Testosterone & young females: What is known about lifelong effects?

by Kerry Smith, MD

Kerry Smith [a pseudonym], MD, is a board-certified internist in the US who has been practicing since 2004. She is the mother of several children, including a 12-year-old daughter who suddenly developed the notion that she is transgender after being exposed to the idea in her 6th grade classroom. It was this development that led Dr. Smith to research the protocol for medical transition of children. She believes that most physicians are blissfully unaware, as she recently was, of the current standards which aggressively promote unstudied and off-label irreversible medical interventions in children too young to drink, smoke, vote, drive, consent to sex, or even watch an R-rated movie.

Dr. Smith is available to interact in the comments section of her article.


What are the risks of giving testosterone to a female for a lifetime?

As the mother of a girl trying on a trans identity, and as a practicing physician, I need an answer to this question.

I’m not the only one. Every day more of us join this club, as the rate of girls questioning their “gender identity” continues to skyrocket, outstripping boys at a previously unimaginable pace. Surely, those who advocate for the medical interventions known as “transitioning” must have a risk-benefit analysis available for parents and patients, before committing young people to a lifetime of pharmaceutical (and potentially surgical) treatment for a poorly defined psychiatric condition?

As a physician who has sworn to do no harm, that’s what I would have assumed.

As it turns out, the WPATH-inspired standard of care, adopted by the US Endocrine Society, has pushed boldly ahead where no medical society has gone before, promoting radical, irreversible body modifications for adolescents using powerful, off-label hormone regimens in the absence of any longterm data about safety.

They are perfectly open about this choice, stating in the standards:

These recommendations place a high value on avoiding the increasing likelihood of an unsatisfactory physical change when secondary sexual characteristics have become manifest and irreversible, as well as a high value on offering the adolescent the experience of the desired gender. These recommendations place a lower value on avoiding potential harm from early hormone therapy.

I suppose it is considered “transphobic” of parents to persist in the nit-picky demand for actual data about what that “potential harm” might consist of, but so be it. Teenagers have always resisted parental concerns about their risky activities. Last time I checked, that didn’t keep us from trying to stop them from using dangerous drugs. Why should testosterone (a schedule III drug in the same category as Suboxone and ketamine) get a free pass?

Sex hormones have a long and checkered history in the US, having been widely celebrated as the fountain of youth before falling from grace after studies belatedly showed multiple adverse health outcomes. This was most striking when the evidence from huge studies WHI, HERS and HERS II demonstrated that, contrary to what earlier observational studies seemed to show, hormone replacement therapy for postmenopausal women actually increased rather than decreased the risk of heart attack, stroke and cancer.

Testosterone had its day in the sun as well, being prescribed not just for the medical condition of hypogonadism, but gleefully promoted as a panacea for the vitality and wellbeing of aging men, for the supposed diagnosis of “low T.” Recently the serious risks of this approach have been described, including increased heart attack and stroke; the FDA eventually placed a warning on testosterone products, and lawsuits are underway; however the shameless promotion to men continues unabated.

As a physician, my first stop for drug information is usually the evidence-based clinical resource UpToDate, which contains full prescribing information for medications available in the US and Canada including dosing, indications, risks, interactions, and other details. I reviewed the entry on testosterone and found that, to my surprise, there is no mention of any suggested dosing regimens for female to male transsexuals.

In the US, once a drug is FDA approved for one use, it is often used “off-label” for other conditions, which is a generally accepted practice. These common, accepted off-label uses will be listed in resources such as UpToDate along with relevant dosing information and warnings. For example, the entry for modafinil, a stimulant, has dosing information listed for the FDA approved indications of narcolepsy, obstructive sleep apnea, and shift-work sleep disorder, as well as for the off-label indications of ADHD, cancer related fatigue, major depressive disorder, and multiple sclerosis related fatigue.

In contrast, the UpToDate entry for testosterone makes no mention of any approved or off-label use for the treatment of transgenderism or gender dysphoria. The only indication for testosterone in females listed is for the adjuvant treatment of postmenopausal women with metastatic breast cancer.

I then checked the FDA prescribing information for Depo-Testosterone (injection) and Androgel (topical), and found a total lack of any reference to use in females for any purpose whatsoever.

testosterone

Testosterone:  Schedule-III controlled substance. The US FDA doesn’t acknowledge or mention its use, on- or off-label, for FTMs

This absence speaks volumes. While the WPATH Standards of Care would have us believe that “[f]eminizing/masculinizing hormone therapy – the administration of exogenous endocrine agents to induce feminizing or masculinizing changes – is a medically necessary intervention for many transsexual, transgender, and gender nonconforming individuals with gender dysphoria,” the reality is that this treatment is so far out of the mainstream of modern medical standards that it is not yet anywhere reflected in basic prescribing reference materials, even as an off-label use.

Because “transgender medicine” is a new field, there is as yet no meaningful body of data that can definitively answer the question of what risks my daughter might face if she embarks on decades of testosterone injections. Studies promoting this treatment as “safe and effective” are generally limited to a few dozen patients and a year or two of follow up. A review article in the Lancet published in April 2016 touted as providing “an evidence-based overview of the benefits, risks, and effects of testosterone therapy in transgender men” observed that “testosterone decreases HDL cholesterol, increases triglycerides, might increase systolic blood pressure, and might increase the incidence of [type 2] diabetes and metabolic syndrome” but was forced to ultimately conclude that the long term effects are largely unknown due to “a paucity of high-quality data” in this area, a disclaimer found in most articles regarding cross-sex hormone treatment.

The desired effects of testosterone for transgender-identified females are the development of male secondary sex characteristics: hair growth on the face and body, changes in bone structure, increased muscle mass, redistribution/decrease of body fat, deepening of the voice, cessation of menstruation, decreased fertility and clitoral growth are all expected. Of note, even these desired effects may not live up to the hype; clitoral growth can cause pain or numbness and, in some cases, appears to lead to difficulty attaining orgasm; voice changes may not reach the desired pitch, leading some patients to seek out voice deepening surgery; some reports suggest increased muscle mass on a female frame can lead to thoracic outlet syndrome.

Of these effects, the changes to body composition, menstruation and fertility may be reversible (if testosterone is started post-puberty; if administered immediately after puberty blockers, irreversible sterility is the norm). Though testosterone is a known teratogen, there is no shortage of glamorous stories celebrating transmen who manage to conceive and give birth after stopping testosterone. However, changes to voice, bone structure, hair distribution and genitals are usually permanent, even if the hormone is stopped.

Then there are the undesired effects. The most commonly reported one is acne, which is often severe enough to require treatment. Male pattern baldness is also unmasked in those who are genetically predisposed.

More important than cosmetic effects are the changes in markers for cardiovascular disease. Studies tend to show that exogenous testosterone increases LDL (bad cholesterol), lowers HDL (good cholesterol), increases erythrocytes (red blood cells) potentially leading to venous thromboembolism (blood clots) from polycythemia, and increases blood pressure. It has also been shown to increase fluid retention which can contribute to heart failure.

Studies suggest as well that in women (but not men), higher endogenous testosterone levels correlate with insulin resistance and the development of diabetes, and studies suggest that adding testosterone in the form of a drug may increase risk for diabetes.

Even in male patients, studies clearly indicate that testosterone therapy increases the risk of cardiovascular disease including heart attack. One review article notes dryly:

“The effects of testosterone on cardiovascular-related events varied with source of funding. Nevertheless, overall and particularly in trials not funded by the pharmaceutical industry, exogenous testosterone increased the risk of cardiovascular-related events, with corresponding implications for the use of testosterone therapy.” [emphasis added.]

In other words, all studies showed an increase in cardiovascular disease, but this effect was “less prominent” in Big Pharma funded studies. What a surprising coincidence!

Testosterone may cause mood changes. Small studies suggest testosterone treatment in transmen can increase anger, which makes sense, given that abuse of testosterone by bodybuilders is known to sometimes result in “roid rage,” a condition of unchecked anger and aggression. One article reports a case of late onset psychosis associated with testosterone use in a trans-identified female, in whom no other cause could be found.

Testosterone has also been associated with liver damage or tumors, though more often in oral formulations rather than the injectables favored by transgender medicine practitioners. It has been known to impair kidney function. It has been shown to impair mitochondrial function leading to oxidative stress. The list of recommended laboratory tests for monitoring is long.

The effects of testosterone on the ovaries and uterus are not well defined. Early research suggested testosterone administration causes enlarged and cystic ovaries similar to what is seen in polycystic ovary syndrome. While studies in postmenopausal women suggest that testosterone does not stimulate abnormal growth of the endometrium (uterine lining), small studies of young FTM patients suggest that in younger females, testosterone administration does induce proliferative changes in the endometrium, which could theoretically progress to cancer. Cases of ovarian cancer have been noted in females treated with testosterone. These changes to the ovaries and endometrium explain why removal of the uterus and ovaries are often suggested for FTM patients on long term testosterone treatment, though there is no medical consensus on this as there is minimal data.

There is some experience giving testosterone off-label to postmenopausal women for hypoactive sexual desire disorder (HSDD); indeed this treatment is still promoted online and prescribed by some physicians. However, despite promising results for women’s libidos, studies suggest that even low dose testosterone may increase risks for endometrial and breast cancer, and as of yet there is no FDA approval for any form of testosterone for this indication.

So, the state of the art of transgender medicine for a young girl who believes she is a boy is to affirm this belief using hormones and possibly surgery. Current standards promoted by WPATH include puberty suppression using Lupron as young as age 10, followed by cross-sex hormone treatment with testosterone by age 16. It should be noted that in the United States, top gender doctors who see the greatest number of patients often begin cross-sex hormone treatment much earlier (as young as 12 in this recently published study).

We don’t know all the side effects this regimen may produce, but when started before puberty, one effect is certain: permanent sterility.

Aside from that pesky side effect, the expected effects of testosterone treatment include changes in body fat and muscle composition, changes in bone structure, facial/body hair growth and male pattern hair loss, clitoral growth, changes in sexual function, voice deepening, cessation of menstruation, and increased acne.

Likely side effects include adverse changes in cholesterol and blood pressure, leading to increased risk for heart attack and stroke; increased red blood cell mass which increases risks for blood clots; and changes in the ovaries and uterus potentially leading to increased risk of cancer, for which many experts recommend hysterectomy and bilateral salpingo-oophorectomy.

Possible side effects include increased risk of diabetes (another risk factor for heart disease and stroke), possible liver damage, possible kidney damage, risk of mitochondrial damage, and perhaps an increased risk for psychiatric disease.

How significant are these risks? Will they be worth it to a generation of “gender nonconforming” kids as they start their adult lives already committed to a lifetime as chronic medical patients? Will they face premature disability and death?

No one knows. Maybe it will all work out fine. Maybe testosterone really is the fountain of youth, providing strength, energy, vitality and virility to brave young gender outlaws, as they sacrifice their fertility to give birth to their authentic selves with the eager assistance of the medical and pharmaceutical industries.

Maybe.

But medical history is littered with miracle cures gone wrong. Future historians will judge whether the massive increase in girls and young women prescribed testosterone will go down as a triumph of medicine–or an ill-begotten disaster.

 

Your queer toddler knows all about pronouns, but how about gender expression?

by Second Wave Dinosaur

About a year ago, we told you about the importance of pronoun etiquette for preschoolers, as taught by the geniuses at Queer Kid Stuff. QKS fans will be happy to know that Lindsay and her self-described genderqueer teddy bear are still at it on Youtube, busily indoctrinating preschoolers in the intricate and very important topics of identity, pronouns, and (to kick off 2018) gender expression.

Update January 14: Lindsay must have got some feedback on the video. She wants to make sure all Second Wave Dinosaurs are well-educated about the meaning of dress-up:

Season 3 of Queer Kid Stuff  just launched two days ago, and in the first episode, Teddy  learns that gender expression (not to be confused with gender identity) is “just like dress-up!” And you can’t tell what someone’s pronouns or their identity is from their gender expression! But still, it’s really important that preschoolers be able to parse the difference between all these concepts.

Lindsay helpfully teaches us there are three categories of gender expression:

  • Masculine (seems to be about short hair, maybe a beard,  but no lipstick),
  • Feminine (involves lipstick; the example given is a “femme presenting woman” who “never takes a picture without my lipstick” and likes “lots and lots of velvet”), and
  • Androgynous (may or may not involve lipstick).

Got that? Well, forget it, because everyone of course gets to define for themselves what their gender expression means, and every pre-verbal child should know all about it, no matter how you, me, or “they” express!!

But…but…as Teddy says, this is so…complicated.

Teddy: Lindsay, am I expressing my gender right now? I don’t know what my expression is!

Now if it were me, Second Wave Dinosaur that I am, I’d say, yeah, Teddy, nobody cares about your dang “gender expression,” just get outside and have some fun playing on the slides and swing-set and the mud, and don’t trouble your little head-‘o-fluff with all this gender malarkey. But Lindsay is far, far wiser than some Second Wave dinosaur like me.

Teddy is androgynous

Lindsay: You are totally expressing your gender, Teddy! Hm. To me, you look like you’re more androgynous. Does that seem right to you?

Teddy: Yeah. I like that. I think I’m starting to get it…but…it’s kind of hard to understand.

But we need Teddy to understand, don’t we? Teddy must choose and then understand “their” gender identity and expression so they can impose it on everyone else–as well as understand everyone else’s identity and expression (which, Lindsay helpfully tells us, don’t necessarily match). Got it?

Lindsay: That’s because there’s not one definition for how someone can be masculine, feminine, or androgynous. Every person’s gender expression is unique to them! So it’s fun to experiment with how you look and dress so you can find out what works and feels best to you!

Teddy: Like playing dressup?

Lindsay: Exactly like playing dressup!

Second Wave Dinosaur (me, sotto voce): So then, great! Now can we go outside and play trucks or dolls in the mud??? Or…dressup?

But nope, it ain’t recess time yet.

Lindsay: Another thing that’s really important to know is that you can’t always tell someone’s pronouns or their gender identity just from their gender expression.

Teddy pronouns can't tellSecond Wave Dinosaur (me): OMFG (or since we’re watching a toddler show, oh my gosh!)

Teddy: Yeah! You can’t tell someone’s pronouns from what they look like.

Lindsay: So even if someone is feminine, they might not use she pronouns.

Teddy: Yeah! That makes sense!

Second Wave Dinosaur (me, sotto voce): Huh, that stuffed bear grasps this crap way better than I do.

Teddy: Talking about gender is my favorite thing!

Luckily for Teddy and “their” preschool viewers, there’s lots more to come. Come back every other Wednesday, kids! Oh, and don’t forget to donate to our Patreon page, “supportive” moms and dads who are forcing this delightful propaganda on your kids [check the comments on the video to see the damage…and before they get deleted, a few remarks from the sane among us].

Don’t worry if you don’t have sufficiently deep pockets to donate to the QKS Patreon. At least one LGBT organization is funding this crucial educational program:

For now, you can watch the whole episode right here. Better than just playing boring cis dressup, for sure!

 

No glitter life: Don’t be swayed by middle-aged transitioners–including me

by Helen Johnson

As time permits, Helen will be available to interact in the comments section of this post. As always on 4thWaveNow, comments that challenge the author will have a better chance of publication if they are delivered respectfully.


My name is Helen Johnson and I am a trans woman.

That’s partly true. I am trans, but I’m not telling you my real name. After you have read my piece, I hope you’ll understand why. Transgender activists reserve a special kind of treatment for apostates who speak out against their dogma. I have no wish to deal with their threats and intimidation, but neither can I remain silent when those transgender activists are driving a contagion that is consuming our young people.

Much has been written about the explosion in the number of children who have come to believe that they were born in the wrong body. I’ve said nothing because — like other trans women who transitioned as adults — I’ve nothing to offer. I’ve no childhood experience of living as the opposite sex and my own kids are thankfully unscathed by this epidemic. I can therefore only sympathize with other parents whose children are struggling with their gender. Some have asked me directly, but I have always suggested that they seek support from other parents in the same position. Certainly not from me.

Unfortunately, other trans women think differently and some of them seem to think they know best. Entire pieces have been written about trans activists like Rachel McKinnon,  who told trans kids to dump their moms on Mother’s day and join the “glitter-queer” family of adult trans activists. Worryingly, Dr McKinnon is far from alone. The message is pervasive, and it is sinister: transition your kids or lose them. Sometimes it is subtle.  For example, Julia Serano, a leading figure in the trans community, suggested that children will grow distant unless parents affirm the transgender behavior. Others are more blatant. Caitlyn Jenner is one of many who throw suicide statistics around like confetti.

None of them are experts. All they have to offer is their own experience of growing up. But if they can do that so can I and, unlike deluded fantasists like Zinnia Jones who thinks they actually were an adolescent girl, I am in touch with reality.

Gender dysphoria was present in my earliest memories; it persisted throughout my childhood and stayed with me in adulthood. It made me socially uncomfortable and I struggled to make friends. My dreams of becoming a girl were never fulfilled and I reluctantly accepted that there was no alternative to becoming a man. I’ll say no more about that. The trans narrative is repetitive and it is tedious. But just like McKinnon, Serano, Jenner, and Jones, I survived childhood and everything it threw at me. Yes I had difficulties, but lots of children have difficulties. Growing up is hard.

Today’s youngsters are being fed dangerous and fallacious nonsense. Society has been infected by post-modern, post-facts, post-truth ideas that spread unchecked on social media. Opinions and feelings are on the ascendancy, while facts and evidence are cast aside. For socially awkward children struggling to understand themselves, McKinnon’s “glitter-queer” family may look superficially attractive; an easy escape from reality. But it comes at huge cost.

I am glad that I did not succumb as a child.  Male puberty was a mixed blessing for me. It changed my body in ways that I did not like, but it enabled me to have my own children. Today they are my pride and joy: fine kids who are now making their own way in the world.  They would not be here had I been transitioned in childhood.

It’s now becoming all too clear that the first generation of child transitioners may have thrown away more than the chance to be parents.  Sex reassignment surgeons need material to work with. Only after male puberty did I have sufficient tissue for my vaginoplasty. Children who never experience natural puberty, like Jazz Jennings for example, are finding that they have a serious problem. To be blunt, there is no way that a functional vagina can be created from a penis only two inches long and an inch and a half in circumference. Sadly, Jazz may never be able to enjoy the sex that adult male-to-female transitioners take for granted.

Even transitioning later is a mixed blessing. I am in remission from the gender dysphoria but that is only half the story. My life is harder in other ways. Whenever I am clocked as trans I am treated differently, and not better. Mostly I deal with this by living in stealth. In my day-to-day life I just don’t mention it. People can’t discriminate if they don’t know. But that brings troubles of its own: when I’m asked about my childhood, I obfuscate; when asked about my children, I fudge; when asked about my private life, I create back stories. I hope they are consistent. When acquaintances become friends, I anguish over whether to come out to them, then when to do it and finally how to do it. Lying about your past is not great, but admitting it is harder especially in the early stages of a new friendship. Securing a life partner is something else. Trans people are seen as exotic curiosities rather than possible suitors. Rarely are we seen as human beings, usually as trans human beings. Not quite the same and not quite suitable.

But, people say, at least I have found my true self. Maybe, but I’ve always been my true self. I transitioned to escape the pressures that I faced but I will never really be a woman, I merely live as one, and I am always one step away from being outed. It works but it’s an expedient tactic rather than a fulfilling solution.

But you must be sure, they say. How can I be sure? All I have are circular arguments: because I needed to transition I must be a woman, and I must be a woman because I needed to transition. But I can never know what it is to be a woman. All I can know is what it is to be me. My experience will always be different from the women around me. It isn’t a glitter life, it’s a hard life. It works because I make it work, but it’s not great.

To kids contemplating transition I have no answers, only questions. Do you really need to transition? Give up the chance to grow up and form relationships as a human being rather than a trans human being? Have your own children? Have sex like other adults have sex, and live free from lifelong medication? If gender expression is the issue then be yourself and embrace your gender, but don’t try and change your sex in the process. One day, society may free itself from the shackles of gender norms, and feminine men, masculine women and gender-neutral members of both sexes will be able to take their rightful place in it. Make it your generation that does that, not the ones that follow you.

To your parents I would say, give your children a hug. Love them and nurture them. Let them be free to explore their gender and help them make that break from the crushing weight of society’s restrictions and expectations. But steer them away from transitioning from one gender prison into another, certainly before they can experience what it means to be an adult. If their gender dysphoria persists, as mine did, they can always transition in adulthood. That option will always be there. If it desists, then they will have avoided making a truly catastrophic mistake.

But above all, parents, don’t be swayed by middle-aged transitioners. That includes me, but it also includes McKinnon and the others. You know your children, we don’t; you brought them into the world, we didn’t; you love them and care for them, we don’t even know them.

Have confidence in yourselves because, when it comes to your children, you will always know better than people like me. Never forget that.

Mission creep: Respected LGB family support org goes full-on trans

Worriedmom is a mother of four (allegedly) adult children, who lives in the Northeastern part of the United States.  She practiced law for many years and now works in the non-profit area. She is available to interact in the comments section of this post.


by Worriedmom

A piece of advice that parents of the newly-trans often hear, right after the admonition to “educate yourself,” is to attend meetings of PFLAG (which previously stood for Parents, Friends and Families of Lesbians and Gays and now does not stand for anything, the acronyms apparently having become unmanageable).  According to its website, PFLAG currently has over 400 chapters, representing over 200,000 people in all 50 states, Washington D.C., and Puerto Rico.  PFLAG has a national administrative and lobbying presence but operates primarily through local chapters.

PFLAG’s original mission called for parents to support one another in what was then the frightening, emotionally draining, and fraught experience of having a gay son or a lesbian daughter.  When PFLAG was founded back in 1972, by a courageous New York City mom, having a gay son or a lesbian daughter meant being in a terribly lonely place, where parents were fearful of confiding even in other loved ones, and social ostracism was the rule, not the exception.  Then, too, ignorance about gay and lesbian people reigned supreme.  Even highly-educated people believed that being gay or lesbian was, at the very least, the symptom of serious mental illness, and that at any rate, the closet was by far the best place for “queers” and their unfortunate parents to live.

pflag-1972

As the 70’s turned into the 80’s, parents needed PFLAG desperately, as AIDS swept through the gay population and families frequently dealt with two simultaneous revelations: their son was gay, and he had come home to die.  Parents became even more isolated and traumatized, often the target of violence and community exclusion (read up on Ryan White for a tragic example, although there were many more).  It’s hard to believe, looking back today, how crazy AIDS made people in the time before effective drugs.  PFLAG served the vital function of connecting parents who were dealing, in many cases, with incurable illness and horribly premature death, and who, as an extra-cruel burden, had to do it in secret.  The support and comfort offered by PFLAG chapter meetings was truly a lifeline for many.

Time and medical science marched on, giving birth to the culture wars.  At the time that my story begins, the U.S. was smack in the middle of the anti-gay-marriage law-making binge that many people thought helped re-elect George W. Bush in 2004.  What originally brought me to PFLAG was my then-14 year old son, who was experiencing the feelings that eventually led him in the direction of bisexuality.  He had dealt with a lot of bullying and other negative behavior in school, and I felt that I needed support to cope with this strange and upsetting situation.  In 2006, primarily due to my congenital inability to say “no” in any given volunteer setting, I became the head of my local PFLAG chapter.  My PFLAG experience became further pertinent in 2012 when my older daughter came out as lesbian during her first semester of college.

To preface, I can’t say whether my experience is typical for PFLAG, although I have no reason to believe it isn’t.  When I decided to help start a chapter, I received no vetting of any kind.  I was not asked to undergo a criminal background check, provide references, or establish my bona fides in any way.  Neither when I established the chapter, nor at any time afterward, was I asked to become knowledgeable in any formal sense about the GLB community.  My good faith was assumed.  Much to my initial chagrin, I was not offered training in group facilitation or dynamics to help me work with an often-emotional and always unpredictable group of people.  I have never had any training or experience in the fields of psychology, human sexuality, addiction or mental health, even though all of these issues came up repeatedly at our chapter meetings.  (I should add that much, much later, PFLAG did begin to offer voluntary training in group facilitation.)  I was actually a bit shocked that I was expected to, and did, “wing it,” in situations that often became intense and even confrontational.

This brings me to my first point on PFLAG and its place in the “trans puzzle” — that neither PFLAG leaders, nor other group members, should be assumed to have any expertise about anything or anyone involved on the “trans spectrum.”  One might argue that when PFLAG’s mission was limited to parents of lesbians and gays extending kindness and empathy to other parents, this lack of professionalism and education was not a major liability (although, as I note above, on occasion I found it daunting).  As the “T” part of the equation has come to predominate, however, it would be natural for parents to expect some level of informed if not authoritative opinion from PFLAG leaders and group members as to the many medical, psychological and social issues involved with an individual’s becoming transgender.  If I am any example, however, it is more a case of “the blind leading the blind.”

Moving on, and energized by the rampant opposition prevalent in the “W years,” our chapter attracted upwards of a dozen people to each meeting, even 20 or more when we featured an author, academic or other person of note.   As a PFLAG representative, I spoke at symposiums, conferences, youth meetings, schools, churches and more.  Every year we fielded a large contingent at the local gay pride march.  The chapter hot-line was connected to my home phone, and I spent hours every month, counseling parents.  And people always called at dinner-time!

And then… the bottom fell out.  By the early 2010’s, the enthusiasm and interest were just – gone.  Newbies became “one and done,” then “none and done.”  We were victims of our own success.  Parents no longer grieved, no longer felt condemned to live in secrecy and fear.  Gay became normal, fine even.  We went on hiatus for a while, then re-booted, in a different location and time.  We tinkered with the format.  We tried publicity, Facebook, networking with other groups.  But the writing was on the wall: parents just didn’t need PFLAG like they used to, and it was pretty obvious they never would again.

We were not alone.  At our monthly regional conference calls, everybody had the same sad story: attendance was down, commitment was non-existent.  The yearly national conference went to bi-annual, staff was cut at National, the end was near.

And then, about four years ago, things changed again.  The chapter hot-line, formerly covered with cobwebs, began ringing off the hook.  This time, it was parents of “gender-non-conforming” children, desperate for help and advice.  Again, I had no expertise, no real understanding of transgender issues, but simply assumed that the “strong affirmation” model that worked fine for lesbian and gay people, would go double for trans.  Today I am ashamed to say that I unthinkingly referred over 50 individuals and families to our local “gender-affirmative” therapist, and at least as many more to trans-activist and other trans-supportive groups (such as “free binder” sites).  I also steered people away from organizations such as Straight Spouse Network, on the basis that those groups were not sufficiently “trans-affirming.”

I don’t feel good about my blind acceptance of trans dogma, but in my defense, I was never encouraged to develop any sort of critical perspective.  The word, from National on down, was that “it’s 95% the same” (in other words, if we were experienced in providing support to parents of gay and lesbian children, we were perfectly well equipped to do the same for parents of transgender children).  I was also told that I shouldn’t worry that I was ignorant about the remaining “5%” (relating to the medical particulars of transition).  As leaders, we were to affirm “innate gender identity” and transition, full stop. “Trans theory” was accepted scientific fact.  No other opinions or viewpoints were entertained, much less explored, and there was no contemplation of the wisdom or safety of the medical procedures that transition entailed.  Parents who questioned were crazy.  End of discussion.

A quick review of PFLAG’s website shows that it is, today, all-in on trans.  We have an online course on “our transgender loved ones,” training in Trans Ally 101, a publication available for sale on becoming a Trans Ally, a transgender reading list for adults, a transgender reading list for young adults, a transgender reading list for children, films on gender and many, many more.  It’s all just so wonderful!

pflag-present-day

Notwithstanding all this joy, meeting attendance was up but the mood was down.  Parents were gutted.  We had “learned” that “trans is the new gay,” but something was off.  So many of the parents had children who already had mental health problems, or were on the autism spectrum, and as they cried and expressed their fear of what life would hold for their vulnerable children, it became increasingly difficult to remain sanguine.  It began to occur to me that it wasn’t terribly likely that transition was going to “cure” anything for these kids, but instead would leave the child, and the family, with two serious problems instead of one.  Parents worried that their children would never find employment, or even someone to love.  Again, it grew difficult to assume those concerns away.  While I had always felt quite comfortable assuring a parent that a gay or lesbian child could go on to lead a normal, even boring, life, I felt like a faker saying the same thing to the parent of a trans child.  But there was never any space to explore alternative ways to mitigate the effects of gender dysphoria, how or whether to slow down a child’s rush to transition, or even whether the proper goal for every potentially trans person might not be transition, ASAP.

Meetings grew increasingly baroque.  A parent would walk in the door:

“My 12 year old daughter just came out as pangender.”

“My older daughter is transitioning to be my son, and my younger daughter is now aromantic.  Is it possible these things are related?”

“I think my three year old son is possibly transgender.  What should we do?”

“My 19 year old son just came back from his first broney convention!”

“Our lesbian daughter is the only non-trans person in her entire GLBT youth group.  Now who is she going to date?”

Gay and lesbian were boring old vanilla, and I was seriously out of my league. Conferences and gay pride panels became an exercise in “can you top this?”  The mantra was “the children are leading the way, and isn’t it exciting!”  Having several children of my own, I was pretty skeptical, given that these children leading the way could not reliably load a dishwasher or return a library book.

I began to look for more balanced discussion of the facts regarding transgender issues, and was horrified to learn (for instance) that transitioned children, whom I had blithely assumed would go on to lead happy and fulfilled lives, would actually wind up permanently sterilized.  To put it mildly, PFLAG does not advertise this detail; nor are most leaders, in my experience, even aware of it.  I also could no longer deny that some of the folks I had encountered via PFLAG were, in the vernacular, “creepy.”  There had been discussion of fetishes and other “alternative” behavior that would, in any other context, have sent me right out the door.  In retrospect, in the name of tolerance, I permitted my own boundaries to become fuzzier than I should have.

The final straw, for me, was the parent-assisted mastectomy of a troubled young woman in my community.  I was just done. I actually continued to run our chapter for another excruciating summer, loathe to simply shut it down after so many years involved with PFLAG, but finally did.  I do not expect that my concerns (which I circulated in a lengthy letter) will have any impact on PFLAG at all.

Absent the trans issue, I believe that PFLAG probably would have died a natural death, and that wouldn’t have been a bad thing!  (As an example, Love Makes a Family, the marriage equality group in Connecticut, showed great integrity in shutting down after it achieved its objective.)  The transgender cause has been a life-saver for PFLAG, organizationally speaking, even though there is a strong suspicion that homophobic parents may embrace transgenderism as a “cure” for their gay and lesbian children – hardly the vision of family acceptance originally put forward for PFLAG.  (Go here for another sad story of an unacceptable lesbian daughter who became a cherished straight son.)  “Trans” has provided new purpose and energy, a new “mission field,” and from what I’ve seen, trans people and their supportive parents have become the majority of PFLAG’s leaders and members.  Some chapters are, today, almost entirely trans and trans-related.  It’s where the action is.

A parent attending a PFLAG meeting needs to know that the people he or she will encounter are most likely strongly and personally invested in the promotion of transgenderism.  If a parent has already endorsed and facilitated transition for his or her own child, obviously that parent has to believe that this was a necessary, benign and positive step.  PFLAG is the last place to hear a dispassionate discussion of the actual facts of transition, much less any mention of the feminist perspective.  Remember: PFLAG leaders and group members don’t necessarily know any more than anybody else about transgenderism, and most often are motivated to affirm and confirm their own decisions.

In my view, PFLAG has entered the trans arena with an approach and philosophy that will not serve it well for the long-term.  Transgenderism is not just “super-gay,” and the “empathetic parent” model that worked so well back in 1984 is increasingly irrelevant in a context involving permanent, serious and potentially disfiguring medical decisions.  Especially where PFLAG is seen as endorsing childhood or teen transition, eventually there will be consequences.  It will be sad to see an organization that did so much good for so many in the last century, come to grief in this one.

 

pflag-then-and-now

Then….                                                                                            …and now

 

 

 

A mum’s voyage through Transtopia: A tale of love and desistance

Lily Maynard lives with her husband and their family in the UK. Her daughter, Jessie, was 15 when she first began identifying as trans.

In this post, Lily chronicles her grueling journey of self education on trans issues, and her determination to share what she learned with Jessie, who at first utterly dismissed her mother’s efforts.  But after 9 months, Jessie, now 16, eventually desisted from trans identification, and, with the support of her mother and another formerly trans-identified friend, came to recognize and embrace herself as a young woman.

Jessie adds her own observations at the end of her mother’s post.

Lily and Jessie are both available to interact with readers in the comments section of this post.


by Lily Maynard

My daughter Jessie was not a ‘girly’ girl. As a small child she was often mistaken for a boy, despite her long hair, because mostly she wore jeans and dinosaur tops. She didn’t care much for the pastel, glitter, hearts and lace that tends to fill the girls’ section of most stores. Growing up, she liked Dora the Explorer and Ben 10; she liked Lego and Bratz dolls. Occasionally, she chose a pink sparkly top, or a crystal ballerina for the Christmas tree.

Once, when she was about 7, a woman in a second-hand shop said to her, “Oh you’re a GIRL! Why are you playing with that dirty old truck? Here’s a nice doll.”

So I bought her the truck to make a point, and on the way home we talked about how silly it was to have different toys for boys and girls. We always applauded the strong women in movies and cartoons. My kids would tell me, “Mum, you’d like this film, there’s a Strong Female Role in it.”

Jessie played with both boys and girls growing up; she had siblings; she was sociable; she had a wide circle of friends. She did ballet for half a term, but tripped over her feet and hated it. She tried football, but tripped over her feet and hated getting up early. She liked jujitsu and roller skating, drawing and writing stories. She hated skirts and dresses and tomatoes.

By age 12, she was spending a lot of time online. She had a Facebook account and loved YouTube, music videos, cat videos; Naruto and Hannah Montana. She hung out mostly with a small group of close girlfriends, but mixed well with anyone. At 13 she had her own iPhone and laptop, and worshipped One Direction. At 14, she began watching videos by lesbian YouTubers Rose and Rosie, and ElloSteph. For the most part, I liked them. These young women were funny, happy and confident, and they gave out good life advice. Their videos were well composed, although there was a bit too much of the obligatory YouTube navel-gazing  for my liking.

Jessie, slightly goth, long dyed dark hair and occasional black eyeliner, always in jeans and a band T shirt, Jessie came out as gay just before her 15th birthday . I wasn’t surprised. She’d briefly ‘dated’ a boy she’d known since she was five but it was obviously no great passion, so I had suspected she was going to tell me weeks before she did. Shortly afterwards she made a ‘coming out’ YouTube video and posted it on her Facebook page. She said she was ‘gay’; she didn’t use the word ‘lesbian’. I did think she was quite young to define her sexuality so suddenly and utterly, and declare it to the world before she had even had a relationship. By this time, I was very aware of the part YouTube youth culture played in the decision to ‘go public’ with a video. I told her that, but I wasn’t shocked or discouraging.  I had a few girlfriends myself when I was younger. If she was a lesbian, so be it. I just wanted her to be happy and healthy.

Soon thereafter, Jessie began watching ‘transitioning’ videos on YouTube with her friends and siblings: cute boys who became girls and cute girls who became boys; endless slideshows of their stories, entitled, ‘My Transition Timeline’.

The girls all had the same sideways smiles and little bum-fluff beards. “I never liked pink,” they declared, “I never liked dresses, I wasn’t attracted to boys. I wore guy clothing.” The boys twisted their long hair as they spoke through heavily lipsticked lips, leaning forward coyly and peering out from over-mascara’ed lashes.  “I always liked pink,” they cooed, “I played with girls’ toys.” I wondered why this generation seemed desperate to put itself into boxes and mark them with labels, but mostly I worried that my kids were spending too much time online.

“Read a book; go outside!” was my mantra. “Turn off the internet and put down your phone.”

Jessie took me to a YouTube convention and we sat at the front during the LGBT discussion. She had a crush on a high-profile teen who identified as a boy. Chris was on hormones and had had a double mastectomy. Chris was kind to Jessie at the ‘meet and greet’ afterwards and posed for a photo. I didn’t see Chris as a boy, but I didn’t think much of it at the time. What I do remember was those eyes, like a frightened rabbit, a frail little thing despite the smiles.

Jessie asked to cut her long hair short. I said, “Of course.” I was surprised how much it suited her. We donated her hair to the Little Princess Trust, to be made into wigs for children with cancer.

Jessie still had her phone 24/7. I ‘trusted’ her, despite knowing that many of her friends were online half the night. I knew some of them self-harmed, or starved themselves, or posted half-naked pictures online. I know now that it isn’t about trust. No one ever thinks their child is doing that stuff. Social media cliques are like a spiral, ever more insular and self-serving. They are more than the sum of the parts of their users. The internet can be a great source of support, but whole online communities have grown up to normalise disturbing behaviours: from the personification of eating disorders with Ana and Mia, through forums where kids discuss who cuts the deepest or most frequently. If my bright, happy child was vulnerable, anybody’s child can be vulnerable. You can’t ‘trust’ your child not to get drawn into a cult, any more than you can trust them not to get run over by a truck.

joolz-pullquote

A month after cutting her hair, Jessie said she had something to tell me. She was distraught, red-faced and bleary-eyed. There was a tiny part of me that knew what she was going to say, although I didn’t realise it until later. After almost an hour of pacing the room she grabbed a pen and wrote on a scrap of paper, ‘I am transgender’.

Despite having half-known what she was going to say, I was shocked. I had heard of people who said they’d always known they were ‘in the wrong body’ but there had never been anything in Jessie’s past to suggest that might be the case with her. She insisted the signs had always been there. She hated wearing dresses, she used male avatars in video games, she didn’t want to flirt with boys. She didn’t ‘feel’ like a girl.

“Do you want to go on hormones?” I asked, at one point during that first conversation. “You’d grow a beard.” I added, pointlessly.

She nodded. She never mentioned surgery, but I saw it looming in her future. The prospect terrified me. I didn’t know what to say.  So I said, “It’ll be ok.”

She seemed much happier after telling me and then went to bed, a million miles away, in her room next to mine. I went to bed too, and the darkness screamed at me. I got up again, and spent the night googling ‘transgender’ and crying. I tried to be open-minded. I wanted to support Jessie more than anything; to do the best thing to help her, but I was sure transition wasn’t the answer she needed. I told myself I was open-minded, but was I really? Was I in denial? I slept very little over the following weeks.

I spoke to a lesbian friend, in a panic.  “What does he want to do next?” she inquired.  I felt as if I’d been punched in the stomach.

One of the first places I looked for information was the National Health Service website, because I presumed there would be impartial advice: something about helping people with the issue of reconciling their bodies with their identity. I thought that thinking you were transgender would be treated as a mental health issue; surely  transition would be recommended as a last resort.

I typed ‘NHS transgender’ into Google, and the first article that appeared was the story of a boxing promoter who came out as transgender  at age 60; about  his ‘dreams, diaries and dress-ups’. A link on that site led to the children’s trans support group, ‘Mermaids’. which is run by parents who believe their children are born in the wrong bodies. Their advice to confused teens, in the section ‘I think I’m trans, what do I do?’ is ‘you can speak to your GP  without your parents being able to know if you are not comfortable with coming out to them yet.’ Next, I flipped through the testimonials from parents. Mermaids receives UK lottery funding and is often the first port of call for concerned parents in the UK.  As far as I could tell, every single child mentioned on the site has transitioned.

Another link on the NHS transgender page led me to a glossy brochure called ‘Living my Life’, featuring studio photos of good-looking transgender people. It struck me as more of an advert for plastic surgery than an information booklet.

A spikey-haired 20-something plays a guitar and shouts into the camera. ’We’re here for a good time, not a long time.’  A coiffed and manicured blonde wears a low-cut salmon pink top, and a pair of surgically enhanced breasts take up most of the bottom half of the picture.  ’I was always me but I just didn’t look like me.’

There was nothing on either of those two links about helping kids to reconcile with their natal sex. Nothing about working through it; nothing about learning to love yourself as you are. I saw nothing stating the obvious: that a healthy natal boy has a penis and testicles and a healthy natal girl has a vulva and vagina, and that both sexes should be able to do all the things they love while wearing whatever damn outfit takes their fancy.

I typed ‘Am I transgender?’ into Google and clicked on the link to amitransgender.com. One word filled the screen: a black YES on a white background.

“I want to change my pronouns,” Jessie announced. “I’m a boy in a girl’s body.”

“How can you know what a boy feels like, when you’re a girl?” I demanded.

She couldn’t or wouldn’t answer.

“You’re a girl,” I insisted. “You can do anything as a girl, achieve anything as a girl that you could if you were a boy, but you can’t just become a boy any more than you can become a cat. It doesn’t work like that.”

“Go away.”

My eyes were opened over the next few weeks. Staying up most of the night, every night, Google led me beyond YouTube, to Reddit, to Tumblr, to Pinterest and Instagram. To posts about pink, clothing, hair and make-up. To seemingly endless pictures and slideshows of men, dressed like pornstars, claiming to be women. Vague explanations about ‘feeling’ different; about ‘being yourself’. It led me to videos of girls in checked shirts with cute quiffs and bound breasts, who genuinely believed they were gay men. They talked of ‘gender identity’ and the sex they’d been ‘assigned at birth’, as if births were attended by a gender fairy who absent-mindedly distributed random gifts of genitalia. A huge amount of importance was attached to public bathroom access and locker rooms of one’s choice. Endless posts claiming, in all seriousness, that ‘misgendering’ transpeople is an act of violence tantamount to trying to kill them, and how the only way to stop the feeling of dysphoria is to embrace transition and start living as your ‘preferred gender’. Immediately. There is no shortage of gender therapists offering to help a child do that, because if you even suspect you might be trans, then you probably are. Type ‘child gender therapist UK’ into Google and you get over 15 million results.

Everywhere I looked, the internet seemed eager to affirm that transition was a simple and marvellous thing, the one and only solution to all the problems of physical and social dysphoria. If you don’t support your child’s transition, parents are warned over and over again, they will probably try to kill themselves.

amitransgender

I learned a lot. I learned that if you don’t believe a man can become a woman; if you are gender critical, you will be called a TERF, transphobic and told to ‘educate yourself’ at best; ‘die in a fire’ at worst. I became familiar with the term ‘die cis scum’ (‘cis’  are non-trans people). I learned that if you are a lesbian who doesn’t want to give fellatio, you are transphobic. You may be called a cisbian and you are responsible for the ‘cotton ceiling’. Men get pregnant  and you should say ‘chestfeeding’ not ‘breastfeeding’. Vulva cupcakes are violent. Women who menstruate should be called ‘menstruators’ so as not to trigger transwomen who cannot menstruate, or transmen who don’t wish to be reminded that they do. The term ‘female genital mutilation’ is ‘cis sexist’. Often, middle-aged people with names like Misty or Crystal will be the ones helpfully explaining this to confused ‘non-binary’ youngsters. If your child thinks they’re trans, there are a host of interested adults out there. They’ll help you select underwear, they’ll advise you to start transition as early as you can. Some will advise you to keep your feelings from your parents because they may become ‘crazy, hateful people’ if you come out to them. Worried siblings are told to keep quiet if they don’t want suicide on their hands. A few clicks will get you tips on how to get a binder without your parents knowing; some sites will even post you a second-hand binder for free. Tips on how to get hold of hormones illegally online and how to get ‘top surgery’ quicker by lying to a therapist are just a few clicks away.

I started taking Jessie’s phone away at night.

Here’s the thing – teenagers are dysphoric. Dysphoria is defined as ‘a state of unease or generalised dissatisfaction with life’ and that just about sums up being a teenager for a lot of kids. Many teenagers feel they aren’t in the right place, the right life, the right time. It is not such a huge leap, especially for a lesbian girl, to conclude that she is in the wrong body. Transkids call the name their parents gave them at birth their ‘deadname’. The appeal is clear. Society demands such impossible things from our youth. Our boychildren are expected to be tough, to ‘man up’, to scorn women yet acquire them, to value money and power above everything else. Is it any wonder if they shirk from what they are told is manhood? And if it is hard for them, it is so much worse for our girls. They are faced with endless images of airbrushed physical perfection in a society where women are told they can ‘have it all’ but are everywhere portrayed as constantly sexually available and intellectually and physically inferior. We are raising our girls in a society where women still earn nearly 20% less than men for the same work hours; where online porn is only a click away; where a third of young women age 18-24 report being sexually abused in childhood and only one in twenty reported rapes ends in a conviction. Is it really any wonder when young women want to cut off not just their hair  but their breasts and fantasise about emerging, as if from a chrysalis, to join men in their position of power and privilege?

“Gender is a social construct.” I repeated. “You are a biological girl. You can have no idea what it feels like to be a boy, because you aren’t a boy. Being a girl doesn’t have to dictate what you like to do, or wear, or who you love.”

She said, “I’m a boy.”

“No, you are a girl.”

“You can’t tell me how I feel.”

I worried myself sick that, at almost 16, my child was only a few months away from being able to visit a doctor privately and start hormone treatment. In fact, as I later learned, some UK children are receiving cross-sex hormones from private doctors as young as 12.

When I first started my research into transgenderism online, I could find nothing that questioned the trans narrative. Everything said transition was the answer, the only answer. Then I found 4thWaveNow, Transgender Trend and Gender Critical Dad. Those websites were saving lights in the blue glow of my laptop on those sleepless nights. From there I was led to others who questioned Transtopia. I read, with a mixture of relief and dismay, articles showing the huge increase in young people identifying as ‘trans’ and presenting to gender clinics in the last few years. Those most likely to be sucked in seemed to be white, middle class girls who spent compulsive amounts of time on social media. I read blog posts by thissoftspace and crashchaoscats. I watched YouTube videos by the inspirational Peachyoghurt. I read Sheila Jeffreys’ ‘Gender Hurts’. I joined online radical feminist groups and met wonderful women full of love and anger who taught me a lot.  I read stories about five year old children transitioning, and about parents discovering their child had ‘changed pronouns’ at school months ago, but the school had a policy not to discuss  the issue with parents. I saw picture books encouraging children to question if they were born the ‘right’ sex. I read about a woman who started a fundraiser for ‘top surgery’ for her disabled daughter who was hospitalised in an intensive care unit. I watched videos where young boys donned false eyelashes and lipstick and curled their long hair, and told the world that they were really girls, while their parents held the cameras that broadcast their lives to the world via their own YouTube channels. Trans-identifying Jazz Jennings stars in a reality TV show. I read about MTT (male to trans) boxers hospitalising women in fights, about MTT golfers who suddenly became world champions, about middle-aged MTT playing on girls’ basketball teams. And I read story upon story about women and girls being assaulted in bathrooms, locker rooms, prisons and refuges, by men who identified as women and used the privilege that gave them to invade women’s spaces.  In all my internet surfing, I never found a single story about an MTT being attacked in a men’s restroom.

I showed Jessie a graph that registered the sweeping rise in girls identifying as trans over the last decade. She seemed somewhat subdued by that.

“A woman can’t become a man, it’s impossible.” I reasoned. “How can your body be wrong but your brain be right?”

She repeated, “I’m in the wrong body.”

We went round in circles. And then, in my Internet wanderings, I discovered ‘Jake’.

Jessie had created an elaborate online persona as a transboy, as Jake. As the story slowly unravelled, I discovered that Jessie hadn’t met her new girlfriend, Beth, at a party, as she had told me. Instead, they had met online, and as far as Beth was concerned, she had a boyfriend, a transboy called Jake. As far as Beth was concerned, Jessie Maynard didn’t exist.

I was devastated, I was lost, I was furious. We’d had a strict ‘no fake profiles online’ rule and she had broken it, and then had lied to me.

“It’s not a fake profile,” she yelled, as she slammed her bedroom door. “It’s me!”

I changed the internet passwords and I bought her a ‘brick phone’, a phone without internet access. She was not impressed.

But I didn’t try to stop Jessie seeing Beth, or any of her other friends. Beth lived two hours away from us, but I paid Jessie’s train fare to visit her fortnightly, and gave her back her old phone to FaceTime most evenings. I was touched when Jessie wanted me to meet Beth, and I took them out for dinner. I had mixed feelings. On one level I felt the relationship was reinforcing her confusion. On another I felt it might help clear it. Yet I was horrified that Jessie had created this online world, slipped so easily inside and pulled it back into reality with her. There were others calling her Jake now, friends she had met online, and a few ‘IRL’ friends. Even some of her friends’ parents, I discovered, used the new name and pronouns.

“Do you think Beth really sees you as a boy?” I questioned, one afternoon.

“Yes.” Jessie didn’t look up from her book.

“Really?”

“She says if that’s how I identify, that’s how she sees me.” Jessie looked up this time, and seemed a little uncertain. “I have wondered about that,” she admitted.

Sometimes I would sit with her, coaxing her to explain how she felt, trying so hard to understand how she thought she really could be a boy; telling her what a talented and creative person she was and what a great life she had ahead of her.

Sometimes I couldn’t bear it any longer.

“Whatever you do to yourself you will always be a woman,” I shouted, exasperated. “Do you want a life where everyone around you creeps about pretending they think you’re something you’re not? Do you want to spend the rest of your life on hormones? Do you want a half-beard, phantom breasts, a life based on a lie?”

Sometimes she would not speak to me at all. And I didn’t blame her.

As I’ve said, the internet told me repeatedly that my child might kill herself if I questioned this new identity or whether transition was the best response to her feelings. I didn’t believe it. Jessie did not seem suicidal. Angry and confused, yes. There seemed to be no space for question, no one out there to tell these kids they might be ok as they are – that it was society’s expectations of what makes a man or a woman that should change, not them. This self-diagnosed condition seemed to be accepted without question by most therapists and health professionals.

I started a Facebook group just for Jessie and me, where I posted blog links, news articles and reports I found online, and checked if she had read them by bringing them up in conversation.

Sometimes I’d say, “You can have your phone to call Beth after you’ve read that article.”

Or, “I’ll wash up, you go and look at that video.”

Many of the links I shared with her explained gender as a social construct. Some unravelled the myth that our brains are gendered; some discussed what makes a woman a woman. Many linked FTT (female to trans) transgenderism to male domination, some discussed internalised misogyny. I made sure she knew that detransition was ‘a thing’ and that detransitioners were rejected by the community that had encouraged them to transition in the first place. Sometimes we read articles or watched videos together. She rolled her eyes a lot but didn’t seem to mind too much.

dolezal

I read everything I could get my hands on. I stayed up most of the night, most nights, reading and copying and pasting appropriate links for Jessie to read. It was easier than lying in the dark, thinking about my perfect child removing her breasts a few years down the line. I learned about breast binders and the problems they can cause. I learned that the facial hair produced by testosterone often remains even if hormones are stopped. I googled pictures that I now wish I could unsee. A pre-op torso sporting breasts and chest hair. Photos of badly scarred, crooked chests; of nipples that looked as if they had been glued or badly stitched back on, reports of nipples that had ‘fallen off’. A photo of bloody breast tissue lying in a silver surgeon’s bowl. I saw pictures of constructed penises that looked like ready-rolled pastry and the raw exposed flesh that was cut away from arms or thighs to build them. I learned about how an artificial vagina can be constructed from a scrotal sack, and how, in the words of one MTT, “some of the tissues get starved of nutrients and oxygen (and) tends to die off”. I learned about ‘phantom penis syndrome’ and how it can affect some post-op MTTs when they become aroused.

It was horrific. It was nothing like the ‘My 2 Year Transition Story’ YouTube videos. I did not make an appointment for Jessie to see the doctor. I did not take her to a gender clinic.

“You’re not a straight boy, Jessie. You’re a lesbian.” I reasoned.

She shouted, furious, “I am not a lesbian!”

Her 16th birthday came and went. She had a party and her friends took over the ground floor. I kept one eye out from upstairs. Some cross-looking little goth girls smoked and drank beer at the bottom of the garden.

“Who were those girls?” I asked the next day.

“Those boys were Ryan and Jake.”

I snorted.

I did try to find Jessie a therapist who would help her reconcile with being female. The only openly gender critical therapist a Google search threw up lived in Texas. No use to us, then. I was put in touch with several people by email, but I could find no-one who worked in our area. Those I did communicate with were wonderfully supportive but asked me not to name them, not to give out their email address or talk about them. The message was clear – publicly questioning Transtopia could be professional suicide.

Jessie talked disparagingly of ‘otherkin’, the world of people who seriously ‘identify’ as animals. Cats, mostly, or wolves, and sometimes dragons. She didn’t take them very seriously. I said I couldn’t see a lot of difference between their beliefs and her own. She scowled–but then she laughed.

I showed Jessie photographs of Danielle Muscato and Alex Drummond: both men who consider themselves to be women.

I showed her a picture of an FTT (female to trans), who claimed she was a gay man, breast-feeding her baby.

“Man or woman?” I pestered her. “What makes a woman? What makes a man?”

We watched a video about Paul Wolscht, a man in his late forties who now ‘identifies’ and ‘lives as’ a 7- year old girl. Jessie was horrified. She said it was gross. I said that if gender really is all about identity, then his identity is surely as valid as any other. She looked at me, incredulous. I shrugged. There was a silence.

I showed her Peachyoghurt’s YouTube channel and we watched the videos together. Peachyoghurt made Jessie laugh. Sometimes I felt like we were getting somewhere, but when I asked her, the answer was always the same.

“Nothing’s changed. I’m still a boy.”

“What about Rachel Dolezal?” I asked one day, in the middle of dinner. “She was born white but honestly feels as if she is black. How is that different?”

“It just is.”

“Why?”

“I’m eating my dinner, mum.”

I taught her about how gender is a hierarchy; I gave her articles that showed that ‘transwomen’ are as likely to be arrested for violent crime against women as men; and that wealthy, older men are investing huge amounts of money in the transitioning of children.

Sigh. “I’m still a boy, mum. Nothing has changed.”

When Jessie was due to register at college at 16, she told me she wanted to register as a boy, as Jake. I had seen this coming and I was not keen at all. I felt that the more she indulged Jake; ascribed the good things in her life to being perceived as a male, the less there would be left of Jessie. The deeper she waded in the waters of Transtopia, the harder it would be to turn back. I worried about the effect on her education, and the damage that would be done by people in authority appearing to buy into her delusion. I was determined to at least find her some time and space to think a while longer before stepping into a life in which her ’transness’ was either the elephant in the room or the main focus of her being. She’d been offered a place at an excellent college an hour away from us. I took a gamble.

“You can do what you like when you are 18,” I told her. “But for now, you register as Jessie- as a girl- or you go to the college two blocks away from our flat.”

To say she was not pleased is an understatement. There were tears and there was shouting.  But she registered at college as Jessie Maynard.

We know that we are supposed to say that transwomen are real women. We know that it upsets them when we don’t. We also know, although we think about it far less, that we are supposed to believe that teenage girls who think they are boys, are actually men. The reason the cry ‘transwomen are real women’ is so important is that the minute we stop buying into that ‘reality’ the whole house of cards collapses.

I talked with Jessie about the way we treat boys and girls differently and how their brains develop differences because of that. I reminded her that in Victorian times, and well into the 20th century, pink was considered to be a boy’s colour and boys wore dresses until they were as old as eight. Gender expectations are different in different cultures. How could your brain be right but your body wrong? Is Caitlin Jenner really a woman, and is the hardest part of being a woman really deciding what to wear? Can sixty years of male privilege be wiped away with surgery and a lipstick? I talked a lot.

After a while I would always ask, “Do you want me to go away?”  Usually she would say, “Yes,” but sometimes she would shake her head. “No, you can stay.”

I told her how angry it made me feel that she had friends whose parents used her ‘preferred pronouns’, because I wouldn’t tell an anorexic girl she looked better thin, or comment on how cool the cutting scars on a boy’s arms looked.

I tried to give her support and let her know that I would always love her, but I never wavered for a minute from the idea that a woman cannot ‘become’ a man. Jessie and I went out for walks, to the cinema; out to lunch. I watched her and thought how clever she was, how compassionate, how thoughtful, how beautiful. I couldn’t bear the thought that she might mutilate herself in pursuit of something she could never really have. I wore sunglasses far too often that summer, but it helped to hide my eyes.

Then, at a party, Jessie met up with a friend she hadn’t seen for a year. Hazel had lived as a boy called Harvey for 8 months and then re-identified as a girl. Unbeknownst to me, they talked a lot over the next few weeks.

“What does Hazel say about it all?” I asked, curious, when Jessie told me. She shrugged. “Pretty much the same as you.”

When she asked if she could stay the weekend at Hazel’s house, obviously I said yes. I began crossing my fingers and hoping for a light at the end of the tunnel.

A week later she said “I’m thinking about it all, mum. I’m not sure what I think anymore.”

Jessie started at college and had never seemed so happy. Slowly, she seemed to begin reconciling with her femaleness. Then she told me she wanted to tell me something ‘later’. I thought I knew, I suspected, I hoped and I hoped. I waited and time passed slowly.

One day she texted me on the way to college,  “I am a girl. I was never a boy.’

She has told the group of friends that called her Jake the same.  Beth has been accepting, saying “Now you’re my preferred gender.” The only friend who is disappointed is a boy.

“You are becoming problematic.” he told her. “You need to educate yourself.”

Jessie saw the irony.

Jessie wrote a respectful but trans-critical post on her Tumblr account, and two of her ‘transboy’ followers messaged her saying they had also been feeling that way for some time and asked her to tell them more. She is currently messaging with several young people who are experiencing gender confusion. I hope she can help them, as her friend Hazel and I helped her, to realise that your potential should not be governed by your genitals; that the problem is gender and the solution is to try to change the system, not yourself.

I realise that it could have all gone horribly wrong: Jessie could have turned her back on our family and bought into the myth that anyone who questions trans ideology is phobic, full of hatred, and should be discarded in the name of liberation and finding yourself. If things had gone that way, I could have lost a child as well as a daughter. Every family is different and I would not presume to tell another parent how to deal with their child’s assertion that they are transgender. It is a minefield. If I had ever felt that Jessie needed to transition to stay alive, I would have acted differently, but I never once felt that she was in danger of taking her own life. Of course, I had never expected my daughter to tell me she was my son, either.

I do not dispute that, for a very small number of people, their gender and body dysmorphia has gone so far that the only comfortable way for them to survive in this culture is to live as the opposite sex. These people should have the same rights as the rest of us, they should not be discriminated against and they should be able to move about their business in safety. Housing and jobs should be open to them, just as they should to any member of society. I don’t want to belittle their suffering and I would not ‘misgender’ someone to their face. But a man is not a woman and a woman is not a man. These are biological differences, and biology is the fundamental basis of female oppression. To claim that being a woman is no more than a feeling is to instigate the erasure of women. The idea that we should buy into the myth that our young people are ‘born in the wrong body’ because they do not want to conform to contemporary gender stereotypes is doublespeak worthy of an Orwellian dystopia. The fact that teenage girls, predominantly young lesbians, are rejecting their womanhood in an attempt to become their oppressors should fill society with horror. Instead we are making ‘being trans’ into the latest fashion and parading these children in newspapers and on reality TV shows. I don’t know where it will end.

What I do know is that if I had let Jessie register at college as a boy and taken her to a gender clinic, we would be looking at a very, very different picture now. My beautiful 16-year-old daughter would have stepped down the road to public transitioning and a lifetime on medication. She would be looking towards a very different future.

Thank you to those of you that gave me support. To the women and men who have written so honestly about their experiences as parents, or as gender questioning young adults. Words cannot describe the strength you gave me when I needed to believe that I was doing the right thing in not supporting Jessie’s immediate transition. One more strong, healthy young woman is growing up a feminist.


Thoughts from Jessie Maynard:

Although at the time I didn’t appreciate it, the constant repetition of “you can’t be a boy” did me good. A lot of good. I had been spending too much time on the internet and I had got it into my head that somehow, biological girls could really be boys, if they “identified” as such (& vice versa).

As someone who’s always had a mostly realistic grip on the world, for some reason I had been pulled into a world where boys could become girls and girls could become boys. I felt that because I said I was a boy, I was a boy.

At the time, I felt that my mum not immediately calling me Jake and using male pronouns was horrible and transphobic. But in the long run, without her resistance, I probably wouldn’t be as happy as I am today, as I would still be thinking I was a boy and trying to “pass” as a boy (which I would never be able to do without body-altering hormones.)

I think that if I had changed my pronouns in September, and registered at my college as a boy I would be a lot more unhappy as I would constantly be trying to “pass” and I wouldn’t be making the friends I wanted to, as I would be trying to fit in with the “male crowd”. When I arrived at my college, making friends wasn’t my primary motive, however the friends I have made are almost all female, and I don’t think I would have those friends if I had been trying to fit in as a boy.

Most of all, understanding gender as a social construct has taken me a long way in my personal life, and in my ideas about feminism and the way women and men are treated, especially women by the trans movement.

I’m glad that I realised before it was too late, as I am now happier in my own body and identity. I think that as a whole, many girls who wouldn’t’ve identified as transgender 10/20 years ago are now thinking they are which is dangerous and harmful to them, and that talking to them maturely and explaining gender as a social construct could really help them.

 

Too much trust

4thWaveNow contributor Overwhelmed is the mother of a daughter who previously identified as transgender. Her daughter is now comfortable being female even though she chooses to eschew conventionally feminine clothing and sports a short haircut.

Overwhelmed can be found on Twitter: @LavenderVerse


by Overwhelmed

Why does the public seemingly trust that gender doctors know what they are doing? Well, one of the reasons is the frequent media portrayals of trans kids. Children who have recently undergone medical transition are being presented as success stories, even though no one knows the long term consequences of gender-affirming treatments.

I came across this article on the University of California San Francisco website. It covers the transition of three children—two who have puberty blocker implants and one, a natal female named Oliver, whose treatment has included puberty blockers, testosterone, a double mastectomy with chest contouring, a hysterectomy (at 16 years old!) and plans in the near future for the first in a series of phalloplasty surgeries. The article also highlights the involvement of three gender-affirming pioneers—Dr. Ehrensaft, Dr. Rosenthal and Joel Baum—whom I will discuss a little later in this post. But first I will focus on Oliver.

Oliver’s story (which I’ve pulled from three separate articles) starts off as expected—a young child uncomfortable in dresses who likes short hair and playing baseball. When puberty started, it caused a great deal of distress. Suicide was considered. And then:

A few months before his 15th birthday, …stumbled across the word “transgender” online. He read about people who had had medical treatment to align their bodies with their gender identity – their inner sense of who they are.

“Bam, my life changed,” he says. “It lifted a major weight to find out I could do something about all this pressure I had been feeling.”

 At first Oliver’s parents, especially his father, didn’t accept that their daughter was really their son.

“It took me a bit to become a really supportive dad,” ….

For months they didn’t speak. But in the end, reading the suicide statistics for transgender teens brought him around.

“My kid’s not going to kill himself,” …. “I don’t care what he is, as long as he’s a productive person in society, and he needs all the support we can give him.”

Oliver was taken to UCSF’s Child and Adolescent Gender Center.

By age 15, Oliver… was on a dual regimen of testosterone, plus puberty blockers to keep his endogenous estrogen from competing with the male hormones.

While he had to endure a second puberty, and he’ll need to take testosterone for the rest of his life, he’s had no second thoughts about transitioning.

The summer after his sophomore year, he had “top” surgery – a double mastectomy and male chest contouring – in San Francisco. To pay for the procedure, which was not covered by insurance, he used earnings from years of showing and selling pigs at the Tuolumne County fair.

“It’s a lot of money for a 15-year-old,” he says of the $8,000 price tag. “But I appreciate it every day.”

His family’s insurance also wouldn’t cover a puberty blocker implant, so… at first chose cheaper but “gnarly” monthly shots. Later, concerned about unknown long-term effects of the blockers, and hating the painful shots, he opted for a hysterectomy at age 16 – performed by the same family doctor who had delivered him.

In June, he’ll undergo the first in a series of “bottom” surgeries to create male genitalia.

His only regret, he says, is not finding UCSF’s Gender Center sooner. “To not go through the wrong puberty, those kids are lucky,” he says. “That’s a team effort. You have to show [gender dysphoria], and parents have to catch it.”

Oliver’s story has been published in at least three media articles, likely reaching a large audience. The teen has also been influential in Oliver’s small town high school  where at least four other transgender students have since come out.

ucsf-logo

An increasing number of children like Oliver are announcing they’re transgender, and families are looking to the experts in the field for guidance. Diane Ehrensaft, PhD, a clinical and developmental psychologist, is one of a number of pediatric gender-affirming pioneers in the San Francisco Bay area. She is Director of Mental Health and founding member of the UCSF Child and Adolescent Gender Center. She is a well-known proponent of the gender affirmative model and has authored two books on the subject. Ehrensaft has a private practice in Oakland and serves on the Board of Directors of Gender Spectrum.

Her credentials seem impressive, but there are concerns that her stance could unnecessarily pressure parents into eventually medically transitioning their children. She’s often quoted in news reports about trans kids. Here she is in the Duluth New Tribune article from above, rationalizing the dramatic increase in trans-identifying kids seeking treatment:

“We have lifted the lid culturally,” said developmental psychologist Diane Ehrensaft, whose Oakland, Calif. practice has seen a fourfold increase in the number of gender-questioning kids in recent years. “These kids have always existed, but they kept it underground.”

She is also quoted in the UCSF article:

“When a child says, ‘I’m not the gender you think I am,’ that can be a showstopper,” says Diane Ehrensaft, PhD, the Gender Center’s director of mental heath as well as a private-practice psychologist in Oakland. “Some parents say, ‘Not on my watch. No way am I signing off on a medical intervention. When they’re 18 they can do what they want.’ I say, ‘You’re absolutely right, you’re the ones minding the shop, but let me share with you the risk factors of holding back.’”

A parent swayed by Ehrensaft’s logic may believe that, contrary to historical records,  there were always this many trans kids. This could lead parents to disregard the impacts of social contagion. And she tells parents that being cautious and holding back medical interventions until their child is 18 could lead to serious “risk factors.” Suicide seems to be implied.

Stephen Rosenthal, MD, is another pediatric gender-affirming pioneer in the San Francisco Bay area. He is a founder of the UCSF Child and Adolescent Gender Center and currently serves as its Medical Director. He is also the program director for Pediatric Endocrinology, director of the Endocrine Clinics, and co-director of the Disorders of Sexual Development (DSD) Clinic. Additionally, Rosenthal spends time as a professor of clinical pediatrics at UCSF and conducts research. Currently, he is participating in an NIH-funded study of pediatric medical transition.

He has stated that “these kids have a very high risk of depression, substance abuse, suicidal thoughts and suicide attempts. Not treating is not a neutral option. He promotes early treatment—puberty blockers, cross-sex hormones and sometimes surgeries—to alleviate these symptoms without any proof of long term relief.

Under his direction, the UCSF Child and Adolescent Gender Center has grown substantially. It opened in 2010. By 2012 there were 75 patients and currently there are over 300 patients with about 10 new referrals a month. Business is booming. Clinics are being added in San Mateo and Oakland. The UCSF Gender Center network isn’t the only place in the San Francisco Bay area offering pediatric gender affirming treatment. Stanford and Kaiser Permanente provide similar services.

What could be driving all of these children to seek treatment? Well, the San Francisco Bay Area has been well-educated by Gender Spectrum, a “national advocacy group for gender expansive youth whose mission is to create a gender sensitive and inclusive environment for all children and teens.” Many schools in the area have hosted training sessions by Gender Spectrum. The goal of gender sensitivity training is to increase acceptance and decrease bullying, but it’s likely that some children get confused by the information, leading to a rise in referrals to gender clinics.gender-spectrum-logo

Joel Baum, MS, is an advocate for pediatric gender affirmation. He is the Senior Director of Professional Development and Family Services at Gender Spectrum and is the Director of Education and Advocacy for the UCSF Child and Adolescent Gender Center. He co-wrote Schools in Transition, A Guide for Supporting Transgender Students in K-12 Schools, which I discussed in this blog post. He has spoken in schools, at conferences (mentioned in this 4thWaveNow post) and, according to this article, promotes transgender awareness on radio shows.

Per the article, it was Baum who helped Emily and her husband realize that their son was really their daughter (Kelly).

One day Emily got a call from her husband, who was in his car listening on the radio to Joel Baum, MS, the Gender Center’s director of advocacy as well as the director of education and training for the Oakland-based nonprofit Gender Spectrum. “You’ve got to turn on the radio,” he told her. “I think this is our kid.’”

Emily was horrified to learn about the high rates of harassment, school failure, and suicide among transgender youth. “I couldn’t talk about it without weeping. I kept going to all these images in our culture for transgender people, that they’re on the edge, disenfranchised,” she says. “I was thinking, ‘I can’t lose my kid. I don’t care what her gender is. I’ve got to get on the other side of those statistics.’”

Her path forward, she says, was “unconditional acceptance of my child’s truth.”

The family started regular visits to Gender Center clinics and let Kelly be their guide. She grew her hair long. In third grade, she switched her masculine birth name to a gender-neutral nickname. At age nine, she transitioned socially, becoming “she” to relatives, friends, and classmates.

Intensely private, Kelly wanted no emails to parents, no classroom announcement. Just a quiet switch in pronouns. Her elementary school administrators and teachers – faced with their first transitioning student – were “incredibly supportive,” says Emily, who sought out staff training and put Kelly in a classroom with only one student who knew her from “before”: her best friend.

Now 13, Kelly has a matchstick-sized implant under the skin near her left bicep to suppress the male hormones her body produces. She’s blossomed into a “beautiful, smart, artistic, empathetic, fun kid,” Emily says. “I’m like, ‘Whoo! I hit the jackpot.’ But it was definitely a process and a journey for our family, and our daughter, to come to understand who she was.”

Ehrensaft, Rosenthal and Baum are promoting treatment for gender dysphoric children based on unproven theories, not solid evidence. There has been a dramatic rise in trans-identifying youth, but instead of questioning why, Ehrensaft says that the increase is due to hidden trans kids coming out. Rosenthal seems to believe that pre-emptive treatment (leading children to become permanent medical patients with unknown long term side effects) is worth it to potentially avoid future depression, substance abuse and suicide. Baum doesn’t appear to consider that transgender advocacy can lead some impressionable kids to mistakenly self-diagnose as trans. Or, that it can affect how parents interpret their children, potentially leading their gender defiant kids unnecessarily down the path of transition.

And each uses suicide statistics, flawed as they are, to justify early intervention. I’ve seen many parents in news articles state that the motivation to go along with transition was to avoid suicide. Parents are scared and feel pressured. They want to keep their children alive, no matter what. They don’t feel like they have a real choice. “I can either have a live son or a dead daughter” (or the reverse) is a common saying. When parents trust the advice of gender experts, they will accept puberty blockers, cross-sex hormones, mastectomies, and hysterectomies as necessary. Unfortunately, though, this approach does not guarantee a live child.

Tremendous pressure is being placed on parents to provide gender affirmative “support.” Media articles never quote these pioneers recommending what we do at 4thWaveNow—to support our children in defiance of gender. We allow our children to choose their haircuts, clothing and interests. We accept them as is, without pressuring them to conform to societal expectations. We urge caution and encourage reflection on what it means to be male or female. We consider the long term impacts of medical interventions. We don’t rush into gender affirmation via pronouns or treatments. We want to avoid suicide in our children, but realize that the underlying reasons are more complex than the trans kids media articles portray. And some of us have had success with this approach.

There is a great deal of trust being put in the experts in the field, but we need to remember that they are pioneers in the strictest sense. They are still developing new ways of thinking about and treating gender dysphoric patients. The process is not complete. Gender science is rapidly evolving and changes to treatment protocols are likely. Today’s success stories may not be tomorrow’s success stories. The trust in experts should be viewed from this perspective.

Genderqueer teddy bear teaches toddlers proper pronoun etiquette

You’re never too young to learn about pronouns.

While far too many of us have been snoozing through the 21st century, other intrepid souls have been busy, busy bees. First, they succeeded in convincing mainstream lesbian and gay activists to adopt transgender identity politics. And that has been a fait accompli: Now all major LGB organizations are steered and funded by trans activists, with a predictable mission shift. Over the same time period, university students were brought on board with “gender”(formerly women’s) studies, their brains heavily gummed up with postmodernist gobbledygook.

In more recent years, a new frontier has been pioneered: the open minds of high school, elementary-age…and preschool children.

Just one example is the educational YouTube channel Queer Kid Stuff –sort of a Sesame Street for the preschool gender ID set. The channel has posted three episodes so far, each about 3 minutes long—perfect length for the short attention span of young kids. Clearly much thought has been put into appealing to the little ones. There’s a catchy musical theme, a colorful set, a loveable and gullible teddy bear, and sing-alongs with Lindsay, the ukelele-wielding narrator-teacher.

Episode 2, “What is Gender?” seems to start off on the right foot. Lindsay challenges gender stereotypes, telling Teddy that girls can have short hair and wear a tie. Or long hair and tiaras. It’s all good!hair-and-tiara

Naturally, as with All Things Trans, this gender defiance is presented as if having a certain haircut, wearing what you want, and generally not conforming to sex stereotypes is a brand-new concept.  Funny: We dinosaurish Second Wavers thought we had already taken care of this in the 1970s/80s (how very wrong we were).

But anyway, so far so good…until a confused Teddy plaintively says…

 Teddy: But Lindsay, I still don’t know if I’m a boy or a girl!

Lindsay: Good, Teddy! Did you know that some people aren’t boys OR girls?  Some people are boys…some people are girls…and some people are people

boys-girls-people

Not-boys and not-girls—they’re people! (Translation, I guess: “genderqueer,” but maybe that term is too loaded for even Lindsay to use.) But there’s no way around the standard-issue definition of transgender, which Lindsay dishes up next:

”…people who do not identify with the gender the doctors tell them they are when they are born

Bad doctors!

Do tell, readers. When you were 3 or 4 years old, would the words “identify as” make any sense to you? Can you picture your mom or dad casting aspersions on those dumb doctors who jumped the gun, and stupidly TOLD your parents you were a boy or girl?

Poor Teddy, trying to hang onto sanity despite a head full of fluff, takes a stab at unraveling this mess:

Ok. I think I understand. But if there are boys and girls and people and all of them can wear ties and dresses…then how can I tell who is what gender?”

Teddy’s befuddlement is no doubt shared by all the poor kids being subjected to this educational series (who’d much rather be outside playing in the mud with other children–aka “people”–than worrying about what “gender” their playmates are).

That’s actually really easy, Teddy. All you have to do is ask someone what their pronouns are. When you meet someone, just ask them what their pronoun is.   

It’s easy, preschooler. Just take a few minutes out of your busy play day to inquire whether Jimmy or Judy were assigned the wrong sex at birth by doctors—you know, doctors, the people your parents told you to trust when they jabbed you with those ouchy pre-K shots?

pronouns

Teddy takes a moment to take this in, then asks, in an appropriately awestruck tone,

 Lindsay…what’s YOUR pronoun?

Lindsay looks pleased as punch.

 I use “she.” What’s your pronoun, Teddy?

Wait for it… 

I don’t FEEL LIKE a she or a he. So I guess my pronoun is “they.”

The FEELZ! Lindsay’s response?

 That’s really awesome Teddy.

And the pièce de résistance, the obvious point of this little indoctrination session:

 Now we want to know YOUR pronoun in the comments below. 

As of this writing, “What is Gender?” has been viewed over 4000 times, and the comments are overwhelmingly positive. How many parents will be sitting their kids down in front of this episode while they’re doing household chores?

comments

 show-kids-one-day


In this Brave New Gender Identity World, toddlers and preschoolers are no longer allowed to just freaking play. They have an “awesome” responsibility to ask their playmates—many of whom aren’t yet toilet trained and still fervently believe in the Tooth Fairy and the Easter Bunny– what their pronouns are. Being a boy or girl isn’t about your body (how old fashioned!) or even about what you play with, or wear, or how your hair is cut.  It’s all about the FEELZ.

Lindsay could have done some good with that video. She started off by supporting kids in defying sex stereotypes. But instead of continuing with the idea that girls and boys can wear, look like, or play with whichever toys they want, Lindsey instructs Teddy about “gender” and—we can’t put too fine a point on it–PRONOUNS.

Any parent—or anyone else who has even passing knowledge about normal language development– will tell you that most preschoolers don’t even know what a pronoun is, but Teddy is instructed that to be polite, you should ask people what theirs are!

Now I’ll just touch on Episode 3, “What does queer mean?” (over 5000 views as of this writing). The video description: “Lindsay and Teddy explain what queer means with a song about unicorns!”

what-does-queer-mean

Teddy, queer isn’t a thing, it’s an idea! 

Ok. Now maybe we’re getting somewhere. “Queer” is an idea– as in “ideology”?

Poor Teddy:

Teddy: Ohhhhh….wait. I don’t get it.

Lindsay: Queer isn’t a thing like this crayon…or this watch. Lots of people have a different meaning for the word queer.

You can say that again.

Queer has to do with being…different. And how everyone is different from everyone else. 

Once again, Lindsay is in danger of actually making sense here.

 Some people are different because they’re gay, or because of their gender. You can be different in lots of ways….We are all a little different, or weird, or even strange. And that’s a good thing! So I guess we are all a little bit queer.

Raising my hand here: If that’s the case, Lindsay, why can’t we just dispense with the term entirely then?  We’re all unique and boys and girls can do and be anything they like! But no—Teddy the genderqueer teddy bear has more to learn.

 Teddy: Me too?

Lindsay:  Of course, Teddy! Why don’t I teach you a little song about unicorns to help you remember.

Help you remember what? Why does Teddy need a song to “remember” that everyone is different?

Of course, Lindsay isn’t really saying that everyone is queer. Implicit in her message is that queer people are different from those boring gender-conforming types (the “cis” boys and girls), who exist only in the minds of trans-identified people. Otherwise, why does Lindsay need to “teach” Teddy and the toddlers forced to watch this stuff what queer means in the first place?

ukelele

The insipid song is all about horses (obviously symbolic of “cis” and boring as hell) vs. unicorns who are “different” and being “different” is fun.

As Lindsay finishes the horse-unicorn song, she reminds us that this is not just singalong time, but education:

And now Teddy, it’s so much easier to remember what “queer” means

Because 3-year-olds need to “remember” what the trans activist brigade says! At all times.

And Teddy is on board:

I’m so excited I learned a fun new word with you.   

Fun? It won’t be that much fun to go to the gender doctor (a different doctor from that dumb OB-GYN who “assigned” you the wrong sex) for those puberty-blocker implants and cross-sex hormone shots and surgeries you’ll need when you figure out you’re “really” the opposite sex, Teddy.

This video, too, has plenty of fans in the comments:

nonbinary

Child development expert and online gender educator Lindsay also has a video up about what it means to be gay. While it could be reasonably argued that preschoolers are too young to learn about sexual preference, some of these kids likely have parents in same-sex relationships. And of course, some of them will grow up to be lesbian, gay, or bisexual themselves–although there will be fewer than in bygone eras when there weren’t “gender therapists” watching like a hawk for signs that babies might be transgender. But the glaring difference is that little kids who might grow up to be LGB don’t need grooming into the idea that they will eventually need hormones and surgeries to “be themselves.” Come to think of it, Lindsay should maybe make another video for the trans-toddlers to let them know they will never have little kids of their own to watch fun vids like this if they follow the usual 100% sterilization route of medical transition.

QueerKidStuff is not just a YouTube channel. They have a Twitter, Tumblr, Facebook, and website, and tout their Patreon fundraiser page at the end of every video.

tumblr-page

Where does this idea come from that young children are anything other than the boys and girls they were born as? Maybe from “gender educators” like Aidan Key:

The way a classroom discussion might go for younger ages is “How do you know if someone is a boy or a girl?” And they’ll list off some reasons: Boys have short hair and girls have long hair. But then they’ll look around, and there are girls with short hair and boys with long hair. So they’ll readily counter what someone offers, and that’s an amazing conversation — is there anything they can find that really is exclusive? So when they say, “Boys have a penis”? That’s when the conversation about being transgender comes in: You can say some people happen to have been born with the body of a boy but the heart and mind of a girl.

The “heart and mind” of a girl?

So little kids are being taught by gender-addled activists to kowtow to an ideology which is undermining common sense, bodily integrity—and the reasonable parents who until recently were not labeled hateful “transphobes” for simply teaching their children about what is real vs. what is fantasy.

From toddlers to graduate students, the gender propaganda juggernaut is moving forward with all cylinders firing.

 

 

Gender-affirmative therapist: Baby who hates barrettes = trans boy; questioning sterilization of 11-year olds same as denying cancer treatment

Note: 4thWaveNow frequently features posts (like this one) that focus, often unflatteringly, on the activists and providers involved in pediatric transition. These people aren’t ogres who intend to bring harm to the young people and families under their care and influence. They undoubtedly sincerely believe they are doing the right thing. The purpose here, as ever, is not to demonize, but to shed light on the potential and actual damage done by the practice and ideology of “gender affirmation.”  Harms done not only to children and their families, but to the decades of progress achieved by the women’s and LGB liberation movements.


A well known subscriber to the “gender affirmative” approach to trans-identified children is Diane Ehrensaft, PhD., a clinical and developmental psychologist. Dr. Ehrensaft, author of The Gender Creative Child, plays a powerful role in the burgeoning field of pediatric transgenderism. She is director and chief psychologist for the University of California-San Francisco children’s hospital gender clinic, and is also an associate professor of pediatrics at UCSF. She sits on the Board of Directors of Gender Spectrum, a San Francisco Bay area organization which is heavily involved in matters pertaining to trans-identified children and youth.

In February, Dr. Ehrensaft, along with other pediatric transition specialists, including Joel Baum, MS (senior director of professional development and family services at Gender Spectrum), presented at a conference and continuing education event in Santa Cruz, California.  The all-day event, attended by over 400 people, was recorded and video is available here. (Hat tip: GenderTrender, which covered part of Ehrensaft’s presentation here.)

The 5.5-hour video is well worth watching in its entirety for anyone interested in the current state of “gender affirmative” therapy. This post will touch on only a few highlights from the conference. There is much, much more.  (Numbers in square brackets give approximate hour:minute time stamps for each video excerpt.)compare-models

Dr. Ehrensaft [1:31] tells the audience that “gender affirmation” differs from the more cautious approach of learning to “live in your own skin” provided by Dr. Ken Zucker in Toronto. Zucker’s clinic was shut down by trans activists a few months ago—reported by Ehrensaft with obvious glee and to the applause of her audience. Gender affirmation also parts company with the “watchful waiting” protocol pioneered by clinician-researchers in the well known Amsterdam gender identity clinic founded by Peggy Cohen-Kettenis. The Dutch have repeatedly counseled caution in social transition and early intervention for gender dysphoric children, given the high rate of desistance and the fact that early social transition has made it more difficult for some young people to change their minds later—and might even increase the likelihood that a child will persist in a trans identity.

kid-tells

Ehrensaft labels “gender affirmative” therapy as “listen and act,” i.e., essentially follow the child’s lead in whether or not to proceed with early interventions like social transition and puberty blockers.  According to Ehrensaft, this boils down to whether the child says they ARE (vs. “want to be”) the opposite sex, and how “persistent, insistent, and consistent” they are in asserting their cross-sex identification and gender “expression.”

Ehrensaft denies that gender-affirmative therapists simply “rubber stamp” a child’s gender identity, yet despite her protestations to the contrary, she constantly reifies the idea that gender identity is innate and recognizable even in pre-verbal babies and toddlers (more on that later in the post).

rubber-stamp

To be fair, in her presentation Ehrensaft does acknowledge the replicated research showing that a large majority of gender dysphoric kids will grow out of it. Yet she strongly believes that she and others like her can reliably distinguish between the “apples” who are truly transgender and the “oranges” who are only exploring.

Even if you believe there is such a thing as a truly transgender child, what is the justification—the evidence— for her hubris, her certainty that she and others like her who peddle the “gender affirmative” approach can predict which children might be happy, decades later, as sterilized, surgically and chemically altered adults? There really isn’t any. Even so, at one point, she claims science is on her side, pointing (without directly citing it) to “research” out of the University of Washington that proves—gender-defiant children really, really, really mean it when they say they prefer the clothes, toys, and lifestyle more typical of the opposite sex.

Let’s take a closer look at the “insistent, consistent, persistent” mantra—droned incessantly by gender experts, with this conference being no exception. While Ehrensaft and Baum take great pains to say they support and even celebrate gender “nonconformity,” when the young trans-identified people (present at the event and on video) talk about their experiences and how they “know” they are trans, we hear the same rationale we always do: they eschew sex-stereotyped behaviors and appearance.

How does Ehrensaft directly instruct us in what it means to be “consistent, persistent, and insistent”? She plays a video clip of a young FtoM who has this to say about why s/he is and has always been trans: [47:00]

 We [trans kids] don’t know about much but we know about gender. We know that girls are the ones supposed to be in skirts and dresses and guys in jeans and fight all the time…I think what should have been a sign to my parents was um…I was a quiet child. I didn’t fuss or anything. But whenever my mom would try to dress me up and put lipstick on me and get me all pretty for pictures I would throw a tantrum, I would scream … that should have definitely been a big sign to her that I was not trying to fit into the girl role… The most feminine thing I did as a child was paint my nails—black.

There is knowing laughter from the audience at this last point—as if choosing black (instead of pink or purple?) fingernail polish were a sure sign that this child was, in fact, a boy.  A child who was, yes, persistent, consistent, INSISTENT…that she didn’t want to act like a stereotypical girl in a dress wearing lipstick.

persistent-teen

If Ehrensaft could respond here, I imagine she might say something like, “oh but it’s more than gender expression!” If it’s more than that, why is the one video excerpt provided to teach us about who is really trans all about stereotypes? Could it be that conforming to stereotypes is the very basis of the definition of a “trans child”?

We hear from another trans-identified teen during the panel discussion, Jordan, a 17-year-old FtoM. We also hear from Jordan’s mom, Heidi, who leads a local support group for trans-identified youth and their families.

Heidi—who at several points mentions her strong church affiliation–talks about some of the childhood experiences that convinced her that her daughter was actually her son, including this [4:37]:

 When Jordan was about 2 it became clear to me that Jordan liked boy things—you know trucks, video games, violence…when he was about between 2 and 4 I noticed he would rip off the pretty little dresses I would put on him. Would go screaming through the house and would not leave the house until he had on his brother’s big, holey T-shirts. I just thought he was a tomboy and that it was a phase.  He was driving me nuts but it was a phase. During this time I worked for a very large church… We are Christians… We were told by everyone around us to make that kid wear a dress.

Another kid screaming in a dress.

Mom tried to force her kid to wear dresses: check. The kid liked trucks: check. A girl not wanting to wear dresses is ”a phase”: check. Mom didn’t like this (it drove her nuts): check. Mom was involved with a church, whose members wanted her to “make” her child wear a dress.

Could this stuff be any more obvious?

Jordan seems to agree that an aversion to wearing dresses is a key sign of one’s innate gender identity [4:44].

 My mom put me in a dress at Easter.  [But I] went to church in dirty jeans and a big T-shirt. That was kind of a big signal.

A big signal of what? That Jordan didn’t like dresses, preferred to wear jeans? What is this obsession with dresses that we see in each and every media story about girls who are “really boys?” When did we step into this time machine, returning to the turn of the 20th century? Even Katherine Hepburn wore pants and eschewed dresses in the 1940s.

Then there’s this from Heidi [4:40]:

[During the elementary school years] I was [putting up] posters of really strong women. You know, like the singer Pink? Oh, this is a real kick-ass girl, you can be like her… when he had a crush on her. It was things like that.

Things like… not wanting a lesbian daughter? This conference took place in 2016, in the San Francisco Bay Area–for decades considered one of the most gay-friendly places in the USA, and the audience tittered at this revelation of Jordan’s same-sex attraction—as if that were a sign Jordan was actually a boy!

Mom goes on to describe how Jordan was diagnosed with a whole “plethora” of mental health issues, from ADD to bipolar to mood disorders, and concludes that it was being trans that was the root of all these other problems; once Jordan transitioned, everything else cleared up: the self hatred, the self harm, the unhappiness.

This is an increasingly common refrain, and in fact, Ehrensaft at several points in her presentation asserts that “gender is the cure” for an array of other mental health issues. What we don’t see, from Ehrensaft or anyone else, is actual evidence that allowing children to “transition” results in improvements in mental health over the long haul. What we are beginning to see in accounts from some people who have detransitioned is that transition essentially put their other issues on hold for a while—only to re-arise when the initial transition exhilaration began to dissipate.

We have evidence from several studies that gender dysphoria often co-presents with other mental health issues. Ehrensaft and others like her are now turning such research on its head, positing that the cause of comorbid mental health problems is a child being somehow thwarted in their gender identity.

Returning to the conference, although Jordan’s “gender expression” is not assumed to be the real reason for transition, it is telling that, as always, it is examples of how a person does or does not conform to sex-stereotyped behaviors that are presented as the evidence for being transgender.

And that goes even for babies, according to Ehrensaft. During the audience Q&A, a man asks how one might tell if a pre-verbal one or two-year-old is transgender. Ehrensaft’s answer, delivered with a knowing and confident smile [Clip for this excerpt is here, starting at approx. 2:05-2:06 in main video]:

 [Preverbal children] are very action oriented. This is where mirroring is really important. And listening to actions. So let me give you an example.

I have a colleague who is transgender. There is a video of him as a toddler–he was assigned female at birth–tearing barrettes out of then-her hair. And throwing them on the ground. And sobbing. That’s a gender message.

barrettes

Ehrensaft miming a significant “gender message:” a toddler ripping barrettes out of her hair

Ehrensaft is a developmental psychologist, and the only reason she can think of that a 2-year-old girl might detest the feel of barrettes in her hair is that the child is really a boy?

Again, I imagine Ehrensaft’s retort: Oh, that was just one thing–there were lots of other signs. Then why does Ehrensaft use this as a seminal example when responding to a question from the audience? And according to Ehrensaft, if the child (consistently, insistently, and persistently?) tore the barrettes from her hair “not once, but twice, three times,” that is the clincher.

Ehrensaft elaborates:

Sometimes kids between 1 and 2, with beginning language, will say, “I BOY!” when you say “girl.” That’s an early verbal message! And sometimes there’s a tendency to say “Well, honey, no you’re a girl because little girls have vaginas, and you have a vagina so you’re a girl…Then when they get a little older [the child] says, “Did you not listen to me? I said I’m a boy with a vagina!

Believers in gender identity accuse gender skeptics like me of “reducing people to their genitals.” But here we have a developmental psychologist saying in so many words that the only thing that makes a girl a girl….is her vagina. I don’t know about the other parents reading this, but I can say my response to my two-year-old in that scenario would not have been a reference to (one aspect of) her genitals.

What else does Ehrensaft advise for parents who are so concerned about their baby’s “gender identity”?

They can show you about what they want to play with…and if they feel uncomfortable about how you are responding to them and their gender… if you’re misgendering them. So you look for those kinds of actions….like tearing a skirt off. …There was one on that Barbara Walters special, this child  wore the little onesie with the snap-ups between the legs. And at age one would unsnap them to make a dress, so the dress would flow. This is a child who was assigned male. That’s a communication, a pre-verbal communication about gender.

Ehrensaft then counsels parents not to try to squelch non-sex-stereotyped behaviors (good advice), but ruins it with a faith-based assertion of innate gender identity:

And children will know [they are transgender] by the second year of lifethey probably know before that but that’s pre-pre verbal.

Not to put too fine a point on it but…this is a PhD. developmental psychologist talking here. What is her evidence base for saying babies “know” their gender identity?

…Especially since, at other points in her presentation, Ehrensaft acknowledges that gender identity can be fluid.

So which is it? A baby innately “knows” their gender identity, or it’s mutable?   To be logically consistent, Ehrensaft ought to also say that some infants are born (innately) “gender fluid”—an assertion that would be much closer to the truth, given the fact of lifelong neuroplasticity.  I wonder when the NIH will fund a study to determine which babies are born “binary” and which “genderqueer”?

What if gender-fluid children transition but change their minds? No harm done, according to Ehrensaft. She breezily asserts [1:50] that there is “no data” that it harms kids to switch back and forth between identities, as long as we “support” them in their “journey”—presumably even if that journey takes them down the road to hormones and surgeries which will alter them forever. She even touts “nonbinary transition” [3:57] as if it is something to be celebrated when youth who define themselves as “agender,” “nonbinary,” or any of the other “genders” (better known as “personalities”) might choose irreversible medical interventions.

Is Ehrensaft aware of cases like this? Would she just chalk it up to this detransitioned woman being “gender fluid” instead of “binary” and the permanent damage done to her body just part of her “gender journey” for which we have “no evidence” of any harm?

My double mastectomy was severely traumatizing. I paid a guy, a guy who does this every day for cash, to drug me to sleep and cut away healthy tissue. I did this because I believed it would heal all of the emotional issues I was blaming on my female body. It didn’t work. Now I’m still all fucked up and I’m missing body parts, too.

Ehrensaft also thinks social media has “been a godsend” [2:08] and a “tremendous boon” for young people to find others like them, with the only real ill effect being the online bullying of trans-identified kids. To be fair, she does throw a bone later to the fact that some kids presenting to clinics may be using a “script” and it’s important to look deeper to see whether it’s “their script”—which is something;  although if Ehrensaft was trained in child/adolescent developmental psychology, her cheerleading for nothing but the positive effects of social media is stunning. Has she never heard about online “communities” of teen anorexics and cutters?

Now to touch upon one final topic covered by Ehrensaft and others in the conference: permanent sterilization caused by prepubescent hormone treatment. This “side effect” is rarely mentioned in the countless media stories celebrating trans kids. One usually has to hunt for obscure literature references to find any mention. But during the conference, several providers do  acknowledge—repeatedly–that puberty blockers followed by cross-sex hormones always result in permanent infertility. They do so at least three times in the conference: [3:53], [4:18], and [5:06].

During the closing panel discussion, Ehrensaft and Baum devote several minutes to the topic of sterilizing trans kids—but explain it away with a twofer: By equating it to treatments for children with life-threatening cancers, and by stating that parents reluctant to sterilize their 11-year-olds are only concerned because they selfishly want grandchildren.

Actually, it’s a three-fer, because Ehrensaft and Baum manage to squeeze in the usual emotional blackmail: children who have to go through their natal puberty might commit suicide. [5:06].

Ehrensaft:

Another thing that’s a show-stopper around [parents] giving consent is the fertility issue. That if the child goes directly from puberty blockers to cross- sex hormones they are pretty much forfeiting their fertility and won’t be able to have a genetically related child.

There’s a lot of parents who have dreams of becoming grandparents. It’s very hard for them not to imagine those genetically related grandchildren. So we have to work with parents around, these aren’t your dreams. [she laughs]. You have to focus on your child’s dreams. What they want.

Let’s be very clear here:  Ehrensaft laughingly implies that parents concerned about their child’s human right to choose or not to choose to reproduce, a decision heretofore seen as inalienable and reserved for mature adults, are really only concerned about future grandchildren, not the bodily integrity or cognitive wherewithal of their prepubescent child. These egocentric parents are denying their children “their dreams.” These thoughtless parents need to be “worked with” by gender specialists.

And that’s not all: Ehrensaft goes on to shame these recalcitrant parents with the implication that puberty-blocked, 11-year-old trans tweens are more socially responsible than their clueless parents:

 And what I will say about many of the youth who want puberty blockers is: I have never met such an altruistic group of kids around adoption! Never! “I will adopt because there are so many children who need good homes.” And I think that’s both heartfelt but also they’re trying to tell us the most important thing to me right now is being able to have every opportunity to have my gender affirmation be as complete as possible. Anything else is secondary.

Do we need a PhD in developmental psychology to tell us this? You bet an 11-year-old thinks anything but what they want RIGHT NOW is secondary.  I want it, and I want it right now: the motto of youth, of children who are a decade or more away from full development of their reasoning, judgment, and awareness of future consequences.

But wait—perhaps there’s hope. Asks Ehrensaft:

The question is, can an 11-year-old, 12-year-old at that level of development, be really thinking and know what they want at age 30 around infertility?

Can they? Might it be ok to wait and allow this child to mature to adulthood before making such momentous decisions?

The answer to that is: We don’t think twice about instituting treatments for cancers for children that will compromise their fertility. We don’t say, we’re not going to give them the treatment for cancer because it’s going to compromise their fertility.

So here we have a woman who is directly responsible for sterilizing 11 and 12 year old children equating simply waiting–allowing a child to grow up to make their own decisions—with denying cancer treatment. And of course, we know what’s coming next: Transition or suicide.

For some of the youth, having the gender affirmation interventions is as life-saving as the oncology services for children who have cancer.

And they must have these interventions right now!

I wonder: Do Ehrensaft or any of the others here, so very certain of their moral superiority, ever lie awake at night wondering whether these children in their care could just as easily be supported in waiting?

baum-threat

Joel Baum instructs parents to transition their kids–or else.

Joel Baum, head of education for Gender Spectrum doubles down [5:09] to deliver the coupdegrâce to any parents who might still be hesitating:

I’ll just add one thing here. When we’re working with families, what is the leverage point for that family?…The fact of the matter is at the end of the day, it is their decision and we just hope they’re going to make an informed decision. Just make sure you have all the information you need. Which includes:

Here comes the punchline—the ultimate “leverage point”:

You can either have grandchildren or not have a kid anymore because they’ve ended the relationship with you or in some cases because they’ve chosen a more dangerous path for themselves.

Here, I’ll just let one of my lovely, unpublished commenters translate Joel Baum’s so-very-subtle veiled threat into plain language:

You are a horrible mother and you are abusing your son. You’re the reason trans people kill themselves. I hope one day he escapes from you and your transphobic abuse and never has to see you again.

Never mind that my daughter desisted from trans identity; never mind that our family remains intact despite my “transphobic abuse” i.e., refusal to pay for hormones and top surgery. And never mind, Joel Baum, that there is no evidence that troubled youth will desist from self harm if their parents are terrified into paying for irreversible medical interventions.

At this juncture, let me repeat what I’ve said many times before: A concern about sterilizing children is not a statement about whether a person ought to reproduce or not.  It’s about respecting the right of children to mature to adulthood to make the decision for themselves. It’s a basic moral tenet, respected in every other area of human rights law: you don’t sterilize children.

And this, too: There is no evidence, historical or otherwise, that a child prevented from medically transitioning will kill themselves before making their own medical decisions as an adult. That activist-clinicians feel justified in holding this threat over the heads of loving parents—and that journalists, politicians, and pediatric specialists who should know better abet them in wielding this weapon—is deeply shameful and should be exposed to the intense, disinfecting light of public scrutiny as long as necessary; until the purveyors of this immoral strategy are finally forced to answer the difficult questions they have been avoiding for the better part of a decade.

This conference is worth studying for anyone who wants to fully understand how a formerly rare diagnosis, with medical treatment only available for legal adults, has morphed into a pediatric specialty area where doctors, psychologists, and psychiatrists wave away the sterilization, drugging, and permanent medical alteration of children with nary a peep of dissent. And they do it by shamelessly scaring the bejesus out of everyone, by shaming parents into believing that unless they permanently sterilize little Judy or Billy at age 11, unless they agree to irreversible medical interventions for their teenager, they will be colluding in their child’s demise.

Watch the entire 5-hour presentation, even if you have to do it over several sessions. What you’ll be observing is how key movers and shakers on the cutting edge of pediatric transition in the United States are moving inexorably forward. Understand their tactics. Understand their ideology.

Because despite its steady progress so far, the “gender affirmative” pediatric transition juggernaut is only beginning to pick up speed.

[Meanwhile, if you haven’t already, be sure to read this post by a therapist who is skeptical of the “identity model” for trans-identified youth.]

Layers of meaning: A Jungian analyst questions the identity model for trans-identified youth

Lisa Marchiano, LCSW, is a Jungian analyst. She blogs at theJungSoul.com (Facebook: https://m.facebook.com/thejungsoul), and can also be found on Twitter @LisaMarchiano.

Lisa’s thoughtful essay stands in stark contrast to the simplistic advice we see from self-declared gender therapists like this one. For the perspective of another therapist skeptical of the “gender affirmative” approach, see this post by Lane Anderson, a former therapist for trans-identified teens who quit her job last year due to ethical concerns.

Lisa would like to thank Miranda Yardley, ThirdWayTrans, and Carey Callahan for their contributions to this post. Though these three individuals were generous in sharing their time and expertise, the views expressed here are Lisa’s own.

Lisa is available to respond to your remarks and questions in the comments section of this post. In addition, Lisa is interested in being in contact with other therapists who share her concerns about the identity therapy model:

If there are other therapists reading this and wanting support to question or work outside of the identity model, please be in touch. Contact me privately on Facebook or Twitter, or ask this blog to put you in touch with me via email. There are lots of us out there. Let’s start talking.


by Lisa Marchiano 

As a social worker and a Jungian analyst, I have become increasingly concerned about the rush to affirm children’s and young people’s transgender self-diagnosis, and then transition them to the opposite sex. I am particularly worried about social and medical transition among teens whose transgender diagnosis arose “out of the blue,” without a significant history of early childhood dysphoria. I fear that, via their well-meaning desire to validate young people in pain, therapists are discarding basic principles of psychotherapeutic care.

My views have been informed by my work with detransitioners, as well as with parents of trans-identifying teens. I have also sought to educate myself further by listening to trans people, parents, clinicians, academics, lesbians, feminists, educators, gays, and others who are writing and speaking about gender. I believe that transition may be a viable and even necessary option for some people. I support the right of adults to choose this option with appropriate therapeutic care and support. I certainly believe that trans people deserve human rights, legal protection, humane care, and respect. However, there are potential physical and psychological dangers of transition, and we need to exercise astute clinical judgment and caution when working with young people who are seeking transition.

I have often seen trans activists and gender specialists promote “social transition” of trans-identifying youth as a positive and “fully reversible” intervention. Social transition refers to a number of steps one can take to present as the opposite sex. These might include making changes to one’s hair style, make-up, name, pronouns, and dress. One might also begin binding breasts or wearing a packer to “present” more convincingly as the opposite sex. Social transition is sometimes described as something that has few if any long-term consequences, and therefore can be recommended with minimal concerns,  even for young children. However, in some significant percentage of cases, social transition leads to medical transition. It appears likely that being conditioned to believe you are the opposite sex creates ever greater pressure to continue to present in this way. Once one has made the investment of coming out to friends and family, having teachers refer to you by a new name and pronouns, will it really be so easy to change back? Children who socially transition at a young age may have little experience living as their natal gender. How easy will it be for them to desist?

At least some of the time, each step taken toward transition creates pressure to continue. Numerous blog posts from detransitioners explore how transition made dysphoria worse, often because the young person became increasingly preoccupied with passing. This further discomfort created pressure to take more steps toward transition in order to present more convincingly as the opposite sex. To take just one example, breast binding may bring relief to some natal females who experience discomfort with their breasts, but binding in itself can be quite painful, restricting breathing and movement—thus creating an incentive to take the next step—“top surgery”/double mastectomy. I have heard one mother of a FtM young person stating that this natal female “got his lungs back” after getting a double mastectomy because he no longer needed to bind. Additionally, anecdotal evidence indicates that it is not uncommon for teens who socially transition to move on to hormones and/or surgery shortly after their 18th birthday. So it’s clear that social transition must be viewed as a treatment that carries with it a significant risk of progressing to medical transition.

Medical transition refers to a number of interventions undertaken to alter one’s body. These can include administration of hormone blockers to children and teens; administration of cross sex hormones; mastectomy; phalloplasty; hysterectomy; body masculinization; orchiectomy; vaginoplasty; facial feminization surgery; and others. All of these procedures can have permanent effects, and most of them carry significant risks. It is unusual (though not unheard of) for minors to have these surgeries. However, it is not uncommon for minors to take hormone blockers and cross sex hormones. And in 100% of the cases reported in the literature, children on puberty blockers went on to cross sex hormones. Top gender clinician Johanna Olson reports that no puberty-blocked children at her clinic in LA Children’s Hospital have ever failed to continue hormone treatment. Therefore, the claim that blockers are “100% reversible” is not accurate in practice. In fact, being on blockers appears to consolidate an investment in a cross sex identification. And although one rarely sees this “side effect” reported in the mainstream media, because gametes do not develop when an adolescent does not undergo natal puberty, hormone blockers followed by cross sex hormones results in permanent, life-long sterility 100% of the time.

Hormone blockers and cross sex hormones are being used off label (that is, they are not FDA-approved for this purpose). We have almost no knowledge about the long-term effects of taking these drugs over the course of decades, as anyone beginning transition as a young person will likely do. According to Madeline Deutsch, clinical director at University of California, San Francisco’s Center of Excellence for Transgender Health, “it scientifically makes sense that if someone is on hormones for decades, it’s highly likely that they’re going to be at higher risk [for certain health issues] than someone who started taking hormones at age 40 or 50.” Even the top pediatric gender doctors admit that there’s a dearth of good data on the long-term health outcomes of transition.

Certainly, there are risks. Cross sex hormones change bodies fairly quickly. Some of these changes are irreversible, such as a deepened voice, facial hair, and baldness for testosterone, and breast growth and, potentially, infertility for estrogen. In addition, use of cross-sex hormones carries with it potential negative side effects. Girls who take testosterone will be at increased risk for developing diabetes, cancer of the endometrium, liver damage, breast cancer, heart attack, and stroke. There may be other adverse effects of which we are not aware at this time, since long-term testosterone use in natal females is a relatively new phenomenon that has not been adequately studied.

I fear that there are young people transitioning – with the ready help of therapists, doctors, and others – who may regret these interventions and need to come to terms with permanent and in some cases drastic changes to their bodies. In fact, I know this is already happening. I have had considerable contact with the growing community of detransitioners. In many cases, the hatred for and disconnection from their bodies that these young people experienced was due to sexual trauma, internalized homophobia, or bullying. In videos and blogs, young women speak about their sadness over their lost voices and breasts. Male detransitioners mourn the loss of their testicles, the loss of their ability to orgasm, in some cases the loss of their fertility. Many have had complications from hormones such as vaginal atrophy, nerve damage, or chronic pain. You can hear some of these stories for yourself here, here, and here, among other places.

I have also spoken with many parents. Their stories are just as heartbreaking. These usually involve a teen who was anxious, depressed, socially isolated, or suffering from PTSD coming to identify as trans after internet binges on social media sites. These parents report that mental health professionals are validating the self-diagnosis of transgender after a handful of therapy sessions, without any exploration of prior mental health issues, trauma, sexual orientation, or history of gender nonconforming behavior. This clearly violates APA recommendations, which urge special caution in treating adolescents who present with sudden onset dysphoria.

All of this comes down to an essential question: When treating someone with gender dysphoria, do we do so using a mental health model, or an identity model?

An identity model is founded on the belief that we ought to be able to define our own experiences for ourselves. It proclaims that each of us has a right to assign our own meaning to our lives, our feelings, and our bodies. We get to decide who we are, and no one has authority over our self-perception. An identity model offers respect and self-determination for every person to define themselves as they would like.

An identity model has a place in psychotherapy. As people, we all self-identify aspects of our personality, values, and experiences in ways that are often very important to us. We might identify as Catholic, or as a Democrat. We might identify as an artist, an introvert, or a lesbian. As therapists, accepting and affirming our clients’ self-identification is important and empowering. As therapists, we can accept and empathize with a client’s story about his or her life experience. We can hold this story as valuable and important whether or not we objectively agree with it. As long as the client’s story does not lead to maladaptive behaviors, we do not need to challenge or attempt to discredit or disprove such a self-identification.

However, an identity model of working with transgender people goes further. An identity model stipulates that it is wrong to explore or question a client’s self-determined identity. Gender dysphoria is seen as evidence that someone is transgender, and merely wondering about underlying psychological reasons for dysphoria or alternative explanations for symptoms is seen as synonymous with denying a person’s identity. Applying our own clinical judgment to someone’s proclaimed self-diagnosis is seen as bigoted and wrong. Our role as therapists becomes limited to enthusiastic affirmation only.

In contrast, when we are working in a mental health model, we understand that clients come to us with symptoms that cause distress, and may interfere with a person’s day-to-day functioning. As therapists, we ought to be interested both in helping to alleviate or manage symptoms, as well as helping to understand the underlying cause of the symptom. If we are psychodynamically oriented, a basic assumption of our work is that every symptom has a meaning beyond its superficial presentation, and a major part of our work is to help our clients gain insight about this meaning.

In opposition to an identity model, then, the main task in mental health therapy with a client experiencing gender dysphoria would be to deeply explore the symptoms without making assumptions about what the symptoms mean. In fact, while identity therapy knows what gender dysphoria means – i.e. that the client is trans – mental health therapy will start with the assumption that we have no idea what the symptom means. We must be open to the meaning that emerges for patients as we explore their experience with them.

Seeking to understand deeply the nature, quality, and etiology of the dysphoria is not at all the same thing as denying the reality or importance of the symptom. When I explore a client’s anxiety – when did it start? What tends to trigger it? How does it feel? – I am not implying that I do not feel that the anxiety is unimportant or illusory. As we come to understand more about a client’s unique experience of a symptom, we may unwrap the meaning behind the suffering so that the problem resolves in a surprising, unexpected way. Or we may simply gain better information about the best course of treatment to alleviate the symptom for that particular person.

An identity model is not an appropriate basis on which to prescribe drastic, permanent medical intervention.

An identity model does not leave room for a therapist to exercise his or her clinical judgment. It disallows the possibility of a thorough assessment and differential diagnosis. According to the identity model, a client’s self-diagnosis is not to be questioned or explored. Therefore, alternative causes of dysphoria cannot be sought. As with many other mental health issues, the symptoms of gender dysphoria can be caused by many different things. Feeling uncomfortable with or disconnected from one’s body can go along with being on the autism spectrum; having experienced trauma; having bipolar disorder; having an eating disorder; or experiencing internalized homophobia. And sadly, it is a normal experience for teen girls, 90% of whom express dissatisfaction with their bodies.

An identity model subverts the normal diagnostic paradigm in which a patient presents with symptoms, and the clinician makes a diagnosis. In an identity model, the diagnosis is the identity. This occludes the focus on symptom resolution and management because the priority becomes affirming the identity. When symptoms are seen as validation of an identity, clinical judgment becomes irrelevant.

Before determining that a young person ought to undergo drastic treatments that may permanently alter their bodies and lead to permanent sterilization, a thorough assessment should be conducted that explores all potential factors contributing to the dysphoria. Unfortunately, because exploration of gender dysphoria is construed by some to be tantamount to “conversion therapy,” this kind of extensive assessment is frequently not performed. Though data is sparse, I personally have had contact with dozens of young people and/or their families who received a transgender diagnosis and a prescription for hormones after one to three appointments with a therapist.  According to this survey of more than 200 detransitioned women, 65% of those who transitioned received no therapy at all, either because they were referred for treatment at their first visit, transitioned through an informed consent clinic, or bought hormones through unofficial sources. (The median age for beginning transition in this survey was 17.) Only 6% of respondents felt they had received adequate counseling about transition. In fact, according to the ideology of gender identity, thorough assessment is seen as inappropriate “gatekeeping.”

An identity model does not allow us to rule out cases of transgenderism where social contagion might be at play. It appears quite likely that the striking increase in trans-identifying teens in recent years is due at least in part to social contagion. There has been a sudden sharp rise in the number of children and teens presenting at gender clinics. The first transgender youth clinic opened in Boston in 2007. Since then, 40 other clinics that cater exclusively to children have opened. Inexplicably, the ratio of natal males to natal females has flipped sharply, with many more natal female teens now presenting. Many of these young people have been presenting with dysphoria “out of the blue” as teens or tweens after extensive social media use without ever having expressed any gender variance before. This now-common presentation was virtually unheard of even a handful of years ago. Thousands of home-made videos on sites such as YouTube chronicle the gender transitions of teenagers. These teens show off their new-found muscles or facial hair. The Tumblr blog Fuck Yeah FTMs  features photo after photo of young FtMs celebrating the changes wrought by testosterone. “I finally have freedom!” posters boast under photographs of their scarred chests post mastectomy. “I’m no longer pre-T!” boasts another under a video of someone injecting testosterone. Almost all of these posters are under 25 years of age. According to Jen Jack Gieseking, a New York academic and researcher who was interviewed by BBC Radio 4 last May, “There really isn’t a trans person I’ve met under the age of 30 who hasn’t been on Tumblr.” There are multiple credible online reports of whole friend groups coming out together as trans.

But correlation isn’t causation. As this brilliant blog post explores, the contagion factor only speaks to the particular way that young people choose to deal with distress. It isn’t that the internet is “causing” the rise in transgenderism. It’s that many young people – particularly young females – are feeling alienated from their bodies due to trauma, porn culture, societal standards of beauty, oppressive gender roles, sexism, homophobia, and so forth. Self-diagnosing as transgender becomes an attractive way to deal with the alienation because it is so validated and even lionized in the culture and the mainstream media. For therapists, an identity therapy model does not allow us to acknowledge the role of social contagion, though contagion has been well-documented in contributing to suicide clusters and other behaviors.

An identity therapy model encourages us not to put safeguards in place to prevent young people from undertaking treatments they may later regret. According to an identity model, self-diagnosis as trans should never be questioned. To do so implies a lack of support and even bigotry. Therefore, the clinician must not stand in the way of transition to the person’s “authentic self.” Because of this, an increasing number of minors are going on hormones and even undergoing surgery that will permanently alter their bodies. Even 18 is probably too young to make such major medical decisions. In cases where the 18-year-old is making medical decisions based on a social transition that she or he began years earlier, it is possibly even more likely that that young person has not carefully considered the consequence of transition. Top gender doctors are hoping to see the recommended age for “bottom surgery” lowered.

In sharp contrast, it’s not easy for non-trans patients to be sterilized before adulthood. For instance, in Massachusetts, a patient must be at least 21 years of age to qualify for sterilizing surgeries under the state’s public health scheme. When such a surgery is undertaken, patients are carefully counseled and must sign a form stating that they understand the permanent nature of the procedure, and that they do not wish to bear or father children. Patients must then wait a minimum of 30 days after signing the form before having the surgery. This procedure has been put in place because surgical sterilization has been shown to come with a high incidence of regret. Why are there not similar safeguards in place for those transgender identifying young people wishing to amputate healthy organs and/or sterilize themselves?

There is a wealth of research about cognitive and emotional development in adolescence. The upshot of it is that teens and young adults are more likely to act impulsively, are unable to assess risks well, and are more emotionally reactive. It is partly for these reasons that we do not allow teens to drink, get tattoos, or use tanning beds without adult consent.

An identity model does not allow us to examine the homophobia that drives some – possibly many — transitions. According to extensive research on desistance, a significant majority of children who identify as the opposite sex will not continue to do so into adulthood. The majority of those who desist will come to identify as lesbian or gay. “Feminine” boys are actually many times more likely to grow up to be gay men rather than transgender women. The same is true for “masculine” girls. Many lesbian bloggers (such as this one and and this one) are very concerned that the current trend to transition young people is disproportionately hurting lesbians and gays, and their fears appear to be well founded. This conservative Christian Texas mother was bothered by her son’s “flamboyant, feminine” behavior. Rather than accepting her son’s gender-defiant presentation, she has decided he is transgender. She now has a very pretty, gender conforming “daughter.”

There is widespread concern in the lesbian community that many young would-be lesbian or bisexual women are finding it easier to become “straight men” due to internalized homophobia. In this article, fourteen-year-old Mason describes how he knew he was transgender. “I’ve always known something was up about how I felt about myself,” says Mason, who as Madelyn had refused to wear pink, or to dress in stereotypically feminine attire. “I thought I was gay or bisexual or something.” In years past, Madelyn most likely would have grown up to be a lesbian or bisexual woman. To paraphrase psychiatrist Ray Blanchard, surely it’s preferable to have an outcome of a reasonably well adjusted lesbian woman, rather than someone who identifies as a trans man who has had many irreversible surgeries and a lifetime of drugs.

An identity model makes us unable to tease out other mental health concerns that may be impacting the desire to transition. There is considerable research that points to a high likelihood of co-occurring disorders in young people who wish to transition. For example, this study from 2015 noted that “severe psychopathology preceding onset of gender dysphoria was common. Autism spectrum problems were very common.” In this study, 68% of the population had first had contact with psychiatric service for reasons other than gender dysphoria. Thirteen percent were being treated for psychotic symptoms.

This study from 2004 found high rates of “comorbidity” in those with gender dysphoria, and noted that this was often not taken into consideration when treatment planning for these patients. “Results: Twenty-nine percent of the patients had no current or lifetime Axis I disorder; 39% fulfilled the criteria for current and 71% for current and/or lifetime Axis I diagnosis. Forty-two percent of the patients were diagnosed with one or more personality disorders. Conclusions: Lifetime psychiatric comorbidity in GID patients is high, and this should be taken into account in the assessment and treatment planning of GID patients.”

This 2015 study found a link between gender dysphoria and dissociative symptoms secondary to trauma. According to this blogger, trauma and dissociation were a big part of her desire to transition. This was also true for this blogger here. Similar stories from detransitioners with histories of unaddressed trauma abound.

An identity model does not allow us to take into account reports from parents or previous therapists who may not agree with the patient’s self-diagnosis. I have received dozens of distraught emails from parents trying in vain to get gender therapists to listen to them when they share information about their child’s mental health history that ought to be taken into consideration while assessing and treating gender dysphoria. While I cannot share the contents of these emails without violating people’s privacy, I can point to quite a few places online where frustrated parents have shared similar stories. For example, this social work professor states that the gender therapist did not review her daughter’s special education records or speak with the previous therapist before recommending hormones and surgery for this young autistic teen.

Parents I have had contact with have told me about their child having a history of anxiety, panic attacks, depression, trauma, loss, bipolar disorder, anorexia, cutting, borderline personality disorder, and psychosis. In these cases, as soon as the young person brought up their transgender self-diagnosis, the focus of the therapy shifted to this alone. The parents’ fears, concerns, and information about past treatments were disregarded as obstructionist and transphobic. I am not alleging that this is happening in every case. However, it certainly is happening with some degree of regularity.

An identity model does not allow us to question the incoherence of gender identity ideology. While gender dysphoria appears to be a meaningful diagnostic term that describes a set of symptoms – namely intense discomfort with one’s sexed body – it does not follow from this that one is “trapped in the wrong body,” has a “female” or “male” brain, or even a “gender identity” that doesn’t match one’s body. Though the concept of gender identity is currently being enshrined into law, the truth is that we have no meaningful definition of the term. (For an excellent analysis of the incoherence of the term, take a look at Rebecca Reilly Cooper’s work.) When a trans-identified person is asked how they know they are transgender, they are usually unable to answer the questions without reference to sex role stereotypes. For example, a physician who prescribed cross sex hormones to a 12-year-old natal female stated that the child had “never worn a dress.” This was offered as evidence of the child’s being “truly trans,” and therefore needing these hormones. I would strenuously argue that one’s clothing preferences should not be a reason to permanently sterilize a child.

It doesn’t make sense to say that one’s sex organs don’t matter, but then assert a primary, essential difference based on a sexed brain. Sexed brains do not exist. It is absurd to posit that one’s chromosomal sex, genitals, and entire reproductive system are meaningless and irrelevant or a social construct, and then assert that a subjective feeling of being the opposite gender is determinative. There is no robust science behind the notion of gender identity. Journalists have been quick to report on studies that seem to prove brain differences among those who are transgender. However, as the sexology researcher James Cantor has pointed out, these studies actually seem to be documenting brain differences among those who are homosexual.

If you want to see a review of some of the literature out there in support of a biological basis for gender dysphoria, this blog post does a good job. There are some solid studies that seem to indicate that genetics or pre-natal hormone exposure may play some role in the development of gender dysphoria. That isn’t really surprising. Pretty much every diagnosis in the DSM – from depression, to anorexia, to borderline personality disorder – has some genetic component. Gender dysphoria is real. As with other mental health diagnoses, its causes are likely complex and involve genetic, biological, environmental, and psychological factors. But it doesn’t follow from any of this that the sufferer has an inborn “gender identity” that ought to supersede any consideration of one’s objective biological sex. Body dysmorphic disorder is associated with brain differences and appears to have a genetic component, and yet the biological component of the condition does not dictate that we understand the patient’s suffering to reflect objective reality.

Transgender activists assert that “gender is between the ears, not between the legs.” However, this is an ideological, faith-based statement that cannot be scientifically validated. What is “between our ears” — meaning our inner experience of ourselves as a gendered person — is purely subjective. Within this context, asserting that one is transgender is an unfalsifiable statement of belief. In reality, feeling like the other sex does not in any way mean that you are the other sex. Identity is an important aspect of one’s experience. We get to define ourselves subjectively, and I would argue that full-fledged adults ought to be able to modify their bodies in accordance with their sense of themselves. However, subjective identity should not dictate a necessity for medical treatment of any kind, especially body-altering treatments with highly significant side effect profiles for minors or young people

An identity model does not allow us to consider treatment outcomes critically. The research on outcomes post transition is mixed at best. It is well-known that one study showed that 41% of transgender people had experienced suicidal ideation or self harm. It is less well-known that the study gives no indication whether the attempt was before or after receiving transition care. Several large studies show astonishingly high rates of suicide among transgender people who have medically transitioned (see here and here). It has been argued that suicide rates continue to be high after transition due to societal prejudice. While this likely is true some of the time, post-transition transsexuals are more likely to “pass” as the target gender, and therefore ought to be less subject to discrimination. Given the undeniably high rates of suicide in post-transition transsexuals, it is disingenuous to claim that transition is a panacea that will prevent suicide.

While this study showed positive outcomes for early transition, there were only 55 subjects included. Perhaps more importantly, they were last assessed at one-year post sex reassignment surgery. In the survey of detransitioned women, the average length of transition was four years. It seems possible that some of the 55 individuals followed in the first study might go on to have regrets if they were followed for longer. Worryingly, one of the 70 individuals invited to participate in the study was unable to do so because the person died as a result of postsurgical necrotizing fasciitis after undergoing vaginoplasty.

While the media is full of stories of young people becoming happier and more confident after being allowed to transition, there is some evidence that this is not always the case. In addition to the research that documents high suicide rates post transition, I am aware of anecdotal evidence of continued or even increased anxiety and depression, social isolation, psychiatric hospitalization, and poor academic outcomes for those who have transitioned.

An identity model does not allow us to explore other options for dealing with dysphoria. Transition – social and medical — is currently the only treatment commonly prescribed for gender dysphoria. If what we are treating is an acute discomfort with one’s body, it would seem reasonable to offer a range of different treatments before prescribing transition, including anti-depressants, talk therapy, and emotion-regulation skills to help patients manage their distress. However, none of these treatments is routinely prescribed for gender dysphoria. In the survey of 200 detransitioned women, some significant percentage of them stated that they found alternative ways of dealing with dysphoria other than transition. Detransitioner and therapist in training Carey Callahan offers several specific techniques that she has found helpful on her blog. Clinicians and researchers ought to be mining these experiences to find other effective treatments for dysphoria in addition to transition.

whitman-quote-2

An identity model makes some questionable assumptions about the nature of identity and our ability to know ourselves. An identity model is predicated on the notion that identity is immutable, essential, and knowable. This is not my experience of human nature. Identities are useful for approximating something about ourselves. They are constructs that allow us to talk about our experience. But they are not absolute truths, and they rarely say something about our most essential, mysterious, and ultimately unknowable essence. To quote Whitman, “do I contradict myself? Very well, then, I contradict myself. I am large. I contain multitudes.” I have had the good fortune to contradict myself many times in my life – contradict myself on things that at one time felt utterly essential and absolutely true. I believe this is a universal human experience, and yet another reason why making permanent changes to one’s body at a young age ought to be approached with extreme caution.

An identity model makes it impossible for us to acknowledge or discuss the varied reasons why a person might want to transition. The desire to transition likely has many varied causes. Seeing all transitions as an expression of innate gender identity obscures the very real differences between one person’s situation and another, making it impossible to assess and treat people in an individualized way. A late transitioning MtT autogynephile has an experience of gender dysphoria that is vastly different than that of a fifteen-year old lesbian, and the former’s experience ought not in any way to dictate how we understand or treat the latter.

An identity model creates a false dichotomy between affirmation and bigotry. According to the current narrative, the only supportive response to a teen who has self-identified as transgender is to affirm this identity and begin transition immediately. Any other response is quickly labeled transphobic. In reality, there is a huge range between assisting a child in transitioning immediately and affirming that they are and in fact always have been the opposite sex, and denigrating or shaming them for their desire to transition or coercively trying to get them to conform to rigid gender expectations. Parents can communicate their unconditional love and support. Parents can offer solace and warmth as the child struggles with distressing feelings. Parents can seek legitimate psychotherapeutic help to offer space for the young person to explore and understand the desire to transition. Teenagers often develop strong beliefs about what they must do or have, and it is well known that these beliefs and demands are not always sound or rational. Never before have parents of teens been told that they have to accede to the demands of their teenager or risk doing irreparable harm. Parents of teens have always had to step in and set loving limits on behavior that may not be in the young person’s long-term best interest. When dealing with a child who has diagnosed themselves as transgender, parents can do what parents of teenagers always do – set sensible limits and help a child to reflect on the potential consequences of his or her actions. Parents can assure the child of their ongoing love and acceptance if he or she does eventually decide, as a full-fledged adult, to transition.

An identity model offers an inferior kind of therapy to those who identify as transgender. As the blogger Third Way Trans has pointed out, “if someone is a member of a dominant class they receive regular psychotherapy but if they aren’t they receive a special kind of social justice therapy.” Those who come into treatment with gender dysphoria are not given the opportunity to explore deeply their experience, but instead have their self-diagnoses affirmed. There are people who will need to live as the opposite sex in order to have the happiest, fullest life possible. These individuals may need to consider taking hormones or having surgery. Surely these people deserve to have a place to explore these consequential decisions without prejudice in favor of a specific outcome so that a process of careful discernment can take place. If therapists are only cheerleaders for transition, how can someone in this situation get help to make the best decision?

I believe we should offer clients with gender dysphoria high quality mental health therapy. In a guest post on this blog, a woman who considered transitioning several times during her life shared a moment from her own therapy that proved important to her.

“When I started therapy in my early twenties, I revealed to my therapist that I had been raped at 18. It had been four years and I had never told anyone. In the process of uncovering that rape and telling her about it, I stated, during a session, that I wanted to become a man. She nodded, she said she understood, and that it was something we could explore, but in the meantime, we really needed to talk about the rape. I appreciated her approach. She wasn’t directive, judgmental, or reactive, she simply stated it was something to keep talking about, but encouraged me to focus on my experience of being raped and other traumas.”

In providing high quality mental health therapy to all patients, we would communicate unconditional positive regard to our gender dysphoric patients, just as we would with anyone else, and as the therapist in this blog post did. We would greet their announcement that they feel as though they may need to transition with acceptance and curiosity, communicating that we are willing to go there with them, to explore this desire in all of its intricacy, without prematurely coming to a fixed notion of what is right for our patient. We would see the person in front of us in all of their miraculous complexity, and not just as a “gender identity.”

As therapists, we have been trained in assessment. We have been trained to wonder about layers of meaning that may not be visible at first glance. We have been trained in how to recognize and work with trauma. We have been trained to help out clients explore their labyrinthine inner lives. When clients come to me wondering whether to end a relationship with a boyfriend or change careers, we typically spend months considering all of the different facets of such a decision. Don’t we owe at least as considered a process to someone contemplating making permanent changes to his or her body, especially when that person is a teen or young adult?

K-12 schools morphing into indoctrination hubs: Parents share their stories

Seemingly overnight, US public schools have been transformed into no-questions-allowed re-education centers for inculcating the notion that children as young as 4 or 5 years old can be innately transgender, and that any student, of any age, who claims to be or “feel like” the opposite sex is entitled to use not just private bathroom stalls, but shared locker rooms and showers designated for the sex s/he “identities with.”

As a result of this imposed sea change in US school policy, there has been a growing pushback from parents across the nation; the battle is raging fiercely, having recently reached the Supreme Court in one important Virginia case. And yesterday, it was announced that a federal judge had issued a “nationwide injunction” to halt the Obama administration’s directive to open school bathroom/locker room facilities to any student on the basis of their stated gender identity.

The mainstream media continues to (inaccurately) present the issue as between two clear opponents: Right-wing, homophobic and transphobic reactionaries, vs. the virtuous progressives and forward-thinking people who unquestioningly support President Obama’s “guidance” to force public schools into compliance with trans activist demands.  (Regular 4thWaveNow readers will know that most parents who congregate here are of the liberal/Democratic persuasion.)

Parents who have questions about the wisdom of this exercise in social engineering are ignored, marginalized, and even deliberately excluded from decisions about how their children are treated during the school day (and on overnight field trips, as well). A few months ago, 4thWaveNow contributor Overwhelmed wrote a post about the situation in US public schools, and yesterday, a very important post, “Gender Activism in Schools,” appeared on the blog Youth Transcritical Professionals, written by a parent named Emily, who has been embroiled in a battle with her 4th grader’s public charter school and school district.

The brawl at Emily’s school–Nova Classical Academy, in St. Paul, Minnesota–started and then escalated when the parents of a 5-year-old demanded opposite-sex toilet access for their son-now-trans-daughter.  According to Emily’s account, the school went from being a place where all parents’ views were respected, and where they had consistently enjoyed a major role in setting school policy, to a very different situation: a school where administrators and teachers knowingly hide information from parents in the name of adhering to an ideology that may neither be questioned, nor tailored to the needs of all the children and families in the school community—not just those who claim a trans identity.

I highly recommend that you read all of Emily’s post, and then ask yourself: Is this the way major social change should take place in a representative democracy? Should the executive branch subvert the checks-and-balances of the US legislative and judicial branches of government to bend a balking populace to its will?

Here’s a slightly tangential thought experiment. Trans activists are forever comparing their efforts to that of the fight of gay and lesbian people to attain civil rights.  But twenty or thirty years ago, can anyone imagine that adult gay and lesbian activists would have dreamed of demanding that public schools identify and “affirm” those kindergartners most likely to grow up to be gay or lesbian (the adult outcome for most “gender nonconforming” children)?  Back in the halcyon days of the LGB and women’s liberation movements, the idea of bringing children as young as 5-years-old into a discussion about private body parts,  or whether LGB people are “born that way” would have been beyond the pale—let alone any such initiatives being mandated by the President of the United States.

Emily wrote to ask us to reblog her post. We went a step further: We asked parents in our blog community if anyone would like to share their own experiences with their children’s schools vis-à-vis transgender issues and rights. From the accounts we’ve received so far, it’s evident that private schools are also affected, and the situation in UK schools is very similar.

Several of the below contributors (most of whom are not at liberty to identify themselves publicly), as well as Emily, who wrote the original post on Youth Transcritical Professionals, are available to participate in the comments section below.  Please feel free to add your own school-based experiences to the discussion.


Parents weigh in: School experiences


Nervous Wreck says:

My 18-year-old daughter’s very sudden decision to transition only happened after she herself learned as a public high school senior about the whole concept of transgender from classmates. It provided her an answer that made sense to her…a highly intelligent girl who never quite “clicked” with other girls. For her it was the power of suggestion from a classmate. How much more powerful the suggestion might be if it had come from the instructor?

Where I live, the public schools give a presentation to the parents about the sex education/STD materials that will be presented to students in the various grades. Parents are allowed to watch the very same videos that our students will watch, and parents are given the option to opt their student out of these presentations. Our students are not mandated to learn sex education from our public schools. We parents have the choice to teach our own students at home if we so desire.

Why is it not the same with gender identity materials? Are the health instructors expected to teach these materials as scientifically proven when it is not? Even if I didn’t opt-out of these materials, I want to know what the schools are teaching so I have the opportunity to have my own discussion with my child.

This all makes me sound terribly conservative doesn’t it? But I’m a life-long Democrat. I just happen to have a spiritual life that helped me as a youth to accept that our bodies are a gift to accept as is, simply a vehicle for carrying our spirit around. One does not have to be “conservative” to have a spiritual life….let’s put an end to the “right/left” notion about gender identity.  I myself have certainly never felt pinned down by gender stereotypes.


 Gary (New London, MN) says:

Early in the spring of 2015, a number of NL-S school district residents met with the school board to express concerns about their proposed transgender policy. This controversial policy was presented without any advance notice to parents or the community.  We were stunned that the Board of Education and the administration chose to ignore our request to delay its adoption.  Very few have had the opportunity to become aware of the policy, or to read and understand its implications. A simple delay is a most reasonable request. Why the rush?

Are we in this community ready for a policy that allows boys to use the girls’ locker rooms and girls’ bathrooms and to participate on the girls’ athletic teams? That will be the almost certain result if the school board’s proposed transgender policy is adopted.

The proposed policy states that the school is committed to “maximizing the social integration” of transgender students. This means that boys who at any time wish to see themselves as girls can do anything in schools that the girls do. These boys can use any of the girls’ facilities and participate on any of the girls’ sports teams.

We weren’t misled by the superintendent’s statement that it may be that transgender students could use “gender neutral” bathrooms and showers. Other schools tried that approach only to find themselves sued by GLTB lawyers and then forced to open all girls’ facilities to the boys.   “Maximizing the social integration” for transgender students does not allow for keeping the boys’ and girls’ bathrooms and showers separate.

Our Board’s proposed policy says that “sex is assigned at birth.” What kind of fantasy is that? My own experience is hearing the doctor or nurse say, “It’s a boy!” or “It’s a girl!” I have yet to hear the doctor ask, “Which sex shall we assign this to baby?”

Aren’t schools supposed to teach our kids about the real world? This new policy requires our schools and teachers, by word, example and policy, to substitute a fantasy world for the real world and force our kids to conform to a make-believe world where biology isn’t real.

And what about the nonsense that putting our kids into a fantasy world will supposedly lower suicide rates? There is no evidence that such is the case. But, when we enter fantasy land, there are no limits to where it takes us, because truth and reality no longer matters.

We need to provide safety to all children, and many see this policy, as written, as harmful to every child. Keep in mind that most gender-confused children lose their confusion by the time they reach their 20’s. We all want all children to feel loved and accepted. Are we really helping them by affirming their confusion, rather than helping them address the underlying issues causing it?

After much deliberation and many revisions to the policy, the school board refused to remove the most objectionable wording that was contained in the policy; that being:  No one will be denied access to opposite-sex bathrooms or shower rooms.

We formed a community group in order to better equip us to oppose the ‘Gender Inclusion Policy’ (as they later labeled it), and with the help of numerous parents and concerned citizens did convince the school board to table the proposed policy until further guidance has been initiated either by the courts or other educational entities.


Miriam says:

Last February, a 15-year-old boy who claims to be a girl walked into the girls’ locker room at the school my child attends and began to undress in front of them. The girls, who were changing for basketball practice, some without shirts or shorts, were shocked and upset by the boy’s presence, so they ran out of the locker room wearing towels to a bathroom to finish changing. The boy tried to use the girls’ locker room again two days later, but was prevented by one of the girls’ boyfriends, who stood in his way. The girls in the locker room were devastated; they hadn’t been warned that boys would be allowed to use the girls’ locker room.

I got together with a few other mothers and we called the police to notify them of ongoing indecent exposure at the school. Then and only then did the school write an email to a few of the parents to inform them that there was a transgender girl (biological boy) using the girls’ bathrooms and locker rooms. The letter looked almost identical to the one that the Palatine school district used to notify families of bathroom use regulations. Additionally, the school told parents that we did not have a choice in the matter. They said we could home school our children if we didn’t like it.

The school then hosted a LGBT information night for parents and a day training session for students and teachers. The gender training facilitator used the “Gender Unicorn” as a visual aid for the students. The concerns of parents about mixed bathrooms were dismissed and there was no interest in finding a compromise. We discovered that our school had been hiding the fact that there was a boy in the girls’ room for over a year. They never said a word until the police got involved. Also, we were told that the district is “required by law to allow the boy to use the girls’ bathroom and locker rooms.” The same boy, who has been allowed to be a member of the girls’ basketball team and the girls’ marching band, has also demanded to sleep in the same hotel rooms with girls on band trips, but he has so far been denied.

A district elementary teacher reported that she was told by the administration that she was required to allow her students to use opposite-sex restrooms if they “identified” as the other sex. A female elementary student was even told to use the boys’ bathroom, simply “because she likes to do ‘boy’ things” and prefers pants to dresses. They claimed the law required telling her that.

genderunicorn1

Don’t believe the rhetoric about gender identity laws simply allowing someone to pee in peace; it’s not just about the bathrooms!

I would encourage parents everywhere to go to school board meetings. Be proactive and ask your athletic director to make sure your children have access to an alternate changing, showering, and restroom area.


ThinkingMom says:

Emily’s story has struck a real nerve with me.  My children have been attending a school very similar to the one that Emily’s kids attended, in another state.  It has been a great school and was founded on classical teaching.  My older child started having issues with what we are now learning is a borderline personality disorder, and possibly autism spectrum disorder.  She struggled with the large amount of homework at that school so we moved her to an associated charter school.  There, she was friendly with several kids who were identifying as “gender non-conforming.”  They started doing lots of cosplay, and copious Internet use – YouTube, Reddit, Tumblr, DeviantArt.  Suddenly, my daughter started dressing differently, cutting her hair short, and even started some drug use.

Now in public school, she started going by a male name and male pronouns.  The public school, of course, has the policy to accept whatever kids present as, without parent consent or knowledge.  Each of the teachers and counselors I have dealt with are very apologetic about not being able to respect the parents by using given names, but have apparently received a directive to “make the student feel accepted and comfortable.”

The longer my daughter has gone by male pronouns and a male name, the more anxious, depressed, and rebellious she has become.  At home, she generally acts the way she has always acted, no pretense of male persona, no voice altering.  But she becomes irate when we don’t use her preferred name and pronouns because after all, “HE is accepted and admired at school by friends for being so unique”– we just are ignorant and don’t see who HE really is.

I will tell you who SHE is: She is still the sensitive, creative, intelligent girl who loves to take walks in nature and collect wildflower bouquets and unique rocks and bugs.  She still gets compliments on her beautiful singing voice, on her beauty, and her kindness.  But now, with all the “support,” she cusses like a sailor, sits with her legs wide apart and talks loud and abrasively, rude and crude, when in public.

The schools are just making things worse by making this a part of the education system.  It is something that should be dealt with by professionals, therapists, counselors–and by the families.  It makes things so much worse with the open and blatant pandering to the activists.  These kids are suffering and the help they need is NOT to become the poster child for their school, or their community.  The pressure to continue on the path of transition is now so intense, just because everyone is now watching.

What it is becoming is another platform for activists who use children as pawns for their activism.  It keeps the real problems – mental health issues – hidden and undiagnosed.  Self acceptance is so important for every human being.  Why has it become such a taboo subject and so many are working against it for the sake of permanent damage – hormones, medication, surgery – that will not even touch the real issues?

I do agree with one thing: School should be a safe place for all kids.  ALL KIDS. 
So why are the rest of the kids, the ones who aren’t suffering from these mental health and identity issues, being pushed aside?  Their feelings about themselves, the world, their friends and life in general, are being squashed and treated as unimportant compared to the few kids whose parents are intent on pushing the agenda on everyone, maybe for their own 15 minutes of fame and attention?  I am not saying it’s the parents’ fault in every situation, since every one of these situations also have a lot of other professional adults involved.  I just see this as such a tragedy for everyone involved.  We need to stop it now.  With this new school year, I see the problem getting worse, much worse, before it ever gets better.  But it has to get better, for the sake of our kids and the future for all.


Jane says:

I took this photo over the summer. This appeared on the main bulletin board in a progressive private school that goes from grades 7 through 12. Tuition at this school runs about $30k per year. Most upsetting thing to me about this poster is that “female” has nothing to do with biology: “Female: identifies as a girl. Does not necessarily refer to genitalia.” Might as well teach creationism.

School poster

This is not the only progressive private school in the area to have swallowed trans ideology.


UKMum says:

This is happening in UK schools too. My daughter is one of seven other trans-identifying girls who live within a square mile of us that I know of (clearly social contagion).

One day, she and another trans student knocked on the door of the school counsellor’s office, and requested to be known by boys’ names and pronouns. She told them that we, her parents, were ‘not supportive’ and it was therefore kept secret from us. She was given a new ID badge, all the school records were changed and she was helpfully advised right there and then that she would have to change her name legally by deed poll if she wanted to write her new name on her exam scripts. (So of course, that is what she eventually did!)

The first I knew of this was when the school ‘slipped up’ and sent me a text communication with her boy’s name on. I was driving, pulled over to read the text, and then spent half an hour crying in a layby, until I felt stable enough to continue driving. What a shock!

I wrote to the school, telling them that we were considering having her assessed for Aspergers, pleading that this affirmation by adults in authority would not help at this stage, that this had come out of the blue, etc. I felt it was wrong that she wasn’t interviewed individually by the counsellor and that two kids going together on the same day to request the same thing, should have raised alarm bells about ‘influences.’ Also, as she was wearing a new ID card, with a male name, if she was involved in an accident, she could potentially receive the wrong treatment, since her emergency contacts (us and her grandparents) do not use that name, nor would hospitals be able to access her medical records. (How would they find them, since they are not in this new name?) I felt this was a duty-of-care issue, and the school relented and told her she would have to just use the first initial of her birth name on her card, whilst it was still her legal name.

Of course, within weeks of being known as male at school, she developed dysphoria and felt that she now could no longer go out without a chest binder. Next, she began to be dysphoric about her voice and to intentionally lower it…then a new way of sitting, and beginning to be aggressive and swearing a lot. All of this was completely out of character. Our family and friends have looked on aghast at the rapid decline of our sweet, sensitive, funny, overthinker. It is a nightmare.

Our scepticism has caused great damage to our relationship which has all but broken down, with both sides feeling hurt and disrespected.

During part of the time we were going through all this, our daughter attended a girls’ school. While one might think single-sex schools would be immune to some of this, the official GSA in the UK has now begun the process of replacing the word ‘girls’ with ‘pupils’ so as not to misgender anyone.

Now I don’t want my daughter to go to University because I am afraid that she will be encouraged further down the road. And as she is now an adult, we will just have to stand by and watch her disappear.


Skepticalmom says:

Well-meaning adults need to understand just what they are encouraging kids to do when they give blanket acceptance to all things trans.  Well-meaning school administrators and parents just don’t realize what sort of damage they are doing to kids when they apply transgender ideology within their schools. Although trans is associated with gay rights and acceptance, trans is a much different animal. Of course we want to be accepting of all children, but should we accept, without question, children’s fantasies and false beliefs? While compassion is admirable and necessary, it is not an act of compassion when adults lead children to believe they are or can become the opposite sex.

We are allowing young people to be drugged and even surgically altered, based upon their personal, self-identified beliefs — which have no basis in science. Not only is trans ideology based upon belief rather than scientific fact, the end result is kids who are tethered to the medical system, receiving ongoing medical treatment, for the rest of their lives. School are accepting this and encouraging it. They should be teaching science instead.

Well-meaning adults also may not know that most kids who say they are trans grow out of it if left alone (in other words, no social or medical transitioning) to mature into adults. Well-meaning adults may also not know that many kids who claim to be trans have pre-existing problems such as past sexual abuse or physical or mental trauma, or have mental health issues such as depression and anxiety. There is also a correlation between autism spectrum disorder and kids who claim to be transgender. These issues need to be carefully, thoughtfully and thoroughly explored and sorted out by professionals. Unfortunately, however, current medical protocol allows kids to be socially transitioned immediately upon self identification and begin medical transition shortly thereafter.

My own family is quietly and privately struggling to get my teen daughter past her feelings of not wanting to be female. She is making progress with the help of a psychiatrist and a psychotherapist. She says doesn’t want to be a man — it’s just that she doesn’t feel comfortable as a woman. Yes, this is progress. Yet, if well meaning teachers, parents or administrators invite the trans political machine into our school, I can guarantee you all progress would be lost as she would feel encouragement or even pressure to further her male persona.

My child’s school doesn’t know what we are dealing with at home. In order to help other students who might be dealing with the same issue either now or in the future, I would like to warn our school’s administrators and counselors of the dangers and junk science behind transgenderism, and the fact that teen girls, especially, are falling prey to trans social contagion. I would like to help implement a program that teaches both boys and girls about the dangers of todays easy-access internet porn. However, I must wait until my child is out of our school system, as I can’t risk them finding out about her problem and encouraging it.

Families should be allowed to deal with these situations privately, allowing their therapists, psychiatrists and physicians to do what is right for each individual patient. It is harmful to our kids when schools encourage them to believe they are something they can never be (the opposite sex), or encourage our kids down the path toward dangerous, invasive, unnecessary and never ending medical “treatments.”


TheMom says:

My daughter goes to a very large public high school. As she has not come out publicly, she has not experienced any issues. I do know that her school last year was looking at changing bathroom and locker room policies in anticipation of accommodating trans students. They had one openly trans student a few years ago (FtM), and that student used the bathroom in the nurse’s office, which the student did not find acceptable. But the student graduated and moved on. The school board said that they have a dilemma because their current policy doesn’t allow students to use individual locking bathrooms. Students could go in there and commit suicide, do drugs, have sex, etc. and it would be very difficult for security to get in the bathroom. So they were looking at options. They already have changed their PE policy, stating that students are not required to wear a PE uniform, and that students don’t even have to change for PE if they don’t want to.