Science and Sociology

Coming to Terms with Reality

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Worth repeating: The religious right wanted to “pray away the gay.” Now, the progressive left wants to “trans away the gay,” and gay man and lesbians who defend gender nonconforming gay kids from the new medical-conversion therapy are labeled “transphobes” and “TERFS”—or worse.


Added:


Very true: “‘Trans conversion therapy’ … is essentially an endorsement of gay conversion therapy.”

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Exposing the Fallout of Medically Transitioning Minors

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As the evidence of destroyed lives keeps mounting, woke LGBTQ+ activists choose not to see or hear what’s happening, secure in the destructive narrative they continue to promote.

Jamie Reed provides deeply disturbing examples of “how little patients understood what they were getting into,” for example:

Three months later she called the surgeon’s office to say she was going back to her birth name and that her pronouns were “she” and “her.” Heartbreakingly, she told the nurse, “I want my breasts back.” The surgeon’s office contacted our office because they didn’t know what to say to this girl.
My colleague and I said that we would reach out. It took a while to track her down, and when we did we made sure that she was in decent mental health, that she was not actively suicidal, that she was not using substances. The last I heard, she was pregnant. Of course, she’ll never be able to breastfeed her child.

She also writes:

Then I came across comments from Dr. Rachel Levine, a transgender woman who is a high official at the federal Department of Health and Human Services. The article read: “Levine, the U.S. assistant secretary for health, said that clinics are proceeding carefully and that no American children are receiving drugs or hormones for gender dysphoria who shouldn’t.”
I felt stunned and sickened. It wasn’t true. And I know that from deep first-hand experience.
So I started writing down everything I could about my experience at the Transgender Center. Two weeks ago, I brought my concerns and documents to the attention of Missouri’s attorney general. He is a Republican. I am a progressive. But the safety of children should not be a matter for our culture wars.

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Detransitioners Speak Out

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Conversion Therapy Goes Woke

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A new year, and we’re likely to see LGBTQ activists step up their advocacy of woke conversion therapy for gay boys and, especially, lesbian girls.


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Sexual Orientation and Gender Identity: The Pre-Puberty Conundrum

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James Lindsay and Helen Pluckrose recently wrote in Areo magazine:

It is significant that some studies have found that gender identity and sexual orientation are almost perfectly confounded in teenagers who do not yet possess the mature brain or the experience necessary to distinguish between these. There are serious ethical problems with having this decision [receiving surgery and/or taking hormones which permanently alter their bodies] made for them by well-meaning adults. Given that most cases of gender dysphoria in children resolve after puberty, often with the realization that the child is gay or lesbian, transitioning children is difficult to justify ethically.

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Trans Kids or Gay Kids?

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A fault line should be developing between those who advocate defining pre-pubescent children with gender dysphoric behavior as transgender and starting them down the road to transitioning (including hormones to block puberty), and those who believe it’s way too early to make that call—and that if left alone, many of these kids will grow up to be healthy gay or lesbian adults.

In a Wall Street Journal op-ed (firewalled; try googling The Transgender Battle Line: Childhood), Debra W. Soh writes:

How best to deal with [children who identify with the opposite sex] has become so politicized that sexologists, who presumably would be able to determinine the helathiest approach, are extremely reluctant to get involved. They have seen what happens when they deviate from orthodoxy.

She gives as an example the experience of Kenneth Zucker, a psychologist in Toronto who was charged with practicing conversion therapy, which aims to change a patients’ sexual orientation. Writes Soh:

But he had not been trying to dissuade anyone from being transgender. Instead his therapy facilitated exploration of gender identity. For example, in addition to thinking about transitioning, gender-atypical males could consider being boys who simply liked female-typical things. One doesn’t necessarily need to be a girl to enjoy nail polish or bedtime stories about fairy princesses.

Pointing that out to a gender-dysphoric child isn’t the same as practicing conversion therapy…. Of the boys and girls seen in clinics like Dr. Zucker’s, a high percentage—up to 80% in a study of 44 gender-dysphoric boys—grow up to be not transgender, but bisexual, gay or lesbian adults. Thus, helping prepubescent children feel comfortable in their birth sex makes more sense than starting a lifetime of hormonal treatments and surgeries that will in all likelihood turn out to be unnecessary and unwanted.

Soh concludes:

The silencing of those who oppose this sends the message to parents that early transitioning is the only valid and ethical approach for a gender-dysphoric child. This message—pushing children to transition at increasingly younger ages so that they will fit neatly into one of two gender categories—is false and unscientific. It is more progressive to offer them the time and the space they need to figure out who they are and what is ultimately best for them.

Similar points are made in a recent New York Magazine article by Jesse Singal, Why Some of the Worst Attacks on Social Science Have Come From Liberals.

Allowing effeminate boys and masculine girls to develop and decide (after puberty kicks in) whether they are, in fact, transgender or gay/lesbian is the least we owe these children.

More. Tweet by Alice Dreger (@AliceDreger): “I’m getting a lot of mail from gay and lesbian adults who say they believe they would have been pressured to transition gender if then=now.”

Furthermore. In a critical letter to the editor, the Human Rights Campaign Foundation, an affiliate of the nation’s largest LGBT lobby, predictably dismisses Dr. Zucker’s efforts and Ms. Soh’s commentary:

By relying on “data” produced by Dr. Kenneth Zucker, a psychologist whose gender-identity clinic closed last year after an external review found it “out of step with current operational practices,” Ms. Soh thoroughly undermines her own nonscientific musings.

Note the scare quotes around “data,” and the fact that being “out of step with current operational practices” means that attempts to explore whether or not children with gender dysphoria are actually transgender is now out of bounds (and, in some places, illegal).

HRC continues:

What’s really happening here is that doctors and parents are finally supporting our [transgender] lives, even the youngest among us. To do otherwise dangerously denies transgender children their very humanity—and their safety and well-being.

The real threat to “safety and well-being” seems to be directed at gay kids at risk for being put on a premature and unnecessary path to sexual reassignment. As another letter puts it, a child’s gender identity is “a difficult and complex issue that needs serious attention and should not be decided on the merits of gender-identity politics.”

And finally. From the New York Times Magazine, How the Fight Over Transgender Kids Got a Leading Sex Researcher Fired.

Dr. Zucker encouraged effeminate boys and butch girls to be content with their gender. For that, he was fired. The progressive line is now is that you can’t be an effeminate male or butch woman (and if so, you must gender transition). Once again, the progressives show just how reactionary and authoritarian they truly are.

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Conversion Therapy Bans: Some Considerations

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Update. Breaking Ranks: From The Right Therapy for LGBT Youth:

[Legislative] Bans could have the unintended consequence of deterring therapists from engaging with children who have questions or even of ensnaring good therapists when they do. … Psychotherapy is inherently private and complex, and for some individuals, sexual orientation and gender identity can and do evolve in the course of legitimate treatment.

That’s not the opinion of right-wing homophobes. It’s from a May 2, 2015 Washington Post op-ed by Stewart Adelson, an assistant clinical professor at Columbia University medical school and principal author of the American Academy of Child and Adolescent Psychiatry’s practice guidelines on LGBT youth, and Kyle Knight, a researcher in the LGBT rights program at Human Rights Watch.

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The White House, in response to an online petition that cites LGBTQ+ youth suicide in calling for a federal ban on all conversion therapy, responded with a statement saying, “While a national ban would require congressional action, we are hopeful that the clarity of the evidence combined with the actions taken by these states will lead to broader action that this Administration would support.”

Over at reason.com, Scott Shackford risks opprobrium, writing:

It’s absurd to say that the transgender experience is all in somebody’s head or that it’s not real, or cling to the idea that it’s a mental illness out of hand. I have known transgender people both before and after their transitions and have seen them leading much happier lives.

But it’s also equally absurd to never push or poke at any individual’s claim to a transgender identity. A gender transition is a huge, huge deal, and therapists need to be able to make sure their clients hammer out their concepts of who they are before they make some very major decisions. A small number of those who pursue surgery to change their sex regret it. …

We should be more concerned that therapists would become afraid to challenge how their patients see themselves out of fear of running afoul of a government regulation telling them how to go about treatment.

The position of LGBT youth is different from that of adults, and there is a necessary role for the state in protecting youth against abusive parents (although this role, too, is often handled badly by government). As regards protecting LGBorT youth, there are some issues to be addressed. The petition states, for instance, “Therapists that engage in the attempt to brainwash or reverse any child’s gender identity or sexual orientation are seriously unethical and legislation is needed to end such practices that are resulting in LGBTQ+ deaths.”

As Shakeford suggests, the matter isn’t always so simple, particularly concerning the need to be certain of a young person’s transgender identity before life-altering changes are made. There is some convincing evidence, for instance, of prepubescent males regarded as “effeminate,” and who then self-identify as transgender, being put on hormonal therapy to stifle male sexual development by obliging parents. There is also evidence that post puberty and into adulthood, many “effeminate”-regarded (and self-regarding) boys, including some of those who had identified as transgender, maturing into gay men who are not, it turns out, transgendered and are most happy to have their male sexuality intact.

From a conservative magazine (the Weekly Standard); and no, I don’t endorse everything here, but I do find this point worth considering:

Critics of puberty blockers, now administered in at least 37 locations in the United States according to Spack, point to the expense, the numerous side-effects associated with Lupron and its pharmaceutical relatives, and the possibility that parents and physicians might be pushing children who would otherwise grow out of their transgender identities into a lifetime of painful and costly surgery, dependence on daily doses of estrogen and other hormones, and the difficulty of finding a place for themselves in a world in which their femininity will always be questioned. On top of that, taking large doses of the hormones of the opposite biological sex almost invariably renders the taker sterile.

One of the leading critics has been Kenneth Zucker, a psychologist and former colleague of Blanchard who heads the gender-identity clinic at Toronto’s Clarke Institute. “One controversy is, how low does one go in starting blockers?” Zucker told the Globe in 2011. “Should you start at 11? At 10? What if someone starts their period at 9?” Zucker prefers a therapy regimen of trying to ease transgender girls into accepting that they will be happier in the long run by accepting their genetic maleness, since most of them will grow up to be gay men anyway.

[Transgender activist] Andrea James, as might be expected, has repeatedly attacked Zucker on her website as promoting “reparative therapy for gender-variant youth”—likening him to the often religiously motivated advocates of “curing” a gay sexual orientation.

Should Zucker’s therapeutic approach be illegal?

Some forms of conversion or reparative therapy are indeed destructive when inflicted on minors. But if conversion therapy should be illegal, when does religious counseling become therapy, and at what point should the state and its social welfare network step in and override parents? Is there a risk that these practices where be driven “underground,” where they might be even more destructive?

These concerns don’t mean that states shouldn’t be scrupulous about how they license potentially harmful and abusive therapeutic practices, or that the federal government shouldn’t weigh in. Or that there are no transgendered youth. It just suggests the issues involved aren’t always so clear cut and that it will be useful to see how these state bans play out, and if they are demonstrated to be protective of at-risk youth.

More. From the comments, “Jesse” writes:

I think here, as elsewhere, the idea that T and L&G are the same issues leads to a number of problems. A very strong argument can be made that sexual orientation is inherent and thus therapeutic approaches are destructive, unscientific and should be banned. But to say that someone who hasn’t gone through puberty can be certain that they are transgender and thus should have their puberty blocked just is not the same thing. …

With so much hostility toward gay youth, I’m not surprised some find it easier to say, I’m transgendered; fix me so I fit in. And if the transgender activists say that counseling to see if maybe they are not transgendered, just gay, should be barred, that’s a problem. Fear of offending transgender activists could actually be putting gay youth at risk.

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