HHS Study Challenges Affirmation-Only Model for Treating Minors with Gender Dysphoria

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Added: My latest Substack column:


Added (use archived link to view full Washington Post editorial):


From the Washington Post’s comments on its editorial:

Doug Tynan, May 11, 2025: “As a child psychologist who reviewed much of this research literature at the request of a consultant to insurance companies, I must agree with this editorial, the Cass Report and the outlines of this HHS report. The existing research is limited, short term, and does not apply to many of the patients involved, including the large number of children with autism syndrome (about 10% of some gender clinics). It also ignores older studies that show most effeminate boys simply grow up to be gay men, questioning the need for transition for many patients. All of us in the health professions need to step back, take the time to review these reports and then do what is best for the people we serve.”


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More on the report below:


Here’s a link to the full study pdf: Treatment for Pediatric Gender Dysphoria Review of Evidence and Best Practices.

The report notes that lesbian girls and gay boys have often been misdiagnosed as gender dysphoric and subjected to “gender transition” drugs and surgeries, often because their parents, their doctors, or they themselves believe changing their bodies is preferable to being homosexual. Excerpts from the report below:

“[Christian Hamburger, a Copenhagen endocrinologist] Perhaps Hamburger felt a special compassion for homosexuals because his sister was a lesbian. Despite Denmark’s comparatively liberal national policies, Hamburger surely knew from his sister’s experience how discrimination against gays and lesbians could be profoundly troubling for a homosexual. He could offer no medical intervention to help his sister, but he believed there might be some steps he could take to help George Jorgensen, and he was willing to try.”

“Given clinician reports of his self-reported sexual behavior and desires, it is almost certain that George was gay.”

“See also Chapter 3 for the influential case of George/Christine Jorgensen and the subsequent wave of predominantly lesbian and gay people who sought medical transition.”

“Also apparently ignored was the related possibility that transition may appeal to young gay men and lesbians suffering from social disapproval of their homosexuality.”

“The previously observed tendency for early-onset GD [gender dysphoria] patients to be gay continued with the Dutch cohort. Of the initial group of 70, only one reported heterosexuality; the other 69 reported either homosexuality (62), bisexuality (six), or “don’t know yet” (one).”

“That is, the original Dutch Protocol patient cohort was comprised almost entirely of gay, lesbian, and bisexual patients—one of whom died as a result of surgical complications from vaginoplasty following pubertal blockade and cross-sex hormones.”

“Given the medical profession’s history of pathologizing and medicalizing same-sex attraction, serious justice-related concerns are raised by the overrepresentation of gay, lesbian, and bisexual adolescents among patients receiving unproven interventions that adversely impact fertility and sexual function.”

“There is evidence that the specter of being labeled a “conversion therapist”— a damaging accusation given the profession’s history with the mistreatment of gay people—has created a climate of anxiety among mental health professionals. Therapists worry that failing to affirm or recommend medical interventions for youth who meet the World Professional Association for Transgender Health’s (WPATH) eligibility criteria could jeopardize their careers and reputations.

“The gay people pushed to change their gender.”

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Supreme Court Weighs Opt Outs for LGBTQ+ Lessons

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My latest Substack column.


Justice Jackson seems to be laboring under the delusion that there already is universal school choice in America.


And relatedly:

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The Backlash Is Real

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More:

“Gender ideology” has re-opened the door to expressions of homophobia in the guise of being against LGBTQ+ craziness. All the more reason why the total embrace of TQ+ by formerly LGB groups is so counter-productive.


And this:


Along with the obvious positions that Americans overwhelming reject — social and/or medicalized transitioning of confused minors; males in girls sports — the pronoun and nonbinary madness is driving the backlash.


Relatedly, Detransitioner Maia Poet argues that “restricting access of gender medicine to legal adults (18 year olds and above, in most countries) will not be enough to meaningfully protect kids and young people from being harmed in mind and in body by gender ideology.” From her recent speech for Detrans Awareness Day:

We must understand that what started as a rogue medical experiment confined to a few European hospitals nearly a century ago, has morphed into a widespread ideological assault on reality which has invaded every institution within Western society, which has thoroughly pervaded youth culture. We are beyond the point where legislation alone is capable of neutralizing the threat of this ideology to our young people. If these kids are anything like me, they will need to be de-radicalized and they need proper mental healthcare and guidance. If we truly wish to end the death grip of gender ideology on our society, as a start, we need to face the distress that these children are facing in an aggressively honest, compassionate and practical way.

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Stonewall and Trans Ideology

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In “Lies, Myths, and Stonewall,” Martha Shelley, one of the founders of the Gay Liberation Front formed in the aftermath of the Stonewall riots, wrote:

Newspaper accounts at the time, and historians who interviewed hundreds of people, report that the rioters were mostly young white gay men. … Now it seems, however, that a subset of the trans movement has appropriated the history, along with various leftists who want to be seen as allies. About a year ago, Democracy Now! reported that the riots were led by “transwomen of color.” This is so far from actual events that I wrote to them trying to correct the misinformation but never heard back.
The way the legend goes these days is that two transwomen, Sylvia Rivera and Marsha P. Johnson, led the Stonewall rebellion. … Here’s what I know and remember about Rivera and Johnson: First, they called themselves transvestites, not transgender. Few people, if any, identified as transgender in those days. They identified themselves as male or female at different times. Then, as Johnson herself said afterwards, she didn’t arrive at the Stonewall that evening until 2:00 am, long after the rebellion had started. Rivera was uptown all evening and never participated in the riots. I remember, myself, that immediately afterward they were not leaders of or even participants in the movement for gay rights.

Gay history and gay heroes are being erased, and gay people who speak out against this face the wrath of LGBTQ+ lobbies that have replaced what was once the movement for “gay liberation” and lesbian and gay equal rights.

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