By
Bernard Lane
Tuesday, March 29, 2022
In the debate about the wisdom of
medicalised gender change for the young, there is a common refrain meant to
expose the moral panic and ignorance of sceptics. No young person, we are told,
gets any medical intervention before puberty. This may be true, but it obscures
the more telling fact that very young children at school are exposed to
influences that may put them on a one-way path to lifelong medicalisation.
In a Canadian primary school, a
six-year-old girl was reportedly upset and puzzled after her teacher showed the class a YouTube video entitled He, She, and They?!?—Gender: Queer Kid Stuff #2. The video stated that “some people aren’t boys or girls.” Another day,
the teacher asked the children to place themselves on a gender-spectrum
diagram. The six-year-old put herself at the “girl” end of the spectrum, only
to be told by the teacher that “girls are not real, and boys are not real.”
The girl’s family say school authorities
refused to take any action over these lessons, which were given in 2018.
Although the family moved the daughter to another school, they say the
disorienting effect of having her foundational identity as a girl undermined
has been “severe and long-lasting.” A human-rights complaint brought on the
girl’s behalf finally reached a full tribunal hearing this month.
In England, a six-year-old boy reportedly
came home confused because his school was allowing another boy to identify as
female and wear a dress. The six-year-old’s parents say they were warned by school authorities that anyone who “could not believe” that boys identifying as girls
were actually girls, or anyone who refused to use female pronouns, “would be
viewed by the school as being transphobic.”
At a middle school in California, a
sixth-grade girl called Jessica was allegedly influenced by teachers to join an Equality Club, where she was told she might be
transgender and bisexual. Her mother’s lawyer says the teachers “told these
kids, do not tell your parents, and specifically Jessica’s mom, do not tell
them, they cannot be trusted.”
“They gave them reading materials about
transgenderism,” the lawyer says. “They secretly changed the pronouns, but when
in front of the parents, referred to their children by their birth pronouns.
Behind the parents’ back, in the school, [they] used their new identity. All
this was done secretly.”
In Australia, online resources provided by
a federal government-hosted Student Wellbeing Hub instruct teachers in how to “support” a student who is coming out
as trans. This is known as “social transition,” typically involving new names,
clothes, and hair; a complete cross-sex identity. The guide for teachers says:
“It may be possible [for the school] to consider a student a mature minor and
able to make decisions [about social transition] without parental consent.” The
legal concept of a mature minor allows children and adolescents under 18 to
authorise their own medical treatment, if they appear to understand the nature
and consequences of what the doctors propose.
But what will children comprehend about
boys, girls, and their different bodies if teachers set them confusing lessons
at odds with biological reality?
Social transition is typically presented
as “just being kind”; allowing gender-questioning children to try on a trans
identity to see if it fits, and discarding it without consequence if it
doesn’t. But there is good reason to think that social transition before
puberty makes lifelong medicalisation more likely. It may lock in the bodily
distress of gender dysphoria, the condition cited to justify the three-step “Dutch protocol” of
puberty blockers to halt normal development, followed by cross-sex hormone
drugs and surgery, such as a mastectomy, to make the body an opposite-sex
facsimile.
Before the recent enthusiasm for early
social transition and the Dutch-protocol treatments, most patients diagnosed
with gender dysphoria in early childhood grew out of it, many of them emerging
as healthy, unmedicalised young people who identified as gay, lesbian, or
bisexual.
Canadian clinical psychologist Ken Zucker, a world authority on youth gender dysphoria and editor of the
journal Archives of Sexual Behavior, argues that early social
transition is itself a psychosocial intervention that is likely to make dysphoria persist, rather than “desist” as
it used to.
When adults in charge promptly “affirm” a
young child’s trans declaration and enable social transition, it’s not
surprising if a girl with a less than fully mature brain concludes that, yes,
she will become a boy exactly like the other boys. Ahead of this girl is the
potential shock of menarche, and she may be more likely to seek puberty-blocker
drugs.
Meanwhile, trans influencers online spin a
story of medicalised gender change as an uplifting panacea, and public figures
mumble incoherent slogans when asked, “What is a woman?” Even if only a handful
of children in a given school year declare a trans identity, it’s no surprise
if many classmates struggle to grasp the distinction between biological sex and
the supposedly universal sense of a “gender identity” that may—or may not—line
up with their bodies.
“Gender-affirming” activists are quick to
suggest that any wish for young people to re-embrace their birth sex, and learn
to accept their bodies, flirts with unethical “conversion therapy.” But what if
that result, bringing an end to the distress of gender dysphoria, is rightly
regarded as a successful outcome of ethical, exploratory therapy? From this perspective, early social transition looks like an iatrogenic phenomenon (i.e., whereby a well-meant intervention actually does
harm) to such extent as it helps perpetuate gender dysphoria.
A child who socially transitions before
puberty, with a cross-sex identity celebrated as an immutable soul, may find it immensely difficult to undo this often very public
transformation. If she shelters within a trans subculture and has her puberty
chemically blocked, does she lose future possibilities and options left open to
contemporaries who cycle through the normal stages and phases of adolescent identity
development?
When gender ideology looms large at school
and online, the young may be primed to interpret a sense of not quite fitting in, of a bodily
disconnection, a feeling of a somewhat feminine boyhood or boyish girlhood, as signs of a trans identity. Autism Spectrum Disorder may go undiagnosed or untreated, and stirrings of same-sex
attraction may be reframed as trans.
Are gender-promoting teachers, however
well-intentioned, usurping a quasi-clinical role for which they have no
qualifications? Will education authorities be held liable if young people who
transition at school go on to regret it as a harmful mistake, and take legal
action? This doesn’t seem a remote risk. It’s not hard to find anonymous
teachers on social media well aware of the emerging group of young adult “detransitioners,” many of them belatedly embracing lesbian identity—and with their
health potentially damaged by testosterone and surgery. Off the record, when
careers are not at risk, teachers have told me it’s simply absurd for activists
to deny the role of social contagion as clusters of friends declare a trans or non-binary identity
online.
But it’s still common to hear some
teachers drawing a simple progressive parallel between gay liberation and the
skyrocketing numbers of young people self-identifying as trans. They seem
oblivious to today’s medicalisation and its potential side-effects, which
include infertility and an inability to experience orgasm. What lives and
relationships will be possible for these young people?
Many teachers will be alarmed at colleagues
who enable covert gender change, regarding it as an unforgivable breach of
trust with parents, and a failure of child safeguarding. The activists among
them justify it by insinuating that the safety of the trans child requires
protection against “unsupportive” parents. Without saying so explicitly,
support is narrowly interpreted to mean going along with the “gender-affirming”
approach. But is it “unsupportive” for parents to be prudent and sceptical
about concretising a sudden trans identity or allowing a teenager to begin
irreversible medical treatment with a weak evidence base?
Both social and medical transition often
are justified and accelerated on the basis that doing otherwise may increase
the risk of suicide. In the United States, UK, and Australia, we hear the claim
that a staggering 40 to 50 percent of trans youth will attempt suicide. But how many teachers who are
otherwise fond of the slogan “follow the science” take a close look at the
nature of these constantly-invoked studies of suicide risk? They are sourced to
anonymous, online surveys with no follow-up questions, based on
non-representative “convenience samples” recruited via social media and
activist groups.
Clinicians disturbed by this suicide hysteria say there is no good evidence that young people with gender
dysphoria have a uniquely high suicide risk once other variables are accounted
for. Yes, it’s thought to be a risk more elevated than that of the general
youth population, but probably no higher than for other young people seen by
psychiatric clinics. Many gender-clinic patients have multiple diagnoses such
as depression, not gender dysphoria alone, and it’s unclear which condition
drives the suicide risk. Dr. Zucker put it this way in 2019: “If you are
depressed, your suicidality risk is going to be elevated, but you see that in
kids who are depressed but don’t have gender dysphoria. The idea that
adolescents with gender dysphoria are at a higher risk of suicide per se is
dogma—and I think it’s wrong.”
There is scant data on actual suicides,
although Oxford University sociologist Michael Biggs recently calculated the suicide rate for patients at the UK Tavistock youth gender clinic as 5.5 times
higher than for the population of similar age and biological sex. This represented
four patients known or thought to have died by suicide out of about 15,000
patients at the clinic from 2010 to 2020. Meanwhile, there is no high-quality
data showing that medical transition reduces suicide. And some detransitioners say their mental health actually got worse with
puberty blockers and hormones.
Gender ideology is well entrenched in
schools of the Anglosphere partly because it’s packaged with the right
buzzwords: anti-bullying, student safety, wellness, diversity, and
inclusiveness. Much of this ideological infrastructure was being built as a new
generation of emotionally and intellectually fragile teenagers was being reared
on novel social-media platforms. In 2015, free-speech advocate Greg Lukianoff
and social psychologist Jonathan Haidt wrote their famous Atlantic magazine
article, The Coddling of the American Mind, in which they try to make sense of the trigger warnings,
microaggressions, and allergic reactions to disagreement observed on university
campuses. Lukianoff, who had found cognitive behaviour therapy useful against depression, was struck by the dysfunctional
thinking of these young people—and its reinforcement by the administrators
supposedly in charge. In their article, Lukianoff and Haidt wrote: “A campus
culture devoted to policing speech and punishing speakers is likely to engender
patterns of thought that are surprisingly similar to those long identified by
cognitive behavioral therapists as causes of depression and anxiety. The new
protectiveness may be teaching students to think pathologically.”
Gender ideology looks very similar. It
appears to bring into the classroom cognitive distortions that, if left unchecked, make for a miserable life. “Catastrophising,” for example, seems the right term for the reckless recycling of trans
suicide hysteria and the notion that use of the “wrong” pronouns inflicts
severe mental distress. For rigid “dichotomous thinking,” consider the belief that gender non-conforming traits are signs that
the maternity ward made a mistake when “assigning sex at birth.” Then there is
the constant “mind-reading” on display when any disagreement with gender ideology is taken as
proof of transphobia.
Most politicians seem clueless about risky
gender activism in the classroom, but parental pushback is growing. In the UK,
the group Transgender Trend, a gender-clinic watchdog, has produced a suite of resources to try to
get sensible, factual information in front of teachers and parents. This material,
the group says, is
based on
the ‘watchful waiting’ approach towards children and young people with gender
dysphoria. This is the established clinical approach, which may include
counselling, family therapy etc for children who are severely distressed. [By
contrast] activists promote an ‘affirmation’ and social-transition approach
which is experimental. It means that if a boy says he is a girl everyone must
affirm him as a girl. This approach covers up any underlying problems that have
led to a child’s identification as transgender and is therefore in our view a
risky approach.
In 2020, the UK Department of Education
responded to concern about gender activism in school with a new guidance document for teachers. It included the exhortation that
You should
not reinforce harmful stereotypes, for instance by suggesting that children
might be a different gender based on their personality and interests or the
clothes they prefer to wear … Materials which suggest that non-conformity to
gender stereotypes should be seen as synonymous with having a different gender
identity should not be used, and you should not work with external agencies or
organisations that produce such material.
Within the polarised American political
sphere, conservative activist Chris Rufo, who made his name exposing the excesses of Critical Race Theory, has pinpointed gender ideology as a means by which activist teachers
seek to frustrate the right of parents to know what their children are being
taught. So far, CRT has been by far the more prominent issue. But Republicans
are taking a closer look at self-declared gender as an issue on which Democrats
might be vulnerable. GOP Senator Tom Cotton recently introduced a federal bill to prohibit public schools from enabling gender transition without
parental consent. And Florida’s Ron DeSantis, a rising Republican star, has
championed a new state law to shield the very young—those in kindergarten up to grade
three—from premature exposure to material on sexual orientation and gender
identity.
At an international level, Genspect, a new group campaigning for a wider range of treatment options for
gender-questioning young people, offers a “parent advocacy service” to ensure
that children are not socially transitioned at school without parental
approval. “In one case—the Welsh district of Rhondda Cynon Taf—our intervention
resulted in the entire local authority area revisiting its ‘Trans Toolkit,’
protecting potentially thousands of kids from social transition in the school
setting,” the group says.
Often, contentious Queer Theory-scripted
material makes its way into the education system courtesy of visiting LGBTQ groups or training courses for teachers. In this manner, activist groups
get to advance their ideological cause while presenting as “experts,” and even
profiting from a revenue stream. But anguished parents and teachers are now
crowdsourcing their efforts so as to publicize the stories of children on the
receiving end of this kind of gender indoctrination—including in my own
country, Australia, where this project has been led by Moira Deeming, a teacher, researcher, and
Melbourne councillor.
At a public school in the state of
Victoria, one parent relates that a Queer Club newsletter included a link to a
petition asking for gender-affirming surgery to be given taxpayer funding.
Another parent wrote: “My child came home from school one day and said they
would ‘like to try it.’ Being the opposite sex that is! TRY IT!”
“It’s enraging,” she added. “My child was
eight, and had no understanding that sex is immutable or that once surgery is
performed it cannot be reversed. Child abuse has many faces.”
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