Prevalence of Gender Ideology and the Placebo Effect

Is the nearly vertical upward spike in reported cases of gender transition due, in part, to the placebo effect? Leor Sapir Reports at City Journal,  "The Placebo Is the Point: A new paper highlights the fundamental bias in the world of “gender-affirming” research."

A paper published last month in the Archives of Sexual Behavior makes an important point about the environment in which “gender-affirming” drugs and surgeries are offered to minors. Positive outcomes from hormonal interventions, argues psychiatrist Alison Clayton, the article’s author, may be attributable to placebo effects generated by clinical encounters and the social context in which they take place, rather than to the underlying psychotropic effects of the drugs themselves.

Clayton’s basic intuition makes sense. If you take a teenager in emotional distress and tell her that drug X will solve her problems, while treatment Y will make them worse, and then bring her to a clinical setting where medical professionals repeat that message, it should come as no surprise that the teenager experiences emotional relief when you give her X, or distress when you give her Y—regardless of the psychotropic effects of X. The patient may regard the giving of X symbolically as adults listening to her and empathizing with her inner turmoil. “The ‘Hawthorne effect,’” writes Clayton, “describes the phenomenon where clinical trial patients’ improvements may occur because they are being observed and given special attention. A patient who is part of a study, receiving special attention, and with motivated clinicians, who are invested in the benefits of the treatment under study, is likely to have higher expectations of therapeutic benefits.”

It is indeed the case that promoters of “gender-affirming care” have created what Clayton calls “a perfect storm for the placebo effect.” In the left-of-center media, puberty-blockers, cross-sex hormones and (less frequently) surgeries are hailed as “medically necessary” and suicide-preventing measures for teens in distress, supposedly over having been wrongly “assigned” their sex at birth. Skeptics of these interventions are denounced as cruel deniers of life-saving medicine to youth at high risk of suicide. Meantime, alternatives to drugs and surgeries (e.g., psychotherapy) are denigrated as harmful “conversion therapy,” setting the stage for a nocebo (harmful) effect on those who receive psychotherapy but not drugs.

From the viewpoint of those who have become intensely interested in treating dysphoria medically (rather than the "watch and see" method), many have uttered the phrase "Munchausen syndrome by proxy," which is "a mental illness and a form of child abuse. The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick."

 Biologist Colin Wright has been observing various parent groups. His observations give credence to that concern.

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Gender Ideology: Colin Wright Offers a Case Study

How does one explain "the sudden and dramatic rise in the number of children being referred to gender clinics for gender dysphoria—the experience of distress caused by a perceived mismatch between one’s biological sex and “gender identity.”

Biologist Colin Wright followed one recent case on the Facebook Group, “Trans People and the Allies Who Support Them” Facebook Group.? Here's a great recipe if you would like to confuse and abuse a young child.

[This sudden and dramatic rise of such cases] is likely due to the equally sudden rise of a radical new ideology—gender ideology—which is a set of beliefs asserting that whether someone is a man/boy or woman/girl is entirely rooted in one’s subjective “gender identity” as opposed to one’s objective biological sex. In practice, “gender identity” reflects an individual’s affinity to, or rejection of, masculine and/or feminine stereotypes.

This truly radical reconceptualization of what it means to be a man, woman, boy, or girl, does not come without equally radical and harmful consequences. The harm results from the fact that the completely natural and common tendency of some individuals of each sex to exhibit gender nonconforming personalities and behavior is now being incorrectly interpreted as being transgender—a psychological condition that requires treatment.

The current standard of care is called “gender-affirming therapy,” which is the practice of immediately accepting and accommodating a child’s new identity without question or exploration of causal factors. Initially this often means participating in the child’s social transition, which can involve calling the child by a new name, using new pronouns, and allowing them access to spaces (e.g. bathrooms) that “match” their claimed identity. Following social transition, the next step often involves taking puberty blockers to halt further body development, and then cross-sex hormones and surgical interventions such as double mastectomies (removal of breasts) in girls, or orchiectomies (removal of testicles) in boys.

[More . . . .]

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Sizing Up Strangers

We think we can easily see into the hearts of others based on the flimsiest of clues. We jump at the chance to judge strangers. We would never do that to ourselves, of course. We are nuanced and complex and enigmatic. But the stranger is easy. If I can convince you of one thing in this book, let it be this: Strangers are not easy.

Malcolm Gladwell, Talking to Strangers (2019), p. 50.

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Woke Racism, Where Ideology Defeats Science

John McWhorter of the Foundation Against Intolerance and Racism (FAIR) warns us that four of the mainstays of Woke Anti-racism are long on ideology and short on scientific validity:

- Microaggressions - Diversity Equity & Inclusion Departments - Implicit Bias Testing - Systemic Racism

Ideology twisting scholarship with dangerous consequences is a phenomenon hardly limited to the Soviet Union. It's happening here, right now, in America, in an effort to spread an intolerant orthodoxy masquerading as 'Anti-racism.'

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