look at contextual factors. (School teaching on Gender Identity, for one)
  • I disagree about taking a lead from young people.  Detransitioners have taught us that.

We need to urgently take measures to make certain we are not  medicalising children who could have lived a life without hormone dependency and surgical interventions.

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The problem with this service is that it seems to be driven by people who see this as a social justice cause, They are excited at disruptive thinking, eroding or destroying social norms.  I will leave you with this quote from Bernadette Wren, who also works at the Tavistock. This is from the Transgender Equality Inquiry in 2015.  I sense that Dr Wren should have been more careful. Sometimes a social revolution doesn’t take the form you, naively, imagine it will:

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