Whistle-Blower Speaks Out at the Washington University Transgender Center at St. Louis Children’s Hospital

In November, 2022, Jamie Reed quit her job at the The Washington University Transgender Center at St. Louis Children's Hospital because she came to the conclusion that the way the Center treated its young patients was "morally and medically appalling." Here are the opening paragraphs of her detailed story at The Free Press: "I Thought I Was Saving Trans Kids. Now I’m Blowing the Whistle."

I am a 42-year-old St. Louis native, a queer woman, and politically to the left of Bernie Sanders. My worldview has deeply shaped my career. I have spent my professional life providing counseling to vulnerable populations: children in foster care, sexual minorities, the poor.

For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt.

All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier.

The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility.

I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.”

Instead, we are permanently harming the vulnerable patients in our care. Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.

Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.

[More . . . .]

Continue ReadingWhistle-Blower Speaks Out at the Washington University Transgender Center at St. Louis Children’s Hospital

Stanford University Attempts to Dismantle Harmful Language

Stanford University has launched an initiative to protect us from harmful language. This language is so incredibly harmful that after the link to the website started getting passed around, Stanford shut down public access. Now only Stanford students will get to know the language that purportedly harms all of us.

Heather Heying had been poking around at the Stanford website that was designed to protect her (and me and you and everyone else) from certain terrible words and phrases, but before she could finish reviewing the website, Stanford closed off public access. Here's some of the information that Heather can report at her website, Natural Selections:

Finally, I grabbed a single screenshot of one of the recommendations on the site before access was restricted4. Here it is:

[More . . . ]

Continue ReadingStanford University Attempts to Dismantle Harmful Language

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.

Continue ReadingPrevalence of Gender Ideology and the Placebo Effect

The Affect of Overall Wealth and Egalitarianism on Sex Based Differences

Where would you expect to find sex based differences in career choice most diminished? If you guessed in countries with more wealth and egalitarian culture, you would be wrong. David Geary discusses and interprets the data in his article, "The Nurture of Evolved Sex Differences: Why favorable conditions produce larger sex differences." In wealthy countries like Norway, increased numbers of women pour into fields that are "people oriented" rather than "thing oriented." Consider, first, this data:

As reviewed by Schmitt and colleagues [33], sex differences in many aspects of personality, self-esteem, and cognitive and psychological functioning are larger in WEIRD, gender equal countries. For instance, women are generally more cooperative and agreeable than men and men are more Machiavellian than women, on average. These differences are larger in more egalitarian countries. One potential reason is that religious prohibitions and proscriptions increase social cooperation and decrease self-serving behaviors in men and this in turn reduces the sex differences in these areas. The release of these prohibitions enables fuller expression of underlying differences; in this case, a decrease in men’s agreeableness and an increase in their use of Machiavellian social strategies [34].

Occupational segregation also increases in WEIRD, gender equal countries, presumably due to underlying differences in preferences for working with and helping people as contrasted with working with things [35]. Girls’ and women’s greater interest in other people and relationships follows from their greater investment in children and their need to develop BFF (best friends forever) relationships that serve as a source of social and emotional support. Boys’ and men’s greater interest in things likely follows from an evolutionary history of tool making, most of which is done by men.

[More . . . ]

Continue ReadingThe Affect of Overall Wealth and Egalitarianism on Sex Based Differences

Three Reasons Why There are Two–and Only Two–Biological Sexes.

Zach Elliot is an author of two books on sex and gender and a producer of 20+ animated videos on sex differences. Here is the intro to his article: "What Are Sexes? There is much confusion in our current culture as to what sexes are and what they are not."

There is much confusion in our current culture as to what sexes are and what they are not. When biologists make a claim about the number of sexes in a species, they are not making a claim about chromosomes, body types, or personal identity; rather, they are making a claim about the number of distinct reproductive strategies in that species.

A reproductive strategy is an evolved system for propagating genes and forming a new individual. In sexually reproducing species, producing a new individual requires the combination of at least two distinct and complementary reproductive strategies. These strategies are fulfilled through the delivery of genetic material in sex cells called gametes, which have half the genetic material of the parent. When two gametes fuse, they form a genetically unique individual with a full set of chromosomes.

Some species reproduce through gametes of the same size (isogamy) and can have many unique reproductive strategies called mating types, which control what gametes can fuse with one another, but their differences do not go far beyond the molecular level. On the other hand, most species in the plant and animal kingdoms reproduce through gametes of differing size and form (anisogamy), where there is an asymmetry in size and behavior between the interacting gametes and often the individual organisms themselves.

When gamete sizes are differentiated (anisogamy), there are typically exactly two sexes, no more and no less. In such systems, the reproductive strategy that produces the smaller gametes is designated as male and the reproductive strategy that produces the larger gametes is designated as female. It is not the physical size of the gametes themselves that differentiates the male and female reproductive strategies, but rather what those size differences represent.

Continue ReadingThree Reasons Why There are Two–and Only Two–Biological Sexes.